Health Hazard Evaluation Report: HETA-2009-0184-3126, April 2011. Evaluation of Respiratory Protection Practices for Employees at Federal Immigration and Customs Agency Workplaces - Nationwide

摘要

In July 2009, NIOSH received an HHE request from the American Federation of Government Employees. The union was concerned about respiratory protection for federal immigration and customs agency employees during the pH1N1 pandemic. NIOSH investigators reviewed the agency's written respiratory protection procedures, observed a respirator fit-testing session for employees at agency headquarters, and surveyed employees nationwide about respiratory protection practices. We found that the agency's respiratory protection policy, the respirator medical evaluation questionnaire, the qualitative fit-testing protocol, and the slide presentation serving as training for fit testers were comprehensive. The quality of the observed respirator fit-testing procedures was good. However, we identified several areas that needed improvement. Though the response rate for our survey was suboptimal with 2,218 responding employees, we found that that most respondents, particularly those from DRO and OI, have face-to-face contact with immigrants in their current job. This contact places them at risk for exposure to airborne infectious agents, including Mycobacterium tuberculosis, influenza virus, rubeola virus, and varicella zoster virus.