Personal Protective Equipment

1. Personal
Protective
Equipment
Overview
Adapted from the FAD PReP/NAHEMS
Guidelines: Personal Protective Equipment (2011)

2. • Clarify what is meant by “PPE”
• Purpose of PPE
• Hazard assessment, control and
cost-benefit analysis
• PPE education and training
• PPE selection based on risk
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
This Presentation

3. • Special clothing and equipment
places a barrier between an
individual and a hazard
• Protects the body
– Eyes, ears, face, head
– Hands and feet
– Respiratory protection
• National Veterinary
Stockpile
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
What is PPE?

4. • In an animal disease emergency
PPE:
– Protects responders
from potentially
harmful hazards
– Prevents spread
of hazards between
animals or locations
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Purpose of PPE

5. Hazard Assessment
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview

6. • Evaluate risk of hazard exposure
• Proper selection/management of PPE
– Biological
– Chemical
– Environmental
• Poor PPE selection may result in:
– Enhanced risk of disease spread
– Impaired job performance
– Risk of injury, illness, or death
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Hazard Assessment

7. • Risk assessment establishes:
– Composition, magnitude of hazard
– Length of time PPE will perform at
known level of protection
– Exertion level, extent of physical work
to be performed while wearing PPE
• Performed by Incident Commander
or Safety Officer
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Hazard Assessment

8. Hazard Controls
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview

9. • PPE is not a first line of defense
• Initial steps to
eliminate hazards
must be taken first
– Engineering controls
– Administrative controls
and work practices
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Hazard Controls

10. • Engineering controls
– Contain or remove
a hazard through:
• Isolation
• Enclosure
• Ventilation
• Substitution
– Prevent or reduce
responder exposure
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Hazard Controls

11. • Administrative controls
– Regulate responders’ exposure to
hazards through:
• Initiated policies
• Directives
• Other measures
– Example: Responders exposure to a
hazard is limited to less than length of
work shift
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Hazard Controls

12. • Implement training to reduce hazard
exposure
• IC determines when a hazardous
situation must be entered
– Need for animal health personnel varies
according to the emergency type
– Less likely to respond to chemical or
radiological emergency
• Must be aware of your role
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Hazard Reduction Training

13. • Hazard control measures based on:
– Need, feasibility, efficacy
– Benefits of protecting human health
– Total costs of PPE
• If PPE is deemed too costly,
responders will not enter the
hazardous area or perform work
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Cost-Benefit Analysis

14. PPE Education and
Training
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview

15. • Training on PPE use reduces
responder hazard exposure
• Effective training programs combine
multiple approaches
– Cognitive, affective, applied
• Remember, PPE is only effective
when it is worn and used properly!
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
PPE Education and Training

16. • PPE training programs should
include:
– Role of PPE and benefits of use
– Precautions and limitations of PPE
– Recognizing signs of cold/heat stress
– Appropriate PPE selection
– Importance of proper fitting
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
PPE Education and Training

17. • PPE training programs should
include:
– Donning, doffing, and the buddy system
– Detection of damaged/broken PPE
– Sourcing of physicians/locations that
can manage zoonotic diseases
– Stress-management techniques
– Decontamination, storage, maintenance,
and disposal
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
PPE Education and Training

18. PPE Selection
Based on Risk
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview

19. • Zoonotic risk
– Low: little/no risk to human health
– Moderate: non-life-threatening risk
– High: life-threatening risk
• Biosecurity risk
– Low: non-contagious or vector-borne
– Moderate: contagious, low survival
– High: highly contagious, high survival
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
PPE Selection

20. USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
PPE Selection

21. USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
PPE Selection

22. • PPE selection must consider:
– Tasks assigned
– Exertion level, extent of physical work
– Temperature, humidity, and time worn
– Classification of premises
• Many things to consider, but
preparation and training are essential
to a safe and successful response
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Additional PPE Factors

23. • FAD PReP/NAHEMS Guidelines &
SOP: Personal Protective
Equipment (2011)
– http://www.aphis.usda.gov/animal_
health/emergency_management/
• Personal Protective Equipment
web-based training module
– http://naherc.sws.iastate.edu/
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
For More Information

24. Authors (CFSPH)
• Janice Mogan, DVM
• Gayle B. Brown, DVM, PhD
• Elizabeth Wormley, Junior Veterinary
Student
Reviewers (USDA)
• Peter A. Petch, RPIH, CIPS,
CIMT, CHS-V
• Stephen Goff, DVM
USDA APHIS and CFSPHFAD PReP/NAHEMS Guidelines: Personal Protective Equipment - Overview
Guidelines Content

25. Acknowledgments
Development of this presentation was
by the Center for Food Security and
Public Health at Iowa State University
through funding from the USDA APHIS
Veterinary Services
PPT Authors: Dawn Bailey, BS; Kerry Leedom Larson, DVM, MPH, PhD, DACVPM
Reviewers: Glenda Dvorak, DVM, MS, MPH, DACVPM; Patricia Futoma, Veterinary Student;
Janice Mogan, DVM