Presentations

Welcome

Workshop Overview and Goals


Overview of the New World Health Organization (WHO) Terminology to Describe Respiratory Pathogen Transmission


Implications of the Terminology on Transmission

Case Study: Occupational Transmission of Meningococcal Disease 


Panel #1: What are the Implications of Recognizing the Science on Aerosols and Air/Inhalation Transmission?








Panel #2: Health and Safety Perspectives on Control Measures Necessary to Prevent Air/Inhalation Transmission






Panel #3: Worker Perspectives on Control Measures Necessary to Prevent Air/Inhalation Transmission 








Applying Findings from This Workshop

Case Study: Covid-19

Case Study: Pertussis



Action Steps

Mitchel Rosen, Rutgers University

Peg Seminario, Retired, AFL-CIO


Donald Milton, University of Maryland School of Public Health




Garrett Brown, Former Cal/OSHA Field Inspector and Special  

                             Assistant to the Chief of Cal/OSHA



Moderator: David Michaels, George Washington University

Panelists:

Rachael Jones, Department of Environmental Health Sciences,

                            Fielding School of Public Health, University of 

                            California Los Angeles

Lisa Brosseau, University of Minnesota

Deeg Gold, Retired, Cal/OSHA

Kate McPhaul, University of Maryland School of Public Health


Moderator: Jane Thomason, National Nurses United

Panelists:

Ken Mead, CDC/NIOSH

Tom Smith, 3Flow

Jim Chang, Safety and Environmental Health Department

                     University of Maryland Medical Center

Lisa Brosseau, University of Minnesota


Moderator: Peg Seminario, Retired, AFL-CIO

Panelists:

Kayla Pieschke, National Nurses Organizing 

                             Committee/National Nurses United

Denise Abbott, CWA Local 1168

Lisa Valencia, Kaiser Permanente Microbiology, UFCW Local 7

Rita Lewis, Nurse Alliance of SEIU California

Liz Wade, California Nurses Association/National Nurses United


Moderator: Jane Thomason, National Nurses United

Panelists:

Kate McPhaul, University of Maryland School of Public Health

Lisa Brosseau, University of Minnesota


Speaker:

Rocelyn de Leon-Minch, National Nurses United

Resources

•  CDC’s Healthcare Infection Control Practices Advisory Committee (HICPAC)—Upcoming Meetings

•  Rutger’s School of Public Health Virtual Workshop

    Preventing Aerosol-Transmissible Diseases in Healthcare Settings: The Need for Protective Guidelines and Standards (Oct 2023)

•  World Health Organization’s (WHO) Global technical consultation report on proposed terminology for pathogens that transmit through the air 

     (April 18, 2024).

•  WHO’s Airborne Risk Indoor Assessment (ARIA) tool

•  National Institute for Occupational Safety and Health (NIOSH) 

    graphic comparing surgical masks, N95 respirators, and elastomeric half facepiece respirators

•  National Personal Protective Technology Laboratory (NPPTL) at the National institute for Occupational Safety and Health (NIOSH)

•  Cal/OSHA’s Aerosol Transmissible Diseases Standard (8 CCR Section 5199)

•    Cal/OSHA’s Respiratory Protection in the Workplace—A Guide for Employers

•    Minnesota Department of Health’s Airborne Infectious Disease Management: Methods for Temporary Negative Pressure Isolation

•    Mead, K. “NIOSH Ventilated Headboard Provides Solution to Patient Isolation During an Epidemic,” April 14, 2020.

•    Letter from aerosol scientists regarding Covid-19 transmission science- Morawska, L. and D.K. Milton

      “It Is Time to Address Airborne Transmission of Coronavirus Disease 2019 (COVID-19),” Clinical Infectious Diseases, 2020, 71(9): 2311-13. 

•    Article providing review of literature on transmission for some pathogens- Wang, C.C., K.A. Prather, et al., 

      “Airborne transmission of respiratory viruses,” Science, Aug 27, 2021, 373(6558). 

•    National Nurses United’s (NNU) resources on Covid-19.

•    Meningitis case study- Materna, B., K. Harriman, et al., “Occupational Transmission ofNeisseria meningitidis--- California, 2009,” 

      MMWR, Nov. 19, 2010, 59(45): 1480-3.

•    Article on the history of errors that led to droplet-airborne dichotomy- Molteni, M., 

      “The 60-Year-Old Scientific Screwup That Helped Covid Kill,” WIRED, May 13, 2021.

•    Klompas, M., D.K. Milton, et al., 

      “Current Insights Into Respiratory Virus Transmission and Potential Implications for Infection Control Programs : A Narrative Review,” 

       Ann Intern Med, 2021, 174(12): 1710-18.

•    Meta-analysis reviewing evidence on respirators vs masks for protection from respiratory infections- Greenhalgh, T., C. R. MacIntyre, et al., 

      “Masks and respirators for prevention of respiratory infections: a state of the science review,” Clinical Microbiology Reviews, May 22, 2024.

•    Report on SARS-1 outbreak from Canada from The SARS Commission (Dec 2006).

•    Reports from the National Academies of Science, Engineering, and Medicine (NASEM) on inhalation/aerosol transmission of 

      infectious diseases and respiratory protection:

o    NASEM Covid-19 Responses & Resources

o    NASEM Airborne Transmission of SARS-CoV-2: A Virtual Workshop

.   Brosseau, Lisa M., et al. "Preventing Aerosol-Transmissible Diseases in Healthcare Settings: The Need for Protective Guidelines and Standards—

      Workshop Report." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 33.4 (2024): 236-247. 

      https://doi.org/10.1177/10482911231215498

.   Brosseau, Lisa M., et al. "The time has come to protect healthcare workers and patients from aerosol transmissible disease." Frontiers in Public 

       Health 12 (2024): 1378567. https://doi.org/10.3389/fpubh.2024.1378567

.   Brosseau, Lisa M., et al. "Public health experts ask CDC director to broaden input on revisions to key infection control 

       guidelines." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 33.2-3 (2023): 165-173. 

       https://doi.org/10.1177/10482911231195898

.   Sietsema, Margaret, et al. "A control banding framework for protecting the US workforce from aerosol transmissible infectious disease 

       outbreaks with high public health consequences." Health security 17.2 (2019): 124-132.  https://doi.org/10.1089/hs.2018.0103

.   Jones, Rachael M., and Lisa M. Brosseau. "Aerosol transmission of infectious disease." Journal of occupational and 

       environmental medicine 57.5 (2015): 501-508.  DOI: 10.1097/JOM.0000000000000448

.   Tang, Song, et al. "Aerosol transmission of SARS-CoV-2? Evidence, prevention and control." 

       Environment international 144 (2020): 106039.  https://doi.org/10.1016/j.envint.2020.106039

.   San Quentin Consolidated Writ Proceeding

       SQ-Consolidated-Writ-Proceeding-Groups-1-3-FINAL-ORDER.pdf (sfpublicdefender.org)