NIOSH is requesting your assistance in up-dating the list of hazardous drugs. Stakeholder Comments . 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. 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. endstream endobj 3567 0 obj <. This should only be necessary once for each IP address you access the site from. Recommended by: Scientific or professional association, Debora Van der Sluis electronic version on GPOs govinfo.gov. School of Medicine 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. 1503 & 1507. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 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. 0000069655 00000 n NIOSH is not seeking a consensus opinion from the reviewers as a group. 3 Drugs that meet the NIOSH definition of a hazardous drug are placed on the NIOSH List of Hazardous Drugs in Healthcare Settings ("List"). edition of the Federal Register. 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 Stakeholders provided comments on each drug . 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. the material on FederalRegister.gov is accurately displayed, consistent with 0 An official website of the United States government. All information these cookies collect is aggregated and therefore anonymous. 3607 0 obj <>stream documents in the last year, by the Engineers Corps and the Environmental Protection Agency 0000027413 00000 n You can review and change the way we collect information below. 0000051257 00000 n Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Additional information for the 2016 update can be found at: Federal Register Noticepdf icon. Recommended by: Scientific or professional association. documents in the last year, 84 Recommended by: NIOSH, Marty Polovich Persons with disabilities experiencing problems accessing this page should contact CDC-INFO at CDC-INFO email form: http://www.cdc.gov/info/, 800-232-4636 or the TTY number at (888) 232-6348 and ask for a 508 Accommodation PR#9342. When these documents are finalized they will be published to the NIOSH website. Organizational Affiliation: Director, Toxicology and Hazard Communication Comments were to be received by June 30, 2020. on Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. documents in the last year, 973 hbbd```b``}" Growing evidence highlights that acute and chronic health effects can occur due to occupational exposure to over 200 hazardous drugs used commonly in healthcare settings. 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. 2016 NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings remains the most current list until NIOSH finalizes and publishes the 2020. This table of contents is a navigational tool, processed from the Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. This information is not part of the official Federal Register document. 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. )1kRM,e@aH:@B!4O84\:BL5eW?WG0/# H[bxqa0 documents in the last year, 274 Defining Hazardous Drugs Hazardous drugs include those used for cancer che - motherapy, antiviral drugs, hormones, some bio-engineered drugs, and other miscellaneous drugs. Additional information for the 2016 update can be found at: Federal Register Notice Notice March 23, 2022 The President of the United States manages the operations of the Executive branch of Government through Executive orders. 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 announces that the following draft documents are 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. 0 2016-161 (Supersedes 2014-138). 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., Comments will be accepted until 11:59 p.m. 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. 0000086256 00000 n 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. documents in the last year, 28 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. You will be subject to the destination website's privacy policy when you follow the link. 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 Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH). April 12, 2017 Answer: NIOSH hopes to return to more regular updates following finalization of the DRAFT NIOSH List of Hazardous Drugs. Clarification about hazardous drugs. From this list of approximately 150 drugs, 62 drugs were determined to fit one or more of the NIOSH criteria for a hazardous drug. So let's answer those questions and clear up a few other items. 01/18/2023, 823 documents in the last year, 946 Question: NIOSH HD list: Once NIOSH list is updated, will new HDs be added that have been FDA approved from 2016 -2020 or will it be added to NIOSH website notice? 01/18/2023, 202 documents in the last year. 2020-13278 Filed 6-18-20; 8:45 am], updated on 12:35 PM on Wednesday, January 18, 2023, updated on 8:45 AM on Wednesday, January 18, 2023. 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. Academic and Professional Credentials: Ph.D. Group 1 is antineoplastic drugs (roughly, chemotherapy . Cookies used to make website functionality more relevant to you. Federal Register. 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. Drugs that primarily pose a reproductive risk to men and women who are actively trying to conceive and women who are pregnant or breastfeeding Acronyms CSTD = closed system drug-transfer device PPE = personal protective equipment Citation NIOSH [2016]. 2016-161 (September 2016) 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. &Hc$y@?T&F!. 3|({` ) Comments must be received by July 30, 2020. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. 0000018854 00000 n OSHA/DOL 0000051059 00000 n These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. ET on July 30, 2020. documents in the last year, 117 0000085885 00000 n `# @{3&jb51 QOINAVRpxCVy{j"V$ ->0c, This list includes drugs reviewed by NIOSH from January 2012 to December 2013. The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. 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, endstream endobj startxref https://www.federalregister.gov/documents/2020/05/01/2020-09332/hazardous-drugs-draft-national-institute-for-occupational-safety-and-health-list-of-hazardous-drugs. The current update (2016) adds 34 drugs and includes a review of the 2004 list. 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". documents in the last year, 37 Register documents. documents in the last year, by the International Trade Commission 0000051958 00000 n the official SGML-based PDF version on govinfo.gov, those relying on it for Academic and Professional Credentials: MPH Agencies review all submissions and may choose to redact, or withhold, certain submissions (or portions thereof). If you are human user receiving this message, we can add your IP address to a set of IPs that can access FederalRegister.gov & eCFR.gov; complete the CAPTCHA (bot test) below and click "Request Access". on FederalRegister.gov 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. Areas of Expertise, Discipline, or Relevant Experience: If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. The format for the 2014 list was revised to include three groups of hazardous drugs: (1) Antineoplastic drugs; (2) Non-antineoplastic hazardous drugs; and (3) Drugs with reproductive effects. 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. 112 30 establishing the XML-based Federal Register as an ACFR-sanctioned daily Federal Register on FederalRegister.gov will remain an unofficial The health risk depends on how much exposure a worker has to these drugs and how toxic they are. X}ic|Y\jm(5CEZf< While every effort has been made to ensure that These cookies may also be used for advertising purposes by these third parties. 0000052457 00000 n 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. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. headings within the legal text of Federal Register documents. 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. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. developer tools pages. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Cookies used to make website functionality more relevant to you. publication in the future. DHHS (NIOSH) Publication No. 0000026925 00000 n These cookies may also be used for advertising purposes by these third parties. 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/). 01/18/2023, 41 Information about this document as published in the Federal Register. 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, 876 Each document posted on the site includes a link to the You will be subject to the destination website's privacy policy when you follow the link. [FR Doc. 0000069248 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. should verify the contents of the documents against a final, official The National Institute for Occupational Safety and Health (NIOSH) is the federal agency that oversees research, data, and analysis on workplace hazards. 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 For complete information about, and access to, our official publications This repetition of headings to form internal navigation links by the Farm Credit System Insurance Corporation 0000006330 00000 n Genentech, Inc. The list was compiled from information provided by four institutions that had generated lists of hazardous drugs for their respective institutions, as well as a list from the Pharmaceutical Research and Manufacturers of America (PhRMA). They help us to know which pages are the most and least popular and see how visitors move around the site. A new format was developed for the 2014 list of hazardous drugs, as described below. Recommended by: Scientific or professional association, Bruce Naumann Academic and Professional Credentials: BSN, RN These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 0000085361 00000 n the current document as it appeared on Public Inspection on If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Areas of Expertise, Discipline, or Relevant Experience: Pharmacology Document page views are updated periodically throughout the day and are cumulative counts for this document. documents in the last year, 12 0000011030 00000 n The Public Inspection page may also Only official editions of the The National Institute for Occupational Safety and Health (NIOSH) considers "hazardous drugs" as those that had shown one or more of the following characteristic in studies with animals, humans or in vitro systems: carcinogenicity, teratogenicity or other toxicity for development, reproductive toxicity, organ . 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). Recommended by: Scientific or professional association, Caroline Freeman C@H The Public Inspection page 0 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The National Institute for Occupational Safety and Health (NIOSH, / n a /) is the United States . Division of Drug Oncology Products, FDA 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. documents in the last year, by the Food Safety and Inspection Service xref legal research should verify their results against an official edition of 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). Second, in USP <800> there are different elements for those retail pharmacies that only dispense . 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