Welcome to the ISIPS Newsletter May 24, 2019
Needlestick & Sharps Injuries
Woman injured by needle found in Mona Vale supermarket salad - Daily Telegraph
Report reveals 58 deaths due to overdoses and notes rise in risky drug injecting in Cork City - Irish Examiner
Safety first: Protecting health care workers and patients - Devex
Opinion: A safety-first approach to keeping patients and practitioners safe - Devex
Drug services in Cork notice increase in 'dangerous injecting practices' - BreakingNews.ie
Needle pick-up a sore spot - My Cowichan Valley Now
Velano raises $10M to take the needle out of blood draws - VatorNews
Starbucks baristas poked by discarded needles - KIRO Seattle
AOHP Releases 2016 and 2017 Report of Its National Survey on Blood Exposures Among U.S. Healthcare Workers - Infection Control Today
Police union wants mandatory disease testing after needlestick injuries - Courier Mail
Behind the Curtain of Sharps Injury Prevention and Device Reprocessing - Infection Control Today
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.
InSafe Sharps Safety System - Safe disposal of sharps
To help you comply with government legislation, Initial provides the specially designed InSafe Sharps Safety System. This is an unique sharps and syringes disposal box to ensure the contaminated needle is never exposed except when giving the actual injection. The InSafe Sharps Safety System offers complete protection for employees and patients.
 
The syringe feels and aspirates just like a traditional syringe ensuring there will be no interruptions to your dental practices when introducing our safety system.
HIV
New study provides precise geographic estimates of HIV prevalence
Women Respond Very Differently Than Men To HIV And Treatment, But Most Research Subjects Are Men
Pakistan Trying to Grapple With Its Biggest HIV Outbreak
'Start Here': Trump, HIV in West Virginia, Everest
Pakistan: 537 out of 681 HIV affected between the age of 2 to 15, WHO to investigate
Scientists map HIV/Aids prevalence
Could gold be the key to making gene therapy for HIV, blood disorders more accessible?
N4BP1 restricts HIV-1 and its inactivation by MALT1 promotes viral reactivation
Over 600 people test HIV positive in Pakistan city
HEPATITIS
Hepatitis A on the rise in Florida
Tennessee gov seeking $24.7M to treat hepatitis C in prisons
One death, 79 cases of hepatitis A in NH since November
‘Significant Increase’ Of Hepatitis A Diagnoses In NH Concerning Health Officials
1 Dead as NH Hepatitis A Outbreak Accelerates
WEST NILE
County officials asking for public’s help as West Nile Virus season approaches
West Nile May Be Subdued Thanks To Heavy Rains, End Of Drought
Heavy rains, end of drought could help keep West Nile virus subdued for now
The end of California's drought could mean fewer cases of West Nile virus
Family working to raise awareness of West Nile virus
Could a Warming Planet Increase the Spread of the Zika and West Nile Viruses?
EBOLA
Ebola survivors turn caregivers in Congo outbreak
Democratic Republic of Congo: Ebola Virus Disease - External Situation Report 37
Ebola is real, Congo president tells skeptical population
Congo's leader sets Ebola outbreak end date after 800 deaths
Congo’s president wants Ebola contained within 3 months
Congo Ebola epidemic exceeds 1,000 cases, according to Health Ministry
World's 2nd-largest Ebola outbreak exceeds 1,000 cases
Eight in 10 doctors at risk of 'burnout'
Eight in 10 doctors are at high or very high risk of “burnout”, driven mostly by exhaustion rather than feeling disengaged with their roles, the British Medical Association (BMA) has warned.The BMA found that more than a quarter (27%) of doctors and medical students had been diagnosed with a mental...
Atlanta hit with Hepatitis A outbreak; cases nationwide higher than normal
A spread of the disease which started in California two years ago has found its way to northern Georgia, leading to more diagnoses than normal, health officials say.  According to the Atlanta Journal Constitution the uptick in cases began in June 2018, with 281 cases being reported statewide, but Atlanta has been one of the primary hotspots, where 24 cases have been reported. The Fulton County Board of Health has been tracking the outbreak, which they said was expected, but they have been alarmed since Fulton County usually sees less than 10 cases a year.
Virginia officials warning public about increase of hepatitis A cases
Video Report
HEPATITIS A CASES SURGE IN GEORGIA AND FLORIDA AS OFFICIALS SEARCH FOR SOURCE OF OUTBREAK
While 18 states across America are experiencing large numbers of hepatitis A outbreaks, Georgia and Florida seem to be among those hit hardest by the highly contagious liver infection, a trend which has prompted officials to investigate patterns in the disease’s spread.
 
Two dozen people in Georgia have been diagnosed with the virus in the past two weeks, reported The Atlanta Journal-Constitution. These outbreaks—often spread to an uninfected individual through water or food contaminated with the feces of an infected person or during sex—have mostly affected those in Fulton County and Rome, Georgia, located in Floyd County, according to the state health officials. Since June 2018, a total of 245 cases have been confirmed in the state, with at least one person dying from the virus.
Is a Washington State Nurse to Blame for Causing 12 Patients to Contract Hepatitis C?
A nurse who admitted to using drugs meant for patients has been identified as the likely source of a hepatitis C outbreak at a hospital in Washington state that infected 12 people, according to a report published by the US Centers for Disease Control and Prevention on Thursday.
 
The agency began its extensive investigation last year when officials were notified of a hepatitis C outbreak among patients at the Good Samaritan Hospital after routine surveillance identified two patients with the illness in the emergency room, the report says.
ZIKA VIRUS
What Ebola, HIV and Zika REALLY look like: Artist and scientist's fascinating watercolours
Zika Virus Update for Summer 2019
Could a Warming Planet Increase the Spread of the Zika and West Nile Viruses?
Over 1,000 quarantined in measles scare at LA universities
More than 1,000 students and staff members at two Los Angeles universities were quarantined on campus or sent home this week in one of the most sweeping efforts yet by public health authorities to contain the spread of measles in the U.S., where cases have reached a 25-year high .
 
By Friday afternoon, two days after Los Angeles County ordered the precautions, about 325 of those affected had been cleared to return after proving their immunity to the disease, through either medical records or tests, health officials said
Beijing police investigate needle abuse claims at kindergarten
Police in Beijing's Tongzhou district are investigating allegations that a kindergarten teacher has used needles to prick children under her care, according to media reports.
 
Six parents allegedly found their children aged from 4 to 5 at the Xinghe international kindergarten in Tongzhou had needle prick wounds in recent days.
 
A father who asked for anonymity sent a hospital report to the Global Times, which states that the wounds were confirmed as being caused by a needle. Beijing Luhe Hospital Capital Medical University shows that children had suffered needle stick injuries on their hands, faces and hips.
 
The father claimed that his child was pricked by the teacher once the child refused to take a nap or did not behave. 
'Long and sordid history of neglect’: Judge demands Florida must treat all inmates with hepatitis C
U.S. District Judge Mark Walker rules Thursday night that the state’s Department of Corrections in favor of class-action lawsuit that claimed Florida didn’t treat inmates with drugs to cure disease because they were too expensive.
IN THE NEWS
SCALPEL SAFETY - PROTECTING PATIENTS AND CLINICIANS
Over the last 20 years I have visited many hospitals and clinics in a sharps injury prevention role.   I have enjoyed the opportunity of visiting with clinicians concerning safety products on an international basis and discussing sharps injury prevention.
 
Many institutions have become more compliant with the revised OSHA Bloodborne Pathogen Standard. Unfortunately, not all departments in hospitals are as compliant with  all  requirements  of the law. One area in the hospital struggling to be compliant  is  the  operating  room.  There  are many clinicians who are still hanging onto standard scalpels rather than making the conversion to safety scalpels.As we are all aware, scalpels are small but extremely razor-sharp knives used during surgery.
The razor-sharp blade is attached to a flat or round handle that is often very slippery. Accidents happen and the risk of injury and potential infection from bloodborne pathogens is very high.
 
Scalpel blade injuries are among the most frequent sharps injuries, second only to the ubiquitous needlestick. Scalpel injuries make up 7 percent to 8 percent of all sharps injuries. One of the challenges of scalpel blade injuries is their severity. Typically these scalpel blade injuries are deeper and more dramatic than needlestick injuries. It was estimated in 2005 that less than 5 percent of the acute care market for reusable scalpels had converted to the use of safety devices. For disposable scalpels in acute care the conversion was about 59 percent.
 
Why Don’t More Surgeons Use Safety Scalpels?
According to the literature there are a variety of reasons why many surgeons are are reluctant2 to adopt the use of safety scalpels. Some surgeons have indicated that they saw a patient safety issue because the safety scalpels were not rigid enough in their hand during deep tissue incisions. Another surgeon indicated that he found the sheet covering the blade awkward to use. He felt that it did not retract or slide back over the blade easily. Other reasons include: concerns for patient safety, felt too clumsy in their hand, obstructs vision of incision, etc.
 
One additional reason could be the current generation of safety scalpels are “active” safety devices, meaning the safety feature of the product has to be activated by the clinician. This is different than the passive blood collection devices that are on the market. These passive devices simply require the insertion of the needle into the patient to activate the safety feature. With a safety scalpel,   the safety feature has to be activated by retracting the blade or by shielding it following use.
 
In one study, sponsored by the Centers of Disease Control and Prevention (CDC), the authors discovered the safety features of “active” safety devices (where the safety mechanism needs to be activated by the user, in contrast to “passive” safety devices where the safety mechanism is activated automatically) were not always activated. In fact,  the activation rates in their study ranged from a low of 17 percent to 90 percent. This was quite a range—the activation rates recorded in this study were 17 percent, 27 percent, 67 percent and 90 percent.
 
In yet another study, it was reported that 4.1 percent of the scalpel injuries inflected during the study were due to injuries suffered from safety scalpels. An additional 4.1 percent were injuries suffered from reusable scalpels. At first the authors thought that there were an equal number of injuries from safety scalpels as from reusable scalpels. However, this figure was misleading because there are not equal amounts of safety scalpels used as compared to reusable scalpels. Using the assumption that only 20 percent of scalpel usage has been converted to safety scalpels, this study indicates that there were actually four times more injuries with safety scalpels than reusable scalpels.
More will be discussed in next week's blog >
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
 
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

 

B. BRAUN LAUNCHES FIRST FDA-APPROVED HEPARIN SODIUM PREFILLED SYRINGE WITH ATTACHED SAFETY NEEDLE
B. Braun Medical Inc. announced the launch of its Heparin Sodium Injection, USP—the first Heparin 5,000 USP Unit / 0.5 mL prefilled syringe with attached safety needle for subcutaneous and intravenous use in the United States.  “B. Braun continues to develop products designed to increase patient and clinician safety, while reducing medication errors and improving dosage accuracy and workflows,” said Leigh Nickens, Director of Marketing, Fluid Therapy and Injectable Drugs at B. Braun. “Our prefilled syringe is equipped with a label-integrated Schreiner MediPharm Needle-Trap system that, upon activation, guards against accidental needle stick injuries,” Nickens continued.
More >

 
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.
ISRAELI FLIGHT ATTENDANT IN COMA AFTER GETTING MEASLES
An Israeli flight attendant has slipped into a coma after contracting measles, according to health officials.
 
The 43-year-old woman has encephalitis, or inflammation of the brain, a well-known and potentially deadly complication of the virus. She was otherwise healthy before getting measles.
"She's been in a deep coma for 10 days, and we're now just hoping for the best," said Dr. Itamar Grotto, associate director general of Israel's Ministry of Health.
The flight attendant, who works for El Al, the Israeli national airline, might have contracted the virus in New York, in Israel or on a flight between the two, Grotto said. Health authorities do not believed that she spread the virus to anyone on the flights.  
More >
CEO OF NEEDLESMART, CLIFF KIRBY, TOOK PART IN A PANEL DISCUSSION AT INSIDER’S NORTHERN POWERHOUSE HEALTH INNOVATION CONFERENCE.
Insider held a Northern Powerhouse Health Innovation Conference on the morning of the 25th April at Manchester’s  Conference Centre. The event was hosted and organised by Miri Thomas, the editorial director of Insider, and saw a number of panel debates and presentations as well as a key note speech from Rt Hon Matt Hancock MP, the Secretary of State for Health and Social Care.
MEASLES ACCELERATES TO SECOND-HIGHEST LEVEL IN US IN 25 YEARS AND OVER 100,000 GLOBAL CASES
The number of measles cases in the United States made its biggest jump of the year, with 90 new cases reported in just one week, according to numbers released Monday by the US Centers for Disease Control and Prevention.
 
With 555 total cases, 2019 now has the second-highest number of measles cases in the United States in 25 years -- and the year isn't even half over.
More >
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