There is still opportunity to provide written input to the committee. Please email your comments to ppeinput@nas.edu

Audio files and PowerPoint presentations from the workshop will be posted on this website pending permission from the speakers.

Purpose:          Examine research directions for personal protective equipment for healthcare workers in the event of pandemic influenza.

Agenda

7:30–8:00          Continental Breakfast, Lecture Room (Ante Room)

8:00–8:10          Welcome    
Lewis Goldfrank, Chair         
AUDIO    

8:10–9:15          Panel 1   Understanding the Threat for Healthcare Workers
Donald Low, moderator

• What is known about the transmission of influenza to healthcare workers?
• What is known about the relative magnitude of the various infection modes? What are the key challenges to research on influenza transmission? (technical, economic, operational, and other challenges)
• What research is needed?
• What are the models for research?
  

8:10–8:25          Transmission of Influenza    
Michael Gardam, University Health Network, Toronto         
PowerPoint Presentation
AUDIO 

8:25–8:40          Exposure Modeling    
Mark Nicas, University of California Berkeley         
PowerPoint Presentation
AUDIO

8:40–8:55          Epidemiology of Influenza in Hospital and Long-Term Care 

Keith Woeltje, Washington University          
PowerPoint Presentation
AUDIO

8:55–9:15          Discussion     
AUDIO        

9:15–10:30        Panel 2   Understanding the Risks to Healthcare Workers in Various Settings
Trish Perl, moderator

• Do the influenza transmission risks differ between various healthcare settings and types of care?
• What are the key challenges for research in this area, particularly “real time” research?
• What research is needed?

9:15–9:25          Hospital Workers                                                           

Leonard Mermel, Rhode Island Hospital         
PowerPoint Presentation
AUDIO

9:25–9:35          Emergency Response Workers and Emergency Departments    
Allan Morrison, INOVA Fairfax Hospital        
AUDIO  

9:35–9:45          Home Health Care Workers    
Bill Borwegen, Service Employees International Union         
AUDIO

9:45–9:55          Public Health Workers    
Debra Berg, New York City Department of Health         
PowerPoint Presentation
AUDIO

9:55–10:30        Discussion         
AUDIO

10:30–10:45      Break

10:45–12:00      Panel 3   Designing and Engineering PPE: Next Steps
Sundaresan Jayaraman, moderator

• What are the state of the art technologies for personal protective equipment for healthcare workers?
• What design and engineering breakthroughs are on the horizon?
• What are the key technical challenges that must be addressed in the design and development of PPE for healthcare workers over the short-term (1–3 years), medium term (3–5 years) and long-term (5–10 years)?
• What research is needed?

10:45–11:05      Next Steps and Challenges in Respirator Design and Engineering    
Alan Hack, Los Alamos National Laboratory (ret.)         
PowerPoint Presentation
AUDIO

Daniel Japuntich, 3M    
PowerPoint Presentation
AUDIO

11:05–11:25      Next Steps and Challenges for Medical Fabrics and Gowns 
Stephanie Pasko, Medline Industries    
PowerPoint Presentation
AUDIO

11:25–11:35      Next Steps in Materials Engineering    

Zane Frund, MSA  
PowerPoint Presentation
AUDIO

11:35–12:00      Discussion         
AUDIO

12:00–12:45      Lunch

12:45–1:45        Panel 4   Using Personal Protective Equipment: Individual and Institutional Issues
Bonnie Rogers, moderator

• What is known about the key factors influencing individual use of PPE by healthcare workers?
• What are the next steps and research needs regarding training and supervision issues?
• What are the key challenges to research in this area?
• What research is needed? 

12:45–12:55      Healthcare Workers and PPE: Lessons from SARS
Allison McGeer, University of Toronto         
PowerPoint Presentation
AUDIO

12:55–1:05        The Influence of Safety Culture and Climate on Compliance with PPE
Robyn Gershon, Columbia University         
PowerPoint Presentation
AUDIO

1:05–1:15          Wearability and Tolerability of PPE Research Study
Lewis Radonovich, The Department of Veterans Affairs     
AUDIO    

1:15–1:25          Compliance and Training
Elizabeth Bryce, University of British Columbia                  
PowerPoint Presentation
AUDIO 

1:25–1:45          Discussion         
AUDIO

1:45–2:50          Panel 5   Certifying and Regulating Effective PPE—Next Steps
Howard Cohen, moderator

• What are the next steps in improving standards and certification? What are the key challenges to next steps?
• What type of post certification and surveillance should be performed? What are the key challenges?
• Given that some health care workers may purchase respirators and other PPE at retail stores, what type of controls are necessary to ensure that these workers are properly protected?
• Are there requirements for risk assessments to be performed for health care workers prior to using PPE so that the equipment selection matches the risk?  If so, are risk assessments standardized and/or are records required to be maintained?     

1:45–1:55          National Personal Protective Technology Laboratory, NIOSH
Roland Berry Ann, NPPTL         
PowerPoint Presentation
AUDIO

1:55–2:05          Consumer Product Safety Commission
Rik Khanna, CPSC         
PowerPoint Presentation
AUDIO

2:05–2:15          Food and Drug Administration
Miriam Provost, FDA         
PowerPoint Presentation
AUDIO

2:15–2:25          Occupational Safety and Health Administration
Amanda Edens, OSHA                 
PowerPoint Presentation
AUDIO  

2:25–2:35          American National Standards Institute
Jim Johnson, JSJ and Associates         
PowerPoint Presentation
AUDIO

2:35–2:50          Discussion

2:50–3:00          Break

                                    Move to Breakout Rooms

3:00–4:00          Breakout Sessions – Research Priorities

• What are the major challenges for moving forward on research in each area (technical, economic, operational challenges)?
• What are the short-term (1–3 years), medium term (3–5 years) and long-term (5–10 years) research priorities?

Room 150: Transmission of Influenza in Healthcare Settings
Janine Jagger, moderator

Room 180: Engineering and Designing PPE
Kent Oestenstad, moderator

Lecture Room: Using PPE – Behavioral and Compliance Issues
David Prezant and Sharon Marable, moderators

Room 148: Certifying and Regulating Effective PPE
Lewis Goldfrank and Howard Cohen, moderator

4:00–4:15          Break

                        Return to Lecture Room

4:15–4:45          Reports from Discussion Sessions
Lewis Goldfrank, moderator         
AUDIO

4:45–5:45          Public Forum—Registered Speakers          
AUDIO                             

5:45                  Adjourn