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Exposures of Health Care Workers to HIV (Human Immunodeficiency Virus) Factors Affecting Occupational Risks in San Francisco, Boston, and New York.

PB90103359

Publication Date	1989
Personal Author	Twersky, F.; Whitbeck, C.; Hattis, D.
Page Count	104
Abstract	The report examined the experience with acquired immunodeficiency syndrome (AIDS) in San Francisco, New York and Boston, and illuminated various factors and trends which affect exposure of a range of health care workers to HIV. Health care planning was the first factor considered. In San Francisco the system was a highly decentralized delivery of needed services, relying heavily on outpatient care. Treatment in Boston and New York was often hospital bound. A disproportionate burden of AIDS care in New York fell on the public hospitals. Where patients were cared for was largely a determination of current reimbursement structures. Factors affecting the exposure of health care workers of human immunodeficiency virus (HIV) including the proportion of patients by age and disease stage, modes of transmission, distribution of care tasks, and changes in diagnostic and treatment procedures. Both procedural and technological innovations have been introduced to reduce the risk of infection by reducing the contact of the health care workers with the body fluids of the patient. The possible changes in occupational exposures include changes in procedures, infectivity of substances to which personnel are exposed, distribution of care among health care workers, personnel shortages, changing patient demographics, and treatment setting.
Keywords	Medical personnel Infectious diseases Tables(Data) Graphs(Charts) Technology innovation) Protective equipment Human immunodeficiency virus(HIV) Occupational exposure Acquired immunodeficiency syndrome(AIDS) San Francisco(California) Boston(Massachusetts) New York(New York) Risk assessment
Source Agency	National Institute for Occupational Safety and Health
NTIS Subject Category	44U - Health Care Delivery Organization & Administration 57U - Public Health & Industrial Medicine
Corporate Authors	Massachusetts Inst. of Tech., Cambridge. Center for Technology, Policy and Industrial Development.; National Inst. for Occupational Safety and Health, Cincinnati, OH.
Supplemental Notes	Sponsored by National Inst. for Occupational Safety and Health, Cincinnati, OH.
Document Type	Technical Report
NTIS Issue Number	199001

Exposures of Health Care Workers to HIV (Human Immunodeficiency Virus) Factors Affecting Occupational Risks in San Francisco, Boston, and New York.

Exposures of Health Care Workers to HIV (Human Immunodeficiency Virus) Factors Affecting Occupational Risks in San Francisco, Boston, and New York.
PB90103359

Publication Date	1989
Personal Author	Twersky, F.; Whitbeck, C.; Hattis, D.
Page Count	104
Abstract	The report examined the experience with acquired immunodeficiency syndrome (AIDS) in San Francisco, New York and Boston, and illuminated various factors and trends which affect exposure of a range of health care workers to HIV. Health care planning was the first factor considered. In San Francisco the system was a highly decentralized delivery of needed services, relying heavily on outpatient care. Treatment in Boston and New York was often hospital bound. A disproportionate burden of AIDS care in New York fell on the public hospitals. Where patients were cared for was largely a determination of current reimbursement structures. Factors affecting the exposure of health care workers of human immunodeficiency virus (HIV) including the proportion of patients by age and disease stage, modes of transmission, distribution of care tasks, and changes in diagnostic and treatment procedures. Both procedural and technological innovations have been introduced to reduce the risk of infection by reducing the contact of the health care workers with the body fluids of the patient. The possible changes in occupational exposures include changes in procedures, infectivity of substances to which personnel are exposed, distribution of care among health care workers, personnel shortages, changing patient demographics, and treatment setting.
Keywords	Medical personnel Infectious diseases Tables(Data) Graphs(Charts) Technology innovation) Protective equipment Human immunodeficiency virus(HIV) Occupational exposure Acquired immunodeficiency syndrome(AIDS) San Francisco(California) Boston(Massachusetts) New York(New York) Risk assessment
Source Agency	National Institute for Occupational Safety and Health
NTIS Subject Category	44U - Health Care Delivery Organization & Administration 57U - Public Health & Industrial Medicine
Corporate Authors	Massachusetts Inst. of Tech., Cambridge. Center for Technology, Policy and Industrial Development.; National Inst. for Occupational Safety and Health, Cincinnati, OH.
Supplemental Notes	Sponsored by National Inst. for Occupational Safety and Health, Cincinnati, OH.
Document Type	Technical Report
NTIS Issue Number	199001