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DLLR's Division of Labor and Industry

 

MOSH Instruction 10-3 - Maryland Occupational Safety and Health (MOSH) Instructions

 
Subject: Enforcement Procedures for Very High Occupational Exposure Risk to 2009 H1N1 Influenza
   
Effective Date: May 3, 2010
   
Issuance Date: May 3, 2010
 
Expiration Date: None
   
Purpose: This Instruction establishes agency enforcement policies and provides instructions to ensure uniform procedures when conducting inspections to minimize high to very high occupational exposure risk to the virus identified as 2009 H1N1 influenza of workers whose occupational activities involve contact with patients or contaminated material in a healthcare or clinical laboratory setting.
 
Scope: This instruction applies MOSH-wide
   
References: A. OSHA Instruction, Directive Number CPL 02-02-075 Enforcement Procedures for Very High Occupational Exposure Risk to 2009 H1N1 Influenza Virus, November 20, 2009..
B. Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers, OSHA Publication 3328, 2007 (reprinted 2009).
C. Guidance on Preparing Workplaces for an Influenza Pandemic, OSHA Publication 3327, 2007 (reprinted 2009).
D. CDC Guidelines, Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel (October 14, 2009).
G. National Strategy for Pandemic Influenza Implementation Plan, Homeland Security Council, May 2006.
H. MOSH Field Operation Manual (FOM)
   
Contact: Chief of MOSH Compliance Services
312 Marshall Avenue, Room 602
Laurel, Maryland 20707
(410) 880-4886 x312
   
By and Under the Authority of: Roger Campbell, Assistant Commissioner
 

Summary:

In April 2009, a novel H1N1 influenza A strain of swine origin was identified in Mexico. It was designated as novel because it was genetically distinct from the circulating seasonal flu virus and therefore humans had little or no immunity to it and there was no vaccine to protect against it. This strain sustained human-to-human transmission widely enough to have caused a worldwide pandemic. In June 2009, the World Health Organization (WHO) upgraded the outbreak of this novel H1N1 influenza A to a pandemic level, Phase 6.

On October 14, 2009 the Centers for Disease Control and Prevention (CDC) Guidelines, Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel was published. The CDC Guidelines recommends protective measures during 2009 H1N1 influenza waves when healthcare workers are performing tasks or activities where they will be expected to have close contact (within 6 feet) with suspected or confirmed 2009 H1N1 influenza patients. This Instruction provides MOSH's field staff with guidance to address the hazard and the control measures associated with occupational exposure to the 2009 H1N1 Influenza.

Action:

1. The Assistant Chief of Health shall ensure that inspections are scheduled and conducted in accordance with this Instruction.

2. Compliance and Consultation Supervisors shall ensure that this instruction is reviewed with all field personnel.

cc: J. Ronald DeJuliis, Commissioner, Division of Labor and Industry
Craig D. Lowry, Deputy Commissioner, Division of Labor and Industry
Jonathan Krasnoff, Assistant Attorney General
Office of Administrative Hearings

Download this instructions and appendices (Word document, 700KB, download Word viewer for free)

  1. Application
  2. Background.
  3. Key Terms and Definitions.
  4. MOSH's Response Efforts and Outreach.
  5. Inspection Scope and Scheduling.
  6. Inspection Procedures.
  7. Consultation.

List of Appendices
Appendix A. Sample Employer Notification (Outreach Letter)
Appendix B. OSHA Outreach and Guidance Documents
Appendix C. CSHO Guidance: Questions to Consider During 2009 H1N1 Influenza-Related Inspections
Appendix D. OSHA Fact Sheet - Healthcare Workplaces Classified as Very High or High Exposure Risk for Pandemic Influenza
Appendix E. OSHA Fact Sheet - Respiratory Infection Control: Respirators Versus Surgical Masks
Appendix F. Sample Hazard Alert Letter
Appendix G. Examples of Control Measures
Appendix H. References

 
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