Implementing TB Infection Control in Outpatient Settings - CDC video download | Global Health Delivery Online: Improving health care delivery through global collaboration

1

Paul A. Jensen, PhD, PE, CIH

Please note that Ginny Lipke, CDC, DGHA was responsible for the development and production of this "movie" as well as posting links to the CDC website to view it (a few months ago). The GHDonline also allows you to download it (the CDC website does not).

Regards,

Paul J

--------------------------
Sent from my BlackBerry . . . Please excuse my fumbling thumbs!

----- Original Message -----
From: GHDonline (Sophie Beauvais) [mailto:]
Sent: Thursday, August 09, 2012 11:00 AM
To: Jensen, Paul A. (CDC/OID/NCHHSTP)
Subject: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download

Sophie Beauvais added a new discussion to the TB Infection Control community.

Title: Implementing TB Infection Control in Outpatient Settings - CDC video download

Discussion contents:
"Dear All,

Paul Jensen shared with us the DVD for this video by the CDC to make it available to all for download here. It is an MPEG-4 format which is supposed to be supported by most DVD players and players on the web but let us know if you have any issues. It was shown this week during the "Building Design and Engineering Approaches to Airborne Infection Control" course taking place at Harvard School of Public Health ...

expand comment

3:09 PM, 9 Aug 2012 | Permalink

2

S. Mehtar

Dear All
It is an excellent video and I think should be integrated into all TB-IPC teaching programmes. My only slight problem is the old chestnut and on going debate (and misuse) of N95 respirators. We now find our patients being given N95 to wear! Doctors refusing to see patients without an N95 respirator sometimes irrespective of diagnosis since we are a high burden country! Basically, are we all agreed that there is no place for surgical masks to be used in TB for healthcare workers? It is causing great consternation in our hospital and disruption of the IPC policies.
Does any one have any comments on this? What do healthcare workers do when N95 respirators run out?
S

Prof Shaheen Mehtar
MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Eng)
Acting Head UIPC
Chair Infection Control Africa Network (ICAN)
Extraordinary Professor
Div Community Health, Faculty of Health Sciences
Stellenbosch Uni, Cape Town
Tel: +27 21 976 2162
Fax: + 27 21 938 5065
Mobile: +27 82 852 3697
Visit our UIPC Website
http://www.sun.ac.za/uipc

4th ICAN conference, 27th to 29th Nov, 2012.
Visit the ICAN website
http://www.ICANetwork.co.za

-----Original Message-----
From: GHDonline (Paul ...

expand comment

Dear All
It is an excellent video and I think should be integrated into all TB-IPC teaching programmes. My only slight problem is the old chestnut and on going debate (and misuse) of N95 respirators. We now find our patients being given N95 to wear! Doctors refusing to see patients without an N95 respirator sometimes irrespective of diagnosis since we are a high burden country! Basically, are we all agreed that there is no place for surgical masks to be used in TB for healthcare workers? It is causing great consternation in our hospital and disruption of the IPC policies.
Does any one have any comments on this? What do healthcare workers do when N95 respirators run out?
S

Prof Shaheen Mehtar
MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Eng)
Acting Head UIPC
Chair Infection Control Africa Network (ICAN)
Extraordinary Professor
Div Community Health, Faculty of Health Sciences
Stellenbosch Uni, Cape Town
Tel: +27 21 976 2162
Fax: + 27 21 938 5065
Mobile: +27 82 852 3697
Visit our UIPC Website
http://www.sun.ac.za/uipc

4th ICAN conference, 27th to 29th Nov, 2012.
Visit the ICAN website
http://www.ICANetwork.co.za

-----Original Message-----
From: GHDonline (Paul A. Jensen, PhD, PE, CIH) [mailto:]
Sent: 09 August 2012 09:10 PM
To: Mehtar, S, Prof <>
Subject: Re: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download

Paul A. Jensen, PhD, PE, CIH replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.

Reply contents:
"Please note that Ginny Lipke, CDC, DGHA was responsible for the development and production of this "movie" as well as posting links to the CDC website to view it (a few months ago). The GHDonline also allows you to download it (the CDC website does not).

Regards,

Paul J

--------------------------
Sent from my BlackBerry . . . Please excuse my fumbling thumbs!

----- Original Message -----
From: GHDonline (Sophie Beauvais) [mailto:]
Sent: Thursday, August 09, 2012 11:00 AM
To: Jensen, Paul A. (CDC/OID/NCHHSTP)
Subject: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download

Sophie Beauvais added a new discussion to the TB Infection Control community.

Title: Implementing TB Infection Control in Outpatient Settings - CDC video download

Discussion contents:
"Dear All,

Paul Jensen shared with us the DVD for this video by the CDC to make it available to all for download here. It is an MPEG-4 format which is supposed to be supported by most DVD players and players on the web but let us know if you have any issues. It was shown this week during the "Building Design and Engineering Approaches to Airborne Infection Control" course taking place at Harvard School of Public Health.

You can also view and share it on YouTube: http://youtu.be/tsnGi-eLIQc

Best, Sophie"

Attached resource:
* <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o... TB IC Outpatient Settings - CDC.m4v

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1:58 PM, 12 Aug 2012 | Permalink

Re. TB risk of dental procedures

Like all health care workers in high burden TB settings, dentists are
at risk from TB transmission, primarily from undiagnosed TB or
undiagnosed drug resistant cases. In addition to the coughing
patient, dental tools - high speed drills and jet irrigation devices -
are among the few ways other than coughing for generating fine
aerosols that could transmit TB. Aerosol generation may be similar to
bronchoscopy - but the latter is likely much higher risk because lung
symptoms or xray findings always prompt that procedure, thereby
selecting for possible TB cases.

If I were doing dental procedures in a high burden TB setting, I would
wear a properly fitted respirator, disposable, or more economically,
an elastomeric re-usable respirator that could last many months or
years with periodic canister replacement. In addition, dentists
should consider environmental controls - a well ventilated operatory,
and if that is not possible, consideration of upper room UVGI with an
air mixing fan. Finally, but really first on the list, dentists in
high TB burden settings should always ask patients before any
procedures if they have a new-onset cough of 2 weeks or more. Such
patients should be considered TB suspects and treated only after they
have been evaluated for TB, unless the dental care is urgent, in which
case all of the above precautions should be used. Dental waiting rooms
should be considered the same as any health care facility waiting
room. Cough surveillance at registration is a key intervention.

Because the source of transmission is localized to the dental
procedure room, we have considered interventions in reverse order:
from personal respiratory protection, to environmental, to
administrative, but all should be considered and implemented, ideally.
Personally, I feel that respiratory protection plays a higher role
here given the close working proximity of the dentist and the patient.
I would not depend as much on environmental or administrative
controls.

Ed

On Mon, Aug 20, 2012 at 5:24 AM, GHDonline (Dries Meyer)
<> wrote:
> Dries Meyer replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.
>
> Reply contents:
> "What is the recommended inhaling protection for Dentists.
>
> They work in close proximity of the open mouths of undiagnosed and
> diagnosed patients wearing only surgical masks.
>
> Dries Meyer..
>
>
> On 2012/08/15 01:58 PM, GHDonline (Grigory Volchenkov, MD) wrote:
>> Grigory Volchenkov, MD replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.
>>
>> Reply contents:
>> "Respirators may be "panic response" and the last "resort", but they also may be adequate component in the well organized airborne infection transmission risk reduction program.
>>
>> Even with perfectly implemented administrative and environmental measures there can by still limited amount of high risk procedures, areas, staff for PRP use.
>> Unfortunately 100% effective interventions are currently not available, so respirators should play limited, but still important role in certain settings.
>>
>> Dr. Grigory V. Volchenkov
>>
>> Chief Doctor
>> Vladimir Oblast TB Dispansery
>>
>> Sudogodskoe shosse, 63
>> Vladimir 600023 RUSSIA
>>
>> phone/fax work: +7(4922)323265
>> mobile +7 9206253227; +7 9190189226
>>
>> PPlease don't print this e-mail unless you really need to. Thank you!
>>
>>
>>
>>> ________________________________
>>> From: GHDonline (S.
>>> To: "Grigory Volchenkov,
>>> Sent: Wednesday, August 15, 2012 3:29 PM
>>> Subject: Re: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download
>>>
>>> S. Mehtar replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.
>>>
>>> Reply contents:
>>> "Dear Abrar
>>> I do agree with you to some extent
>>> The use of face covers in the absence of any of the other controls is basically a panic response- it is embedded in the fear from the Middle Ages. Most places that use face covers (especially N95 respirators) in LMI countries think they are combating the lack of ventilation, triaging and diagnosis and early treatment of TB. The reason for this panic is that the CDC guidelines which are widely available recommend N95 respirators- BUT as part of a total package. When most of the "bundle" for TB is absent, N95 respirators are the only resort. These do not fit the face type, nor are these fit tested- therefore, as long as there is something resembling a face cover everything is fine!!!
>>> Quite shocking! I have some rather interesting photographs!
>>> Regards
>>> Shaheen
>>>
>>> Prof Shaheen Mehtar
>>> MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Lon)
>>> Extraordinary Professor, Div Community Health, Fac Health Sciences
>>> Stellenbosch University
>>> Acting Head of UIPC
>>> Chair of Infection Control Africa Network (ICAN)
>>> Tygerberg 7505, Cape Town
>>> Tel: +27 21 938 5051
>>> Fax: + 27 21 938 5065
>>> Mobile: +27 82 852 3697
>>> Want to know what is happening in Africa in infection control?
>>> Visit Infection Control Africa Network (ICAN)
>>> http://www.ICANetwork.co.za
>>> Dates for your diary!
>>> 4th ICAN conference: 26-29th November, 2012, Cape Town
>>>
>>> -----Original Message-----
>>> From: GHDonline (Abrar Chughtai) [mailto:]
>>> Sent: 15 August 2012 12:42
>>> To: Mehtar, S,
>>> Subject: Re: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download
>>>
>>> Abrar Chughtai replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.
>>>
>>> Reply contents:
>>> "Hi everybody;
>>> How much evidence we have for the efficacy of respirators for TB? According to my limited knowledge, very few studies investigated the efficacy of respirators use alone, for TB prevention in HCWs, in natural setting. Most of the studies were either program evaluations, laboratory investigations or carried out in animals.
>>> Various studies have reported that respirators prevent from TB infection in health care setting. However, in most of these studies, the rate of TB infection was reduced in HCWs after concomitantly improving administrative and environmental control measures. Thus, we do not know how much useful respirators are, for TB prevention. For example, the rate of tuberculin skin test (TST) conversion in HCWs was measured in a hospital in New York and Chicago, after improving compliance to infection control policies. The results showed decrease in TST conversion in HCWs, even before introduction of respirators. Respiratory protection program was also not found cost effective in a hospital in Virginia. In all three hospitals, administrative and environmental measures were found useful in reducing risk of TB transmission in HCWs. Many other studies also showed high cost of respiratory protection program. It is important to note that only procuring respirators is not
>> enough, we need to have a comprehensive respiratory protection program in place, which is beyond the capacity of the low income countries.
>>> If you know any high quality evidence (studies), please let me know as well? But with out a strong evidence, may be we should not too much emphasize of the role of respirators. The available money should be invested in other control measures.
>>> However till the further evidence, it is better to continue using masks, if some one have resources.
>>> Abrar"
>>>
>>> --
>>> View this post online:
>>> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...>
>>>
>>> Unsubscribe or change your email notification settings:
>>> <http://www.ghdonline.org/users/s-mehtar/edit/>
>>>
>>> Contact the GHDonline team:
>>> <http://www.ghdonline.org/contact/>
>>>
>>> You can reply to this discussion by responding directly to this e-mail; it will be shared with all community members and posted as is. Files cannot be added via email attachment and must be uploaded directly to GHDonline.
>>>
>>> E-pos vrywaringsklousule
>>>
>>> Hierdie e-pos mag vertroulike inligting bevat en mag regtens geprivilegeerd wees en is slegs bedoel vir die persoon aan wie dit geadresseer is. Indien u nie die bedoelde ontvanger is nie, word u hiermee in kennis gestel dat u hierdie dokument geensins mag gebruik, versprei of kopieer nie. Stel ook asseblief die sender onmiddellik per telefoon in kennis en vee die e-pos uit. Die Universiteit aanvaar nie aanspreeklikheid vir enige skade, verlies of uitgawe wat voortspruit uit hierdie e-pos en/of die oopmaak van enige lêers aangeheg by hierdie e-pos nie.
>>>
>>> E-mail disclaimer
>>>
>>> This e-mail may contain confidential information and may be legally privileged and is intended only for the person to whom it is addressed. If you are not the intended recipient, you are notified that you may not use, distribute or copy this document in any manner whatsoever. Kindly also notify the sender immediately by telephone, and delete the e-mail. The University does not accept liability for any damage, loss or expense arising from this e-mail and/or accessing any files attached to this e-mail."
>>>
>>> --
>>> View this post online:
>>> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...>
>>>
>>> Unsubscribe or change your email notification settings:
>>> <http://www.ghdonline.org/users/grigory-volchenkov/edit/>
>>>
>>> Contact the GHDonline team:
>>> <http://www.ghdonline.org/contact/>
>>>
>>> You can reply to this discussion by responding directly to this e-mail; it will be shared with all community members and posted as is. Files cannot be added via email attachment and must be uploaded directly to GHDonline.
>>>
>>>
>>> "
>> --
>> View this post online:
>> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...>
>>
>> Unsubscribe or change your email notification settings:
>> <http://www.ghdonline.org/users/dries-meyer/edit/>
>>
>> Contact the GHDonline team:
>> <http://www.ghdonline.org/contact/>
>>
>> You can reply to this discussion by responding directly to this e-mail; it will be shared with all community members and posted as is. Files cannot be added via email attachment and must be uploaded directly to GHDonline.
>>"
>
> --
> View this post online:
> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...>
>
> Unsubscribe or change your email notification settings:
> <http://www.ghdonline.org/users/edward-nardell-md/edit/>
>
> Contact the GHDonline team:
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>
> You can reply to this discussion by responding directly to this e-mail; it will be shared with all community members and posted as is. Files cannot be added via email attachment and must be uploaded directly to GHDonline.

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9:19 AM, 20 Aug 2012 | Permalink

18

Dr Shanta Ghatak

Any information that is available is needed urgently

Whether injecting 10% sodium hypochlorite solution to the seroreactive
blood bag is necessary before disposal through the HAZMAT system ??

If it is required then what amount of SodiumHypochlorite solution
needs to be used ?

Thanks
Looking for a fast reply

On 8/9/12, GHDonline (Sophie Beauvais) <> wrote:
> Sophie Beauvais added a new discussion to the TB Infection Control
> community.
>
> Title: Implementing TB Infection Control in Outpatient Settings - CDC video
> download
>
> Discussion contents:
> "Dear All,
>
> Paul Jensen shared with us the DVD for this video by the CDC to make it
> available to all for download here. It is an MPEG-4 format which is supposed
> to be supported by most DVD players and players on the web but let us know
> if you have any issues. It was shown this week during the "Building Design
> and Engineering Approaches to Airborne Infection Control" course taking
> place at Harvard School of Public Health.
>
> You can also view and share it on YouTube: http://youtu.be/tsnGi-eLIQc
>
> Best, Sophie"
>
> Attached resource:
> *
> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...
> TB IC Outpatient Settings - CDC.m4v
>
>
> --
> View this post online:
> <http://www.ghdonline.org/ic ...

expand comment

5:48 AM, 7 Sep 2012 | Permalink

19

S. Mehtar

Dear Dr Ghatak
There is no need to inject anything into a blood bag, it is really not infectious to anyone at that point. Hypochlorite is much over used and is totally ineffective in the face of organic matter, which is what blood is.
S

Prof Shaheen Mehtar
MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Eng)
Acting Head UIPC
Chair Infection Control Africa Network (ICAN)
Extraordinary Professor
Div Community Health, Faculty of Health Sciences
Stellenbosch Uni, Cape Town
Tel: +27 21 976 2162
Fax: + 27 21 938 5065
Mobile: +27 82 852 3697
Visit our UIPC Website
http://www.sun.ac.za/uipc

4th ICAN conference, 27th to 29th Nov, 2012.
Visit the ICAN website
http://www.ICANetwork.co.za

-----Original Message-----
From: GHDonline (Dr Shanta Ghatak) [mailto:]
Sent: 07 September 2012 11:49 AM
To: Mehtar, S, Prof <>
Subject: Re: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download

Dr Shanta Ghatak replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.

Reply contents:
"Any information that is available is needed urgently

Whether injecting 10% sodium hypochlorite ...

expand comment

Dear Dr Ghatak
There is no need to inject anything into a blood bag, it is really not infectious to anyone at that point. Hypochlorite is much over used and is totally ineffective in the face of organic matter, which is what blood is.
S

Prof Shaheen Mehtar
MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Eng)
Acting Head UIPC
Chair Infection Control Africa Network (ICAN)
Extraordinary Professor
Div Community Health, Faculty of Health Sciences
Stellenbosch Uni, Cape Town
Tel: +27 21 976 2162
Fax: + 27 21 938 5065
Mobile: +27 82 852 3697
Visit our UIPC Website
http://www.sun.ac.za/uipc

4th ICAN conference, 27th to 29th Nov, 2012.
Visit the ICAN website
http://www.ICANetwork.co.za

-----Original Message-----
From: GHDonline (Dr Shanta Ghatak) [mailto:]
Sent: 07 September 2012 11:49 AM
To: Mehtar, S, Prof <>
Subject: Re: [TB Infection Control] Implementing TB Infection Control in Outpatient Settings - CDC video download

Dr Shanta Ghatak replied to the discussion "Implementing TB Infection Control in Outpatient Settings - CDC video download" in the TB Infection Control community.

Reply contents:
"Any information that is available is needed urgently

Whether injecting 10% sodium hypochlorite solution to the seroreactive blood bag is necessary before disposal through the HAZMAT system ??

If it is required then what amount of SodiumHypochlorite solution needs to be used ?

Thanks
Looking for a fast reply

On 8/9/12, GHDonline (Sophie Beauvais) <> wrote:
> Sophie Beauvais added a new discussion to the TB Infection Control
> community.
>
> Title: Implementing TB Infection Control in Outpatient Settings - CDC
> video download
>
> Discussion contents:
> "Dear All,
>
> Paul Jensen shared with us the DVD for this video by the CDC to make
> it available to all for download here. It is an MPEG-4 format which is
> supposed to be supported by most DVD players and players on the web
> but let us know if you have any issues. It was shown this week during
> the "Building Design and Engineering Approaches to Airborne Infection
> Control" course taking place at Harvard School of Public Health.
>
> You can also view and share it on YouTube: http://youtu.be/tsnGi-eLIQc
>
> Best, Sophie"
>
> Attached resource:
> *
> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-cont
> rol-in-outpatient-se/#artifact-detail-17799094?id=14778177&format=text
> &type=instant">Implementing
> TB IC Outpatient Settings - CDC.m4v
>
>
> --
> View this post online:
> <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-cont
> rol-in-outpatient-se/?id=14778177&format=text&type=instant>
>
> Unsubscribe or change your email notification settings:
> <http://www.ghdonline.org/users/dr-shanta-ghatak/edit/>
>
> Contact the GHDonline team:
> <http://www.ghdonline.org/contact/>
>
> You can reply to this discussion by responding directly to this
> e-mail; it will be shared with all community members and posted as is.
> Files cannot be added via email attachment and must be uploaded directly to GHDonline.
>
>"

--
View this post online:
<http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...>

Unsubscribe or change your email notification settings:
<http://www.ghdonline.org/users/s-mehtar/edit/>

Contact the GHDonline team:
<http://www.ghdonline.org/contact/>

You can reply to this discussion by responding directly to this e-mail; it will be shared with all community members and posted as is. Files cannot be added via email attachment and must be uploaded directly to GHDonline.

E-pos vrywaringsklousule

Hierdie e-pos mag vertroulike inligting bevat en mag regtens geprivilegeerd wees en is slegs bedoel vir die persoon aan wie dit geadresseer is. Indien u nie die bedoelde ontvanger is nie, word u hiermee in kennis gestel dat u hierdie dokument geensins mag gebruik, versprei of kopieer nie. Stel ook asseblief die sender onmiddellik per telefoon in kennis en vee die e-pos uit. Die Universiteit aanvaar nie aanspreeklikheid vir enige skade, verlies of uitgawe wat voortspruit uit hierdie e-pos en/of die oopmaak van enige lêers aangeheg by hierdie e-pos nie.

E-mail disclaimer

This e-mail may contain confidential information and may be legally privileged and is intended only for the person to whom it is addressed. If you are not the intended recipient, you are notified that you may not use, distribute or copy this document in any manner whatsoever. Kindly also notify the sender immediately by telephone, and delete the e-mail. The University does not accept liability for any damage, loss or expense arising from this e-mail and/or accessing any files attached to this e-mail.

collapse comment

7:53 AM, 7 Sep 2012 | Permalink

20

Dr Shanta Ghatak

Thank you
Warm regards

On Fri, Sep 7, 2012 at 5:23 PM, GHDonline (S. Mehtar) <:

> S. Mehtar replied to the discussion "Implementing TB Infection Control in
> Outpatient Settings - CDC video download" in the TB Infection Control
> community.
>
> Reply contents:
> "Dear Dr Ghatak
> There is no need to inject anything into a blood bag, it is really not
> infectious to anyone at that point. Hypochlorite is much over used and is
> totally ineffective in the face of organic matter, which is what blood is.
> S
>
> Prof Shaheen Mehtar
> MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Eng)
> Acting Head UIPC
> Chair Infection Control Africa Network (ICAN)
> Extraordinary Professor
> Div Community Health, Faculty of Health Sciences
> Stellenbosch Uni, Cape Town
> Tel: +27 21 976 2162
> Fax: + 27 21 938 5065
> Mobile: +27 82 852 3697
> Visit our UIPC Website
> http://www.sun.ac.za/uipc
>
> 4th ICAN conference, 27th to 29th Nov, 2012.
> Visit the ICAN website
> http://www.ICANetwork.co.za
>
> -----Original Message-----
> From: GHDonline (Dr Shanta Ghatak) [mailto:]
> Sent: 07 September 2012 11:49 AM
> To: Mehtar, S, Prof <>
> Subject: Re: [TB Infection Control] Implementing TB Infection Control ...

expand comment

Thank you
Warm regards

On Fri, Sep 7, 2012 at 5:23 PM, GHDonline (S. Mehtar) <:

> S. Mehtar replied to the discussion "Implementing TB Infection Control in
> Outpatient Settings - CDC video download" in the TB Infection Control
> community.
>
> Reply contents:
> "Dear Dr Ghatak
> There is no need to inject anything into a blood bag, it is really not
> infectious to anyone at that point. Hypochlorite is much over used and is
> totally ineffective in the face of organic matter, which is what blood is.
> S
>
> Prof Shaheen Mehtar
> MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Eng)
> Acting Head UIPC
> Chair Infection Control Africa Network (ICAN)
> Extraordinary Professor
> Div Community Health, Faculty of Health Sciences
> Stellenbosch Uni, Cape Town
> Tel: +27 21 976 2162
> Fax: + 27 21 938 5065
> Mobile: +27 82 852 3697
> Visit our UIPC Website
> http://www.sun.ac.za/uipc
>
> 4th ICAN conference, 27th to 29th Nov, 2012.
> Visit the ICAN website
> http://www.ICANetwork.co.za
>
> -----Original Message-----
> From: GHDonline (Dr Shanta Ghatak) [mailto:]
> Sent: 07 September 2012 11:49 AM
> To: Mehtar, S, Prof <>
> Subject: Re: [TB Infection Control] Implementing TB Infection Control in
> Outpatient Settings - CDC video download
>
> Dr Shanta Ghatak replied to the discussion "Implementing TB Infection
> Control in Outpatient Settings - CDC video download" in the TB Infection
> Control community.
>
> Reply contents:
> "Any information that is available is needed urgently
>
> Whether injecting 10% sodium hypochlorite solution to the seroreactive
> blood bag is necessary before disposal through the HAZMAT system ??
>
> If it is required then what amount of SodiumHypochlorite solution needs to
> be used ?
>
>
> Thanks
> Looking for a fast reply
>
> On 8/9/12, GHDonline (Sophie Beauvais) <> wrote:
> > Sophie Beauvais added a new discussion to the TB Infection Control
> > community.
> >
> > Title: Implementing TB Infection Control in Outpatient Settings - CDC
> > video download
> >
> > Discussion contents:
> > "Dear All,
> >
> > Paul Jensen shared with us the DVD for this video by the CDC to make
> > it available to all for download here. It is an MPEG-4 format which is
> > supposed to be supported by most DVD players and players on the web
> > but let us know if you have any issues. It was shown this week during
> > the "Building Design and Engineering Approaches to Airborne Infection
> > Control" course taking place at Harvard School of Public Health.
> >
> > You can also view and share it on YouTube: http://youtu.be/tsnGi-eLIQc
> >
> > Best, Sophie"
> >
> > Attached resource:
> > *
> > <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-cont
> > rol-in-outpatient-se/#artifact-detail-17799094?id=14778177&format=text
> > &type=instant">Implementing
> > TB IC Outpatient Settings - CDC.m4v
> >
> >
> > --
> > View this post online:
> > <http://www.ghdonline.org/ic/discussion/implementing-tb-infection-cont
> > rol-in-outpatient-se/?id=14778177&format=text&type=instant>
> >
> > Unsubscribe or change your email notification settings:
> > <http://www.ghdonline.org/users/dr-shanta-ghatak/edit/>
> >
> > Contact the GHDonline team:
> > <http://www.ghdonline.org/contact/>
> >
> > You can reply to this discussion by responding directly to this
> > e-mail; it will be shared with all community members and posted as is.
> > Files cannot be added via email attachment and must be uploaded directly
> to GHDonline.
> >
> >"
>
> --
> View this post online:
> <
> http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...
> >
>
> Unsubscribe or change your email notification settings:
> <http://www.ghdonline.org/users/s-mehtar/edit/>
>
> Contact the GHDonline team:
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>
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>
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> --
> View this post online:
> <
> http://www.ghdonline.org/ic/discussion/implementing-tb-infection-control-in-o...
> >
>
> Unsubscribe or change your email notification settings:
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	Implementing TB IC Outpatient Settings - CDC.m4v (download, 52.0 MB)

Implementing TB Infection Control in Outpatient Settings - CDC video download

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