Medical Surveillance Program
Agent: Clostridium botulinum; Clostridium sporogenes; Clostridium neurotoxin from
All persons (hereinafter called “personnel”) who may be in contact with the agent shall
be advised of the medical surveillance program as offered by Occupational Health and
Wellness (for employees) and Student Health Services (for students) by the Principal
Personnel may receive medical screening and counseling at no cost at Occupational
Health and Wellness or Student Health Services.
Personnel should advise the health practitioners of any conditions which may affect
his/her immune system, respiratory or intestinal function. Examples include use of
steroids or other immune-suppressing drugs, splenectomy, chemotherapy, asthma,
chronic rhinitis, emphysema, allergies, immunosuppressive viral diseases or other
immunosuppressive conditions. Adults with altered GI anatomy and microflora (e.g.,
Crohn's disease, celiac disease, using antibiotics, etc) may be susceptible to intestinal
botulism caused by ingestion of the organism. Botulism can result from wounds
contaminated with Clostridium botulinum, e.g., needlesticks, and from inhaling the
Personnel may receive counseling from Occupational Health and Wellness / Student
Health Services regarding any change in medical status that may affect working with the
agent or animals, e.g., pregnancy.
Personnel shall report to Occupational Health and Wellness / Student Health Services,
as appropriate, any febrile illness, skin rashes, or diarrhea which may be associated with
work with the agent or symptoms of botulinum intoxication including fatigue and vertigo
followed by blurred vision, dry mouth, or difficulty in swallowing or speaking. Personnel
shall report all needlesticks associated with use of the agent to Occupational Health and
Wellness / Student Health Services and the Principal Investigator.
Persons for whom respiratory protection is recommended shall be assessed for
respirator use at Occupational Health and Wellness / Student Health Services and fit-
tested at Environmental Health and Safety. Respiratory protection, when appropriate, is
provided at no cost to personnel.
Immunizations are available to protect against certain infectious diseases, e.g., rabies,
hepatitis A and B, tetanus, typhoid, diphtheria, etc. When there is a potential of
exposure to the agents which cause these diseases, immunizations shall be offered.
This shall be at no charge to employees. Immunizations may be obtained by employees
at Occupational Health and Wellness or by students at Student Health Services
All medical information is held in strictest confidence by Occupational Health and
Wellness and Student Health Services.