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Subject:
From:
"Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 2 Sep 1995 18:49:54 -0400
Content-Type:
text/plain
Parts/Attachments:
text/plain (32 lines)
TWIMC:
OSHA Enforcement Guidelines for 1910.1030-CPL 2-2.44(c) (direct quote):
Handling of Breast Milk: Breast Milk is not included in the standard's
defintion of "other potentially infectious materials." Therefore, contact
with breast milk does not constitute occupational exposure as definded by the
standard. This determination was based on the Centers for Disease Control's
findings that human breast milk has not been implicated in the transmission
of the human immunodeficiency virus (HIV) or the hepatitis B virus (HBV) to
workers although it has been implicated in perinatal transmission of HIV and
the hepatitis surface antigen has been found in the milk of mothers infected
with HBV. For this reason, gloves should be worn by healthcare workers in
situaitons where exposure to breast milk might be frequent, for example, in
milk banking.

The next section is long and contains other "potentially useful information
about HIV and breast milk."  This section states that workers exposed to
substances transmitting HIV should be evaluated at specified periods for the
disease and these workers should follow PHS recommendations for preventing
transmission of HIV during the first 6-12 weeks when seroconversion is most
likely. The disturbing aspect is that it includes: "In addition, in countries
such as the United States  where safe and effective alternatives to
breast-feeding are available, exposed women should not breast-feed infants
during the follow-up period in order to prevent the infant's possible
exposure to HIV in breast milk."

(Huh, did I miss something or do they speak with forked tongue? Did the
guideline not say earlier that "contact with breast milk does not constitute
occupational exposure..."? In this case, someone tell me the bigger
risk--contact with something not considered occupational exposure or the
"safe and effective alternatives"?!?)
Karen Gromada

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