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Office of Regulatory Affairs

GEORGETOWN UNIVERSITY ANIMAL CARE AND USE COMMITTEE (GUACUC)

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OCCUPATIONAL HEALTH PROGRAM
FOR RESEARCH PERSONNEL WITH ANIMAL CONTACT

Individuals who work with or near animals in a modern research setting are at risk for animal-related allergy, injury, and infectious disease. The risks are variable depending upon the species being used, the source of the animals, the quantity and quality of contact with or exposure to the animals, and other factors.

The quality of today�s research animals greatly limits the chance of acquiring an infectious disease from the animals at GUMC. This is particularly true for anyone using purpose bred rodents or rabbits. The other animals used at GUMC pose slightly higher, but still very small, risks of infectious disease. The Division of Comparative Medicine (DCM) maintains a library with information on zoonotic diseases. Anyone desiring further information can contact the DCM Director.

Allergies are common in people working with or near laboratory animals. These include both inhalant and contact allergies. Nearly every species housed in the DCM has the potential to cause allergic reactions in susceptible individuals. In most cases the allergies develop after employment begins. Symptoms can vary but can include conjunctivitis, dermatitis, respiratory problems and anaphylaxis. Prevention of animal allergy depends on control measures in place within the work environment. A combination of methods to combat or limit allergen exposure, including administrative controls, training and education and the utilization of personal protective equipment has been implemented at Georgetown University.

Injuries are the most common occupational hazard for DCM staff members. Most of these are related to the equipment, lifting, repetitive motion, wet floors, etc. Investigators, their staff, and other individuals entering the animal facility should be watchful for wet floors and practice proper lifting techniques, as necessary. In addition, staff members are at risk of animal bites and scratches. Proper animal handling greatly reduces the potential for a bite or scratch.

For more information, please go to:

Training and Distribution of Infomation

Prevention

Bite and Scratch Procedures

Clinical Components

Program Implementation and Notification

Program Announcement Webpage

Occupational Health Program Health History Survey



Training and Distribution of Information

All Animal Research Personnel must receive and review the following written information:

  • �Preventing Asthma in Animal Handlers� (National Institute for Occupational Safety and Health (NIOSH) Alert, DHHS (NIOSH) Publication No. 97-116)
  • �Animal Allergy� (chapter in occupational Health and Safety in the Care and Use of Research Animals)
  • A copy of this Occupational Health Program

Animal Research Personnel will receive this information when they attend their required DCM orientation.

The DCM provides hands-on training, upon request of individual Animal Research Personnel or the Georgetown University Animal Care and Use Committee (GUACUC), in humane methods of restraint and laboratory procedures with emphasis on injury prevention for both personnel and animals.

Training sessions in chemical, radiation and biohazardous material safety and ergonomics are provided by the Department of Environmental Health and Safety. Animal Research Personnel are strongly encouraged to attend.

A DCM clinical veterinarian provides information to Animal Research Personnel working with non-human primates on the proper use of Bite and Scratch kits during the mandatory Herpes B Orientation Training class. The proper use of the Bite and Scratch Kits, which are provided by the DCM in all non-human primate housing areas, will be described and discussed. All Animal Research Personnel working with non-human primates are required to receive this training.

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Prevention

The DCM and research laboratories must make available personal protective equipment (e.g. lab coats, face masks, gloves, scrubs) in places where animals may be present.

If research animals are transported outside the DCM, they must be moved in a filtered container (e.g. cages with microisolator filter tops for rodents). The outside of the container must be covered so that animals are not visible.

In the laboratory, animals should be maintained and handled in a local exhaust system such as a biological safety cabinet, fume hood, or downdraft table. In areas where local exhaust systems are not feasible, appropriate personal protective equipment must be worn.

As applicable, Animal Research Personnel must:

  • wear personal protective equipment in all locations where animals are housed or where exposure to animal allergies may occur;
  • wear disposable gloves when handling animals, animal tissues or animal fluids;
  • wear a surgical mask in all non-human primate and sheep housing areas;
  • keep hands away from mouth, nose and eyes;
  • refrain from eating, drinking, smoking, handling contact lenses, applying cosmetics, or taking or applying medicine in areas where research animals are located;
  • wash hands thoroughly after handling animals, animal tissues or animal fluids; and
  • use and dispose of sharps properly and in accordance with GUMC regulated medical waste guidelines.

Allergies to animal dander are common and may increase with long term exposure to animals. Wearing respirator, face masks and/or gloves may help alleviate allergy symptoms. Use of a respirator without clearance is prohibited.

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BITE AND SCRATCH PROCEDURES

Anyone who receives an animal bite that punctures the skin or a needle stick should:

  • Identify the animal species and ID #.
  • Clean wound.
  • Report to the GU Hospital Emergency Room or his/her private physician. An incident report should be completed by the treating physician.

Anyone bitten by a nonhuman primate, scratched by a non-human primate or by non-human primate equipment, or who has any mucous membranes exposed to non-human primate secretions (e.g. urine, saliva) should:

  • Immediately report incident a DCM clinical veterinarian or DCM veterinary technician.
  • Follow the instructions for wound care management found in the �Bite and Scratch Kit� located adjacent to the animal room.

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Clinical Components

All completed surveys should be sent directly to the Occupational Health Program Coordinator (�Coordinator�), who will log and forward the forms to the Medical Director. The Medical Director will review the surveys and provide the appropriate risk assessment, evaluating the following:

  • Tetanus toxoid (valid for 10 years, otherwise a booster will be required unless medically contraindicated)
  • Rabies (3 doses will be available to personnel working with bats)
  • TB screening (Individuals working with non-human primates who do not have a history of a prior positive PPD receive a PPD on enrollment. If the participant has a history of a previous positive PPD, further skin testing is not performed; a TB Questionnaire is administered. A chest x-ray is obtained if the individual�s responses to the TB Questionnaire suggest active pulmonary tuberculosis or the individual can not provide documentation of a normal chest x-ray following the discovery of the positive PPD)
  • Hepatitis B (vaccination will be offered)
  • Measles (vaccination will be offered to personnel working with nonhuman primates)
  • Allergy assessment
  • General health assessment

If additional tests, physical exams or health surveillance are needed, the Medical Director will complete a Medical Authorization and Order Form and forward it to the Coordinator. The Coordinator will forward a copy of the Medical Authorization and Order Form to the Animal Research Personnel and may assist in setting up appointments, as necessary, with the General Clinical Research Center (GCRC). After the individual has received his/her examination, testing and/or assessment, the Coordinator will retrieve the Patient Encounter form and completed Medical Authorization and Order Form from the GCRC and will forward directly to the Medical Director for final review.

Upon notification of the need for additional tests, physical exam or health surveillance, all Animal Research Personnel will have thirty days to complete the clinical services. If clinical services are not administered within thirty days of receipt of notification, the GUACUC will be notified and access to the DCM facility will be revoked.

Anyone who becomes ill or injured due to animal contact or animal allergen exposure should inform his/her primary care physician about his/her occupational exposure to animals.

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Program Implementation and Notification

All Animal Research Personnel must complete a Health History Survey and medical evaluation, and must obtain medical clearance, annually and prior to GUACUC renewal. All Animal Research Personnel, who will be listed as participant and will work with animals in a GUACUC research protocol, must obtain medical clearance through the Occupational Health Program before a GUACUC protocol can be approved or renewed.
The Health History Survey is available on the GUACUC website. New Animal Research Personnel will also receive the form during their required DCM orientation.

If additional tests, physical exams or health surveillance are needed, the Medical Director will complete a Medical Authorization and Order Form and forward it to the Coordinator. The Coordinator will forward a copy of the Medical Authorization and Order Form to the Animal Research Personnel and may assist in setting up appointments, as necessary, with the General Clinical Research Center (GCRC). After the individual has received his/her examination, testing and/or assessment, the Coordinator will retrieve the Patient Encounter form and completed Medical Authorization and Order Form from the GCRC and will forward directly to the Medical Director for final review.

Upon notification of the need for additional tests, physical exam or health surveillance, all Animal Research Personnel will have thirty days to complete the clinical services. If clinical services are not administered within thirty days of receipt of notification, the GUACUC will be notified and access to the DCM facility will be revoked.

The Medical Director will then complete a �Medical Clearance to Work with Laboratory Animals� letter (�Medical Clearance�) and will forward this to the Coordinator for distribution and logging into the program database. The Coordinator will send a copy of the Medical Clearance letter to the individual, will enter the Medical Clearance information into the program database, and will file the hard copy of the forms securely.

The Coordinator will forward to the GUACUC the names of all Animal Research Personnel who have completed the Health History Survey and have obtained Medical Clearance. All medical history information will be maintained securely by the Coordinator.

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