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Acknowledgements           Abbreviations

Resources

Web Sites

American Society for Healthcare Engineering of the American Hospital Association: http://www.ashe.org

bulletCenters for Disease Control and Prevention: http://www.cdc.gov/nchstp/tb
bulletFrancis J. Curry National Tuberculosis Center: http://www.nationaltbcenter.edu
bulletOccupational Health and Safety Administration: http://www.osha.gov

Additional Information

Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994. MMWR 1994;(No. RR-13).

bullet

Francis J. Curry National Tuberculosis Center, Institutional Consultation Services. Instructional video and viewerÕs guide titled: How You Can Assess Engineering Controls for Tuberculosis in Your Health-Care Facility: You Don’t Need a Weatherman to Know Which Way the Wind Blows. 1998.

Additional ICS Guidelines

The following guidelines were also developed by ICS:

bulletA Guideline for Establishing Effective Practices: Identifying Persons with Infectious TB in the Emergency Department
bulletConducting Sputum Induction Safely
bulletPolicy and Procedures for Tuberculosis Screening of Health-Care Workers
bulletTuberculosis Exposure Control Plan: Template for the Clinic Setting

An order form for these guidelines can be obtained by calling (415) 502-4600.

These guidelines are also available on the Francis J. Curry National Tuberculosis

Center Web site: http://www.nationaltbcenter.edu/ics.html

Acknowledgments

The following California hospitals and clinics are gratefully acknowledged for their participation, assistance, and support of this project:

Asian Health Services, Asian Medical Center, Oakland

Central Health Center, Alameda County Health Care Services Agency, Oakland

Eastern Health Center, Alameda County Health Care Services Agency, Oakland

Hayward Health Center, Alameda County Health Care Services Agency, Hayward

Hollywood-Wilshire Health Center, Los Angeles County Department of Public Health, Hollywood

La Clinica de la Raza, Oakland

Lompoc Clinic, Santa Barbara County Health Care Services, Lompoc

Mercy Healthcare Š San Diego, San Diego

Newark Health Center, Alameda County Health Care Services Agency, Newark

O’Connor Hospital, San Jose

Olive View Š UCLA Medical Center, Sylmar

Primary Care and Chest Clinics, Sacramento County Department of Health and Human Services, Sacramento

Public Health Clinic, Imperial County Health Department, El Centro

St. Rose Hospital, Hayward

San Francisco Department of Public Health, Tuberculosis Control Section, San Francisco

San Joaquin General Hospital, French Camp

Santa Barbara Clinic, Santa Barbara County Health Care Services, Santa Barbara

Santa Maria Clinic, Santa Barbara County Health Care Services, Santa Maria

South of Market Health Center, San Francisco

Tuberculosis Chest Clinic, Fresno County Health Services Agency, Fresno

Tuberculosis Chest Clinic, Kern County Department of Public Health, Bakersfield

Tuberculosis Clinic, Santa Clara Health and Hospital System, San Jose

Washington Hospital, Fremont

White Memorial Medical Center, Los Angeles

The following individuals are gratefully acknowledged for their participation, assistance, and support of this project:

Janet Abernathy, RN, Catholic Healthcare West

Catherine Cao, Francis J. Curry National Tuberculosis Center

Cynthia Fine, MSN, CIC, Catholic Healthcare West

David Sasai, PE, Institutional Consultation Services, Francis J. Curry National Tuberculosis Center

Joan Sprinson, MPH, CIH, Tuberculosis Control Branch, California Department of Health Services

The following individuals are gratefully acknowledged for their invaluable suggestions:

Duane Borba, PE, California Office of Statewide Health Planning and Development

Charles Daley, MD, Francis J. Curry National Tuberculosis Center

Mark Nicas, PhD, MPH, CIH, School of Public Health, University of California at Berkeley

John Oldham, PE, Oldham Engineering, Berkeley, CA

Sarah Royce, MD, MPH, Tuberculosis Control Branch, California Department of Health Services

Patricia Simone, MD, Division of Tuberculosis Elimination, Centers for Disease Control and Prevention

Elizabeth Stoller, MPH, Francis J. Curry National Tuberculosis Center

Patrice Sutton, MPH, Occupational Health Branch, California Department of Health Services

Mary Webb, RN, San Mateo County General Hospital

Document Prepared by:

Patrick MacArdle, PE, Institutional Consultation Services, Francis J. Curry National Tuberculosis Center

Graphic Design:

Kirk Fetzer, Fetzer Group

Abbreviations

Organizations

AIA - American Institute of Architects

ASHRAE - American Society of Heating, Refrigerating, and Air Conditioning Engineers

Cal/OSHA - California Division of Occupational Safety and Health (California OSHA)

CDHS - California Department of Health Services

CDC - Centers for Disease Control and Prevention

CMC - California Mechanical Code

ICS - Institutional Consultation Services

OSHA - Occupational Safety and Health Administration (federal)

OSHPD - Office of Statewide Health Planning and Development (California)

UBC - Uniform Building Code

Terms

ACH - air changes per hour

CFM - cubic feet per minute

FPM - feet per minute

HEPA - high efficiency particulate air

HVAC - heating, ventilating, and air conditioning

" W.C. - inches of water column

M. tb - Mycobacterium tuberculosis

PIN - policy intent notice

TB - tuberculosis

UV - ultraviolet

UVGI - ultraviolet germicidal irradiation

VAV - variable air volume

Tech References Up Appendix A Appendix B Appendix C Appendix D Appendix E Resources, Etc.

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