(B) Information for OSHA Staff for Public Inquiries: The CDC has established several resources, including, the CDC SARS Domestic Team, available by phone at 770-488-7100 and online at the CDC SARS web site. The WHO has information on SARS online at the WHO SARS web site. Physicians, employers, and/or employees should contact their state or local health departments (CDC's List of State and Local Health Departments) to notify them of any symptomatic employees or suspected exposure incidents. (C) Information on Precautions in Healthcare Facilities: The CDC has reported very few cases of occupationally acquired SARS in the United States. The CDC is working in collaboration with state and local health departments to develop a systematic approach to survey SARS exposures and infection in healthcare workers. The CDC has issued a number of recommendations for healthcare workers who may have contact with a suspected SARS patient. The CDC provides the following documents: (a) CDC | Preparedness Planning for Healthcare Facilities, (b) CDC | Recommended Preparedness and Response Activities in Healthcare Facilities: Surveillance and Triage, and (c) CDC | Severe Acute Respiratory Syndrome (SARS) - Infection Control. The CDC also provides general information on infection control for healthcare workers on the Healthcare-associated Infections (HAIs) web site. (1) Standard Precautions and Personal Protective Equipment: Since the infectivity and route of transmission of SARS are unknown, healthcare workers treating patients known to be infected with SARS should use standard precautions, including good work and hygiene practices and the use of personal protective equipment (PPE) appropriate for bloodborne and airborne exposures. Appropriate PPE includes protective gowns, gloves, N95 respirators, in addition to and eye protection. If workers providing care to a SARS patient have potential exposure to blood or other potentially infectious materials, they must use PPE in accordance with OSHA's Bloodborne Pathogens Standard, 29 CFR 1910.1030. Refer to the Bloodborne Pathogens Technical Links page for information on the standard. (2) Engineering Controls: Acute care facilities already should have appropriate ventilation systems (including appropriate exhaust and filtration) to eliminate the potential for exposure to airborne infectious diseases. If appropriate ventilation systems are in place, any airborne SARS exposures should also be controlled. Individuals with suspected SARS should be placed in an isolation room with negative pressure. If air recirculation is unavoidable, infected individuals should be placed in an area that exhausts room air directly to the outdoors or through HEPA filters if recirculation is unavoidable. The CDC's 2007 Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcase Settings provides additional information on isolation rooms. (3) Housekeeping: There are no disinfectant products currently registered by the U.S. Environmental Protection Agency (EPA) for the newly identified viruses associated with SARS. The CDC recommends the use of EPA-registered chemical germicides that provide low- or intermediate-level disinfection during general use because these products are known to inactivate related viruses with physical and biochemical properties similar to the suspected SARS agents. See more from topic source: https://www.osha.gov/html/a-z-index.html