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This article and  the original publication PA-03-2006 were written by Lahle Wolfe; revised 12/2006


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Diabetes and civil rights law:  An overview of your legal right to equal access to  programs, benefits, opportunity, accommodations, education, and employment.  Covers legal rights to equal access to benefits, accommodations and opportunity, and the right to administer diabetes related self-care in public places and at work.  Great for anyone who wants to know what the law says about diabetes accomodations, care, and descrimination at work, in schools, and in public places. Includes comprehensive information and examples.  Covers the American with Disabilities Act (ADA), the Rehabilitation Act, and Individuals with Disabilities Education Assistance.  Also, tells where and how to file discrimination complaints. IOH Publication PA-04-2006; 32 pages. Revised 12/06.

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Frequently asked questions about administering diabetes care in public and the work place

This article contains excerpts from Islets of Hope publication PA-03-2006.  You can view and print the publication in its original format at PA-03-2006.  Download free Adobe software to read our publications in .pdf format


General concerns about disease transmission from exposure to blood

One way HIV can be transmitted is through blood products.  Finger sticks and syringes both involve penetrating skin.  For this reason, all used syringes, pen tips, lancets, and test strips should be treated as medical waste and disposed of properly. 

While risk is minimal, employees have the right to request this protection and people with diabetes are required by law in some states to adhere to certain disposal standards.  Individual city or county restrictions may also be in place regarding how medical waste from injections is to be disposed.

There are no health standards prepared by the CDC specifically addressing devices and procedures for diabetes self-care in the work place.  However, the following standards prepared by the CDC for other similar situations, (where exposure to blood occurs) could possibly be applied to employees with diabetes.

    “In 1985, CDC issued routine precautions that all personal-service workers (such as hairdressers, barbers, cosmetologists, and massage therapists) should follow, even though there is no evidence of transmission from a personal-service worker to a client or vice versa. Instruments that are intended to penetrate the skin (such as tattooing and acupuncture needles, ear piercing devices) [IOH inserted comment:  lancing devices and syringes also pierce the skin] should be used once and disposed of or thoroughly cleaned and sterilized. Instruments not intended to penetrate the skin but which may become contaminated with blood (for example, razors) [IOH inserted comment:  used test strips and pads used to apply pressure after blood is drawn] should be used for only one client and disposed of or thoroughly cleaned and disinfected after each use. Personal-service workers can use the same cleaning procedures that are recommended for health care institutions.(5)

 

There is no known case on file with the Center for Disease Control (CDC) involving a person with diabetes transmitting HIV to another person in the work place via lancing devices, blood on desk, test strips, etc., or from used syringes.

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