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During This Webinar
17. What is a âSafeâ Level?
⢠S. Gordon (formerly IOM) recommended maintaining
exposures at or below 5 ng/m3
-Feasible controls for rodent allergens
-Reduced risk of LAA at this level - study of 458
⢠Dutch Expert Committee on Occupational Standards
recommended a health based OEL-TWA ~ 4.5 ng/m3
⢠LAA risk reduced but not eliminated; still risk that a small
number of people will develop LAA
18. Monitoring Can Be Useful
No OSHA Standard Method for allergens â
BUTâŚ
⢠Allergens attach to particles and can be
hazardous when deposited anywhere in the
respiratory tract
⢠Inhalable and Respirable fraction includes
particulate matter that enter the head airways
region, including the nose and mouth
20. Labs for Analysis
⢠DACI (Dermatology, Allergy
and Clinical Immunology)
laboratory at Johns Hopkins
⢠EMLab P&K
⢠Wisconsin Occupational
Health Laboratory
⢠Call and discuss with the lab!
22. Hierarchy of Controls
⢠Engineering
⢠Ventilation, substitution, eliminate the hazard
⢠Safe Work Practices â
⢠Changing the way the work is done or by adding a tool to
help. Remote entry.
⢠Administration â
⢠Rotating workers more often to reduce exposure times,
occupational health program
⢠PPE
⢠Respirators, gloves, hearing protection, etc.
BEST
WORST
28. Administrative & Work
Practice Controls
⢠Reduce time with animal
⢠Reduce density of animals
⢠Good housekeeping practices
⢠Wet mopping in place of
vacuuming or sweeping
⢠Procedures that minimize
release of airborne materials
29. Establishing an Occupational Medical
Program for Allergy Surveillance
Job Hazard Analyses
Select Occupational Health Clinic
Develop Occupational Health Questionnaire
Written Occupational Medicine Program
Ongoing Surveillance
30. Job Hazard Analyses
Who will be included in the allergy surveillance program?
⢠Animal Husbandry staff
⢠Custodial staff
⢠Researchers
⢠Facilities Group
⢠EH&S
⢠IACUC members
⢠Outside Service
Contractors need to be
notified of potential
hazards
⢠HVAC
⢠Autoclave
⢠Cagewasher
31. Lab Animal Handler
Questionnaire
⢠Job title / Description
⢠Hx of work with animals
⢠Tetanus status
⢠Allergies?
⢠Seasonal
⢠Latex
⢠Animals
⢠When working with animals do
you:
⢠Sneeze, cough
⢠Runny nose
⢠Itchy eyes
⢠Wheeze
⢠Hives
⢠Chest tightness / SOB
⢠Do symptoms go away when
you leave work?
32. Occ Health
Review
⢠MD evaluates
questionnaire
⢠May request
physical exam
⢠May require PFTs
⢠May suggest
allergy testing
⢠May require
tetanus booster
⢠Will recommend
PPE needed
⢠May require tetanus
booster
⢠Will recommend PPE
needed
⢠May establish medical
restrictions
⢠Questionnaire should
be re-administered
annually & if
symptoms develop
33. Reporting & Follow Up
⢠Symptoms should be reported promptly to your supervisor so that
medical follow-up can be initiated
⢠Once animal allergy develops, the affected worker should minimize
any additional allergen exposure to prevent progression of allergy
symptoms
40. Exposure to
Laboratory Rats
⢠21-year-old female worker at a pharmaceutical company
⢠Symptoms included hives on her forearms and hands
⢠The worker then began to suffer episodes of sneezing, nasal
drainage, watery eyes, and chest tightness
⢠She was transferred to another department, where her
symptoms ceased
⢠The worker had positive skin tests to animal dander and to rat
hair.
⢠She also had elevated antibodies (IgE) to various rat proteins
[DeGroot and Messerschmidt 1984].
41. Exposure to
Various Animals
⢠38 students were examined during their first year of training as
laboratory technicians (median age was 21 years)
⢠They were re-examined after working with various laboratory animals
(primarily rats, mice, and rabbits) for an average of 18 months
⢠9 students (24%) had developed allergies to laboratory animals
⢠Symptoms included: nasal and eye irritation, skin rashes, and chest
problems
⢠Of the 9 students with animal allergies, 7 had reactions to rat or
mouse antigen in skin-prick tests, and 8 showed asthma-like reactions
during lung testing [Renstrom et al. 1995]
44. Thank You For Attending!
⢠Please fill out our
survey
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of the presentation
⢠Expect a special offer
45. Sources
⢠NIOSH Alert â Preventing Asthma in Animal Handlers
January 1998 DHHS (NIOSH) Publication No. 97-116
www.cdc.gov/niosh/animalrt.html
⢠Guide for the Care and Use of Laboratory Animals (NRC
2011) http://www.aaalac.org/resources/theguide.cfm