Transmission of pandemic (H1N1) 2009 influenza to healthcare personnel in the United States

Details

• Personal Author:
  Black SR ; Borlaug G ; De Perio, Marie A. ; Finelli L ; Gerber SI ; Halpin J ; Harriman K ; Jhung M ; Kallen AJ ; Magill S ; Olsen SJ ; Rosenberg J ; Swerdlow DL ; Wise ME
• Description:
  After identification of pandemic 2009 influenza (pH1N1) in the United States, the Centers for Disease Control and Prevention (CDC) worked with state and local health officials to characterize infections among healthcare personnel (HCP). Detailed information, including likely routes of exposure, was reported for 70 HCP from 22 states. Thirty-five cases (50%) were classified as being infected in healthcare settings, 18 cases (26%) were considered to have been infected in community settings, and no definitive source was identified for 17 cases (24%). Of the 23 HCP infected by ill patients, only 20% reported using an N95 respirator or surgical mask during all encounters and more than half worked in outpatient clinics. In addition to community transmission, likely patient-to-HCP and HCP-to-HCP transmission were identified in healthcare settings, highlighting the need for comprehensive infection control strategies including administration of influenza vaccine, appropriate management of ill HCP, and adherence to infection control precautions. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Environmental Monitoring Health Care Facilities Workforce And Services Health Personnel Lung Diseases Occupational Health Personal Protective Equipment Respiratory Protective Devices Respiratory Tract Diseases Safety
• Keywords:
  Disease-prevention Disease-transmission Exposure-assessment Health-care Health-care-facilities Health-care-personnel Infection-control Infectious-diseases Lung-disorders Outpatient-facilities Personal-protective-equipment Pulmonary-system-disorders Respirators Respiratory-protection Respiratory-system-disorders Surveillance-programs Vaccines

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• ISSN:
  1058-4838
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  California ; Georgia ; Illinois ; Ohio ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 9 ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  52
• NIOSHTIC Number:
  nn:20038325
• Citation:
  Clin Infect Dis 2011 Jan; 52(Suppl 1):S198-S204
• Contact Point Address:
  Matthew Wise, MPH, Ph.D, Division of Healthcare Quality Promotion, CDC, 1600 Clifton Road, MS A-35, Atlanta, GA 30333
• Email:
  cxx4@cdc.gov
• Federal Fiscal Year:
  2011
• NORA Priority Area:
  Services
• Peer Reviewed:
  True
• Source Full Name:
  Clinical Infectious Diseases
• Supplement:
  1
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7c1eb4774bdc9d7aea82693875b3245edece2affb3dbb7fa1144a2a7be7196b0eb6e7e6f26b851065e0b4e5ebb1a06ed0156206a7de4bd1565e77fa1e95c6cba
• Download URL:
  https://stacks.cdc.gov/view/cdc/192068/cdc_192068_DS1.pdf
• File Type:
  [PDF - 170.51 KB ]