{"id":51475,"date":"2014-12-11T09:56:38","date_gmt":"2014-12-11T09:56:38","guid":{"rendered":"http:\/\/mostafa.openonline.co.uk\/?guid=316e3ef1027c4641e9c0c8ed398f44fb"},"modified":"2014-12-11T09:56:38","modified_gmt":"2014-12-11T09:56:38","slug":"press-release-work-exposures-to-hiv-hepatitis-b-and-hepatitis-c-still-rising","status":"publish","type":"post","link":"https:\/\/mostafa.openonline.co.uk\/?p=51475","title":{"rendered":"Press release: Work exposures to HIV, hepatitis B, and hepatitis C still rising"},"content":{"rendered":"<div class=\"govspeak\">\n<p>A new report launched today (11 December 2014) by Public Health England (<abbr title=\"Public Health England\">PHE<\/abbr>) warns that healthcare workers continue to be at risk of exposure to bloodborne viruses through occupational sharps injuries, despite the fact that safety-engineered devices to prevent these injuries are now available. <\/p>\n<p>Occupational exposures to a bloodborne virus (<abbr title=\"Bloodborne virus\">BBV<\/abbr>) that were reported to <abbr title=\"Public Health England\">PHE<\/abbr> increased among healthcare workers from 373 in 2004 to 496 in 2013. Over this 10-year period, approximately 30% of exposures involved a source patient infected with <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr>; 54% involved hepatitis C (<abbr title=\"Hepatitis C virus\">HCV<\/abbr>), and 9%, hepatitis B (<abbr title=\"Hepatitis B virus\">HBV<\/abbr>). Of these exposures 81% were sustained by doctors, nurses and healthcare assistants and 65% occurred during clinical procedures. Seventy-eight percent of exposures involved a percutaneous needlestick injury, the majority of which were sharps injuries involving a hollow-bore needle. <\/p>\n<p>The report, presented at the 5th Prevention of Occupational Infections, Treatment and Reporting Strategies (<abbr title=\"Prevention of Occupational Infections, Treatment and Reporting Strategies\">POINTERS<\/abbr>) Conference in Cardiff City Hall, comes after the EU Sharps Directive in 2010 and the UK Sharps Regulations in 2013, which state that safe working conditions must be created for healthcare workers to help reduce the risk of sharps injury. \u2018Safe working conditions\u2019 can range from working hours that reduce tiredness among healthcare workers, to the provision of safety devices to reduce the risk of a needlestick injury before, during or after use, and appropriate training to staff performing clinical procedures. <\/p>\n<p>Between 2004 and 2013, 9 healthcare workers were infected with <abbr title=\"Hepatitis C virus\">HCV<\/abbr> following occupational exposure in England, Wales and Northern Ireland. Eight of the nine healthcare workers received antiviral therapy, of whom 7 are known to have achieved viral clearance. <\/p>\n<p>The report also finds that <abbr title=\"Hepatitis B virus\">HBV<\/abbr> immunisation programmes across England, Wales and Northern Ireland are effectively protecting healthcare workers from <abbr title=\"Hepatitis B virus\">HBV<\/abbr> infection, with no new cases reported. Furthermore, 97% of healthcare workers exposed to <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> who commenced post-exposure prophylaxis (<abbr title=\"post-exposure prophylaxis\">PEP<\/abbr>) did so within 72 hours of exposure, and no <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> infections to healthcare workers have been reported.  <\/p>\n<p>Dr Fortune Ncube, Head of the <abbr title=\"Bloodborne virus\">BBV<\/abbr> Department at <abbr title=\"Public Health England\">PHE<\/abbr> said:<\/p>\n<blockquote>\n<p>It is a disappointment that we still continue to see injuries to healthcare workers occurring after the procedure, in the period prior to and during disposal. These injuries are entirely preventable.<\/p>\n<p class=\"last-child\">Despite this, we are encouraged that there have been no new <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> infections in healthcare workers and that the immunisation programme for <abbr title=\"Hepatitis B virus\">HBV<\/abbr> is effective in preventing <abbr title=\"Hepatitis B virus\">HBV<\/abbr> infections in healthcare workers. We want to remind all healthcare employers to comply with the regulations regarding safer working conditions and to provide safety devices to healthcare workers in an effort to reduce sharps injuries and protect them from infection.<\/p>\n<\/blockquote>\n<p>Jill Holmes, Infection Prevention Control Nurse Specialist and Infection Control Society representative on the Safer Needles Network said:<\/p>\n<blockquote>\n<p>Safety-engineered devices are not fool proof. Unless they are used correctly, these devices will not be effective or prevent sharps injuries. It is vital that healthcare providers train new and existing staff in their correct use.<\/p>\n<p class=\"last-child\">It is also essential for all staff to remember the importance of basic sharps safety, such as never, ever re-sheathing a used needle, always taking the sharps bin to the point of use, and never filling above the fill line. Safe use and handling of sharps must be embedded into everyday practice.<\/p>\n<\/blockquote>\n<h2 id=\"notes-to-editors\">Notes to Editors<\/h2>\n<p>The eye of the needle is a report on healthcare workers\u2019 exposures to bloodborne viruses such as hepatitis B, hepatitis C and <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> while at work. Read the full <a href=\"https:\/\/www.gov.uk\/government\/publications\/bloodborne-viruses-eye-of-the-needle\">2014 report<\/a>. <\/p>\n<p>Additional key findings from data submitted to the significant occupational exposures surveillance system between 2004 and 2013 indicate that:<\/p>\n<ul>\n<li>4830 significant occupational exposures to a <abbr title=\"Bloodborne virus\">BBV<\/abbr> were reported among healthcare workers; the annual number of exposures increased from 373 in 2004 to 496 in 2013<\/li>\n<li>of healthcare workers reporting a significant occupational exposure, 1 in 2 was exposed to <abbr title=\"Hepatitis C virus\">HCV<\/abbr>, 1 in 3 to <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr>, and 1 in 10 to <abbr title=\"Hepatitis B virus\">HBV<\/abbr>\n<\/li>\n<li>seven in ten (71%, 3396\/4766) exposures involved a percutaneous needlestick injury, the majority of which were sharps injuries involving a hollowbore needle; the annual number of percutaneous injuries increased by 22% over the 10-year period from 283 to 344, whereas mucocutaneous exposures increased by 61%, from 90 to 145<\/li>\n<li>two-thirds (65%, 2490\/3816) of exposures occurred in wards, operating theatres and Accident and Emergency (<abbr title=\"Accident and Emergency\">A&amp;E<\/abbr>) departments; the annual number of exposures increased over time both in operating theatres and <abbr title=\"Accident and Emergency\">A&amp;E<\/abbr> but declined in wards<\/li>\n<li>four in five (81%, 3926\/4830) exposures were sustained by doctors, nurses and healthcare assistants; among all occupational groups, two-thirds (65%, 2288\/3494) of exposures occurred during clinical procedures<\/li>\n<li>of healthcare workers exposed to <abbr title=\"Hepatitis B virus\">HBV<\/abbr> for whom immunisation status was known (data limited to the period from 2009 to 2013), 96% (300\/313) were known responders to the <abbr title=\"Hepatitis B virus\">HBV<\/abbr> vaccine; no <abbr title=\"Hepatitis B virus\">HBV<\/abbr> seroconversions have been reported<\/li>\n<li>occupational exposures to <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> are well managed; 97% (580\/598) of healthcare workers exposed to <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> who commenced post-exposure prophylaxis (<abbr title=\"post-exposure prophylaxis\">PEP<\/abbr>) did so within 72 hours of exposure; 89% (535) commenced <abbr title=\"post-exposure prophylaxis\">PEP<\/abbr> within 24 hours; no <abbr title=\"Human immunodeficiency virus\">HIV<\/abbr> seroconversions have been reported<\/li>\n<li>between 2004 and 2013, there have been 9 reported <abbr title=\"Hepatitis C virus\">HCV<\/abbr> seroconversions<\/li>\n<\/ul>\n<p>More information on the <a rel=\"external\" href=\"https:\/\/www.eventsforce.net\/fitwise\/frontend\/reg\/thome.csp?pageID=85933&amp;eventID=230&amp;eventID=230\">5th <abbr title=\"Prevention of Occupational Infections, Treatment and Reporting Strategies\">POINTERS<\/abbr> conference<\/a>.<\/p>\n<p>Public Health England exists to protect and improve the nation\u2019s health and wellbeing, and reduce health inequalities. It does this through advocacy, partnerships, world-class science, knowledge and intelligence, and the delivery of specialist public health services. <abbr title=\"Public Health England\">PHE<\/abbr> is an operationally autonomous executive agency of the Department of Health. <a href=\"https:\/\/www.gov.uk\/government\/organisations\/public-health-england\">www.gov.uk\/phe<\/a> Follow us on Twitter @PHE_uk.<\/p>\n<div class=\"contact postal-address\" id=\"contact_1107\">\n<div class=\"content\">\n<h3>Infections press office<\/h3>\n<div class=\"vcard contact-inner\">\n<p class=\"adr\">\n<span class=\"fn\"><abbr title=\"Public Health England\">PHE<\/abbr> press office, infections<\/span><br \/><span class=\"street-address\">61 Colindale Avenue<\/span><br \/><span class=\"locality\">London<\/span><br \/><span class=\"postal-code\">NW9 5EQ<\/span>\n<\/p>\n<div class=\"email-url-number\">\n<p class=\"email\">\n              <span class=\"type\">Email<\/span><br \/>\n              <a class=\"email\" href=\"mailto:infections-pressoffice@phe.gov.uk\">infections-pressoffice@phe.gov.uk<\/a>\n            <\/p>\n<p class=\"tel\">\n              <span class=\"type\">Phone<\/span><br \/>\n              0203 6820574\n            <\/p>\n<p class=\"tel\">\n              <span class=\"type\">Out of hours<\/span><br \/>\n              020 8200 4400\n            <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>New PHE report warns of healthcare workers\u2019 continued risk of exposure to bloodborne viruses through occupational sharps injuries.<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"_links":{"self":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/51475"}],"collection":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=51475"}],"version-history":[{"count":0,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/51475\/revisions"}],"wp:attachment":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=51475"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=51475"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=51475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}