DRAFT Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients: Diphtheria, Group A Streptococcus, Meningococcal Disease, and Pertussis Sections, 11084-11085 [2020-03848]

Download as PDF 11084 Federal Register / Vol. 85, No. 38 / Wednesday, February 26, 2020 / Notices transfer the store’s contracts to another, more distant store, the consumer may terminate the rental contract rather than traveling to the more distant store. The greater the distance between the receiving store and the closing store, the greater the likelihood that the consumer will terminate the contract. Therefore, if an RTO company does not have another store near the closing store, it may opt to sell its rental contracts to a competitor that has an RTO store in close proximity to the closing store. B. The Challenged Conduct Between 2015 and 2018, Aaron’s, Buddy’s, and RAC entered into several Swap Agreements with one another and with other RTO operators. These agreements typically covered stores in multiple different markets. Each Swap Agreement consists of two related transactions. In one transaction, a competitor closes one or more RTO stores and sells the closing stores’ consumer rental contracts to Aaron’s, Buddy’s, or RAC, which have RTO stores near the competitor’s soon-toclose stores. In the other transaction, the facts are reversed: Aaron’s, Buddy’s, or RAC closes one or more of its RTO stores and sells the soon-to-close stores’ consumer rental contracts to the competitor which has RTO stores nearby. The sales of the rental contracts by Aaron’s, Buddy’s, or RAC is explicitly contingent on the purchase of the competitor’s rental contracts. Parties to the Swap Agreement also sign noncompete agreements, usually for a threeyear period, for the areas in the immediate vicinity of the closed stores. khammond on DSKJM1Z7X2PROD with NOTICES The evidence indicates that at least some of the Swap Agreements entered into by Buddy’s, Aaron’s, and RAC, had the purpose and effect of facilitating each party’s ability to induce its competitor to exit a market. Such agreements are a form of restraint that reduces competition and creates a clear threat of consumer harm. Consumers in the affected geographic areas lost any benefits of competition resulting from the closing of RTO stores and had fewer options for rental merchandise. Moreover, the evidence indicates that Aaron’s, Buddy’s, and RAC closed stores that might not have been closed but for the Swap Agreements. As a result, the FTC has issued its Complaints and entered into the Consent Agreements, which remedy the harm to competition. 17:22 Feb 25, 2020 Jkt 250001 By direction of the Commission. April J. Tabor, Acting Secretary. [FR Doc. 2020–03782 Filed 2–25–20; 8:45 am] BILLING CODE 6750–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention C. Effects of the Challenged Conduct VerDate Sep<11>2014 IV. The Agreement Containing Consent Order The proposed Orders fully address Aaron’s, Buddy’s, and RAC’s past actions and contain important fencing in and notification provisions. The Orders prohibit Aaron’s, Buddy’s, and RAC from entering into any future Swap Agreements and from enforcing any non-compete clauses that are still in effect from past Swap Agreements. The Orders also prohibit any Aaron’s or Buddy’s representatives from serving on the Board of Directors of any of their competitors, or any competitor’s representatives from serving on the Aaron’s or Buddy’s Board. RAC’s Order does not contain this prohibition because, unlike Buddy’s and Aaron’s, there is no evidence that a RAC representative has previously served on a competitor’s Board of Directors. The Orders require Aaron’s and Buddy’s to establish antitrust compliance programs, while RAC must establish a compliance program related to its Order. Finally, all the Orders impose reporting requirements, and the Orders will terminate in 20 years. The Commission does not intend this analysis to constitute an official interpretation of the proposed Orders or to modify their terms in any way. [Docket No. CDC–2020–0011] DRAFT Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients: Diphtheria, Group A Streptococcus, Meningococcal Disease, and Pertussis Sections Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (DHHS), announces the opening of a docket to obtain comment on the DRAFT Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections SUMMARY: PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 Transmitted Among Healthcare Personnel and Patients: Diphtheria, Group A Streptococcus, Meningococcal Disease, and Pertussis Sections (‘‘Draft Guideline’’). The Draft Guideline updates four sections of the Guideline for infection control in health care personnel, 1998 (‘‘1998 Guideline’’), Part E: Epidemiology and Control of Selected Infections Transmitted Among Health Care Personnel and Patients, and their corresponding recommendations in Part II of the 1998 Guideline: ‘‘4. Diphtheria;’’ ‘‘9. Meningococcal Disease;’’ ‘‘12. Pertussis;’’ and ‘‘18. Streptococcus, group A infection.’’ The updated recommendations in the Draft Guideline are intended for use by the leaders and staff of Occupational Health Services (OHS) to facilitate the provision of occupational infection prevention and control (IPC) services to healthcare personnel (HCP) for the management of exposed or infected HCP who may be contagious to others in the workplace. DATES: Written comments must be received on or before April 27, 2020. ADDRESSES: You may submit comments, identified by Docket No. CDC–2020– 0011, by any of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Attn: Docket No. CDC– 2020–0011, HICPAC Secretariat, 1600 Clifton Rd. NE, Mailstop H16–3, Atlanta, Georgia, 30329. Instructions: Submissions via https:// regulations.gov are preferred. All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to https:// regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to https:// www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Kendra Cox, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H16–2, Atlanta, Georgia, 30329; Telephone: (404) 639–4000. SUPPLEMENTARY INFORMATION: Public Participation Interested persons or organizations are invited to participate by submitting written views, recommendations, and data related to the Draft Guideline. E:\FR\FM\26FEN1.SGM 26FEN1 Federal Register / Vol. 85, No. 38 / Wednesday, February 26, 2020 / Notices khammond on DSKJM1Z7X2PROD with NOTICES Please note that comments received, including attachments and other supporting materials, are part of the public record and are subject to public disclosure. Comments will be posted on https://www.regulations.gov. Therefore, do not include any information in your comment or supporting materials that you consider confidential or inappropriate for public disclosure. If you include your name, contact information, or other information that identifies you in the body of your comments, that information will be on public display. CDC will review all submissions and may choose to redact, or withhold, submissions containing private or proprietary information such as Social Security numbers, medical information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. CDC will carefully consider all comments submitted in preparation of the final Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients and may revise the final document as appropriate. Background The Draft Guideline, located in the ‘‘Supporting & Related Material’’ tab of the docket, updates four sections of the 1998 Guideline, Part E: Epidemiology and Control of Selected Infections Transmitted Among Health Care Personnel and Patients, and their corresponding recommendations in Part II of the 1998 Guideline: ‘‘4. Diphtheria;’’ ‘‘9. Meningococcal Disease;’’ ‘‘12. Pertussis;’’ and ‘‘18. Streptococcus, group A infection.’’ That section provided information and recommendations for Occupational Health Services (OHS) of healthcare facilities and systems on the prevention of transmission of infectious diseases among healthcare personnel (HCP) and patients. Additional updated sections are forthcoming. The Draft Guideline is intended for use by the leaders and staff of OHS to guide the management of exposed or infected HCP who may be contagious to others in the workplace. The draft recommendations update the 1998 recommendations with current guidance on the management of exposed or potentially infectious HCP, focusing on postexposure management, including postexposure prophylaxis (PEP), for exposed HCP and work restrictions for exposed or infected HCP. Since 2015, the Healthcare Infection Control Practices Advisory Committee (HICPAC) has worked with national partners, academicians, public health professionals, healthcare providers, and VerDate Sep<11>2014 17:22 Feb 25, 2020 Jkt 250001 other partners to develop this Draft Guideline as a recommendation for CDC to update sections of the 1998 Guideline. HICPAC includes representatives from public health, infectious diseases, regulatory and other federal agencies, professional societies, and other stakeholders. The updated draft recommendations in this Draft Guideline are informed by reviews of the 1998 Guideline; current CDC resources, guidance, and guidelines; and new resources and evidence, when available. This Draft Guideline will not be a federal rule or regulation. Dated: February 21, 2020. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. 11085 For Further Information Contact: Gregory Anderson, M.S., M.P.H., Scientific Review Officer, CDC, 1600 Clifton Road, NE, Mailstop US8–1, Atlanta, Georgia 30329, (404) 718–8833, gca5@cdc.gov. The Director, Strategic Business Initiatives Unit, Office of the Chief Operating Officer, Centers for Disease Control and Prevention, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. [FR Doc. 2020–03848 Filed 2–25–20; 8:45 am] Kalwant Smagh, Director, Strategic Business Initiatives Unit, Office of the Chief Operating Officer, Centers for Disease Control and Prevention. BILLING CODE 4163–18–P [FR Doc. 2020–03832 Filed 2–25–20; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Notice of Closed Meeting Frm 00041 Fmt 4703 Sfmt 4703 Centers for Disease Control and Prevention [Docket No. CDC–2020–0001; NIOSH–333] Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and the Determination of the Director, Strategic Business Initiatives Unit, Office of the Chief Operating Officer, CDC, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP)— RFA–PS–20–001, Evaluation of New HIV Testing Technologies in Clinical Settings with High HIV Incidence. Date: June 9, 2020 Time: 10:00 a.m.–5:00 p.m., (EDT) Place: Teleconference, Centers for Disease Control and Prevention, Room 1080, 8 Corporate Square Blvd., Atlanta, GA 30329. Agenda: To review and evaluate grant applications. PO 00000 DEPARTMENT OF HEALTH AND HUMAN SERVICES Developing a Workplace Supported Recovery Program: A Strategy for Assisting Workers and Employers With the Nation’s Opioid and Substance Use Disorder Epidemics: Request for Information National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Request for information. AGENCY: The National Institute for Occupational Safety and Health (NIOSH), within the Centers for Disease Control and Prevention (CDC), announces an opportunity to provide input on a NIOSH plan to develop resources and conduct research on the topic of Workplace Supported Recovery. Workplace Supported Recovery programs (WSRPs) assist workers and employers facing the nation’s crisis related to the misuse of opioids and other drugs, and related substance use disorders. DATES: Comments must be received April 27, 2020. ADDRESSES: You may submit written comments, identified by docket numbers CDC–2020–0001 and NIOSH– 333, by either of the following two methods: SUMMARY: E:\FR\FM\26FEN1.SGM 26FEN1

Agencies

[Federal Register Volume 85, Number 38 (Wednesday, February 26, 2020)]
[Notices]
[Pages 11084-11085]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03848]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2020-0011]


DRAFT Infection Control in Healthcare Personnel: Epidemiology and 
Control of Selected Infections Transmitted Among Healthcare Personnel 
and Patients: Diphtheria, Group A Streptococcus, Meningococcal Disease, 
and Pertussis Sections

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (DHHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: The Centers for Disease Control and Prevention (CDC), in the 
Department of Health and Human Services (DHHS), announces the opening 
of a docket to obtain comment on the DRAFT Infection Control in 
Healthcare Personnel: Epidemiology and Control of Selected Infections 
Transmitted Among Healthcare Personnel and Patients: Diphtheria, Group 
A Streptococcus, Meningococcal Disease, and Pertussis Sections (``Draft 
Guideline''). The Draft Guideline updates four sections of the 
Guideline for infection control in health care personnel, 1998 (``1998 
Guideline''), Part E: Epidemiology and Control of Selected Infections 
Transmitted Among Health Care Personnel and Patients, and their 
corresponding recommendations in Part II of the 1998 Guideline: ``4. 
Diphtheria;'' ``9. Meningococcal Disease;'' ``12. Pertussis;'' and 
``18. Streptococcus, group A infection.'' The updated recommendations 
in the Draft Guideline are intended for use by the leaders and staff of 
Occupational Health Services (OHS) to facilitate the provision of 
occupational infection prevention and control (IPC) services to 
healthcare personnel (HCP) for the management of exposed or infected 
HCP who may be contagious to others in the workplace.

DATES: Written comments must be received on or before April 27, 2020.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2020-
0011, by any of the following methods:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Division of Healthcare Quality Promotion, National 
Center for Emerging and Zoonotic Infectious Diseases, Centers for 
Disease Control and Prevention, Attn: Docket No. CDC-2020-0011, HICPAC 
Secretariat, 1600 Clifton Rd. NE, Mailstop H16-3, Atlanta, Georgia, 
30329.
    Instructions: Submissions via https://regulations.gov are preferred. 
All submissions received must include the agency name and Docket 
Number. All relevant comments received will be posted without change to 
https://regulations.gov, including any personal information provided. 
For access to the docket to read background documents or comments 
received, go to https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Kendra Cox, Division of Healthcare 
Quality Promotion, National Center for Emerging and Zoonotic Infectious 
Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, Mailstop H16-2, Atlanta, Georgia, 30329; Telephone: (404) 639-4000.

SUPPLEMENTARY INFORMATION: 

Public Participation

    Interested persons or organizations are invited to participate by 
submitting written views, recommendations, and data related to the 
Draft Guideline.

[[Page 11085]]

    Please note that comments received, including attachments and other 
supporting materials, are part of the public record and are subject to 
public disclosure. Comments will be posted on https://www.regulations.gov. Therefore, do not include any information in your 
comment or supporting materials that you consider confidential or 
inappropriate for public disclosure. If you include your name, contact 
information, or other information that identifies you in the body of 
your comments, that information will be on public display. CDC will 
review all submissions and may choose to redact, or withhold, 
submissions containing private or proprietary information such as 
Social Security numbers, medical information, inappropriate language, 
or duplicate/near duplicate examples of a mass-mail campaign. CDC will 
carefully consider all comments submitted in preparation of the final 
Infection Control in Healthcare Personnel: Epidemiology and Control of 
Selected Infections Transmitted Among Healthcare Personnel and Patients 
and may revise the final document as appropriate.

Background

    The Draft Guideline, located in the ``Supporting & Related 
Material'' tab of the docket, updates four sections of the 1998 
Guideline, Part E: Epidemiology and Control of Selected Infections 
Transmitted Among Health Care Personnel and Patients, and their 
corresponding recommendations in Part II of the 1998 Guideline: ``4. 
Diphtheria;'' ``9. Meningococcal Disease;'' ``12. Pertussis;'' and 
``18. Streptococcus, group A infection.'' That section provided 
information and recommendations for Occupational Health Services (OHS) 
of healthcare facilities and systems on the prevention of transmission 
of infectious diseases among healthcare personnel (HCP) and patients. 
Additional updated sections are forthcoming.
    The Draft Guideline is intended for use by the leaders and staff of 
OHS to guide the management of exposed or infected HCP who may be 
contagious to others in the workplace. The draft recommendations update 
the 1998 recommendations with current guidance on the management of 
exposed or potentially infectious HCP, focusing on postexposure 
management, including postexposure prophylaxis (PEP), for exposed HCP 
and work restrictions for exposed or infected HCP.
    Since 2015, the Healthcare Infection Control Practices Advisory 
Committee (HICPAC) has worked with national partners, academicians, 
public health professionals, healthcare providers, and other partners 
to develop this Draft Guideline as a recommendation for CDC to update 
sections of the 1998 Guideline. HICPAC includes representatives from 
public health, infectious diseases, regulatory and other federal 
agencies, professional societies, and other stakeholders.
    The updated draft recommendations in this Draft Guideline are 
informed by reviews of the 1998 Guideline; current CDC resources, 
guidance, and guidelines; and new resources and evidence, when 
available. This Draft Guideline will not be a federal rule or 
regulation.

    Dated: February 21, 2020.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2020-03848 Filed 2-25-20; 8:45 am]
BILLING CODE 4163-18-P
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