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Aug 12, 2023 344 likes •481 views

National Center for Emerging and Zoonotic Infectious Diseases Global Guidance and Operational Considerations for Management of Healthcare Workers Exposed to COVID-19 Amber Vasquez, MD, MPH Medical Officer US Centers for Disease Control and

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National Center for Emerging and Zoonotic Infectious Diseases

Global Guidance and Operational Considerations for Management of Healthcare Workers Exposed to COVID-19

Amber Vasquez, MD, MPH Medical Officer US Centers for Disease Control and Prevention International Infection Control Program

Global Webinar Series 5.28.20

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Disclosures

I have no financial relationships with commercial entities producing

healthcare related products and/or services

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Objectives

Review existing global guidance on management of healthcare workers

exposed to COVID-19

Review key elements involved in exposed healthcare worker public health

management

Discuss operational considerations when resources are limited

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Goals of Healthcare Worker Management

Allow for early identification of healthcare workers

at risk of developing infection after an exposure to someone with COVID-19

Reinforce the need for healthcare workers to self-

monitor for fever and other symptoms and avoid work when ill

Limit introduction and spread of COVID-19 within

healthcare facilities by healthcare workers

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Risk Assessment

Interview of each healthcare worker
Review of exposure risks during the interaction

– Community or healthcare setting? – Degree of interaction (e.g., time, proximity)? – Providing direct patient care? – Contact with the patient’s surrounding environment? – Performing an aerosol-generating procedure? – Elements of personal protective equipment (PPE)? – Hand hygiene performed?

Determination of high-risk vs. low-risk interaction

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Work Restriction

Recommended for high-risk exposure

– Exclusion from work – Self-quarantine – Active monitoring for symptoms of COVID-19 for 14 days after the date of last exposure

Recommended for low-risk exposure

– Self-monitor for symptoms while continuing to work – Reinforce importance of IPC fundamentals while continuing to work (e.g., physical distancing, respiratory and cough etiquette, hand hygiene, use of PPE)

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Symptom Monitoring (14 days)

Active Monitoring (High-Risk)

Healthcare facility or public

health authority establishes a minimum of daily communication for exposed healthcare workers

Remote or in-person contact
Assess for presence of fever
r symptoms consistent with

COVID-19 Self-Monitoring (Low-Risk)

Healthcare workers monitor

themselves for fever

Healthcare workers remain

alert for symptoms of COVID-19

Point of contact provided if

fever or symptoms develop during the monitoring period

*Testing for COVID-19 if fever or symptoms develop

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Challenges with Resource Limitation

Limited public health staff to perform contact tracing
Challenges in performing individual healthcare worker risk assessments
Healthcare staffing shortages
Limited testing availability
Widespread community transmission

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References

Centers for Disease Control and Prevention (CDC). Interim Operational Considerations for Public Health

Management of Healthcare Workers Exposed to or with Suspected or Confirmed COVID-19: non-U.S. Healthcare Settings. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us- settings/public-health-management-hcw-exposed.html

European Centre for Disease Prevention and Control (ECDC). Public health management of persons,

including health care workers, having had contact with COVID-19 cases in the European Union – first

update. Available from: https://www.ecdc.europa.eu/en/publications-data/public-health-management-

persons-including-health-care-workers-having-had-contact

Pan American Health Organization (PAHO). Care for health workers exposed to the new coronavirus

(COVID-19) in health facilities. Available from: https://www.paho.org/en/documents/care-health-workers- exposed-new-coronavirus-covid-19-health-facilities

World Health Organization (WHO). Health workers exposure risk assessment and management in the

context of COVID-19 virus. Available from: https://www.who.int/news-room/detail/09-03-2020-covid-19- for-health-workers

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For more information, contact CDC 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348 www.cdc.gov The findings and conclusions in this report are those of the authors and do not necessarily represent the

fficial position of the Centers for Disease Control and Prevention.