NIOSH Testimony on Bloodborne Pathogens by E. L. Baker, September 12, 1989.
NIOSH 1989 Sep:13 pages
This testimony is offered by NIOSH in support of the Centers for Disease Control in an effort to protect American workers from occupational exposure to bloodborne pathogens. The rulemaking activity in question focuses on the risks of occupational transmission of bloodborne pathogens, primarily hepatitis-B virus and human immunodeficiency virus (HIV). Health care and public safety workplaces have numerous and diverse safety and health hazards unrelated to infectious agents. There are three sources of data available to the Centers for Disease Control on the occupational risk of HIV infection in health care workers. First is surveillance data on persons with acquired immunodeficiency syndrome (AIDS) in the United States who report a history of employment in a health care setting. Secondly, individual published case reports of HIV infection in health care workers are available. The most valuable of all are prospective studies of groups of exposed workers to determine their risk of infection. The data indicate that transmission of HIV infection to health care workers has followed occupational exposure to HIV infected blood via percutaneous inoculation or via contact with mucous membranes on nonintact skin; that transmission due to occupational exposure to a body fluid other than blood has not been documented; that the risk of HIV infection after a single needlestick or injury with a sharp object contaminated with HIV infected blood is about four per thousand; and the risk of HIV infection after a single mucous membrane or nonintact skin exposure to HIV infected blood is probably considerably less.
NIOSH-Author; NIOSH-Testimony; Baker-E-L; Disease-transmission; Disease-vectors; Health-care-personnel; Physicians; Nurses; Nursing; Pharmacists; Radiologists;
NTIS Accession No.
Infectious Diseases; Disease and Injury;
NIOSH, 13 pages