Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Brown CK[original query] |
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The cardinal rules: Principles of personal protective equipment for high-consequence infectious disease events
Donovan SK , Herstein JJ , Le AB , Gibbs SG , Beam EL , Brown CK , Lowe AE , Lowe JJ , Lawler JV . Infect Control Hosp Epidemiol 2024 1-3 In recognition of an increasing number of high-consequence infectious disease events, a group of subject-matter experts identified core safety principles that can be applied across all donning and doffing protocols for personal protective equipment. |
COVID-19 response roles among CDC International Public Health Emergency Management Fellowship Graduates
Krishnan S , Espinosa C , Podgornik MN , Haile S , Aponte JJ , Brown CK , Vagi SJ . Emerg Infect Dis 2022 28 (13) S145-s150 Since 2013, the US Centers for Disease Control and Prevention has offered the Public Health Emergency Management Fellowship to health professionals from around the world. The goal of this program is to build an international workforce to establish public health emergency management programs and operations centers in participating countries. In March 2021, all 141 graduates of the fellowship program were invited to complete a web survey designed to examine their job roles and functions, assess their contributions to their country's COVID-19 response, and identify needs for technical assistance to strengthen national preparedness and response systems. Of 141 fellows, 89 successfully completed the survey. Findings showed that fellowship graduates served key roles in COVID-19 response in many countries, used skills they gained from the fellowship, and desired continuing engagement between the Centers for Disease Control and Prevention and fellowship alumni to strengthen the community of practice for international public health emergency management. |
Assessment of COVID-19 outbreaks in Long-Term Care Facilities.
Bennett CC , Welton M , Bos J , Moon G , Berkley A , Kavlak L , Pearson J , Turabelidze G , Frazier J , Fehrenbach N , Brown CK . J Hosp Infect 2023 134 7-10 BACKGROUND: The B.1.167.2 (Delta) variant quickly became the predominant circulating SARS-CoV-2 strain in the United States during Summer 2021. Missouri identified a high number of outbreaks in long-term care facilities (LTCF) across the state with low vaccination rates among LTCF staff members and poor adherence to mitigation measures within local communities. AIM: This report aims to describe COVID-19 outbreaks that occurred in Missouri LTCFs impacting staff and residents during the surge of the Delta variant. METHODS: Outbreaks of COVID-19 in 178 LTCFs were identified by the Missouri Department of Health and Senior Services. Case data from LTCFs with the highest burden of disease were analyzed to assess disease transmission, vaccination status, and outcomes among residents and staff. Additional investigational measures included onsite visits to facilities with recent COVID-19 outbreaks in communities with substantial transmission to assess mitigation measures. FINDINGS: During 22(nd) April - 29(th) July 2021, 159 COVID-19 cases among 72 staff members and 87 residents, were identified in 10 LTCFs. Over 74.7% of resident cases were vaccinated compared to 23.6% of staff cases. Vaccinated residents had a lower proportion of hospitalizations and deaths reported compared to unvaccinated residents. Data analysis and contact tracing efforts from a sample of the facilities suggest staff members were likely a major factor in introducing SARS-CoV-2 virus into the facilities. Adherence to COVID-19 mitigation measures varied at the visited facilities. CONCLUSION: Data showed that vaccination rates varied between staff cases and resident cases in facilities with high burden outbreaks. Differences were identified in mitigation practices in at least two facilities. |
Best practices of highly infectious decedent management: Consensus recommendations from an international expert workshop
Le AB , Brown CK , Gibbs SG , Uhrig A , Green AD , BrochBrantsaeter A , Herstein JJ , Vasa A , Shugart J , WilsonEgbe W , Lowe JJ . J Occup Environ Hyg 2022 19 (3) 1-19 With the increasing number of highly infectious disease incidents, outbreaks, and pandemics in our society (e.g., Ebola virus disease, Lassa fever, coronavirus diseases), the need for consensus and best practices on highly infectious decedent management is critical. In January 2020, a workshop of subject matter experts from across the world convened to discuss highly infectious live patient transport and highly infectious decedent management best practices. This commentary focuses on the highly infectious decedent management component of the workshop. The absence of guidance or disparate guidance on highly infectious decedent management can increase occupational safety and health risks for death care sector workers. To address this issue, the authorship presents these consensus recommendations on best practices in highly infectious decedent management, including discussion of what is considered a highly infectious decedent; scalability and storage for casualty events; integration of key stakeholders; infection control and facility considerations; transport; care and autopsy; psychological, ethical, and cultural considerations as well as multi-national care perspectives. These consensus recommendations are not intended to be exhaustive but rather to underscore this overlooked area and serve as a starting point for much-needed conversations. |
Zika virus in workers: Considerations for ongoing exposure prevention
Brown CK , Shugart JM . Am J Ind Med 2019 62 (6) 455-459 Since at least 2015, a major Zika virus epidemic has impacted the Americas and the Caribbean. There is an ongoing risk of Aedes mosquito-borne transmission in more than 90 countries and territories worldwide. In these areas, as well as in places that are not experiencing active outbreaks, workers in a variety of jobs may be exposed to the virus. In addition to outdoor workers in places with ongoing, vector-borne transmission who may be exposed when bitten by Zika-infected mosquitoes, biomedical researchers studying the virus and health care workers and staff in clinical laboratories may encounter blood and infectious body fluids from infected individuals, including travelers from Zika virus-affected areas. Because of potentially serious health outcomes, including reproductive effects, sometimes associated with Zika, the Occupational Safety and Health Administration and National Institute for Occupational Safety and Health previously issued guidance to help US employers protect workers from exposure to the virus on the job. This commentary summarizes the details of these recommendations and explains their rationale, which is important to understand when adapting and implementing workplace controls to prevent occupational Zika virus exposures and infections at individual worksites. The industrial hygiene hierarchy of controls, including elimination and substitution, engineering controls, administrative controls, and safe work practices, and personal protective equipment, serves as a framework for infection prevention practices for at-risk workers discussed here. |
Zika virus presents an ongoing occupational health hazard for laboratory and biomedical research workers
Shugart JM , Brown CK . Appl Biosaf 2019 24 (1) 8-9 Since 2015, the most recent Zika virus (ZIKV) epidemic has spread to more than 80 countries and territories.1-3 More than 42,000 cases have been identified in the United States to date, including at least 37,000 in the US territories (mostly in Puerto Rico and attributable to local transmission).4 As the frequency of new cases has decreased, concern over the situation has waned. However, laboratory and biomedical research workers remain at risk of infection. | | The Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH) within the Centers for Disease Control and Prevention (CDC) received reports of 3 ZIKV exposure incidents among such workers, each with clear links to work tasks, during the recent epidemic. However, we are not aware that they have been described in the literature yet. |
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