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CDA Practice Support offers information for dental practices concerned about disease transmission

Monday, February 3, 2020   (0 Comments)
Posted by: Steven Niethamer
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CDA Practice Support offers information for dental practices concerned about disease transmission

CDA Practice Support has received inquiries from CDA members and staff regarding the recent spread of the coronavirus to California. The virus has affected approximately 10,000 people and killed more than 200 in China, prompting the World Health Organization to declare a global health emergency to mobilize resources to contain the spread of the disease. Although a few individuals in the U.S. have been diagnosed, most had traveled in China where they were exposed to the virus. There is now one reported U.S. incident of person-to-person transmission in Chicago where a man contracted the virus from his wife, who had visited China. The Centers for Disease Control and Prevention states the immediate risk to the American public is still low.

It is important for dental teams to understand that screening procedures are similar, regardless of whether the aerosol transmissible disease is coronavirus, measles, chickenpox or the flu. An important part of the Cal/OSHA-required ATD screening process is to do a community risk assessment:

  • Consider whether high-risk factors are present in the patient population (for example, international travel or anti-vaccine sentiments).
  • Determine the incidence of ATD cases in the greater community by checking your local public health department website.

If a dental practice determines there is a medium to high risk of an ATD exposure, staff should ask each patient if they are experiencing symptoms characteristic of the particular ATD. The CDC offers interim corona virus guidance for health care professionals. If dental personnel are not actively questioning patients because there is a low risk of ATD exposure, each patient's general health condition should be observed and any symptoms such as coughing and fever should be noted. If symptoms are present, dental personnel should question the patient about other symptoms and ATD risk factors, such as exposure to an individual with an ATD.

If a patient is identified as possibly having an ATD, the patient should be isolated, provided with a mask and, in most instances, referred to their health care provider; their dental care should also be rescheduled. If the patient is suspected of having the coronavirus, the additional step of notifying the public health department should be taken.

The Cal/OSHA aerosol transmissible disease standard requires dental practices to screen patients. The procedures for screening should be included in your practice's Injury and Illness Prevention Plan and staff must be trained on screening procedures. The regulation was developed soon after the SARS outbreak several years ago in anticipation of other outbreaks of unknown viruses

Additionally, CDA reminds employers that they should consult with an employment attorney before limiting an employee's work due to that employee's travel to China. Each situation requires an individual risk assessment. CDA will keep members informed about coronavirus in the Update and on the cda.org newsroom. Members with questions may contact CDA Practice Support at 800.232.7645.


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