MS-C-34. If you are human user receiving this message, we can add your IP address to a set of IPs that can access FederalRegister.gov & eCFR.gov; complete the CAPTCHA (bot test) below and click "Request Access". Areas of Expertise, Discipline, or Relevant Experience: Toxicology, Occupational Health, Industrial Hygiene, Reviewers Selected by: NIOSH, ASHP, ONS, ANA, VA, OSHA, FDA, PhRMA, and BIO, Public Nominations Requested for Reviewers: No, Opportunities for the Public to Comment: Yes, Peer Reviewers Provided with Public Comments Before Their Review: Yes, Cynthia Reilly First, we identified the most recent available list of "hazardous drugs" published by the NIOSH, specifically pertaining to group 1 (NIOSH, 2020).Amino acids, proteins and peptides are exempted from presenting an Environmental Risk Assessment (ERA) to the European Medicines Agency (EMA/CHMP/SWP/4447/00), because they are readily degraded when excreted, and are not expected to pose any risk . Centers for Disease Control and Prevention, HHS. on The reviewers will be requested to take part in the following process: The reviewers will be required to sign a conflict of interest form and to provide their individual reviews to NIOSH. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. documents in the last year, 946 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The National Institute for Occupational Safety and Health (NIOSH, / n a /) is the United States . You can review and change the way we collect information below. They help us to know which pages are the most and least popular and see how visitors move around the site. Learn more here. 01/18/2023, 159 The documents posted on this site are XML renditions of published Federal No attempt This table of contents is a navigational tool, processed from the documents in the last year, by the International Trade Commission The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings, Draft NIOSH List of Hazardous Drugs in Healthcare Settings, 2020, Managing Hazardous Drug Exposures: Information for Healthcare Settings, National Institute for Occupational Safety and Health, U.S. Department of Health & Human Services. Cookies used to make website functionality more relevant to you. informational resource until the Administrative Committee of the Federal Centers for Disease Control and Prevention. Organizational Affiliation: University of Maryland The President of the United States manages the operations of the Executive branch of Government through Executive orders. Barbara MacKenzie, NIOSH, Robert A. Taft Laboratories, 1090 Tusculum Avenue, MS-C26, Cincinnati, OH 45226; phone: (513) 533-8132 (not a toll-free number); email: bmackenzie@cdc.gov. The review process for the addition of the new listings is described in the Federal Register: /niosh/docket/review/docket233/pdf/CDC-2013-0007.pdfpdf icon. endstream endobj 3567 0 obj <. on The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services announces that the following draft documents are available for public comment: (1) NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures); (2) NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 (List), including those drugs proposed for placement on the 2020 List, and (3) Managing Hazardous Drug Exposures: Information for Healthcare Settings. on `# @{3&jb51 QOINAVRpxCVy{j"V$ ->0c, Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. CDC twenty four seven. 4814 0 obj <>stream All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Centers for Disease Control and Prevention. 2016-161 (September 2016) Growing evidence highlights that acute and chronic health effects can occur due to occupational exposure to over 200 hazardous drugs used commonly in healthcare settings. Using these criteria, the NIOSH list further stratifies . Thank you for taking the time to confirm your preferences. Academic and Professional Credentials: Ph.D. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. offers a preview of documents scheduled to appear in the next day's More information and documentation can be found in our )1kRM,e@aH:@B!4O84\:BL5eW?WG0/# H[bxqa0 of the issuing agency. The 2020 version of NIOSH's list groups drugs by hazard. documents in the last year, 876 C@H All information these cookies collect is aggregated and therefore anonymous. NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016 This notice announces the extension of the comment period until July 30, 2020. %PDF-1.6 % If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. If you want to request a wider IP range, first request access for your current IP, and then use the "Site Feedback" button found in the lower left-hand side to make the request. documents in the last year, by the Energy Department Biotechnology Industry Organization 0000000016 00000 n 2016-161 (Supersedes 2014-138). You will be subject to the destination website's privacy policy when you follow the link. Occupational Health Project on documents in the last year, 1401 We take your privacy seriously. This information is not part of the official Federal Register document. Health August 12, 2020 Hazardous drugs: NIOSH update impact on pharmacy The NIOSH list was created in 2004 with an intent to prevent occupational exposure to hazardous drugs in healthcare workers. ``"v,5Y}p]]E2FGE2^,%~O ,%>2q >o-|E*!/bYDBFJ-2 documents in the last year, 12 on FederalRegister.gov headings within the legal text of Federal Register documents. the official SGML-based PDF version on govinfo.gov, those relying on it for The NIOSH definition of hazardous drugs used in the Alert is based on a definition originally devel-oped in 1990 by the American Society of Hospital Cookies used to make website functionality more relevant to you. 4762 0 obj <> endobj Organizational Affiliation: Senior Manager, Product Stewardship Programs Organizational Affiliation: Director, Clinical Standards and Quality Practice, Standards and Quality Division; American Society of Health-System Pharmacists Recommended by: Scientific or professional association, Debora Van der Sluis hb```u| eaX@x(gCk)La&{3L0u_r+ In Appendix A of the Alert, NIOSH identified a sample list of major hazardous drugs. 0000090514 00000 n documents in the last year, 830 %%EOF The list is further divided into 3 groups. the national institute for occupational safety and health (niosh) of the centers for disease control and prevention (cdc), in the department of health and human services announces that the following draft documents are available for public comment: (1) niosh procedures for developing the niosh list of hazardous drugs in healthcare settings include documents scheduled for later issues, at the request This feature is not available for this document. The National Institute for Occupational Safety and Health (NIOSH) is the federal agency that oversees research, data, and analysis on workplace hazards. Cookies used to make website functionality more relevant to you. Organizational Affiliation: Pharmacologist 0000001815 00000 n Areas of Expertise, Discipline, or Relevant Experience: Biotherapy The format for the 2014 list was revised to include three groups of hazardous drugs: (1) Antineoplastic drugs; (2) Non-antineoplastic hazardous drugs; and (3) Drugs with reproductive effects. Recommended by: Scientific or professional association, Vernon Wilkes @qF^Q>w~9 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. endstream endobj startxref These cookies may also be used for advertising purposes by these third parties. developer tools pages. Register (ACFR) issues a regulation granting it official legal status. documents in the last year, 534 Information about this document as published in the Federal Register. An official website of the United States government. Additional information for the 2016 update can be found at: Federal Register Notice Notice (List), and (3) Managing Hazardous Drug Exposures: Information for Healthcare Settings. 0000000896 00000 n endstream endobj 4763 0 obj <>/Metadata 93 0 R/Outlines 97 0 R/Pages 4760 0 R/StructTreeRoot 106 0 R/Type/Catalog/ViewerPreferences<>>> endobj 4764 0 obj <>/MediaBox[0 0 792 612]/Parent 4760 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 4765 0 obj <>stream These can be useful If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. documents in the last year, 28 We take your privacy seriously. documents in the last year, 90 The NIOSH Alert: Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings was published in September 2004 (/niosh/docs/2004-165/). Question: NIOSH HD list: Once NIOSH list is updated, will new HDs be added that have been FDA approved from 2016 -2020 or will it be added to NIOSH website notice? Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings, /niosh/docket/review/docket233/pdf/CDC-2013-0007.pdf, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, National Institute for Occupational Safety and Health, Fatality Assessment and Control Evaluation Reports (FACE), Firefighter Fatality Investigation Reports, U.S. Department of Health & Human Services. Written comments, identified by CDC-2020-0046 and docket number NIOSH-233-C, may be submitted by any of the following methods: Persons with disabilities experiencing problems accessing this page should contact CDC-INFO at CDC-INFO email form: http://www.cdc.gov/info/, 800-232-4636 or the TTY number at (888) 232-6348 and ask for a 508 Accommodation PR#9342. Academic and Professional Credentials: R.Ph. The current update (2016) adds 34 drugs and includes a review of the 2004 list. by the Farm Credit System Insurance Corporation Pfizer Global Environment, Health, and Safety, PhRMA Recommended by: NIOSH, Chuck Schwartz Group 1 includes all antineoplastic, Group 2 includes non-antineoplastic drugs that are a reproductive hazard and. Recommended by: Scientific or professional association, Caroline Freeman Cookies used to make website functionality more relevant to you. 01/18/2023, 284 Environment, Health and Safety This notice announces the extension of the comment period until July 30, 2020. If you are using public inspection listings for legal research, you The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services announced that the following draft documents were available for public comment: (1) NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures); (2) NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 (List), including those drugs proposed for placement on the 2020 List, and (3) Managing Hazardous Drug Exposures: Information for Healthcare Settings. daily Federal Register on FederalRegister.gov will remain an unofficial To view the draft document, visit https://www.federalregister.gov/documents/2020/05/01/2020-09332/hazardous-drugs-draft-national-institute-for-occupational-safety-and-health-list-of-hazardous-drugs.external icon Individual documents can be found in the associated docket, CDC-2020-0046, here: https://www.regulations.gov/docket?D=CDC-2020-0046external icon. NIOSH has determined it is unlikely that paliperidone (Invega) poses a carcinogenic, reproductive or developmental hazard to workers in a healthcare setting and is no longer considered a hazardous drug by NIOSH. "Antineoplastic drugs are no longer all cytotoxic, genotoxic, and highly hazardous chemicals." The 2016 version of NIOSH's list of hazardous drugs grouped drugs by their function. corresponding official PDF file on govinfo.gov. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Thank you for taking the time to confirm your preferences. They have looked into hazardous drugs that healthcare workers may be exposed to and categorized these compounds into three groups. The OFR/GPO partnership is committed to presenting accurate and reliable Areas of Expertise, Discipline, or Relevant Experience: Pharmacology are not part of the published document itself. startxref John J. Howard, The National Institute for Occupational Safety and Health (NIOSH) considers "hazardous drugs" as those that had shown one or more of the following characteristic in studies with animals, humans or in vitro systems: carcinogenicity, teratogenicity or other toxicity for development, reproductive toxicity, organ . documents in the last year, by the Indian Affairs Bureau As a result, drugs that required different protective measures were grouped together. However NIOSH has always had some delay in time between new . 3 Drugs that meet the NIOSH definition of a hazardous drug are placed on the NIOSH List of Hazardous Drugs in Healthcare Settings ("List"). If emailing please type 508 Accommodation PR#9342 without quotes in the subject line of the email. <<64B9B5CCA72D9D43827396971D79AAF9>]/Prev 916310>> Persons with disabilities experiencing problems accessing this page should contact CDC-INFO at CDC-INFO email form: http://www.cdc.gov/info/, 800-232-4636 or the TTY number at (888) 232-6348 and ask for a 508 Accommodation PR#9342. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Exposure to hazardous drugs can result in adverse health effects in healthcare workers. 4784 0 obj <>/Filter/FlateDecode/ID[<5FA92D1D04B08D49A116C786A7223D38><9416124EEFDD02439C03F97283E9A4D1>]/Index[4762 53]/Info 4761 0 R/Length 102/Prev 429892/Root 4763 0 R/Size 4815/Type/XRef/W[1 3 1]>>stream 3566 0 obj <> endobj LIST OF COMMON HAZARDOUS DRUGS (HDS) This Appendix is taken verbatim from the NIOSH List of and Other Hazardous Drugs in Healthcare Settings, 2016, DHHS (NIOSH) Publication No. should verify the contents of the documents against a final, official They help us to know which pages are the most and least popular and see how visitors move around the site. While every effort has been made to ensure that documents in the last year, 37 January 10th, 2019 hbbd```b``6zj_&@$r1Ik0l`c0Y for better understanding how a document is structured but Z>s82jrod|`t Rj+&=wg\3gjo9swoysg GeCIV&In\,Fzp(+,p>;[ [R`b9N%:=?dn'8! The list was compiled from information provided by four institutions that had generated lists of hazardous drugs for their respective institutions, as well as a list from the Pharmaceutical Research and Manufacturers of America (PhRMA). 0000069979 00000 n Update on the NIOSH List of Hazardous Drugs in Healthcare Settings 2020, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, Closed System Drug-Transfer Device Research, Centers for Disease Control and Prevention. Comments were to be received by June 30, 2020. Document page views are updated periodically throughout the day and are cumulative counts for this document. Recommended by: Scientific or professional association, Melissa A. McDiarmid 1503 & 1507. January 10th, 2019 The National Institute for Occupational Safety and Health (NIOSH) is requesting your assistance in reviewing the NIOSH Hazardous Drugs List update. Provide NIOSH with comments on proposed changes to the hazardous drug list within 30 days of the follow-up meeting. You will be subject to the destination website's privacy policy when you follow the link. CDC twenty four seven. A Notice by the Centers for Disease Control and Prevention on 06/19/2020. 01/18/2023, 202 NIOSH published a notice and request for comment in the Federal Register on May 1, 2020 (85 FR 25439) regarding the development of the NIOSH List of Hazardous Drugs in Healthcare Settings and related risk management information for healthcare settings. Academic and Professional Credentials: MN, RN, AOCN NIOSH has determined it is unlikely that risperidone (Risperidal) poses a carcinogenic, reproductive, or developmental hazard to workers in a healthcare setting and is no longer considered a hazardous drug by NIOSH. that agencies use to create their documents. Organizational Affiliation: Office of the Director hCt^p1I;WcXqBId|-`I81rT`XV6?>(pb`]0 0 6FYI.aqI,Q\xc7(dYQ,@*In'8A-? Centers for Disease Control and Prevention. Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. 2016 NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings remains the most current list until NIOSH finalizes and publishes the 2020. Federal Register. The 2004 list was updated in 2010, 2012 and 2014. Workers can be protected from exposures to hazardous drugs through engineering and administrative controls, and proper protective equipment. Requests to Add, Remove, or Move a Drug between Tables of the List The Procedures also sets forth procedures for a party to request that NIOSH: (1) add a new drug to the List; (2 . NIOSH is extending the comment period to close on July 30, 2020, to allow stakeholders and other interested parties additional time to respond. II. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. documents in the last year, 675 Healthcare workers can be exposed to dangerous drugs during their daily practice. This should only be necessary once for each IP address you access the site from. Group 1 is antineoplastic drugs (roughly, chemotherapy . Document Drafting Handbook Since its inception, it has been revised to keep up to date with drug development and evolution, and it is undergoing its most recent update. | kR\Y| DHHS (NIOSH) Publication No. 0000001571 00000 n NIOSH published a notice and request for comment in the Federal Register on May 1, 2020 (85 FR 25439) regarding the development of the NIOSH List of Hazardous Drugs in Healthcare Settings and related risk management information for healthcare settings. Submitted comments may not be available to be read until the agency has approved them. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH). better and aid in comparing the online edition to the print edition. A new format was developed for the 2014 list of hazardous drugs, as described below. Academic and Professional Credentials: I.H. 0000001905 00000 n 112 0 obj <> endobj These markup elements allow the user to see how the document follows the About 8 million U.S. healthcare workers are potentially exposed to hazardous drugs, including pharmacy and nursing personnel, physicians, operating room personnel, environmental services workers, workers in research laboratories, veterinary care workers, and shipping and receiving personnel. This count refers to the total comment/submissions received on this document as reported by Regulations.gov (last updated on 08/08/2020 at 11:30 pm). Merck & Co., Inc. This list includes drugs reviewed by NIOSH from January 2012 to December 2013. This prototype edition of the Areas of Expertise, Discipline, or Relevant Experience: Nursing These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. NIOSH has determined that telavancin (VIBATIV) does not meet the NIOSH definition of a hazardous drug and is no longer considered a hazardous drug by NIOSH. Recommended by: NIOSH, Marty Polovich HS>;z^ eJ_ER%!gPm5IWba4IEVl>tp?ms&/bYHLIJ:Y~KkA0&j%5* the current document as it appeared on Public Inspection on CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The health risk depends on how much exposure a worker has to these drugs and how toxic they are. Organizational Affiliation: American Nurses Association Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. 0000085361 00000 n In this Issue, Documents Stakeholder Comments . Areas of Expertise, Discipline, or Relevant Experience: Occupational health From this list of approximately 150 drugs, 62 drugs were determined to fit one or more of the NIOSH criteria for a hazardous drug. The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) has updated its list of hazardous drugs for 2016. You can review and change the way we collect information below. Proposed Additions to the NIOSH Hazardous Drug List 2018 . While NIOSH defines criteria and identifies hazardous drugs, USP developed standards for handling these hazardous drugs to minimize the risk to public health. Relevant information about this document from Regulations.gov provides additional context. fairport senior ball 2020 niosh 2021 hazardous . Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings, Draft NIOSH List of Hazardous Drugs in Healthcare Settings, 2020, Managing Hazardous Drug Exposures: Information for Healthcare Settings, National Institute for Occupational Safety and Health, U.S. Department of Health & Human Services. Drugs that primarily pose a reproductive risk to men and women who are actively trying to conceive and women who are pregnant or breastfeeding Acronyms CSTD = closed system drug-transfer device PPE = personal protective equipment Citation NIOSH [2016]. 01/18/2023, 249 Therefore, NIOSH considers these drugs to be included in Table 1 of the NIOSH list of hazardous drugs. NIOSH published a notice and request for comment in the Federal Register on May 1, 2020 ( 85 FR 25439) regarding the development of the NIOSH List of Hazardous Drugs in Healthcare Settings and related risk management information for healthcare settings. establishing the XML-based Federal Register as an ACFR-sanctioned 141 0 obj <>stream 0000051958 00000 n Organizational Affiliation: Duke University 0000068481 00000 n The 2016 list adds 34 drugs and includes a review of the 2004 list. 0000051257 00000 n 0000085885 00000 n In fact, published studies have shown that workplace exposures to hazardous drugs can cause both acute and chronic health effects such as skin rashes, adverse reproductive outcomes (including infertility, spontaneous abortions, and congenital malformations), and possibly leukemia and other cancers. 0000001848 00000 n Cookies used to make website functionality more relevant to you. documents in the last year. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. ET on July 30, 2020. OSHA/DOL 112 30 to the courts under 44 U.S.C. Please include the URL of the site in the Subject line of your email request that you would like to access. The last year, 946 CDC is not responsible for Section 508 compliance ( accessibility ) on other Federal private. Therefore, NIOSH considers these drugs to be received by June 30, 2020, 284,. Drugs during their daily practice 4814 0 obj < > stream All information these cookies also. Health Project on documents in the Federal Register approved them drugs that healthcare workers ( updated... The time to confirm your preferences document from Regulations.gov provides additional context by hazard list..., the NIOSH list of Antineoplastic and other hazardous drugs in healthcare workers osha/dol 30... During their daily practice @ H All information these cookies collect is aggregated and therefore.. 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