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confined  
#1 Posted : 28 October 2013 15:31:23(UTC)
Rank: Forum user
confined

We have always issued wallet size cards to our employees to carry in their wallets regarding symptoms etc. If this is covered in detail on induction etc , is it still neccessary to continue to issue these cards?....what do my fellow safety colleagues think and do in their organisation? Welcome your thoughts ...Many thanks
RayRapp  
#2 Posted : 28 October 2013 15:47:24(UTC)
Rank: Super forum user
RayRapp

Personally I think they are a waste of time and money, especially if covered in the site induction. Do we issue cards for needle stick injuries ie HIV/Hepatitis, HAVs, etc.
Ron Hunter  
#3 Posted : 28 October 2013 16:00:11(UTC)
Rank: Super forum user
Ron Hunter

Keep them. Anyone at risk with flu' like symptoms should show the card when visiting their GP.
Whilst I've every respect for GPs, the card can often act as a prompt to help inform appropriate diagnosis.
sadlass  
#4 Posted : 28 October 2013 19:45:40(UTC)
Rank: Forum user
sadlass

It's not necessary to carry such cards "to hand" in wallets. Flu-like symptoms are not exactly in the same league as medic alert cards.

In previous organisation, after a survey of who did actually have the card to hand, (not many!) we replaced the unpopular card with a letter for GPs, given to the staff, to take to GP if ever have flu-like symptoms, explaining the nature & risks of the job. Some gave it to the GP anyway, for their record cards (no doubt now replaced by computer).
RayRapp  
#5 Posted : 28 October 2013 19:46:43(UTC)
Rank: Super forum user
RayRapp

Ron, if I had to show my GP a leptospirosis card in order to assist with the diagnosis...I would quickly find another GP mate.

Moreover, leptospirosis (Weil's disease) is a rare condition with only 44 cases reported in England and Wales in 2011, 15 of those were contracted overseas and none were fatal - don't have nightmares.
Ron Hunter  
#6 Posted : 28 October 2013 23:03:39(UTC)
Rank: Super forum user
Ron Hunter

Ray,

I can't agree with that.

The average GP (with all due respect) is not up on occupational zoonoses.
If you turn up with flu-like symptoms he's not going to take a blood test unless given some sort of prompt.
Leptospirosis is a real nasty if not captured early - but early detection (via blood test) and early treatment will avoid jaundice and a whole host of complications.

A rare condition I grant you, but is it really worth that risk, and all for the sake of saving a few pence per card?
rodgerker  
#7 Posted : 29 October 2013 07:45:52(UTC)
Rank: Forum user
rodgerker

Both of Mr. Hunter's comments are bang on the mark, and for once, Mr. Rapp is well off the mark in his.

No one would suggest that a warning card should be kept in a wallet alongside a bank card that is used every day.

However, possession of one is a simple precaution for what could be a serious or even fatal infection.

Not many fatalities, true. But I use two illustrations in my Occupational Health Risk Notes.

Andy Holmes, aged 51, oarsman who twice triumphed at the Olympics with Steve Redgrave, died October 2010. "Earlier this month he contracted Leptospirosis a rare condition that rowers can pick up from infected water".

Mrs Colburn, aged 56, died August 2008. "A woman died from a rare disease after she was scratched by a rat that she was trying to free from her garden feeder". "Four days later she developed flu-like symptoms and within 48 hours was dead".

Rodger Ker
Canopener  
#8 Posted : 29 October 2013 08:56:11(UTC)
Rank: Super forum user
Canopener

Well I wouldn’t have put it quite like that but I also take Ron’s point. There are a number of conditions including Leptospirosis that present non-specific symptoms and it doesn’t seem unreasonable to me to perhaps give the GP a little nudge so that they might give this some consideration, rather than merely ‘treating’ it as flu!

Alongside more comprehensive guidance/information, we provide a pocket card with a précis of some of the potential infections that our waste operatives might reasonably be exposed to and some general advice on avoiding infection. The bottom of the card is a note to DRs that they might want to consider the information for the purposes of diagnosis and testing.

It’s not the mainstay of our approach to preventing infection but it's cheap and cheerful and for some reason the chaps like to have it in their wallets and request replacements from time to time.
Graham Bullough  
#9 Posted : 29 October 2013 15:02:59(UTC)
Rank: Super forum user
Graham Bullough

Cases of Weil's Disease (alias leptospirosis) are so rare in the UK that probably very few doctors think of it as a possibility when they encounter patients suffering from it. Furthermore, its symptoms resemble those of other more common conditions. Therefore, I think it's highly appropriate that anyone whose work might foreseeably expose them to the disease should be made aware and reminded of it by cards and/or any other appropriate means so that if they feel unwell they can suggest it as a possibility to doctors. The same applies to others who might be at risk through voluntary or recreational activities, e.g. boating and conservation projects adjacent to or in water. rodgerker at #7 has already mentioned the tragic death in 2010 of Olympic rowing champion Andy Holmes which was almost certainly caused by the disease.

Some years ago a manager with my former employer became increasingly ill after a canal cruising holiday with his family and ended up in hospital where his very serious condition baffled doctors. Fortunately there was a nurse at the hospital who had experience of working in the Far East where leptospirosis is common/endemic. She told the doctors that they were almost certainly dealing with leptospirosis. This resulted in one or more patient samples being sent to and tested by the UK's Leptospira Reference Unit at Hereford which confirmed leptospirosis. This enabled the manager to receive appropriate treatment and eventually make a full recovery. In retrospect the manager almost certainly contracted the disease during his holiday through falling into a canal and absorbing contaminated water through a skin graze and/or a mucous membrane such as his lips. Sadly, neither he nor his family had any previous awareness of leptospirosis and therefore hadn't been able to envisage or suggest any link between the holiday and his subsequent illness.

Plenty of practical advice and information about leptospirosis is available from different organisations, e.g. the British Canoe Union (BCU) at http://www.bcu.org.uk/re...disease-i-leptospirosis/ The BCU also produce a useful poster/card which includes information for doctors and can be seen at http://www.hjcc.org.uk/f...weils_disease_poster.pdf Also, local authorities with schools ought to ensure that teachers and pupils involved in activities such as pond dipping or excursions near water have appropriate advice. This should include explanations to pupils (appropriate for their age and comprehension) about biological hazards from water (e.g. almost all rivers and streams contain human and/or animal sewage) and what precautions they should take to minimise infection.
RayRapp  
#10 Posted : 29 October 2013 16:47:13(UTC)
Rank: Super forum user
RayRapp

Happy to be villified by my erudite peers...it's just my opinion. My current organisation does not issue leptospirosis cards, although it is included in the induction.
Ron Hunter  
#11 Posted : 29 October 2013 17:03:02(UTC)
Rank: Super forum user
Ron Hunter

I'm sure you don't mean "vilified" Ray!!!!
Graham Bullough  
#12 Posted : 30 October 2013 00:37:35(UTC)
Rank: Super forum user
Graham Bullough

This thread has reaped responses with contrasting viewpoints and reasons for them - all within the spirit and rules of this forum which by its name is very much about discussion. However, as there's no real evidence of vilification, i.e. abusively disparaging comments, it seems that some misunderstanding exists about its meaning.

As an aside for those who relish synonyms, 'vilification' has plenty of them including: condemnation, censure, denunciation, vituperation, defamation, denigration, disparagement, obloquy, castigation, flak, opprobrium, derogation, revilement, calumniation, execration, excoriation, lambasting, upbraiding (as opposed to downbraiding?!), invective, libel, insults, slagging-off, mud-slinging and objurgation!!! :-)
RayRapp  
#13 Posted : 30 October 2013 16:14:16(UTC)
Rank: Super forum user
RayRapp

ron hunter wrote:
I'm sure you don't mean "vilified" Ray!!!!


Tongue firmly in cheek Ron.
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