Aerosol Transmissible Diseases Program

"Stanford University makes all reasonable efforts to:

• Protect the health and safety of Stanford University faculty, staff, and students.
• Provide safe work practices - academic, research, and administrative - for faculty, staff and students.
• Provide information to faculty, staff, and students about health and safety hazards.
• Identify and correct health and safety hazards and encourage faculty, staff, and students to report hazards.
• Provide information and safeguards for those on campus and in the surrounding community regarding environmental hazards arising from operations at Stanford University.”¹

To fulfill this University policy and to comply with California Code of Regulations, Title 8, Section 5199, Aerosol Transmissible Diseases (8 CCR 5199²) and 8 CCR 5199.1³, Aerosol Transmissible Diseases–Zoonotic, this Aerosol Transmissible Diseases Program (hereafter referred to as “ATD Program”) has been developed to minimize personnel exposure to aerosol transmissible diseases (ATDs) in research, healthcare, as well as other settings at Stanford University.

Requirements outlined in this program document are mandatory by the Cal/OSHA Aerosol Transmissible Diseases standard where the word “shall” is used and are advisory in nature where the word “should” is used. Stanford University requirements are noted where the word “must” is used.

¹Health and Safety at Stanford University: Principles, Responsibilities, and Practices (Research Policy Handbook Section 6.2, April 1991, http://rph.stanford.edu/6-2.html)

²http://www.dir.ca.gov/Title8/5199.html

³http://www.dir.ca.gov/Title8/5199-1.html

This ATD program covers all Stanford University personnel with occupational exposure to aerosol transmissible pathogens (ATPs), aerosol transmissible pathogens-laboratory (ATPs-L), and zoonotic ATPs. Operations at Stanford University that may have personnel with occupational exposure include:

• Laboratory operations involving ATPs-L, zoonotic ATPs, or samples, cultures, or other materials potentially containing zoonotic aerosol transmissible pathogens (zoonotic ATPs) [5199(a)(1)(G) and 5199.1 (a)(1)(A)]
• Research animal facilities [5199.1 (a)(1)(A)]
• Operations involving wildlife [5199.1 (a)(1)(A)]
• Stanford University Occupational Health Center (SUOHC) [5199 (a)(1)(A)(3)]
• Stanford University Department of Public Safety [5199 (a)(1)(C)]

*Police services provided during transport or detention of persons reasonably anticipated to be cases or suspected cases or aerosol transmissible diseases

*Police services provided in conjunction with health care or public health operations

• Stanford Blood Center [5199(a)(1)(G)]
• Other operations, as needed, that are identified by the Biosafety Officer

1. 3.1 Applications to the Administrative Panel on Biosafety (APB)
2. 3.2 Implementation
3. 3.3 Written Local Biosafety Plan [5199 (f)(4)]
4. 3.4 Training [5199(i)]
5. 3.5 Inspection of Laboratory Facilities [5199(f)(4)(O)]
6. 3.6 Facility Design and Construction [5199(f)(4)(N)]

This section applies to operations involving vertebrate research animals and wildlife operations.

Examples of wildlife operations at Stanford include:

• Capture, sampling, transportation or disposal of wild birds or other wildlife for research purposes.
• Disposal of wildlife remains or waste by employees.

1. 4.1 Basic Requirements
2. 4.2 Laboratory Animal Occupational Health Program
3. 4.3 Animal Biosafety Level 3 (ABSL - 3) or Above and Wildlife Operations Involving Potentially Infected Animals [5199.1(a)(2)(F), 5199.1(a)(2)(D)]
4. 4.4 Recordkeeping

1. 5.1 General
2. 5.2 Program Administrator
3. 5.3 Written Infection Control Procedures
4. 5.4 Training [5199 (c)(7)]
5. 5.5 Annual Review

1. 6.1 Laboratory [5199(f)]

1. 7.1 General
2. 7.2 Assessment for Latent Tuberculosis Infection (LTBI) [5199 (c)(6)(C)]
3. 7.3 Vaccinations
4. 7.4 Post-Exposure Medical Evaluation
5. 7.5 Additional Medical Services

1. 8.1 Reporting
2. 8.2 Analysis of Exposure Incidents [5199(h)(6)(C)(1)]
3. 8.3 Notification of Employees [5199 (h)(6)(C)(2)]
4. 8.4 Post-Exposure Medical Evaluation
5. 8.5 Exposure of Employees of Other Employers
6. 8.6 Information Provided to the PLHCP [5199 (h)(7)]
7. 8.7 Precautionary Removal [5199 (h)(8)]
8. 8.8 Written Opinion from the PLHCP [5199 (h)(9)]

The use of respiratory protection shall be consistent with the Stanford University's Respiratory Protection.

1. 10.1 Training Records
2. 10.2 Nondisposable Engineering Controls
3. 10.3 Medical Records
4. 10.4 Respiratory Protection Records
5. 10.5 Exposure Records
6. 10.6 Additional Records

1. 11.1 Aerosol Transmissible Diseases/Pathogens
2. 11.2 Aerosol Transmissible Pathogens – Laboratory
3. 11.5 Aerosol Transmissible Disease Vaccination Recommendations for Susceptible Health Care Workers
4. 11.6 Resources