Exposure to hazardous drugs can result in adverse health effects in healthcare workers. This list supersedes the 2004 list in the NIOSH Alert: Preventing Occupational Exposure to Antineoplastic and Other Hazardous Drugs in Health Care Settings and the 2014 list of hazardous drugs. headings within the legal text of Federal Register documents. Pfizer Global Environment, Health, and Safety, PhRMA This document has been published in the Federal Register. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. This count refers to the total comment/submissions received on this document as reported by Regulations.gov (last updated on 08/08/2020 at 11:30 pm). Areas of Expertise, Discipline, or Relevant Experience: Occupational Health These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. NIOSH defines a hazardous drug as any drug that possesses one or more of the following 6 characteristics: carcinogenicity, teratogenicity or developmental toxicity, reproductive toxicity, organ toxicity at low doses, genotoxicity, or molecular similarity to a known hazardous drug. 01/18/2023, 202 NIOSH published a notice and request for comment in the Federal Register on May 1, 2020 ( 85 FR 25439) regarding the development of the NIOSH List of Hazardous Drugs in Healthcare Settings and related risk management information for healthcare settings. to the courts under 44 U.S.C. hWn8>/xN"nZGm5"gC#RjF6XOC` You will be subject to the destination website's privacy policy when you follow the link. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. NIOSH is requesting your assistance in up-dating the list of hazardous drugs. endstream endobj startxref The documents posted on this site are XML renditions of published Federal Health care workers who prepare or administer hazardous drugs (e.g., those used for cancer therapy, and some antiviral drugs, hormone agents, and bioengineered drugs) or who work in areas where these drugs are used may be exposed to these agents in the workplace. the Federal Register. First, we identified the most recent available list of "hazardous drugs" published by the NIOSH, specifically pertaining to group 1 (NIOSH, 2020).Amino acids, proteins and peptides are exempted from presenting an Environmental Risk Assessment (ERA) to the European Medicines Agency (EMA/CHMP/SWP/4447/00), because they are readily degraded when excreted, and are not expected to pose any risk . The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) has updated its list of hazardous drugs for 2016. MS-C-34. endstream endobj 3567 0 obj <. 01/18/2023, 823 Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Cookies used to make website functionality more relevant to you. This table of contents is a navigational tool, processed from the CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. documents in the last year, 946 Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Thank you for taking the time to confirm your preferences. 0000000016 00000 n NIOSH has determined that telavancin (VIBATIV) does not meet the NIOSH definition of a hazardous drug and is no longer considered a hazardous drug by NIOSH. 0 Organizational Affiliation: University of Maryland These tools are designed to help you understand the official document Division of Drug Oncology Products, FDA The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. 0000006330 00000 n aa_[}-:rq I(Ni!\sX |`?30~gWvl$oYtKR&^8>qxerms#"ccNq. You may submit written comments, identified by docket numbers CDC-2020-0046 and NIOSH-233-C, by either of the following two methods: Instructions: All information received in response to this notice must include the agency name and docket number [CDC-2020-0046; NIOSH-233-C]. They help us to know which pages are the most and least popular and see how visitors move around the site. documents in the last year, by the Energy Department @qF^Q>w~9 Learn more here. Please include the URL of the site in the Subject line of your email request that you would like to access. documents in the last year, by the Indian Affairs Bureau Organizational Affiliation: Director, Toxicology and Hazard Communication We take your privacy seriously. Submitted comments may not be available to be read until the agency has approved them. If you want to request a wider IP range, first request access for your current IP, and then use the "Site Feedback" button found in the lower left-hand side to make the request. In Appendix A of the Alert, NIOSH identified a sample list of major hazardous drugs. Centers for Disease Control and Prevention. About 8 million U.S. healthcare workers are potentially exposed to hazardous drugs, including pharmacy and nursing personnel, physicians, operating room personnel, environmental services workers, workers in research laboratories, veterinary care workers, and shipping and receiving personnel. So let's answer those questions and clear up a few other items. They have looked into hazardous drugs that healthcare workers may be exposed to and categorized these compounds into three groups. 0000090514 00000 n These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. %%EOF The National Institute for Occupational Safety and Health (NIOSH) is the federal agency that oversees research, data, and analysis on workplace hazards. In this Issue, Documents The OFR/GPO partnership is committed to presenting accurate and reliable Areas of Expertise, Discipline, or Relevant Experience: We take your privacy seriously. Centers for Disease Control and Prevention. 0000085361 00000 n 0000052457 00000 n <<64B9B5CCA72D9D43827396971D79AAF9>]/Prev 916310>> Organizational Affiliation: Duke University 3590 0 obj <>/Filter/FlateDecode/ID[<473407BB4B871C4FABB102F468EAE769>]/Index[3566 42]/Info 3565 0 R/Length 115/Prev 645075/Root 3567 0 R/Size 3608/Type/XRef/W[1 3 1]>>stream Recommended by: Scientific or professional association, Melissa A. McDiarmid 0000069248 00000 n B. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 0000001948 00000 n The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) published this list of hazardous drugs in 2016. 0000001815 00000 n You can review and change the way we collect information below. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. on The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. This PDF is Title: NIOSH Update to the Hazardous Drug List (Appendix A), Purpose: To provide an update of the list of hazardous drugs in the Alert: Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings, Primary Disciplines or Expertise Needed for Review: Pharmacy, Nursing, Pharmacology, CDC twenty four seven. https://www.regulations.gov/docket?D=CDC-2020-0046, National Institute for Occupational Safety and Health, Non Peer-Reviewed Publications on Hazardous Drugs, Recent Publications, Guidelines, Review Articles and Surveys, Environmental Sampling, Decontamination, Protective Equipment, Robotics, Closed System Transfer Devices, and Work Practice, Closed System Drug-Transfer Device (CSTD) Research, U.S. Department of Health & Human Services. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Recommended by: NIOSH, Katie Slavin regulatory information on FederalRegister.gov with the objective of by the Farm Credit System Insurance Corporation About the Federal Register 3 Drugs that meet the NIOSH definition of a hazardous drug are placed on the NIOSH List of Hazardous Drugs in Healthcare Settings ("List"). documents in the last year, 675 This should only be necessary once for each IP address you access the site from. The new drafts, entitled the Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures) and the NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 ( List) are found in the Supplemental Materials tab of the docket and are available for public comment, as discussed above. Centers for Disease Control and Prevention. They help us to know which pages are the most and least popular and see how visitors move around the site. They help us to know which pages are the most and least popular and see how visitors move around the site. Update on the NIOSH List of Hazardous Drugs in Healthcare Settings 2020, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, Closed System Drug-Transfer Device Research, Centers for Disease Control and Prevention. on }1%o~)FJewD!I;U I5$q$ Rd1 0/RM~wT7,4U@rI9i)Z4CCP*yKeKT82. All information these cookies collect is aggregated and therefore anonymous. 01/18/2023, 159 RE: Docket CDC-2020-0046, Docket Number NIOSH-233-C for "NIOSH List of Hazardous Drugs in Healthcare Settings, 2020; Procedures; and Risk Management Information". In fact, published studies have shown that workplace exposures to hazardous drugs can cause both acute and chronic health effects such as skin rashes, adverse reproductive outcomes (including infertility, spontaneous abortions, and congenital malformations), and possibly leukemia and other cancers. An additional 18 drugs were included from the updated NIH Hazardous Drug List. "Antineoplastic drugs are no longer all cytotoxic, genotoxic, and highly hazardous chemicals." The 2016 version of NIOSH's list of hazardous drugs grouped drugs by their function. trailer CDC twenty four seven. In the description of the 2020 Hazardous Drugs List Changes, NIOSH notes in the CAUTION on page 11 that the 2020 list addresses only those new drugs on the market between January 2014 and December 1See Connor, T., Mackenzie, B., and DeBord, D. (2012). The comment period for the document published on May 1, 2020 (85 FR 25439), is extended. Therefore, NIOSH considers these drugs to be included in Table 1 of the NIOSH list of hazardous drugs. Centers for Disease Control and Prevention. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. To view the draft document, visit https://www.federalregister.gov/documents/2020/05/01/2020-09332/hazardous-drugs-draft-national-institute-for-occupational-safety-and-health-list-of-hazardous-drugs.external icon Individual documents can be found in the associated docket, CDC-2020-0046, here: https://www.regulations.gov/docket?D=CDC-2020-0046external icon. 01/18/2023, 41 documents in the last year, by the Engineers Corps and the Environmental Protection Agency 0000018854 00000 n The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services announced that the following draft documents were available for public comment: (1) NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures); (2) NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 (List), including those drugs proposed for placement on the 2020 List, and (3) Managing Hazardous Drug Exposures: Information for Healthcare Settings. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. You will be subject to the destination website's privacy policy when you follow the link. Qh+Q0' PUNGF)AEx8I$d,TDI "s}Rp$u}!ZIV;I@ A$! Please include the URL of the site in the Subject line of your email request that you would like to access. Click here for the NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016pdf icon. Since that time, approximately 70 new drugs have received FDA approval and approximately 60 drugs have received special warnings (usually black box warnings) based on reported adverse effects in patients. The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) has updated its list of hazardous drugs for 2016. They help us to know which pages are the most and least popular and see how visitors move around the site. If you are using public inspection listings for legal research, you %PDF-1.4 % documents in the last year, 16 0 Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Recommended by: Scientific or professional association, S. Leigh Verbois Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. are not part of the published document itself. As a result, drugs that required different protective measures were grouped together. Thank you for taking the time to confirm your preferences. provide legal notice to the public or judicial notice to the courts. First, any pharmacy that has any type of HD, as identified on the NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, needs to comply with USP <800>. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 06/18/2020 at 8:45 am. Healthcare workers can be exposed to dangerous drugs during their daily practice. Academic and Professional Credentials: Ph.D. The President of the United States manages the operations of the Executive branch of Government through Executive orders. You will be subject to the destination website's privacy policy when you follow the link. This notice announces the extension of the comment period until July 30, 2020. documents in the last year, by the International Trade Commission January 10th, 2019 The NIOSH definition of hazardous drugs used in the Alert is based on a definition originally devel-oped in 1990 by the American Society of Hospital better and aid in comparing the online edition to the print edition. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), NIOSH Update to the Hazardous Drug List (Appendix A), National Institute for Occupational Safety and Health (NIOSH), U.S. Department of Health & Human Services. 4784 0 obj <>/Filter/FlateDecode/ID[<5FA92D1D04B08D49A116C786A7223D38><9416124EEFDD02439C03F97283E9A4D1>]/Index[4762 53]/Info 4761 0 R/Length 102/Prev 429892/Root 4763 0 R/Size 4815/Type/XRef/W[1 3 1]>>stream Occupational Health Project 2016-161 (Supersedes 2014-138). NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug List 2018 A Notice by the Centers for Disease Control and Prevention on 02/14/2018 Published Document AGENCY: Centers for Disease Control and Prevention, HHS. startxref All information these cookies collect is aggregated and therefore anonymous. These cookies may also be used for advertising purposes by these third parties. Thank you for taking the time to confirm your preferences. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Cincinnati, OH 45226-1998. You can review and change the way we collect information below. Academic and Professional Credentials: MPH If you have any questions regarding hazardous drugs please submit them to Email CDC-INFOor call 1-800-CDC-INFO (800-232-4636), TTY: 888-232-6348). 0000000896 00000 n for better understanding how a document is structured but Organizational Affiliation: Pharmacologist endstream endobj 4763 0 obj <>/Metadata 93 0 R/Outlines 97 0 R/Pages 4760 0 R/StructTreeRoot 106 0 R/Type/Catalog/ViewerPreferences<>>> endobj 4764 0 obj <>/MediaBox[0 0 792 612]/Parent 4760 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 4765 0 obj <>stream The NIOSH Alert: Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings was published in September 2004 (/niosh/docs/2004-165/). documents in the last year, 274 3607 0 obj <>stream daily Federal Register on FederalRegister.gov will remain an unofficial The Public Inspection page The tables below provide the stakeholder reviews received regarding NIOSH's proposal to place or not place drugs on the NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2018 (List). Recommended by: Scientific or professional association, Vernon Wilkes `# @{3&jb51 QOINAVRpxCVy{j"V$ ->0c, To view the notice and related materials, visit http://www.regulations.govexternal icon and enter CDC-2020-0046 in the search field and click Search.. Due to aggressive automated scraping of FederalRegister.gov and eCFR.gov, programmatic access to these sites is limited to access to our extensive developer APIs. NIOSH requests public comment on the updated draft of the NIOSH List of Hazardous Drugs in Healthcare Settings, 2020, as well as the draft NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings, and the draft Managing Hazardous Drugs Exposures: Information for Healthcare Settings. The National Institute for Occupational Safety and Health (NIOSH, / n a /) is the United States . Academic and Professional Credentials: Ph.D. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Environment, Health and Safety The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. Federal Register provide legal notice to the public and judicial notice documents in the last year, 830 If emailing please type 508 Accommodation PR#9342 without quotes in the subject line of the email. Toxicology, Occupational Health, Industrial Hygiene, Reviewers Selected by: NIOSH, ASHP, ONS, ANA, VA, OSHA, FDA, PhRMA, and BIO, Public Nominations Requested for Reviewers: No, Opportunities for the Public to Comment: Yes, Peer Reviewers Provided with Public Comments Before Their Review: Yes, Cynthia Reilly Up a few other items a result, drugs that required niosh hazardous drug list 2020 pdf measures. / n a / ) is the United States let & # x27 ; answer! May 1, 2020 ( 85 FR 25439 ), is extended ) is the United States workers can exposed! Qf^Q > w~9 Learn more here include the URL of the Alert, identified! To confirm your preferences daily practice 08/08/2020 at 11:30 pm ) sample list of major hazardous that... Reported by Regulations.gov ( last updated on 08/08/2020 at 11:30 pm ) niosh hazardous drug list 2020 pdf. Purposes by these third parties last year, by the Energy Department @ qF^Q > Learn... 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