Welcome to the ISIPS Newsletter February 15, 2019
Needlestick & Sharps Injuries
Smart Syringe Market Is Thriving Worldwide | Becton, Dickinson, Cardinal Health, Terumo Medical - Master Journal
Vein Illuminator Market Synopsis and Highlights, Key Findings, Major Companies Analysis and Forecast to 2023 | Market Research Future - Press Release - Digital Journal
Prevent needlestick and sharps injuries | 2018-12-20 - Safety+Health magazine
60 tons of hazardous medical waste pile up daily in southern Tehran - Tehran Times
Safety Needles Market is Slated to Touch a Value of US$ 7765.7 Million by 2027 - The Future Gadgets
Catalogue of broken bones, cuts and bruises for NHS Tayside staff - The Courier
At least 15 pupils are stabbed with an 'insulin needle' by a classmate - Daily Mail
Horror at Wales school as '15 children stabbed’ with insulin needle - Express
'Needle Know-How' webinar gets to the point - National Hog Farmer
B. Braun Launches Safety Engineered Port Access Needle - GlobeNewswire
Needlestick Injuries in the Workplace - Lawyers.com Blog
Needlestick Injury – Is it just a prick? - Dental News Pakistan
What Should I Do If I Get a Needlestick? - The Hospitalist Online
Needlesticks: Avoiding the Hazard - DailyNurse
Hospital fined for exposing employees to needle-stick injuries - NJ.com
Protection from Needle Stick Injuries in Insulin Injections - Emergency-Live
'New vigor' needed to reduce needlestick injuries, health care group says - Safety+Health magazine
EU rules bring greater protection from needlestick injuries - Nursing Times
Good News for Clinical Labs and Phlebotomists: Safety-engineered Devices Reduce Needlestick Injuries - DARKDaily.com - Laboratory News
Potentially dangerous needlestick injuries often go unreported - News-Medical.net
VanishPoint Blood Collection Set
The VanishPoint Blood Collection Set, from Retractable Technologies, Inc., features automated in-vein retraction that effectively reduces the risk of needlestick injuries and blood exposure.  The safety mechanism is activated by depressing a retraction trigger that is located near the finger-grip area.  This allows for easy one-handed activation, without changes in hand position, while reducing the risk of inadvertent activation.  The needle is retracted directly from the patient, virtually eliminating exposure to the contaminated needle.
HIV
Parents are right to be concerned about young kids being tested for HIV | Jenice Armstrong
Central Missouri sees spike in HIV diagnoses
Pentagon discriminates against HIV-positive service members, suit claims
Menstrual Changes and HIV
AIDS—an approach for targeting HIV reservoirs
What's New in the U.S. HIV Clinical Guidelines
2 U.S. Airmen Sue Pentagon, Say They Were Discharged For Being HIV-Positive
Pennsylvania middle school students offered pizza in exchange for HIV testing: report
Top 10 HIV and hepatitis C stories of 2018
From the good news to the bad, below are the top 10 stories that made headlines in 2018, as determined by our readers.
HEPATITIS
San Diego Health Official Defends Response to Hepatitis A Outbreak
Hepatitis C Cases Cluster in States Hit Hard by Opioids
Hepatitis A Cases Spike in Marion County
State audit faults county's slow response to deadly hepatitis A crisis
Hepatitis C and drug abuse often go hand in hand, but screening for infection lags
San Diego County knew hepatitis A outbreak would be one of 'worst' ever, audit finds
Health expert says hepatitis C could be eliminated quickly in Scotland
Fearing widespread hepatitis A outbreak among homeless population, El Paso County goes on offensive
Med Clips - What you need to know about hepatitis C
We invite you to watch this informative presentation by Kingman Regional Medical Center Pharmacy Resident, Lap Truong, PharmD as he describes what you need to know about Hepatitis C.  Hepatitis C is a liver infection caused by the hepatitis C virus (HCV). It is a major cause of liver cancer and end-stage liver disease. 
Symjepi, the Auto-Injector Alternative, to Launch Q1 2019
Sandoz, a US-based division of Novartis AG, has announced the launch date for Symjepi, their emergency epinephrine device. The 0.3mg “adult dose” version will be available in the first quarter of 2019 with lower “child” and “pediatric” doses to follow.
 
Sandoz has set the wholesale price of the device at $250, a 16% discount off the $300 price of Mylan’s EpiPen generic and the recently announced Teva generic which has begun selling in limited quantities in the US.
Covington school cafeteria worker diagnosed with hepatitis A
John G. Carlisle Elementary School sent home a letter as soon as it found out a cafeteria worker tested positive for hepatitis A. 
 
The letter was accompanied by a letter from the Northern Kentucky Health Department urging people who ate at the cafeteria over the past three weeks and have not been fully vaccinated to see a doctor.
 
“Initially, I was pretty frightened,” said Taylor Kopeschka. “My son was sick last week, so initially I was very frightened because I wasn’t sure if it had anything to do with what his symptoms were last week.”
Kentucky's hepatitis A outbreak exceeds 3,000 cases. Here are the counties most affected
Kentucky's hepatitis A outbreak rages on into its second year, as health leaders say there are now more than 3,000 reported cases.
 
The Kentucky Department for Public Health said the state has received 3,122 reported cases from August 2017 through the first week of December 2018.
 
19 people have died as a result of the outbreak, and 82 percent of Kentucky's 120 counties have reported at least one case. More than half of the cases have led to patients being hospitalized.
 
Jefferson County, Kentucky's most-populated county, has the most reported cases with 642. Carter County has the highest incident rate per capita.
WEST NILE
Suffolk Health Commissioner Reports Three Additional Cases of West Nile Virus
Upstate beekeeper stunned by West Nile spray, loses thousands of bees
Jacksonville now up to 13 human West Nile virus cases this year
First West Nile Virus-Related Death Of 2018 Reported In Montgomery County
First West Nile death of 2018 confirmed in Montgomery County
EBOLA
Latest outbreak of Ebola in DR Congo threatens mega-cities
Medical Teams International Braces for Ebola in Uganda
The DRC's Ebola Outbreak Is an End-of-Year Nightmare
Ebola – Tools for the new outbreak response
Ebola outbreak rises to 560 cases; third response plan prepared
Congo: Ebola outbreak 'certainly' to last 3-4 months more
As Ebola threatens mega-cities, vaccine stockpile needs grow
ZIKA VIRUS
Researchers develop rapid, inexpensive test for Zika
Safer Zika vaccine may be on the horizon
Nebraska virologists discover safer potential Zika vaccine
After adopting open bathroom policy, Starbucks will install hypodermic needle-disposal boxes in bathrooms for workers’ safety
Starbucks has decided to start offering needle-disposal boxes in some of its bathrooms, according to USA Today.Ew, why?
A spokesperson for the popular coffee chain told USA Today that the company has decided to begin offering hazardous waste disposal boxes in its bathrooms after reports of "blood and discarded needles and syringes in bathrooms."
“Ouch! Did that seriously just happen?”
I was having a nice conversation with a patient while suturing up his finger. He was a chef and, of course, cut his finger while chopping onions. I was just about finished, and it looked nice. I was in the midst of cleaning up my mess when somehow the syringe fell and the cap came off and directly hit my finger—where it temporarily stuck, and then fell off.
 
I felt the sharp stick immediately, but calmly finished what I had to do and then quickly excused myself from the room. Initially I could not see anything. Could I have gotten so lucky that it did not break the skin? The thought was quickly dashed by the bubble of blood that oozed from the stick site.
Safe Needle Disposal Helps Protect Public from Needlestick Injuries
The number of Americans self-injecting drugs outside healthcare settings increases each year. A 2015 study by Zion Research estimated that the global injectable drug market will grow at a compound annual growth rate of 11.8% between 2016-2021. Many patients need to inject medications when away from home but lack access to safe disposal options.
 
Sharps Compliance Needle Collection and Disposal Systems help local governments and private businesses protect the public and employees from needlestick injuries.
Superbugs and anti-vaxxers make WHO's list of 10 global health threats
From climate change to superbugs, the World Health Organization has laid out 10 big threats to our global health in 2019. And unless these threats get addressed, millions of lives will be in jeopardy. Here's a snapshot of 10 urgent health issues, according to the United Nations' public health agency:
Winneshiek County landfill bans medical sharps in safety move
How you dispose of sharps like medical syringes has changed for Winneshiek County and some surrounding areas. In the middle of 2018, the Winneshiek County Solid Waste Agency passed a resolution banning sharps from going into the Winneshiek County Sanitary Landfill in a move to make working conditions safer. The ban went into effect January 1, 2019. Tons and tons of trash go into the landfill every day from all over. Landfill Director TJ Schissel said it amounts to about 100 tons a day.  Schissel said sharps and other biohazards pose a risk for not only the workers but also other who visit the landfill.  “So then we got thinking that’s not safe. The public comes out here on the tipping face. They could step on one, trip and fall and put it in their hand.”
IN THE NEWS
RISK MANAGEMENT IN HEALTHCARE: CASE STUDY
I am a health care assistant going on duty at North Shore Hospital. It is one of the hospitals under the Waitemata District Health Board. It caters inpatient and outpatient care. It is also equipped to perform surgeries and emergency care.
 
Studying risk management is a very important key in being a manager. This would equip you with the vital skills and mind set to be sensitive to identify the different risks in the work place. You will be able to act quickly and find a solution if ever a problem is faced. All of your clients or patients are your responsibility. Their care is in your hands.
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IS YOUR SHARPS SAFETY PROGRAM EFFECTIVE?
There is always the risk that a sharps injury will lead to a blood-borne infection and other consequences. Because of this, workplaces which use sharps such as scalpels and needles (including hospitals, aged care facilities, aesthetician clinics) need to make sure that a sharps safety program is in place. To make sure that your sharps safety program is effective, it should include the following controls of risk.
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VANISHPOINT® BLOOD COLLECTION TUBE HOLDER
  • Automated retraction is activated by securely closing end cap while needle is still in patient's vein

  • Once activated, needle is automatically retracted from patient, virtually eliminating exposure

  • Single use holder protects users from both ends of contaminated blood collection needles

  • Utilizes conventional multiple sample blood collection needles and prevents cross contamination

  • Capable of multi-tube blood draws

  • Small diameter tube adapter available for use with small diameter tubes

 

DENTAL MYTHBUSTER 7: USE OF SAFER SHARPS
The European Council Directive 2010/32/EU (the Sharps Directive) was introduced to prevent injuries and blood-borne infections to hospital and healthcare workers from sharp instruments such as needles. The Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 implement aspects of the directive that are not specifically addressed in existing GB legislation.
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GET SMART ABOUT SHARPS
Needlestick injuries can transfer serious infections including hepatitis B, hepatitis C and HIV.
 
Keep safe and get smart about sharps by using the InSafe Sharps Safety System by Initial Medical.
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Built-in safety mechanism is activated by fully depressing plunger while needle is still in patient 
 
Once activated, needle is automatically retracted from patient, virtually eliminating exposure
 
One-handed activation 
 
Requires minimal training
 
Non-reusable
 
Safe, efficient disposal
 
Color coded for gauge size
 
1cc, 3cc, 5cc, and 10cc syringe sizes available, in a variety of needle gauges and lengths.
PREVENT NEEDLESTICK AND SHARPS INJURIES
Needlestick and sharps injuries occur when needles or other sharp objects inadvertently puncture a person’s skin, and can happen “when people use, disassemble or dispose of needles,” according to the Canadian Center for Occupational Health and Safety.
 
A worker also can incur a sharps injury from scalpels, razor blades, scissors, metal wire and any other object that can pierce the skin.
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NEEDLESMART PROFESSIONAL PH
A product designed specifically for the Phlebotomy market. Taking the contaminated sharp and associated parts at the point of use. The NeedleSmart Ph will destroy the sharp, separate the constituent parts, and sort them into specific waste streams ready for downstream disposal.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The NeedleSmart range has the potential to:
  • Reduce hypodermic needles to sharps bins by up to 70%
  • Generate a reduction in sharps disposal cost in the order of 30%
  • Costs reduction / end of line
  • Potential to recycle product
Charging figures: Full charging - 1p to charge. Melt 300 needles - 0.5p
12.5p / kWhr
 
VIDEO: NEEDLESTICK INJURIES COSTING NHS MILLIONS OF POUNDS
Healthcare workers are regularly faced with needlestick injuries (NSI) and while it might not be a standout issue, the financial implications across the NHS are damning.
 
According to the NHS Resolution’s annual report and accounts (2016/ 2017), it received 1,833 incident claims for needlestick injuries between 2012 and 2017 (fiscal years).
 
Of these, the 1,213 successful claims cost the NHS £4,077,441, but a UK-based company, NeedleSmart is now offering a technological solution to reduce injuries and costs – which is reported at more than 100,000 in the UK.
 
The new needle disposal technology, which can be used in hospitals, clinics and GP surgeries, takes a used hypodermic needle and transforms it into a sterile, non-sharp needle – in seconds.
 
NeedleSmart chief executive Cliff Kirby said the technology also has data benefits.
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LETTER: NEEDLES A GROWING PROBLEM
To the Editor:
 
I would strongly suggest that the issue of loose discarded needle reduction and opioid addiction is addressed with the  highest degree of concern by all of Ukiah, and farther. You already know this. We need to do better. Much better.
 
San Francisco is supposedly considered to be a role model for the reduction of transmittable diseases for places like Miami and Chicago, who have a far, far worse problem. Eight times worse. (Remind me to not visit there).
 
And here are the facts, and I quote:
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HOW LONG HAVE YOU BEEN WITH YOUR MEDICAL WASTE DISPOSAL COMPANY?
 
 
 
 
Reducing Needlesticks with Proper Disposal
Making sure you have a solution in place for sharps removal is a crucial component of sharps injury prevention. MedPro supports ISIPS mission to reduce these injuries among HCP’s and have heard far too many horror stories of physicians or staff loading up a box of sharps or medical waste and “driving it to the local hospital” for disposal. This not only puts you at risk for an injury, but also is could harm your practice should any of the waste spill. 
 
MedPro can help with solutions ranging from sharps mailback services to multiple pickups per week, we are here to meet the needs of your practice even as those needs change. 
 
If its been awhile since your practice had a “medical waste checkup”, give us a call. In an industry full of egregious price increases and surprise surcharges, MedPro is the changing the game with flat rate, transparent pricing and clear contracting terms. We’d be happy to show you or your administrator how much you could save by right-sizing your services, and working with a BBB A+ rated partner. Call us today at 888-678-4199 to get started or visit medprodisposal.com/isips for more information. 
 
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SAFETY PROCEDURES INCREASED AFTER CHILD PRICKED BY NEEDLE AT ROXBURY SCHOOL
Boston Police are stepping up efforts to keep school children safe after Roxbury student was pricked by a needle during recess.
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MORE WINNIPEG POLICE OFFICERS BEING POKED BY NEEDLES ON THE JOB
Increases in property crime, emergency room visits and cases of blood borne diseases – all known consequences of the meth epidemic.
 
Now new numbers show Winnipeg police officers are facing a risk connected to the drug crisis.
 
“Without question, the number of needles that are out on the street has exploded,” said Const. Rob Carver.
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NEEDLESMART IS FEATURED IN INSIDER MAGAZINE
NeedleSmart have been featured in Insider’s ‘Invest in Liverpool City Region 2019’ magazine. The article discusses NeedleSmart’s technology, which destroys hypodermic needles using extreme heat, allowing their safe disposal.
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DEAR STARBUCKS CUSTOMERS: TIPS WELCOME. NEEDLES? NOT SO MUCH
Coffee giant Starbucks and other restaurateurs are grappling with safety issues surrounding needles and other hazardous objects being left on their premises.
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ANXIETY: THE INVISIBLE SIDE EFFECT OF SHARPS INJURIES
The anxiety that derives from sharps injuries in the medical industry often goes unmentioned. While sharps injuries can initially be painful and distressing, there is a lot more to them than what meets the eye. Thoughts about the possible outcomes and repercussions from a sharps injury can become overwhelming and affect a person in many different ways both mentally and physically. On top of the initial fear of being judged, waiting for blood test results for blood-borne diseases can feel like an eternity.
 
There are 20 different blood-borne pathogens that can be contracted from a sharps injury, the most common being Hepatitis B, Hepatitis C and HIV. Sharps injuries can also have indirect consequences such as reduced quality of life, reduced capacity to work and even affect loved ones at home. This anxiety is more than justified, and it should be recognised and addressed. Below are two case studies where sharps injuries in the medical industry caused the victims unhealthy levels of anxiety.
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IT'S NOT JUST A NEEDLESTICK: EXPLORING PHLEBOTOMISTS' KNOWLEDGE, TRAINING, AND USE OF COMFORT MEASURES IN PEDIATRIC CARE TO IMPROVE THE PATIENT EXPERIENCE
Blood draws are a routine element of the pediatric patient experience. They are also associated with the greatest fear and pain for a child. Because of the limited literature regarding phlebotomists' knowledge, experience, training, or stress related to their use of comfort techniques during pediatric blood draws, this study explored current practices and training methods. Phlebotomist training tends to focus on clinical technique rather than pediatric or patient comfort support. The study includes aims to develop a measurement for phlebotomists' use of comfort techniques for pediatric blood draws.
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MEASLES OUTBREAK EXPANDS IN NORTHWEST US
The number of confirmed measles cases near Portland grew to 31 on Friday — an outbreak boosted by lower-than-normal vaccination rates in what has been called an anti-vaccination U.S. “hot spot.”
 
Public health officials in southwest Washington, just across the Columbia River from Portland, Oregon, said people may have been exposed to the dangerous disease at more than three dozen locations , including Portland International Airport, a Portland Trail Blazers game, an Amazon Locker location and stores such as Costco and Ikea.
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INTERNATIONAL SAFETY CENTER REVEALS THAT 32% OF PHYSICIANS AND NURSES SUSTAIN EXPOSURES TO INFECTIOUS DISEASE DUE TO UNSAFE PRACTICES
The International Safety Center, a woman-led global organization committed to improving the safety and health of those working in healthcare, this month released its 2017 Exposure Prevention Information Network (EPINet®) data illustrating for the first time that nurses (32.9%) and physicians (32%) sustain nearly identical frequencies of reported needlestick and sharps injuries while following unsafe practices. 
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DRUGS AND SYRINGES HAVE BECOME SUCH A PROBLEM IN STARBUCKS BATHROOMS THAT THE COMPANY IS INSTALLING NEEDLE-DISPOSAL BOXES IN CERTAIN LOCATIONS
Starbucks is installing needle-disposal boxes in some bathrooms, as well as exploring other solutions to workers' concerns regarding improperly discarded syringes and the related health risks
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PATIENTS WHO MAY HAVE CONTRACTED HEPATITIS AT NJ SURGICAL CENTER FILE LAWSUIT
The HealthPlus Surgery Center in Saddle Brook, NJ, has come under fire.
Two patients from a New Jersey surgical center have tested positive for hepatitis, their attorney said Thursday.
 
The HealthPlus Surgery Center in Saddle Brook warned thousands of patients last month about potential exposure to dangerous infections after what it called a “lapse in infection control.”
 
Attorney Michael Maggiano said one of his clients is a patient who tested positive for hepatitis A and the other client is a patient who tested positive for hepatitis B. Both are a blood-borne diseases that can cause serious liver damage if left untreated. Neither strain is immediately deadly but can lead to rare, delayed health consequences.
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