title: Evaluation of a model training program for respiratory-protection preparedness at local health departments.
abstract: Respiratory-protection programs have had limited application in local health departments and have mostly focused on protecting employees against exposure to tuberculosis (TB). The need to provide the public health workforce with effective respiratory protection has, however, been underscored by recent concerns about emerging infectious diseases, bioterrorism attacks, drug-resistant microbes, and environmental exposures to microbial allergens (as in recent hurricane flood waters). Furthermore, OSHA has revoked the TB standard traditionally followed by local health departments, replacing it with a more stringent regulation. The additional OSHA requirements may place increased burdens on health departments with limited resources and time. For these reasons, the North Carolina Office of Public Health Preparedness and Response and industrial hygienists of the Public Health Regional Surveillance Teams have developed a training program to facilitate implementation of respiratory protection programs at local health departments. To date, more than 1,400 North Carolina health department employees have been properly fit-tested for respirator use and have received training in all aspects of respiratory protection. This article gives an overview of the development and evaluation of the program. The training approach presented here can serve as a model that other health departments and organizations can use in implementing similar respiratory-protection programs.
authors.affiliation: Wake County Human Services, Raleigh, NC 27610, USA. edie.alfanosobsey@co.wake.nc.us
authors.forename: Edie
authors.initials: E
authors.lastname: Alfano-Sobsey
authors.forename: Bobby
authors.initials: B
authors.lastname: Kennedy
authors.forename: Frank
authors.initials: F
authors.lastname: Beck
authors.forename: Brian
authors.initials: B
authors.lastname: Combs
authors.forename: Wendy
authors.initials: W
authors.lastname: Kady
authors.forename: Steven
authors.initials: S
authors.lastname: Ramsey
authors.forename: Allison
authors.initials: A
authors.lastname: Stockweather
authors.forename: Will
authors.initials: W
authors.lastname: Service
mesh_terms: D019538:Health Care Surveys; D006801:Humans; D009657:North Carolina; D016273:Occupational Exposure; D016730:Program Development; D015397:Program Evaluation; D011635:Public Health Administration; D013663:Teaching; D014376:Tuberculosis / Q000517:prevention & control*