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BANANA SHIRE COUNCIL POLICY DOCUMENT NUMBER: 24 – Vaccination and Occupational Screening TITLE: Vaccination and Occupational Screening DEPARTMENT: Executive Services SCOPE: This Policy applies to all employees of Banana Shire Council. OBJECTIVE: To demonstrate how exposure to illness and injury-causing agents may be identified and addressed by Council, and to outline the function of Council’s vaccination and occupational screening programs. REFERENCES: This Policy has been developed in accordance with the following: • • • • • • • Workplace Health and Safety Act 1995 Workplace Health and Safety Regulation 1997 AS/NZS 4360:2004 Risk Management Hazardous Substances Code of Practice 2003 First Aid Code of Practice 2004 Queensland Public Health Unit SAFEPLAN 2 DEFINITIONS: Biological Hazard Substances which consist of, or which may contain, micro-organisms or non-viable products of living matter which could create a risk to health. Examples include blood, mouldy hay and animal skin, which may contain virus pathogens such as Hepatitis or Human Immunodeficiency Virus (HIV). Biological Monitoring Testing for the presence of a hazardous substance, its metabolites, or a biochemical change in a person’s body tissue, exhaled air or fluid. Hazardous Substance A substance with potential to cause harm to persons, property or the environment because of the chemical, physical or biological properties of the substance. A list of workplace-related hazardous substances is included in Schedule 6 of the Workplace Health and Safety Regulation 1997. Infection The invasion and multiplication of micro-organisms in a person’s body tissues that may or may not lead to disease. Infectious Agent/Pathogen Any substance that can cause disease. Examples are the Hepatitis, HIV and Q-Fever viruses. Occupational Screening The monitoring of a person to identify any changes to the person’s health, as a result of exposure or suspected exposure to either an infectious agent or a hazardous substance. Risk In a workplace: the chance that an event will occur which will result in personal injury or loss to an organisation. Vaccination The process of administering a biological substance into the body to induce immunity and thereby prevent development of the targeted infectious disease. POLICY: Banana Shire Council is committed to promoting, maintaining and improving safe working conditions for all employees, Councillors, volunteers, contractors, customers, and the general public at all times. In recognition of this commitment, Council has a framework in place to identify employees who are at risk of being exposed to an illness or injury-causing agent. For instance, employees such as Animal Control Officers, Sewerage Treatment Plant employees, and First Aid personnel may, during their course of employment with Council, be exposed to biological hazards, pathogens, or hazardous substances. Managers and Supervisors, in conjunction with the Workplace Health and Safety Officer and Safety Representatives, will be responsible for identifying at-risk employees by conducting risk assessments using the (I.A.C.) Risk Assessment Calculator Card in “SafePlan 2” Element 2.3. Where a risk assessment is conducted, hierarchy of control measures shall be implemented to minimise or remove the risk. Once an at-risk person has been identified, the Supervisor is responsible for supplying the person with a copy of the procedure for Infection Control from “Safeplan 2” Element 3.4. This information will assist the employee with personal hygiene, safe handling procedures and the correct wearing of Personal Protective Equipment (PPE). Where PPE is required, the Purchasing Officer is responsible for sourcing and purchasing the appropriate PPE that complies with all relevant Australian Standards. If an employee believes that their work with Council may expose them to an infectious agent or hazardous substance, they shall advise their Supervisor who will, in conjunction with the Workplace Health and Safety Officer, investigate the matter accordingly. Vaccination Program Where an employee is identified as being at risk of developing an infectious disease for which a vaccination program exists, the employee will be requested to consent to a vaccination. The Workplace Health and Safety Officer will provide the employee with the relevant Vaccination Application Form, and any other relevant information to enable the person to make an informed decision on whether or not to participate in a vaccination program. All vaccines will be administered by a doctor or registered nurse and any costs associated with the administration of these vaccines will be paid by Council. Occupational Screening Program If an employee, self-employed person, contractor or a visitor to a Council workplace receives a skin-penetrating injury from a syringe, Supervisors are obligated to ensure that the person seeks medical treatment immediately. Council is only obligated to arrange and pay for such treatment if the person receiving the injury is a Council employee. The affected person should also be offered use of Council’s counselling program. In the instance that an employee has been exposed to an infectious agent or a hazardous substance, the employee will be requested to partake in medical monitoring to identify any changes to their health. The monitoring will be conducted by an Occupational Medical Clinic, and may involve medical assessments and biological monitoring. Consent and Participation If the employee chooses not to partake in the vaccination or occupational screening program, Council will ensure that the employee will not be required to perform work in an environment that contains a foreseeable risk of exposure to infectious agents or hazardous substances. The employee’s agreement or refusal to partake in the vaccination or occupational screening program must be properly documented (signed and dated by the employee, their Supervisor and the Workplace Health and Safety Officer), and captured in the Records Management system. The Workplace Health and Safety Officer will advise employees of all vaccination/occupational screening arrangements, with participating employees guaranteed release from work to attend. Self-employed persons, contractors and visitors to the workplace are responsible under the Workplace Health and Safety Act 1995 for their own vaccination and occupational screening requirements. Further Information Council’s Workplace Health and Safety Officers are able to provide brochures and pamphlets containing medical information relating to vaccination and occupational screening programs. Further information on common infectious diseases and possible prevention/treatment mechanisms are listed in the Appendix of this Policy. Additional information can also be obtained from the Queensland Health website, www.health.qld.gov.au. ADOPTED: Executive Management Team, 4 September 2008 REVIEWED: 2010 APPENDIX Employees at risk of the common infectious diseases listed below can include, but are not limited to: First Aid Personnel, Sewerage Treatment Plant Workers, Plumbers, Workshop Staff, Land Protection Officers, Animal Control Officers, toilet-cleaning personnel, wash-down bay personnel, and rubbish collection/disposal personnel. An at-risk person may prevent contraction of certain infectious diseases by applying the 'cover-up, wash and clean' strategy. This strategy requires a person to: ensure that appropriate Personal Protective Equipment is worn, such as long, durable gloves and protective eye-wear ensure that they wash exposed areas thoroughly after working with or near substances that might harbour infectious agents (such as waste, and animals) ensure that all Personal Protective Equipment, and other work tools, are cleaned thoroughly after use, and that the work environment is kept as clean as possible. COMMON INFECTIOUS DISEASES Hepatitis is inflammation of the liver which can be caused by viruses, bacteria, chemicals, alcohol consumption, and some medications. There are a number of Hepatitis virus strains which currently range from Hepatitis A (HAV) through to Hepatitis F. Treatment/Prevention: Human Immunodeficiency Virus Treatment/Prevention: Twinrix vaccine (normally a three (3) dose course) provides long lasting protection. (HIV) is the name of the virus that causes Acquired Immunodeficiency Syndrome. There is no vaccine available for HIV. Leptospirosis (Also known as Weil’s or Canecutters Disease) is a disease caused by the bacterium leptospira. It is contracted when grazed or cut skin is infected by animal urine or other animal fluid, or soil or water which is contaminated with urine or other animal fluid. Treatment/Prevention: There is the possibility of implementing animal vaccination which reduces the shedding of bacteria. Apply the “cover up, wash and clean” strategy Q Fever is an infectious disease caused by the bacterium coxiella burnetii. Humans become infected through direct contact and/or inhalation of dust particles containing farm animal fluids, such as blood and faeces. Treatment/Prevention: Educate at-risk individuals and ensure respiratory protection is used. A vaccine is available from the Queensland Public Health Unit. Apply the “cover up, wash and clean” strategy Tetanus is caused by a toxin produced by the bacterium clostridium tetani. These bacteria are found in soil, dust and manure and can contaminate wounds, producing a toxin which causes the symptoms of tetanus. Treatment/Prevention: Vaccination is the best protection and treatment; a booster may be required at age 50. Apply the “cover up, wash and clean” strategy.