Appendix P: ROHP Medical Surveillance Program
BU provides medical monitoring to all employees who face workplace risks. The program is designed to monitor potential health hazards associated with research and development activity with recombinant DNA, bloodborne pathogens, other etiologic agents, zoonotic diseases associated with laboratory animals, and hazardous chemicals. The details of the program are provided below:
Objectives and Scope
The Medical Surveillance Program developed and implemented by the ROHP has the following objectives:
- Determine the initial and periodic medical surveillance requirements for those personnel that perform research and those groups that support research such as animal care workers, EHS, Public Safety, and Facilities (Table 1)
- Define the surveillance requirements based on the work environment, occupational exposure and risk, and access requirements for each position.
- Determine whether the employee or applicant is able to safely perform the essential functions of the job for which employment has been offered.
- Determine accommodations, if necessary, for an employee or applicant to perform the functions of the job in a safe and effective manner.
- Establish a baseline for comparison with future periodic evaluations and termination evaluations.
- Establish a procedure for performing additional medical surveillance in support of the IBC when new protocols are reviewed and changes in the job function or role, exposure to hazardous materials and access requirements for researchers arises.
The clinical services provided as part of the Initial and Periodic medical surveillance profiles include questionnaires, physical examinations, laboratory testing, and screenings dictated by the job title, exposure type and access/location requirements for each position. Exposure type includes agents, animal types, lasers, chemical or other hazardous materials, bloods, tissues, cells or fluids, or patient care. Access/Location includes Research Laboratory and Biosafety Level, National Emerging Infectious Diseases Laboratory (NEIDL), and Animal Care Facilities.
In addition to the clinical services identified above, biological agent immunization requirements are also defined based on the specific agent the individuals work with or are potentially exposed to. The Initial and Periodic Biological Agent Specific Immunizations are identified in Table 1:
- These clinical services will be provided to the employees or applicants who perform research, support research, or require access to research facilities.
- For the NEIDL facility, Public Safety will determine whether these individuals have escorted or unescorted access. If unescorted NEIDL access is required, medical surveillance will be performed based on minimum NEIDL requirements plus occupational exposure and risk, and access level required. No medical surveillance is required for escorted NEIDL visitors.
All transfers into the NEIDL require mental health and drug screens along with a pre-placement baseline examination, testing and immunizations in accordance with Table 1. Certain testing and immunizations may be avoided if documentation of previous baseline examinations and testing is available and within current guidelines.
- Employees returning to Boston University Research:
- From leaves of absence of more than one year or previous employment at BU more than one year ago, a complete medical surveillance is required.
- From leaves of absence of less than one year or previous employment at BU less than one year ago, completion of an abbreviated health questionnaire is required. No other examinations are needed unless health risks are indicated in the abbreviated questionnaire.
- Employees returning to BU Research that require access to the NEIDL:
- From leaves of absence of more than one year or previous employment at BU more than one year ago, a complete medical surveillance is required.
- From leaves of absence of less than one year or previous employment at BU less than one year are required to complete an abbreviated health questionnaire and undergo mental health and drug screens. No other examinations are required unless health risks are indicated in the abbreviated questionnaire.
Procedures
The procedures followed by ROHP medical personnel in the determination and performance of medical surveillance are as follows (Table 1)
- a) Researchers and research support staff will complete a Health Questionnaire and job risk assessment with guidance from the PI or manager;
- The healthcare provider in ROHP reviews the Health and Job Risk Questionnaires for occupational exposure and risk assessment, immunizations and medical limitations to essential job functions;
- ROHP contacts the applicant/employee to discuss additional documentation and testing needed for medical clearance;
- ROHP schedules an appointment in ROHP for required examination components as needed;
- If no additional information is needed, the healthcare provider in ROHP completes a Medical Clearance Form and clears the Researcher to begin work. A copy of the Medical Clearance Form is provided to the applicant/employee;
- If a physical examination is required, ROHP schedules the exam with an ROHP Healthcare Provider;
- The Healthcare Provider reviews all testing results, completes a physical examination, and, is available to confidentially discuss any health issues with the applicant/employee;
- If a laboratory staff member is working with an infectious agent, the Healthcare Provider will review information about “warning symptoms” that might occur following an unprotected exposure to that agent. The laboratory worker should be given instructions regarding next steps in case of suspected infection, which should be shared with household members;
- For people requiring NEIDL access, a mental health screen and drug screen are required for medical clearance. The Healthcare Provider reviews the results and is available to confidentially discuss any health issues with the applicant/employee. The Healthcare Provider completes a Medical Clearance Form, files the form in the individual’s Medical Record and gives a copy to the applicant/employee;
- The ROHP notifies the appropriate department when a Researcher is medically cleared;
- Researchers may be asked to complete additional questionnaires depending on their job function, i.e. OSHA Respirator Users Questionnaire for respirator users, Animal Allergy Questionnaire for Researchers with animal allergies and working with animals;
- Annual Health Questionnaire is completed by all personnel. The annual questionnaire is used to review any new medical conditions, medications, work exposures or processes that may require additional medical surveillance so that early preventive strategies can be recommended;
- Respiratory Questionnaire will be completed by personnel whose position requires the use of any type of respirator other than a cloth surgical mask;
- Tuberculosis Symptom screen surveys will be completed by Researchers every 6 (six) months if their research involves Mycobacterium tuberculosis, or every year if they work with or have air exposure to non-human primates. This survey discovers symptoms or conditions that increase the possibility of early tuberculosis infection. Health and Job Risk Questionnaires healthcare provided as needed.
Responsibilities
The responsibilities for the functional groups involved at any level of the ROHP Medical Surveillance Program are as follows:
Principal Investigator (PI) or hiring manager
- Requests a job requisition posting from human resources for a new position
- Completes job specific information required by human resources to post the position:
- PS-1 forms
- Job Specific Risk Assessment Form identifying the specific occupational exposure and risks of the work environment for the position
Human Resources
- Notifies ROHP to schedule a medical evaluation for employees or applicants seeking positions in research or supporting research
- Provides the candidate with the Job Specific Risk Assessment Form completed by the PI or hiring manager for this specific position.
- Directs the candidate to the ROHP website to complete the Initial Health Questionnaire (IHQ).
- For NEIDL job applicants, performs background check (criminal and credit) in addition to the above for Notifies NEIDL Public Safety whether cleared or not.
- For NEIDL job applicants, includes information about NEIDL medical clearance procedures in conditional offer of employment including drug testing process, testing locations, and Chain of Custody forms needed to complete the process.
- Coordinates ROHP medical clearance notifications with employee or applicant, hiring manager and Public Safety.
Candidate
- Goes to the ROHP website for access to the ROHP Health Questionnaire which requests the candidate’s medical history information and consent for examination and authorization for disclosure.
- The ROHP Job Risk Assessment is completed by the candidate with guidance of the PI or manager and assistance from safety as needed to identify the work environment. The job risk assessment guides medical surveillance.
ROHP
- Contacts the candidate (via email, phone);
- Request completion and return of ROHP Health Questionnaire and Job Risk Assessment;
- Reviews the candidate’s ROHP Health Questionnaire and Job Risk Assessment to:
- Define the medical surveillance required based on occupational exposure and risk of the work environment for the candidate’s position.
- Establish a baseline medical history for the candidate for ongoing medical surveillance, and
- Assess the candidate’s ability to safely perform the functions of the position.
- Determines additional medical documentation needed, i.e. immunization records, tuberculosis screens, etc.;
- Schedules physical examination, additional testing (labs, pulmonary function test, electrocardiogram, as needed according to exposure potential to agents, risk, contact);
- Schedules mental health and drug screening for personnel requiring NEIDL access;
- Reviews results of all testing, screenings and examinations;
- Notifies appropriate personnel of examination outcome
- Medically cleared to perform essential functions of the job
- Medically cleared to perform essential function of the job with the following restrictions:___________________________
- Examination incomplete due to ______________________
- Medically not cleared to perform essential functions of the job
- Issues a medical surveillance wallet card to personnel who may be exposed to hazardous materials while working in a research or animal care facility. The card contains ROHP contact information and is used to facilitate prompt medical attention and appropriate medical care in the event the card holder should experience symptoms or illness while away from Boston University that may be related to activities or exposures in a laboratory research environment.
Environmental, Health and Safety (EHS)
- EHS will identify those personnel with potential exposure risks that warrant baseline and/or additional monitoring, (e.g. Respiratory Protection, Noise, Laser, baseline for 3b or 4 laser users only), and Emergency Responders
- EHS will communicate similar exposure group data (names, exposure type) annually to ROHP after discussion with Principal Investigators and Laboratory Managers, (e.g., noise, laser).
- EHS will coordinate training (biosafety level and agent specific) and potential risk exposure with PI and ROHPResearch Occupational Health Program ROHP is part of BU R...
- EHS will conduct Annual Respirator Fit Testing and Respiratory Protection Safety Training.
- EHS will conduct safety training appropriate to emergency protocols and general laboratory safety issues, such as lock out/ tag out, fire safety, etc.
- Issue Agent Specific Identification Cards to all laboratory personnel approved by the IBC to work with biological agents with the potential to cause LAI (Appendix G). This card contains ROHP contact information and is provided to facilitate prompt medical attention and appropriate medical care in the event the card holder should experience symptoms or illness while away from Boston University that may be related to activities or exposures in a laboratory research environment.
Public Safety
- Notifies ROHP when an employee or applicant has been approved to enter the NEIDL medical surveillance process and provides ROHP with access level required
- Provides employee or applicant with NEIDL security access after all clearance conditions have been met including medical clearance from ROHP. Updates clearances annually from security and safety perspective
Recordkeeping
Refer to the Recordkeeping Guidelines. Medical records will be maintained in the ROHP offices. Electronic medical records will also be maintained for all personnel seen in ROHP.
Questionnaires are available at the ROHP website:
- ROHP Health Questionnaire
- Animal Allergy Screening Form
- OSHA Respiratory Medical Evaluation Questionnaire
- Tuberculosis Screening and Education
- Boston Public Health Department Tuberculosis Clinic Referral Form for Positive TB Testing Result
- Immunization Consent Forms
- Vaccine Information Sheets
TABLE 1. COMPONENTS OF THE PRE-PLACEMENT MEDICAL SURVEILLANCE PROGRAM
| Panels | Orders | Initial | Annual | Description |
| IBC protocol | Job Risk Assessment Questionnaire Health Questionnaire | Initial Initial | Annual Annual | |
| IACUC protocol | Job Risk Assessment Questionnaire Health Questionnaire | Initial Initial | Annual Annual | |
| Animal access other than NHP’s on the Medical Campus | Pneumococcal Vaccine
Pneumococcal Vaccine Declination
Toxoplasmosis Antibody Titer Influenza Vaccine Job Risk Assessment Questionnaire Health Questionnaire | Initial Initial
Initial
Initial Initial Initial Initial |
Annual
Annual Annual Annual Annual | If work with chinchillas. Pneumonia vaccination is offered or need signed declination on file. Live streptococcal pneum. NOT USED with Chinchillas on CRC so vaccine not offered. If work with chinchillas. Pneumonia vaccination is offered or need signed declination on file. Live streptococcal pneum. NOT USED with Chinchillas on CRC so vaccine not offered. Females only if working with cats Influenza vaccine offered if working with ferrets but not required |
| NHP work with or have space access | Job Risk Assessment Questionnaire Health Questionnaire Tuberculosis Screening and Education OSHA Respirator Questionnaire TB Skin Test IGRA Test Measles Titer
2 Doses of Measles Vaccine
Influenza Vaccine | Initial Initial Initial Initial Initial Initial Initial
Initial
Initial | Annual Annual Annual
Annual Annual
Annual |
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Vaccine recommended but not required |
| Animal access on the Charles River Campus | Job Risk Assessment Questionnaire Health Questionnaire | Initial Initial | Annual Annual | Animal allergen screening is part of the questionnaire |
| Animal Care Technicians (Medical Campus) working with NHP’s or accessing NHP areas | Job Risk Assessment Questionnaire Health Questionnaire TB Skin Test IGRA Test Measles Titer
2 Doses of Measles Vaccine
OSHA Respirator Questionnaire
Td or TDAP Vaccine Functional Capacity Exam Influenza Vaccine | Initial Initial Initial Initial Initial
Initial
Initial
Initial Initial Initial | Annual Annual Annual Annual
Every 10 years
Annual | Animal allergen screening is part of the questionnaire
Requires positive measles titer or documentation of two MMR vaccinations if working with non-human primates Requires positive measles titer or documentation of two MMR vaccinations
If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation
Vaccine recommended but not required |
| Animal Care Technicians (Medical Campus) NOT working with NHP’s or accessing NHP areas |
Job Risk Assessment Questionnaire Health Questionnaire Tuberculosis Screening and Education TB Skin Test IGRA Test OSHA Respirator Questionnaire
Audiogram Td or TDAP Vaccine Functional Capacity Exam |
Initial Initial Initial Initial Initial Initial
Initial Initial Initial |
Annual Annual Annual
Annual Every 10 years |
If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation
|
| Animal Care Technicians (Charles River Campus) | Job Risk Assessment Questionnaire Health Questionnaire Functional Capacity Exam Td or TDAP OSHA Respirator Questionnaire | Initial Annual Initial Initial Initial
| Annual Annual
Every 10 years |
If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation |
| Animal Science Center staff (Assistant Directors (Ops), Managers, Supervisors, ASC Trainer, Vet Techs, Vet Manager, Supervisors, Veterinarians, W7 floor staff) – administrative staff exempt from this requirement | Job Risk Assessment Questionnaire Health Questionnaire Tuberculosis Screening and Education TB Skin Test IGRA Test Measles Titer
2 Doses Measles Vaccine
Influenza Vaccine | Initial Initial Initial Initial Initial Initial
Initial
Initial | Annual Annual Annual Annual Annual
Annual |
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Vaccine recommended but not required |
| NEIDL Administrative Access | Health Questionnaire Mental/Behavioral Health Urine Drug Screen Ishihara Screen PHQ-9 Questionnaire GAD-7 Questionnaire AUDIT Significant Life Changes and Stressors Checklist Influenza Vaccine | Initial Initial Initial Initial Initial Initial Initial Initial Initial | Annual Annual Random
Annual Annual Annual Annual Annual |
Vaccine recommended but not required |
| NEIDL Biosafety Level 2 Access
| Job Risk Assessment Questionnaire Health Questionnaire Mental/Behavioral Health Urine Drug Screen Ishihara Screen PHQ-9 Questionnaire GAD-7 Questionnaire AUDIT Significant Life Changes and Stressors Checklist Influenza Vaccine | Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial | Annual Annual Annual Random Annual Annual Annual Annual Annual Annual |
Vaccine recommended but not required |
| NEIDL Biosafety Level 3/4 Access | Job Risk Assessment Questionnaire Health Questionnaire Mental/Behavioral Health Urine Drug Screen Ishihara Screen PHQ-9 Questionnaire GAD-7 Questionnaire Significant Life Changes and Stressors Checklist AUDIT Physical Exam Cardiovascular Risk Assessment Health Intake Form Urinalysis Measles Titer
2 Doses of Measles Vaccine
Tuberculosis Screening and Education
TB Skin Test IGRA Test EKG Spirometry Audiometry (BSL4 only) Functional Capacity Exam (BSL4 only) Snellen OSHA Respirator Questionnaire
CBC w/Diff Comprehensive Metabolic Panel Influenza Vaccine | Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial
Initial
Initial
Initial Initial Initial Initial Initial Initial Initial Initial
Initial Initial Initial | Annual Annual Annual Random
Annual Annual Annual Annual
Annual
Annual Annual
|
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Annual TB Consent Form and Symptom Screen required if working with any animals. Annual TB skin test/IGRA if working with any animals. Annual TB skin test/IGRA if working with any animals.
If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation
Vaccine recommended but not required |
| Human Cells, Blood, or Tissue | Hepatitis B Vaccination
Hepatitis B Vaccine Declination
Hepatitis B Quantitative Titer | Initial
Initial
Initial | Requires written documentation of having had 3 doses (dates must include month/day/year and be signed by healthcare provider) of this vaccination If not accepting the Hepatitis B vaccine, read the Centers for Disease Control and Prevention’s Vaccine Information Statement and sign a Hepatitis B vaccination declination form Obtain, once written documentation of 3 Hepatitis B vaccinations has been obtained | |
| Dengue Virus Work | Dengue Titer | Initial | Obtain Dengue IGG prior to working with if checked off on risk assessment | |
|
Human subject/ patient care access only if on IBC protocol |
Job Risk Assessment Questionnaire Health Questionnaire Tuberculosis Screening and Education TB Skin Test IGRA Test Td or TDAP Measles Titer
2 Doses of Measles Vaccine
Mumps
Rubella
Varicella
2 Doses Varicella Vaccine
Influenza Vaccine Hepatitis B Vaccination
Hepatitis B Vaccination Declination
Hepatitis B Quantitative Titer
OSHA Respirator Questionnaire |
Initial Initial Initial Initial Initial Initial Initial
Initial
Initial
Initial
Initial
Initial
Initial Initial
Initial
Initial
Initial |
Annual
Every 10 years
|
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Requires positive mumps titer or documentation of two MMR vaccinations Requires positive rubella titer or documentation of two MMR vaccinations Requires positive varicella titer or documentation of two varicella vaccinations Requires positive varicella titer or documentation of two varicella vaccinations Vaccine recommended but not required Requires written documentation of having had 3 doses (dates must include month/day/year and be signed by healthcare provider) of this vaccination If not accepting the Hepatitis B vaccine, read the Centers for Disease Control and Prevention’s Vaccine Information Statement and sign a Hepatitis B vaccination declination form Obtain, once written documentation of 3 Hepatitis B vaccinations has been obtained If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation |
| Influenza Virus Work | Influenza Vaccine | Initial | Annual | Vaccine recommended but not required |
| MRI Work Space | MRI Screening Form | Initial | Annual | |
| Mycobacterium tuberculosis Work | Tuberculosis Screening and Education TB Skin Test IGRA Test | Initial Initial Initial | Annual Bi-annual Bi-Annual | |
| Non-human Primate Access | Job Risk Assessment Questionnaire Health Questionnaire Tuberculosis Screening and Education TB Skin Test IGRA Test Influenza Vaccine Measles Titer
2 Doses of Measles Vaccine | Initial Initial Initial Initial Initial Initial Initial
Initial | Annual Annual Annual Annual Annual Annual
|
Vaccine recommended but not required Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations |
| Neisseria meningitidis Work | Meningococcal vaccine | Initial | Offered appropriate meningococcal ACWY or B vaccination as appropriate | |
| Reproductive Counseling | Reproductive Counseling | Provided if requested on Health Questionnaire submitted annually or if office contacted directly for counseling request | ||
| Streptococcal pneumoniae | Pneumococcal Vaccine Pneumococcal Vaccine Declination | Initial Initial | Offer vaccination or have signed declination on file Offer vaccination or have signed declination on file | |
| Toxoplasma or work with cats | Toxoplasma Titer | Initial | Annual | If no history of positive titer, working with toxoplasma or cats |
| Vaccinia virus work | Vaccinia Vaccine Vaccinia Vaccine Declination | Initial Initial | ||
| Yellow Fever Virus Work | Yellow Fever Vaccine
Yellow Fever Vaccine Declination | Initial
Initial | 10-year booster | Should be completed 10-14 days before potential exposure to YF virus |
| Japanese Encephalitis Work | Japanese Encephalitis Vaccine
Japanese Encephalitis Vaccine Declination | Initial
Initial | Two doses administered on day 0 and day 7-28 and booster in greater than or equal to 1 year (2 dose series should be completed at least 1 week before potential exposure to JE virus) If older than 65 years old two doses administered on day 0 and 28 and booster in greater than or equal to 1 year | |
| Rabies Virus Work | Rabies Titer Rabies Vaccine | Initial Initial | Annual | Titer screening or vaccination offered as appropriate Offered if negative Rabies titer |
| Work with Bats | Rabies Titer Rabies Vaccine | Initial | Every 2 years | Titer screening or vaccination offered as appropriate Offered if negative Rabies titer |
| Polio Virus Work | Polio Titer
Polio Vaccine | Initial
Initial | Titer screening prior to working with virus and vaccination offered as appropriate | |
| Complete Freund’s Adjuvent | Tuberculosis Screening and Education
TB Skin Test IGRA Test | Initial
Initial Initial | Baseline Tuberculosis Screening and Education prior to work with CFA Baseline TB Skin Test prior to work with CFA Baseline IGRA Test prior to work with CFA | |
| SARS-CoV-2 virus work | Covid Vaccine | Initial | Encouraged if working with the virus | |
| Diphtheria toxin work | Td or TDAP Vaccine | Initial | Every 10 years | Encouraged if working with the toxin |
| Ebola Virus Work | Ebola Vaccine Ebola Vaccine Declination | Initial Initial | ||
| Scientific diving | Job Risk Assessment Questionnaire Health Questionnaire | Initial Initial | Annual Annual | Completed by researcher |
| Facilities Mechanics accessing Animal Science Center | Job Risk Assessment Questionnaire Health Questionnaire TB Skin Test IGRA Test Tuberculosis Screening and Education Influenza Vaccine Measles Titer
2 Doses of Measles Vaccine
| Initial Initial Initial Initial Initial Initial Initial
Initial | Annual Annual
Annual Annual |
Vaccine recommended but not required Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations |
| NEIDL Public Safety | Job Risk Assessment Questionnaire Health Questionnaire Mental/Behavioral Health Urine Drug Screen Ishihara Screen Health Questionnaire PHQ-9 Questionnaire GAD-7 Questionnaire Significant Life Changes and Stressors Checklist AUDIT Physical Exam Cardiovascular Risk Assessment Health Intake Form Urinalysis Measles Titer
2 Doses of Measles Vaccine
Tuberculosis Screening and Education TB Skin Test IGRA Test EKG Spirometry Audiometry Functional Capacity Exam Urinalysis Snellen OSHA Respirator Questionnaire
CBC with diff Comprehensive Metabolic Panel Td or TDAP Mumps
Rubella
Hepatitis B Vaccination
Hepatitis B Vaccination Declination
Hepatitis B Quantitative Titer
Varicella Titer
2 Doses of Varicella Vaccine
Influenza Vaccine Vital Signs Height and Weight External Chandler Psychological Exam | Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial
Initial
Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial
Initial Initial Initial Initial
Initial
Initial
Initial
Initial
Initial
Initial
Initial Initial Initial Initial | Annual Annual Annual Random
Annual Annual Annual Annual Annual
Annual
Every 10 years
|
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations
If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation
Requires positive mumps titer or documentation of two MMR vaccinations Requires positive rubella titer or documentation of two MMR vaccinations Requires written documentation of having had 3 doses (dates must include month/day/year and be signed by healthcare provider) of this vaccination If not accepting the Hepatitis B vaccine, read the Centers for Disease Control and Prevention’s Vaccine Information Statement and sign a Hepatitis B vaccination declination form Obtain, once written documentation of 3 Hepatitis B vaccinations has been obtained Requires positive varicella titer or documentation of two varicella vaccinations Requires positive varicella titer or documentation of two varicella vaccinations Vaccine recommended but not required
|
| NEIDL IT | Job Risk Assessment Questionnaire Health Questionnaire Mental/Behavioral Health PHQ-9 Questionnaire GAD-7 Questionnaire AUDIT Significant Life Changes and Stressors Checklist Measles Titer
2 Doses of Measles Vaccine Ishihara Influenza Vaccine Tuberculosis Screening and Education TB Skin Test IGRA Test | Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial | Annual Annual Annual Annual Annual Annual Annual
Annual Annual
|
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Vaccine recommended but not required |
| EHSEnvironmental Health & Safety | Job Risk Assessment Questionnaire Health Questionnaire Mental/Behavioral Health PHQ-9 Questionnaire GAD-7 Questionnaire AUDIT Significant Life Changes and Stressors Checklist OSHA Respirator Questionnaire
Tuberculosis Screening and Education TB Skin Test IGRA Test Hepatitis B Vaccination
Hepatitis B Vaccination Declination
Hepatitis B Quantitative Titer
Measles Titer
2 Doses Measles Vaccine
Mumps
Ishihara Rubella
Varicella Titer
2 Doses Varicella Vaccine
Influenza Vaccine | Initial Initial Initial Initial Initial Initial Initial Initial
Initial Initial Initial Initial
Initial
Initial
Initial
Initial
Initial
Initial Initial
Initial
Initial
Initial | Annual Annual Annual Annual Annual Annual Annual
Annual
|
If there is a change in your medical status or condition (including significant weight gain, weight loss, or change in facial configuration) that may affect your ability to use a respirator or a change in your work environment that may result in a substantial increase in physiological burden, please reach out to ROHP for reevaluation
Requires written documentation of having had 3 doses (dates must include month/day/year and be signed by healthcare provider) of this vaccination If not accepting the Hepatitis B vaccine, read the Centers for Disease Control and Prevention’s Vaccine Information Statement and sign a Hepatitis B vaccination declination form Obtain, once written documentation of 3 Hepatitis B vaccinations has been obtained Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Requires positive mumps titer or documentation of two MMR vaccinations
Requires positive rubella titer or documentation of two MMR vaccinations Requires positive varicella titer or documentation of two varicella vaccinations Requires positive varicella titer or documentation of two varicella vaccinations Vaccine recommended but not required |
| NEIDL Facilities | Job Risk Assessment Questionnaire Health Questionnaire Mental/Behavioral Health Health Intake Form PHQ-9 Questionnaire GAD-7 Questionnaire AUDIT Significant Life Changes and Stressor Checklist Physical Exam Ishihara Urine Drug Screen CBC with diff Comprehensive Metabolic Panel Urinalysis Measles Titer
2 Doses Measles Vaccine
Hepatitis B Vaccination
Hepatitis B Vaccination Declination
Hepatitis B Quantitative Titer
Tuberculosis Screening and Education TB Skin Test IGRA Test Td or TDAP Influenza Vaccine Vital Signs Height and Weight EKG Spirometry Audiometry Snellen Functional Capacity Exam | Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial
Initial
Initial
Initial
Initial
Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial Initial | Annual Annual Annual
Annual Annual Annual Annual
Random
Annual
Every 10 years Annual |
Requires positive measles titer or documentation of two MMR vaccinations Requires positive measles titer or documentation of two MMR vaccinations Requires written documentation of having had 3 doses (dates must include month/day/year and be signed by healthcare provider) of this vaccination If not accepting the Hepatitis B vaccine, read the Centers for Disease Control and Prevention’s Vaccine Information Statement and sign a Hepatitis B vaccination declination form Obtain, once written documentation of 3 Hepatitis B vaccinations has been obtained
Vaccine recommended but not required |
| WORK GROUPS AND HAZARDS | EXPOSURE TYPES | Initial Health Questionnaire | Respirator Questionnaire | Physical Exam or Assessment | Functional Capacity Exam | EKG | Spirometry | Audiometry | Vision Exam | CBC with differential | Compre hensive Metabolic Panel | Urine Dip Stick | Mental Health Screen | Drug Screen | |
| ANIMAL CARE | |||||||||||||||
| LASC and LACF STAFF | ANIMALS | Rats, mice, hamsters and rodents | ✓ | Y | F | NDL | NDL | ||||||||
| Bats | ✓ | Y | F | NDL | NDL | ||||||||||
| Non-human primates | ✓ | Y | F | NDL | NDL | ||||||||||
| Cats, pigs, rabbits | ✓ | Y | F | NDL | NDL | ||||||||||
| Chickens, ferrets | ✓ | Y | F | NDL | NDL | ||||||||||
| Fish, birds, fruit flies | ✓ | Y | F | NDL | NDL | ||||||||||
| AGENTS | Any work involving F. tularensis, S. pneumoniae, M. Tb, Hep B, or Yellow Fever | ✓ | Y | NDL | NDL | ||||||||||
| Animal Care Technicians | Works with all species | ✓ | Y | F | ✓LASC | ||||||||||
| IACUCInstitutional Animal Care and Use Committee IACUC oversee... | Works with all species | ✓ | Y | ✓LASC | |||||||||||
| LABORATORY RESEARCH | |||||||||||||||
| Minimum Surveillance by BSL | Work with non-specific hazards in a BSL 1 laboratory | ✓ | |||||||||||||
| Work with non-specific hazards in a BSL 2 laboratory | ✓ | NDL | NDL | ||||||||||||
| Work with non-specific hazards in a BSL 3 laboratory | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | NDL | NDL | |||
| RESEARCHERS WORKING WITH SPECIFIC HAZARDS | |||||||||||||||
| ANIMALS | Rats, mice, hamsters, or rodents | ✓ | Y | ||||||||||||
| Bats | ✓ | Y | |||||||||||||
| Non-human primates | ✓ | Y | |||||||||||||
| Cats, pigs, rabbits | ✓ | Y | |||||||||||||
| Chickens, ferrets | ✓ | Y | |||||||||||||
| Fish, birds, fruit flies | ✓ | Y | |||||||||||||
| LASER | Work with Class 3b or 4 lasers | ✓ | V | ||||||||||||
| PATIENT CARE | Work involves patient contact | ✓ | |||||||||||||
| HUMAN MATERIAL | Works with human blood, fluid, cells, and tissues | ✓ | |||||||||||||
| SPECIFIC HAZARDOUS MATERIALS | Works with F. tularensis | ✓ | Y | ||||||||||||
| Works with Hepatitis B | ✓ | ||||||||||||||
| Works with Influenza | ✓ | ||||||||||||||
| Works with J. encephalitis | ✓ | ||||||||||||||
| Works with M. tuberculosis | ✓ | Y | |||||||||||||
| Works with N. meningitidis | ✓ | ||||||||||||||
| Works with Polio virus | ✓ | ||||||||||||||
| Works with Rabies virus | ✓ | ||||||||||||||
| Works with S. pneumoniae | ✓ | ||||||||||||||
| Works with Vaccinia | ✓ | ||||||||||||||
| Works with Yellow Fever | ✓ | ||||||||||||||
| RESEARCH SUPPORT | |||||||||||||||
| EHS1 | All Areas | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | NDL | NDL | |
| PUBLIC SAFETY | POLICE | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 10p | |
| Medical Campus | ✓ | ✓ | ✓ | ||||||||||||
| NEIDLNational Emerging Infectious Diseases Laboratories The NE... | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 6p | ||
| ADMIN2 | All Areas | ✓ | NDL | NDL | |||||||||||
| FACILITIES & OPERATIONS3 | Charles River Campus | ✓ | |||||||||||||
| Medical Campus | ✓ | ||||||||||||||
| NEIDL Limited Access | ✓ | ✓ | 6p | ||||||||||||
| NEIDL BSL 2 Access | ✓ | ✓ | 6p | ||||||||||||
| NEIDL Full Access | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 6p | |||
| ✓ | Required |
| 6P | 6 panel drug screen required |
| 10P | 10 panel drug screen required |
| A | Annual Tb Screen |
| B | Bi-Annual Tb Screen |
| C | Recommended for females of child-bearing age working with Cats |
| F | Optional based on job requirements and medical history |
| M | Measles only |
| NDL | Mandatory for access to the NEIDL |
| r | Recommended |
| sr | Strongly recommended |
| T | Tdap initially, Tetanus required every 10 years |
| V | Voluntary vision exam program for Class 3b or 4 laser users |
| Y | Mandatory for jobs requiring respirator rated N95 and above |
| 1 | EHS personnel trained and cleared to provide Emergency Response |
| 2 | Includes admin for ORC, NEIDL, EHS, LASC/LACF, and Research |
| 3 | Includes facilities, IT, Telecom, and housekeeping |
TABLE 2. COMPONENTS OF THE PERIODIC HEALTH EVALUATION.
| WORK GROUPS AND HAZARDS | EXPOSURE TYPES | * | |||||||||
| Annual Health Questionnaire | Annual Respirator Questionnaire | TB Surveillance | Annual Influenza | Annual Rabies Test | Annual Hearing Conservation | Annual Mental Health Screen | Annual Drug Screen | ||||
| ANIMAL CARE | |||||||||||
| LASC and LACF STAFF | ANIMALS | Rats, mice, hamsters and rodents | ✓ | Y | r | ||||||
| Bats | ✓ | Y | r | ✓ | |||||||
| Non-human primates | ✓ | Y | ✓B | sr | |||||||
| Cats, pigs, rabbits | ✓ | Y | r | ||||||||
| Chickens, ferrets | ✓ | Y | r | ||||||||
| Fish, birds, fruit flies | ✓ | Y | r | ||||||||
| AGENTS | Works with any species involved with F. tularensis, S. pneumoniae, M. Tb, Hep B, or Yellow Fever | ✓ | Y | ✓B | sr | ||||||
| Animal Care Technicians | Works with all species | ✓ | Y | ✓B | sr | ✓LASC | |||||
| IACUC | Works with all species | ✓ | Y | ✓A | r | ||||||
| LABORATORY RESEARCH | |||||||||||
| Minimum Surveillance by BSL | Work with non-specific hazards in a BSL 1 laboratory | ✓ | r | ||||||||
| Work with non-specific hazards in a BSL 2 laboratory | ✓ | r | |||||||||
| Work with non-specific hazards in a BSL 3 laboratory | ✓ | ✓ | sr | ||||||||
| RESEARCHERS WORKING WITH SPECIFIC HAZARDS | |||||||||||
| ANIMALS | Rats, mice, hamsters, or rodents | ✓ | ✓ | ||||||||
| Bats | ✓ | ✓ | ✓ | ||||||||
| Non-human primates | ✓ | ✓ | ✓B | ||||||||
| Cats, pigs, rabbits | ✓ | ✓ | |||||||||
| Chickens, ferrets | ✓ | ✓ | |||||||||
| Fish, birds, fruit flies | ✓ | ✓ | |||||||||
| LASER | Work with Class 3b or 4 lasers | ✓ | r | ||||||||
| PATIENT CARE | Work involves patient contact | ✓ | ✓A | r | |||||||
| HUMAN MAT’L | Works with human blood, fluid, cells, and tissues | ✓ | r | ||||||||
| SPECIFIC HAZARDOUS MATERIALS | Works with F. tularensis | ✓ | Y | ||||||||
| Works with Hepatitis B | ✓ | ||||||||||
| Works with Influenza | ✓ | Y | ✓ | ||||||||
| Works with J. encephalitis | ✓ | ||||||||||
| Works with M. tuberculosis | ✓ | Y | ✓B | ||||||||
| Works with N. meningitidis | ✓ | Y | |||||||||
| Works with Polio virus | ✓ | ||||||||||
| Works with Rabies virus | ✓ | ✓ | |||||||||
| Works with S. pneumoniae | ✓ | Y | |||||||||
| Works with Vaccinia | ✓ | ||||||||||
| Works with Yellow Fever | ✓ | Y | |||||||||
| RESEARCH SUPPORT | |||||||||||
| EHS1 | All Areas | ✓ | ✓ | ✓A | sr | NDL | NDL | ||||
| PUBLIC SAFETY | POLICE | r | |||||||||
| Medical Campus | ✓A | r | |||||||||
| NEIDL | ✓ | ✓ | ✓A | r | ✓ | 6p | |||||
| ADMIN2 | All Areas | ✓ | r | NDL | NDL | ||||||
| FACILITIES & OPERATIONS3 | Charles River Campus | ✓ | r | ||||||||
| Medical Campus | ✓ | ✓A | r | ||||||||
| NEIDL Limited Access | ✓ | r | ✓ | 6p | |||||||
| NEIDL BSL 2 Access | ✓ | ✓A | r | ✓ | 6p | ||||||
| NEIDL Full Access | ✓ | ✓ | ✓A | sr | ✓ | 6p | |||||
| ✓ | Required | ||||||||||
| 6P | 6 panel drug screen required | ||||||||||
| 10P | 10 panel drug screen required | ||||||||||
| A | Annual Tb Screen | ||||||||||
| B | Bi-Annual Tb Screen | ||||||||||
| C | Recommended for females of child-bearing age working with Cats | ||||||||||
| F | Optional based on job requirements and medical history | ||||||||||
| M | Measles only | ||||||||||
| NDL | Mandatory for access to the NEIDL | ||||||||||
| r | Recommended | ||||||||||
| sr | Strongly recommended | ||||||||||
| T | Tdap initially, Tetanus required every 10 years | ||||||||||
| V | Voluntary vision exam program for Class 3b or 4 laser users | ||||||||||
| Y | Mandatory for jobs requiring respirator rated N95 and above | ||||||||||
| 1 | EHS personnel trained and cleared to provide Emergency Response | ||||||||||
| 2 | Includes admin for ORC, NEIDL, EHS, LASC/LACF, and Research | ||||||||||
| 3 | Includes facilities, IT, Telecom, and housekeeping | ||||||||||
| * | Written declination required | ||||||||||
TABLE 3. SPECIAL IMMUNIZATIONS OR SURVEILLANCE
| WORK GROUPS AND HAZARDS | EXPOSURE TYPES | * | * | * | * | * | * | * | * | * | * | * | |||||||
| Anthrax | Hepatitis B | Influenza | Japanese Encephalitis | Measles, Mumps, Rubella & Varicella | Meningococcal | Pneumococcal | Polio | Rabies Series (3) | Tetanus or Tdap | Toxoplasmosis | Tuberculosis | Tularemia | Vaccinia | Yellow Fever | |||||
| ANIMAL CARE | |||||||||||||||||||
| LASC and LACF STAFF | ANIMALS | Rats, mice, hamsters and rodents | r | ✓T | |||||||||||||||
| Bats | r | ✓ | ✓T | ||||||||||||||||
| Non-human primates | sr | ✓M | ✓T | ||||||||||||||||
| Cats, pigs, rabbits | r | ✓T | C | ||||||||||||||||
| Chickens, ferrets | r | ✓T | |||||||||||||||||
| Fish, birds, fruit flies | r | ✓T | |||||||||||||||||
| AGENTS | Works with any species involved with F. tularensis, S. pneumoniae, M. Tb, Hep B, or Yellow Fever | ✓ | sr | ✓ | ✓ | ✓T | ✓ | ✓ | ✓ | ✓ | |||||||||
| Animal Care Technicians | Works with all species | sr | ✓M | ✓T | C | ✓ | |||||||||||||
| IACUC | Works with all species | r | ✓M | ✓T | ✓ | ||||||||||||||
| LABORATORY RESEARCH | |||||||||||||||||||
| Minimum Surveillance by BSL | Work with non-specific hazards in a BSL 1 lab | r | ✓T | ||||||||||||||||
| Work with non-specific hazards in a BSL 2 lab | r | ✓T | |||||||||||||||||
| Work with non-specific hazards in a BSL 3 lab | sr | ✓T | |||||||||||||||||
| RESEARCHERS WORKING WITH SPECIFIC HAZARDS | |||||||||||||||||||
| ANIMALS | Rats, mice, hamsters, or rodents | ||||||||||||||||||
| Bats | ✓ | ||||||||||||||||||
| Non-human primates | ✓M | ✓ | |||||||||||||||||
| Cats, pigs, rabbits | C | ||||||||||||||||||
| Chickens, ferrets | |||||||||||||||||||
| Fish, birds, fruit flies | |||||||||||||||||||
| LASER | Work with Class 3b or 4 lasers | r | ✓ | ||||||||||||||||
| PATIENT CARE | Work involves patient contact | ✓ | r | ✓ | ✓ | ||||||||||||||
| HUMAN MATERIAL | Works with human blood, fluid, cells, and tissues | ✓ | r | ||||||||||||||||
| SPECIFIC HAZARDOUS MATERIALS | Works with F. tularensis | ✓ | |||||||||||||||||
| Works with Hepatitis B | ✓ | ||||||||||||||||||
| Works with Influenza | ✓ | ||||||||||||||||||
| Works with J. encephalitis | ✓ | ||||||||||||||||||
| Works with M. tuberculosis | ✓ | ||||||||||||||||||
| Works with N. meningitidis | ✓ | ||||||||||||||||||
| Works with Polio virus | ✓ | ||||||||||||||||||
| Works with Rabies virus | ✓ | ||||||||||||||||||
| Works with S. pneumoniae | ✓ | ||||||||||||||||||
| Works with Vaccinia | ✓ | ||||||||||||||||||
| Works with Yellow Fever | ✓ | ||||||||||||||||||
| RESEARCH SUPPORT | |||||||||||||||||||
| EHS1 | All Areas | ✓ | sr | ✓ | ✓T | ✓ | |||||||||||||
| PUBLIC SAFETY | POLICE | ✓ | r | ✓ | ✓T | ✓ | |||||||||||||
| Medical Campus | ✓ | r | ✓ | ✓T | ✓ | ||||||||||||||
| NEIDL | ✓ | r | ✓ | ✓T | ✓ | ||||||||||||||
| ADMIN2 | All Areas | r | |||||||||||||||||
| FACILITIES & OPERATIONS3 | Charles River Campus | ✓ | r | ✓T | |||||||||||||||
| Medical Campus | ✓ | r | ✓ | ✓T | ✓ | ||||||||||||||
| NEIDL Limited Access | r | ✓ | |||||||||||||||||
| NEIDL BSL 2 Access | ✓ | r | ✓ | ✓T | ✓ | ||||||||||||||
| NEIDL Full Access | ✓ | sr | ✓ | ✓T | ✓ | ||||||||||||||
| ✓ | Required | ||||||||||||||||||
| 6P | 6 panel drug screen required | ||||||||||||||||||
| 10P | 10 panel drug screen required | ||||||||||||||||||
| A | Annual Tb Screen | ||||||||||||||||||
| B | Bi-Annual Tb Screen | ||||||||||||||||||
| C | Recommended for females of child-bearing age working with Cats | ||||||||||||||||||
| F | Optional based on job requirements and medical history | ||||||||||||||||||
| M | Measles only | ||||||||||||||||||
| NDL | Mandatory for access to the NEIDL | ||||||||||||||||||
| r | Recommended | ||||||||||||||||||
| sr | Strongly recommended | ||||||||||||||||||
| T | Tdap initially, Tetanus required every 10 years | ||||||||||||||||||
| V | Voluntary vision exam program for Class 3b or 4 laser users | ||||||||||||||||||
| Y | Mandatory for jobs requiring respirator rated N95 and above | ||||||||||||||||||
| 1 | EHS personnel trained and cleared to provide Emergency Response | ||||||||||||||||||
| 2 | Includes admin for ORC, NEIDL, EHS, LASC/LACF, and Research | ||||||||||||||||||
| 3 | Includes facilities, IT, Telecom, and housekeeping | ||||||||||||||||||
| * | Written declination required | ||||||||||||||||||