Draft Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients: Cytomegalovirus and Parvovirus B19 Sections and Draft Source Control Definition, 14075-14076 [2024-03783]

Download as PDF Federal Register / Vol. 89, No. 38 / Monday, February 26, 2024 / Notices Infection Control website (https:// www.cdc.gov/infectioncontrol/ guidelines/isolation/appendix/index. html). The updated recommendations in Draft Updates: Appendix A are informed by review and consideration of available literature on transmission principles and infection prevention and control practices for each virus. Draft recommendations were presented to the Healthcare Infection Control Practices Advisory Committee (HICPAC), whose feedback was incorporated into the finalized draft recommendations. HICPAC is a Federal advisory committee appointed to provide advice and guidance to HHS and CDC regarding the practice of infection control and strategies for surveillance, prevention, and control of healthcareassociated infections, antimicrobial resistance, and related topics in United States healthcare settings. HICPAC includes, but is not limited to, representatives with expertise in public health, infectious diseases, and infection prevention and control. HICPAC also includes ex officio members who represent regulatory and other Federal agencies and liaison representatives from professional societies. CDC is seeking comments on the Draft Updates: Appendix A. Please provide references to new evidence and justification to support any suggested revisions or additions. This Draft Updates: Appendix A is not a Federal rule or regulation. Noah Aleshire, Chief Regulatory Officer, Centers for Disease Control and Prevention. [FR Doc. 2024–03784 Filed 2–23–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention khammond on DSKJM1Z7X2PROD with NOTICES [Docket No. CDC–2024–0014] Draft Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients: Cytomegalovirus and Parvovirus B19 Sections and Draft Source Control Definition Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC), in the SUMMARY: VerDate Sep<11>2014 16:23 Feb 23, 2024 Jkt 262001 Department of Health and Human Services (HHS), 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: Cytomegalovirus and Parvovirus B19 Sections (‘‘Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections’’), and on the accompanying Draft ‘‘Source Control’’ Definition adapted for Infection Control in Healthcare Personnel to be in the ‘‘Terminology’’ Appendix. The updated recommendations in the Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections are intended for use by the leaders and staff of Occupational Health Services (OHS), as further provided herein. These updated recommendations will help facilitate the provision of occupational infection prevention and control services to healthcare personnel (HCP) who have been exposed or infected and may be contagious to others in the workplace. DATES: Written comments must be received on or before April 26, 2024. ADDRESSES: You may submit comments, identified by Docket No. CDC–2024– 0014 by either of the methods listed below. Do not submit comments by email. CDC does not accept comments by email. • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Healthcare Infection Control Practices Advisory Committee (HICPAC) Secretariat, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H16–3, Atlanta, Georgia 30329, Attn: Docket Number CDC–2024–0014. Instructions: 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: Laura Wells, Division of Healthcare Quality Promotion, 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 PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 14075 data related to the Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections, and the accompanying Draft ‘‘Source Control’’ Definition. 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. Do not submit comments by email. CDC does not accept comments by email. Background The Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections, located in the ‘‘Supporting & Related Material’’ tab of the docket, updates the Guideline for infection control in health care personnel, 1998, Part E: Epidemiology and Control of Selected Infections Transmitted Among Health Care Personnel and Patients, and its corresponding recommendations in Part II of the 1998 Guideline: ‘‘3. Cytomegalovirus;’’ and ‘‘11. Parvovirus.’’ The accompanying Draft ‘‘Source Control’’ Definition adapted for Infection Control in Healthcare Personnel to be in the ‘‘Terminology’’ Appendix (https://www.cdc.gov/ infectioncontrol/guidelines/healthcarepersonnel/terminology.html) is also located in the ‘‘Supporting & Related Material’’ tab of the docket. The 1998 Guideline 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 and can be found at https:// stacks.cdc.gov/view/cdc/11563. As described in the Executive Summary of this guideline (https:// www.cdc.gov/infectioncontrol/ guidelines/healthcare-personnel/execsummary.html), in this document, ‘‘OHS’’ is used synonymously with ‘‘Employee Health,’’ ‘‘Employee Health Services,’’ ‘‘Employee Health and Safety,’’ ‘‘Occupational Health,’’ and other such programs. OHS refers to the E:\FR\FM\26FEN1.SGM 26FEN1 khammond on DSKJM1Z7X2PROD with NOTICES 14076 Federal Register / Vol. 89, No. 38 / Monday, February 26, 2024 / Notices group, department, or program that addresses many aspects of health and safety in the workplace for HCP, including the provision of clinical services for work-related injuries, exposures, and illnesses. In healthcare settings, OHS addresses workplace hazards including communicable diseases; slips, trips, and falls; patienthandling injuries; chemical exposures; HCP burnout; and workplace violence. This Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections update is part of a larger guideline update: Infection Control in Healthcare Personnel. Part I, Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services (2019), and the Diphtheria, Group A Streptococcus, Meningococcal Disease, Pertussis, and Rabies sections of Part II, Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients (2022) are complete and have been published on the CDC Infection Control Guideline website: https:// www.cdc.gov/infectioncontrol/ guidelines/healthcare-personnel/ index.html. The Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections, once finalized, 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 in Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections update the 1998 recommendations with current guidance on the management of HCP exposed to or potentially infected with cytomegalovirus or parvovirus B19, focusing on postexposure management, including postexposure prophylaxis, for exposed HCP and work restrictions for exposed or infected HCP. The adapted Draft ‘‘Source Control’’ Definition is being added to the ‘‘Terminology’’ Appendix of the Infection Control in Healthcare Personnel Guideline (https:// www.cdc.gov/infectioncontrol/ guidelines/healthcare-personnel/ terminology.html) because the term ‘‘Source Control’’ is used in the Draft Guideline: Parvovirus B19 Section, and may be used in subsequent sections. 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 Infection Control in Healthcare Personnel (https://www.cdc.gov/infectioncontrol/ guidelines/healthcare-personnel/ index.html) as a segmental update of the 1998 Guideline. HICPAC is a Federal advisory committee appointed to VerDate Sep<11>2014 16:23 Feb 23, 2024 Jkt 262001 provide advice and guidance to HHS and CDC regarding the practice of infection control and strategies for surveillance, prevention, and control of healthcare-associated infections, antimicrobial resistance, and related events in United States healthcare settings. HICPAC includes, but is not limited to, representatives with expertise in public health, infectious diseases, and infection prevention and control. HICPAC also includes ex officio members who represent regulatory and other Federal agencies, and liaison representatives from professional societies. Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections, once finalized, will be the next sections to be posted to the Infection Control in Healthcare Personnel website. The accompanying Draft ‘‘Source Control’’ Definition will be added to the Infection Control in Healthcare Personnel ‘‘Terminology’’ Appendix (https://www.cdc.gov/ infectioncontrol/guidelines/healthcarepersonnel/terminology.html). The updated draft recommendations in Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections are informed by reviews of the 1998 Guideline; CDC resources (e.g., CDC infection control website), infection control guidance, and guidelines, as noted more specifically in the draft document; and new scientific evidence, when available. CDC is seeking comments on the Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections and the accompanying Draft ‘‘Source Control’’ Definition. Please provide references to new evidence and justification to support any suggested revisions or additions. This Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections and the accompanying Draft ‘‘Source Control’’ Definition are not Federal rules or regulations. Noah Aleshire, Chief Regulatory Officer, Centers for Disease Control and Prevention. [FR Doc. 2024–03783 Filed 2–23–24; 8:45 am] BILLING CODE 4163–18–P PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–3456–PN] Medicare and Medicaid Programs; Application From the Joint Commission for Continued CMSApproval of Its Ambulatory Surgical Center Accreditation Program Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice with comment. AGENCY: This notice acknowledges the receipt of an application from the Joint Commission for continued recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. DATES: To be assured consideration, comments must be received at one of the addresses provided below, by March 27, 2024. ADDRESSES: In commenting, refer to file code CMS–3456–PN. Comments, including mass comment submissions, must be submitted in one of the following three ways (please choose only one of the ways listed): 1. Electronically. You may submit electronic comments on this regulation to https://www.regulations.gov. Follow the ‘‘Submit a comment’’ instructions. 2. By regular mail. You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3456–PN, P.O. Box 8010, Baltimore, MD 21244–8010. Please allow sufficient time for mailed comments to be received before the close of the comment period. 3. By express or overnight mail. You may send written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3456–PN, Mail Stop C4–26–05, 7500 Security Boulevard, Baltimore, MD 21244–1850. For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section. FOR FURTHER INFORMATION CONTACT: Caecilia Andrews, (410) 786–2190. Erin Imhoff, (410) 786–2337. SUPPLEMENTARY INFORMATION: Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential SUMMARY: E:\FR\FM\26FEN1.SGM 26FEN1

Agencies

[Federal Register Volume 89, Number 38 (Monday, February 26, 2024)]
[Notices]
[Pages 14075-14076]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03783]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2024-0014]


Draft Infection Control in Healthcare Personnel: Epidemiology and 
Control of Selected Infections Transmitted Among Healthcare Personnel 
and Patients: Cytomegalovirus and Parvovirus B19 Sections and Draft 
Source Control Definition

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

ACTION: Notice with comment period.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), in the 
Department of Health and Human Services (HHS), 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: Cytomegalovirus and Parvovirus 
B19 Sections (``Draft Guideline: Cytomegalovirus and Parvovirus B19 
Sections''), and on the accompanying Draft ``Source Control'' 
Definition adapted for Infection Control in Healthcare Personnel to be 
in the ``Terminology'' Appendix. The updated recommendations in the 
Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections are 
intended for use by the leaders and staff of Occupational Health 
Services (OHS), as further provided herein. These updated 
recommendations will help facilitate the provision of occupational 
infection prevention and control services to healthcare personnel (HCP) 
who have been exposed or infected and may be contagious to others in 
the workplace.

DATES: Written comments must be received on or before April 26, 2024.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0014 by either of the methods listed below. Do not submit comments by 
email. CDC does not accept comments by email.
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Healthcare Infection Control Practices Advisory 
Committee (HICPAC) Secretariat, Division of Healthcare Quality 
Promotion, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, Mailstop H16-3, Atlanta, Georgia 30329, Attn: Docket Number 
CDC-2024-0014.
    Instructions: 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: Laura Wells, Division of Healthcare 
Quality Promotion, 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: Cytomegalovirus and Parvovirus B19 Sections, and the 
accompanying Draft ``Source Control'' Definition.
    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. Do not 
submit comments by email. CDC does not accept comments by email.

Background

    The Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections, 
located in the ``Supporting & Related Material'' tab of the docket, 
updates the Guideline for infection control in health care personnel, 
1998, Part E: Epidemiology and Control of Selected Infections 
Transmitted Among Health Care Personnel and Patients, and its 
corresponding recommendations in Part II of the 1998 Guideline: ``3. 
Cytomegalovirus;'' and ``11. Parvovirus.'' The accompanying Draft 
``Source Control'' Definition adapted for Infection Control in 
Healthcare Personnel to be in the ``Terminology'' Appendix (https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/terminology.html) is also located in the ``Supporting & Related 
Material'' tab of the docket. The 1998 Guideline 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 and 
can be found at https://stacks.cdc.gov/view/cdc/11563.
    As described in the Executive Summary of this guideline (https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/exec-summary.html), in this document, ``OHS'' is used synonymously with 
``Employee Health,'' ``Employee Health Services,'' ``Employee Health 
and Safety,'' ``Occupational Health,'' and other such programs. OHS 
refers to the

[[Page 14076]]

group, department, or program that addresses many aspects of health and 
safety in the workplace for HCP, including the provision of clinical 
services for work-related injuries, exposures, and illnesses. In 
healthcare settings, OHS addresses workplace hazards including 
communicable diseases; slips, trips, and falls; patient-handling 
injuries; chemical exposures; HCP burnout; and workplace violence.
    This Draft Guideline: Cytomegalovirus and Parvovirus B19 Sections 
update is part of a larger guideline update: Infection Control in 
Healthcare Personnel. Part I, Infrastructure and Routine Practices for 
Occupational Infection Prevention and Control Services (2019), and the 
Diphtheria, Group A Streptococcus, Meningococcal Disease, Pertussis, 
and Rabies sections of Part II, Epidemiology and Control of Selected 
Infections Transmitted Among Healthcare Personnel and Patients (2022) 
are complete and have been published on the CDC Infection Control 
Guideline website: https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/. The Draft Guideline: Cytomegalovirus 
and Parvovirus B19 Sections, once finalized, 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 in Draft Guideline: Cytomegalovirus and Parvovirus B19 
Sections update the 1998 recommendations with current guidance on the 
management of HCP exposed to or potentially infected with 
cytomegalovirus or parvovirus B19, focusing on postexposure management, 
including postexposure prophylaxis, for exposed HCP and work 
restrictions for exposed or infected HCP. The adapted Draft ``Source 
Control'' Definition is being added to the ``Terminology'' Appendix of 
the Infection Control in Healthcare Personnel Guideline (https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/terminology.html) because the term ``Source Control'' is used in the 
Draft Guideline: Parvovirus B19 Section, and may be used in subsequent 
sections.
    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 Infection Control in Healthcare Personnel (https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/) as a segmental update of the 1998 Guideline. HICPAC is a 
Federal advisory committee appointed to provide advice and guidance to 
HHS and CDC regarding the practice of infection control and strategies 
for surveillance, prevention, and control of healthcare-associated 
infections, antimicrobial resistance, and related events in United 
States healthcare settings. HICPAC includes, but is not limited to, 
representatives with expertise in public health, infectious diseases, 
and infection prevention and control. HICPAC also includes ex officio 
members who represent regulatory and other Federal agencies, and 
liaison representatives from professional societies. Draft Guideline: 
Cytomegalovirus and Parvovirus B19 Sections, once finalized, will be 
the next sections to be posted to the Infection Control in Healthcare 
Personnel website. The accompanying Draft ``Source Control'' Definition 
will be added to the Infection Control in Healthcare Personnel 
``Terminology'' Appendix (https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/terminology.html).
    The updated draft recommendations in Draft Guideline: 
Cytomegalovirus and Parvovirus B19 Sections are informed by reviews of 
the 1998 Guideline; CDC resources (e.g., CDC infection control 
website), infection control guidance, and guidelines, as noted more 
specifically in the draft document; and new scientific evidence, when 
available. CDC is seeking comments on the Draft Guideline: 
Cytomegalovirus and Parvovirus B19 Sections and the accompanying Draft 
``Source Control'' Definition. Please provide references to new 
evidence and justification to support any suggested revisions or 
additions. This Draft Guideline: Cytomegalovirus and Parvovirus B19 
Sections and the accompanying Draft ``Source Control'' Definition are 
not Federal rules or regulations.

Noah Aleshire,
Chief Regulatory Officer, Centers for Disease Control and Prevention.
[FR Doc. 2024-03783 Filed 2-23-24; 8:45 am]
BILLING CODE 4163-18-P
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