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Occupational Health Exposure Groups and Activities Report

Employees who have work related health hazards may be eligible for occupational health services provided through staff wellness. The Occupational Health Activity reports organize employees who are enrolled in relevant “exposure groups” and displays their status of completion of activities associated with their respective exposure group. See “Exposure group and associated activities” to see relevant groups and activities.

Alberta’s Occupational Health and Safety Act, Regulation and Code stipulates that employees and supervisors have a legal responsibility to identify and control workplace hazards. UCalgary has a hazard assessment and control process to assist employees and supervisors with assessing workplace hazards. Many of the health hazards associated with work can help to be controlled, through receiving occupational health services offered by Staff Wellness. Staff Wellness supports supervisors and employees by providing these reports which show a list of employees, enrollment, and completion status.

In a compliance report, the following status may be assigned to an employee:

“Complete” – Employee has either completed all the required/recommended activities of the exposure group; or has submitted the risk acknowledgment form (applicable to immunizations only, provided by Staff Wellness) and declined the recommended activity.

“In Progress / Deferred / No Contact Required” – Employee has contacted Staff Wellness and is in the process of completing the outstanding activities of their exposure group.

“Activities Due/Near Due” – Employee has one or more outstanding activities and should contact Staff Wellness ohn@ucalgary.ca to arrange to complete same activities; or decline recommended activities through completion of risk acknowledgement form (applicable to immunizations only).

Occupational Health Program Details:

Occupational Health Programs can be viewed at:

/hr/wellness/occupational-health

In addition to the posted programs, CL3 lab and pathogen or other hazard specific medical surveillance and post-exposure planning may also be available.

Exposure Groups and Associated Activities

The following table shows current exposure groups and associated activities for UCalgary employees.

Exposure group name

Activities

Schedule

Who’s Included?

Audiometric Testing

Hearing test

1-2 Years

Noise exposed individuals

CL3 Lab Medical

Health assessment

Baseline

Individuals working in a containment level 3 laboratory.

TB skin test

Baseline

Individuals working in a containment level 3 laboratory.

Tetanus/Diphtheria/Pertussis

Tetanus, Diphtheria, Pertussis Immunization

Primary (3 dose) series – once

Individuals working with Bordetella pertussis

Booster dose every 10 years

Individuals working with Bordetella pertussis

Human Blood Body Fluid

Hepatitis B Immunization

Primary (3 dose) series once; booster dose(s) if protective antibody threshold not reached

Individuals working with unscreened human cells, tissues, blood, and other body fluids (excluding urine, sweat, or saliva).

Hepatitis B antibody blood test

Once following primary vaccination series or booster

Individuals working with unscreened human cells, tissues, blood, and other body fluids (excluding urine, sweat, or saliva).

Hepatitis A Research

Hepatitis A immunization

Primary (2 dose) series once

Individuals who work with Hepatitis A virus or those with increased exposure risk to human stool

HIV Research

Hepatitis B immunization

Primary (3 dose) series once; booster dose(s) if protective antibody threshold not reached

Individuals working with HIV or individuals working with blood samples that are high risk for bloodborne pathogens (HIV, Hepatitis B, C)

Hepatitis B antibody blood test

Once following primary vaccination series or booster

Individuals working with HIV or individuals working with blood samples that are high risk for bloodborne pathogens (HIV, Hepatitis B, C)

Hepatitis C antibody blood test

Annually

Individuals working with HIV or individuals working with blood samples that are high risk for bloodborne pathogens (HIV, Hepatitis B, C)

HIV antibody blood test

Annually

Individuals working with HIV orindividuals working with blood samples that are high risk for bloodborne pathogens (HIV, Hepatitis B, C)

Health Care Worker Immunization

Covid-19 immunization

Primary (2 dose) series once

Health care workers, including individuals working with patients, or in patient care settings.

Some immunizations and testing may be excluded for non-direct patient care positions

Tetanus, diphtheria, pertussis (dTap) series

Primary (3 dose) series once and booster dose every 10 years

Health care workers, including individuals working with patients, or in patient care settings.

Some immunizations and testing may be excluded for non-direct patient care positions

Polio - risk dependent

Primary (3 dose) series and adult booster

Health care workers, including individuals working with patients, or in patient care settings.

Measles, Mumps, Rubella

Primary (2 dose) series once

Health care workers, including individuals working with patients, or in patient care settings.

Some immunizations and testing may be excluded for non-direct patient care positions

Hepatitis B immunization and antibody blood test

Primary (3 dose) series, booster dose(s) if protective antibody threshold not met

Health care workers, including individuals working with patients, or in patient care settings.

Varicella immunization OR antibody blood test

Primary (2 dose) series once OR antibody blood test

Health care workers, including individuals working with patients, or in patient care settings.

Some immunizations and testing may be excluded for non-direct patient care positions

Tuberculosis skin test

Baseline test

Health care workers, including individuals working with patients, or in patient care settings.

Some immunizations and testing may be excluded for non-direct patient care positions

Leishmania Research

Leishmania antibody

Baseline test

Individuals working with Leishmania spp. though use of sharps (e.g., needles) or other vector (i.e., sandflies)

Neisseria Meningitidis Research

Meningococcal B immunization

Primary (2 dose) series once

Individuals who work with Neisseria Meningitidis

Men A, C, Y, W-135 immunization

Every 5 years if actively exposed

Individuals who work with Neisseria Meningitidis

Non-Human Primate

Hepatitis A immunization

Primary (2 does) series once

Individuals working with non-human primates or their body fluids or tissues

Tetanus immunization

Primary (3 dose) series once and booster every 10 years

Individuals working with non-human primates or their body fluids or tissues

Occupational Health Consultation

Occupational health assessment with Occupational Health Nurse/Physician

When hired or with significant job changes

Individuals with occupational health risks.

*This is a new exposure group so may not include people from other exposure groups who were previously assessed

Rabies – High risk

Rabies immunization

Primary (3 does) series once, and booster if protective antibody threshold for protection is not met

Individuals with increased risk (greater than other animal workers) for rabies exposure. Such as individuals working directly with bats

Rabies antibody blood test

Annually

Individuals with increased risk (greater than other animal workers) for rabies exposure. Such as individuals working directly with bats

Respiratory Protection – Health Surveillance

Physical exam

Baseline physical exam then subjective health history every two years

Individuals who wear respirators to work in environments that are immediately dangerous to life and health (IDLH)

Pulmonary function testing

Baseline

Individuals who wear respirators to work in environments that are immediately dangerous to life and health (IDLH)

Respiratory Protection – Fit Testing

Respirator fit test

Every two years

Individuals who require respiratory protection

SARS-CoV-2

Covid-19 immunization

Primary (2-dose) series once

Individuals working with SARS-CoV-2

Streptococcus Pneumoniae

Pneumococcal 13 and 23 immunization

One dose

Individuals working with streptococcus pneumoniae

Salmonella Typhi

Typhoid immunization

One dose every three years

Individuals working with Salmonella Typhi, or those with increased exposure risk to human stool

Tetanus

Tetanus immunization

Primary (3-dose) series and booster dose every 10 years

Individuals working with animals, sharps, or environments with dirt/soil

Tuberculosis

TB skin test

Baseline and annual testing may be indicated based on risk

Individuals working with mycobacterium tuberculosis or mycobacterium bovis; or if performing high risk activities on animals that may carry mycobacterium bovis

Toxoplasma

Toxoplasma serology

Baseline testing

Individuals working with toxoplasma

Varicella

Varicella immunization

Varicella primary (2 does) series OR antibody blood test

Individuals working with varicella virus

Veterinary Worker Immunization

Rabies immunization

Primary (3 dose) series once, and booster if protective antibody threshold not met

Veterinarian or animal workers. Individuals who work with animals with unknown health status or animals not held by the university for more than 10 days.

Rabies antibody titre

Every two years

Veterinarian or animal workers. Individuals who work with animals with unknown health status or animals not held by the university for more than 10 days.

Tetanus immunization

Primary (3-dose) series and booster dose every 10 years

Veterinarian or animal workers. Individuals who work with animals with unknown health status or animals not held by the university for more than 10 days.

How are exposure groups and activities determined?

Hazard Assessments – If health hazards are identified when a worksite hazard assessment is completed, an exposure group may be established based on the identified hazard and specific occupational health activities as necessary controls.

UCalgary Hazard Identification, Assessment, and Control

Biosafety Permits – Specific hazards listed on biosafety permits may lead to establishing exposure groups.

UCalgary Biosafety Permits

Legislation – Certain work activities have control measures described in relevant acts, regulations, and codes. Exposure groups may be established to meet the legislated controls.

  • Part 16, Sec 223 (Audiometric testing)

  • Part 18, Sec 245 (Respiratory protective equipment)

  • Part 35, Sec 530 (Post exposure management)

Standards – Authorities on health or safety may have developed standards to guide activities related to exposure risks. These in turn are applied to the relevant UCalgary exposure groups.

  • Sections 4.1.7; 4.1.9

  • Z94.4-11 Selection, use, and care of respirators

Best practices – Industry groups have developed commonly accepted practices for controlling workplace hazards. In the absence of legislative requirements or standards, the best practices may be utilized when developing exposure groups.

Other literature and subject matter experts – In the absence of the aforementioned resources, other evidence may be utilized to guide exposure group development.

  • Occupational Health Physician
  • Occupational Health Nurse
  • Medical Officer of Health
  • Infectious Diseases Physician

e.g.,

Services provided by Staff Wellness are free. If there are vaccinations or testing that are not provincially funded, the department may be billed at cost.

We have locations at both Main and Foothills Campus.

Group bookings at a worksite are available on request.

For questions, concerns or more information about these exposure groups and activities