1. 1 IOM COPPE Meeting November 10, 2009 NIOSH Personal Protective Technology Program March, 2010 Maryann D’Alessandro, PhD Associate Director of Science NIOSH – National Personal Protective Technology Laboratory

2. 2 Agenda  PPT Program and NPPTL Background  Surveillance Initiative  Agriculture Surveillance

3. 3  Office of the Director, NIOSH  Office of Extramural Programs  Pittsburgh Research Laboratory (PRL)  National Personal Protective Technology Laboratory (NPPTL )  Division of Respiratory Disease Studies (DRDS)  Division of Safety Research (DSR)  Health Effects Laboratory Division (HELD)  Education and Information Division (EID)  Division of Applied Research and Technology (DART)  Division of Surveillance Hazard Evaluation and Field Studies (DSHEFS)  Office of Compensation Analysis and Support (OCAS)  Research to Practice (r2p)  Spokane Research Laboratory NIOSH Divisions & Laboratories

4. 4 NIOSH Program Portfolio NORA / NIOSH Industry Sectors (N=8) NIOSH Cross Sector Programs (N=24) Agriculture, forestry, and fishing Construction Healthcare and social assistance Mining  Oil & Gas Extraction Manufacturing Services  Public Safety Transportation, warehousing, and utilities Wholesale and retail trade Authoritative recommendations development Cancer, reproductive, cardiovascular, neurological & renal diseases Communications and information dissemination Emergency preparedness/response Global collaborations Health hazard evaluation (HHE) Hearing loss prevention Immune, dermal and infectious diseases Musculoskeletal disorders Personal Protective Technology (PPT) Radiation dose deconstruction Respiratory diseases Training grants Traumatic injury Work organization and stress-related disorders Economics Exposure assessment Engineering controls Work life initiative Occupational health disparities Small business assistance and outreach Surveillance Nanotechnology Prevention through design

5. 5 PPT Program

6. 6 PPT in this context is defined as the technical methods, processes, techniques, tools, and materials that support the development and use of personal protective equipment worn by individuals to reduce the effects of their exposure to a hazard. NIOSH PPT / NPPTL Vision & Mission The VISION is to be the leading provider of quality, relevant, and timely PPT research, training, and evaluation. The MISSION of the PPT program is to prevent work-related injury, illness and death by advancing the state of knowledge and application of personal protective technologies (PPT).

7. 7 NIOSH PPT Program Relevance and Impact Mine Escape Issues Mine Emergency Respirator Investigations New Technology Research Escape Respirator Research Escape Respirator Standards MSHA Collaboration CBRN Issues Respirator Standards Development CBRN PPT Research Respirator Certification NFPA/IAFF Collaboration TSWG IAA OSHA Collaboration Pandemic Issues N95 Respirator Research Standards (Total Inward Leakage) Certification FDA Collaboration National Academies Activities Pandemic Planning and Response Nanotechnology Issues Filtration Research Protective Clothing Research Respirator Research Respirator Certification Workplace Guidance

8. 8 PPT Program Management PPT Program Management Technology Evaluation Technology Evaluation Policy & Standards Development Policy & Standards Development Technology Research Technology Research NPPTL & NIOSH PPE/PPT Program Activities Scientific Excellence Scientific Excellence Outreach  Respirator Certification Program  Quality Audit Program  Certified Product Investigations  Firefighter SCBA Investigations  Long-term Field Evaluation  Enhancements to 42 CFR Part 84  Chemical, Biological, Radiological, and Nuclear (CBRN) Respirator Standards Development  Guidance Document Development  Respiratory Protection  Protective Clothing & Ensembles  Integration of Sensors & Electronics  Human Performance  Fall Protection  Hearing Protection  Surveillance  Scientific evaluations  Program Evaluations  Health Communications  Respirator Trusted Source Site

9. 9 NIOSH Respirator Certification is the cornerstone of PPT Program activities

10. 10 NIOSH Respirator Certifications  Approximately 300 NIOSH respirator certifications are issued each year  90 manufacturers  102 manufacturing sites  18 countries

11. 11  Respirator Certification  Engineering Evaluation  Respirator Testing  QA Plan Evaluation  Post Certification  Manufacturing Site Audits  Respirator Product Audits  Respirator Evaluations NIOSH Respirator Certification 42 CFR Part 84

12. 12 Post Certification Programs  Manufacturer Site Audits  Certified Product Audits Extended Testing (Default Testing) Policy  Certified Product Investigation  Firefighter SCBA Evaluation  SCSR Long Term Field Evaluation

13. 13 The PPT Program establishes performance criteria to update and develop standards to ensure PPE evolves with technology.

14. 14 Policy & Standards Development  CBRN Respirator Standards  Powered Air Purifying Respirator (PAPR) Standard  Mine Escape Respirator Standard  Quality Assurance Provisions  Total Inward Leakage Requirements  Consensus Standards  Guidance Documents

15. 15 Updates to 42 CFR Part 84 Current Status  Notices of Proposed Rulemaking (NPRM) Quality Assurance Module (published as NPRM, comment period ended 10/09/2009) Closed Circuit Escape Respirator (CCER) (final rule being developed) Total Inward Leakage (TIL) for Air-Purifying Particulate Respirators (includes filtering facepiece respirators [FFR]) (proposed rule published in FR, Public meeting Dec 3, 2009, comments accepted until Dec 29, 2009)  Concepts under Development Closed Circuit SCBA (CC-SCBA) Powered Air-Purifying Respirators (PAPR) Supplied Air Respirators (SAR) Air Fed Ensembles TIL for Other Respirator Classes PPT Program Goal - develop two NPRM per year

16. 16 The PPT Program conducts research to better understand and improve worker protection provided by PPT including:  Application of new technologies  Science based interventions

17. 17  Respiratory Protection  Sensors & Electronics – Integration with PPT  Protective Clothing & Ensembles  Human Performance  Fall protection harnesses  Hearing protection PPT Program Research

18. 18 The PPT Program is developing new and enhancing existing surveillance activities.

19. 19 PPT Surveillance  Construction intervention studies  Development of PPE Surveillance Module for pesticide-related PPE in Agriculture  Collaboration with CDPH Surveys and Observational assessments of General Acute Care Facilities  Pilot to develop PPE Demonstration and Sentinel System in Healthcare Build upon Vanderbilt Occupational Health Information System (VOHIS)  NIOSH-wide involvement in surveillance activities

20. 20 NIOSH PPT Program Thank you Visit Us at: http://www.cdc.gov/niosh/programs/ppt/http://www.cdc.gov/niosh/programs/ppt/ http://www.cdc.gov/niosh/npptl/default.html