Phlogopite

If you are concerned about possible exposure, talk to your doctor and consider consulting a physician who specializes in lung diseases, also known as a pulmonologist. For more information on asbestos-related diseases see the Agency for Toxic Substances & Disease Registry Web site.

Also, you need to consider if any disturbance of the insulation - possibly by a contractor doing work in your attic - may result in the fibers being deposited into other areas of your house where an exposure might be possible.

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Sepiolite

2. St. Michael’s Hospital. Pocket P.E.P. Clinical management of non-occupational and occupational exposure to blood borne pathogens: A pocket reference [Internet]. Toronto; 2013 [Updated 2019; cited 2019 Apr 10]. Retrieved from: http://www.stmichaelshospital.com/pdf/programs/pocket-pep.pdf

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Pyrophyllite

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You should assume that vermiculite insulation is from Libby and treat the material as if it contained asbestos by not disturbing it or by using a trained professional if it needs to be removed. Since the Libby mine was estimated to be the source of over 70 percent of all vermiculite sold in the United States from 1919 to 1990 and vermiculite from Libby was contaminated with asbestos, further testing is not necessary to take the appropriate precautions. While you can hire a trained professional to test your attic for asbestos, this may be expensive and, depending on the methods used, might give you erroneous results. We do not recommend that you open your walls to check for vermiculite.

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If the viral status of the client/source is unknown, it is important to obtain baseline testing for HIV, HBV and HCV immediately after exposure. Follow-up testing should be arranged at six weeks and four months for HIV, and at three months and six months for HBV and HCV1.

Asbestos causes cancer and other diseases. There is no known safe level of asbestos exposure. Asbestos fibers must be airborne to cause a health risk through inhalation, so the first step is not to disturb the material, which would release more fibers into the air. If you remove or disturb the insulation, it is probable that you may inhale some asbestos fibers - the degree of health risk depends on how much and how often this occurred. If you do not go into your attic, handle, or disturb the insulation, it is likely that you will not be exposed to asbestos fibers from vermiculite insulation.

Talc

vermiculite中文

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You can make decisions regarding the use of PeP in consultation with the occupational health team or the physician to whom you have been referred. You and your physician will determine if unknown viral status should be treated as positive or if PeP should be initiated based on risk factors

This page provides important information on how to protect yourself and your family if you suspect that you might have vermiculite insulation from Libby, Montana.

It is not possible to say whether your exposure may result in disease. Exposure to asbestos increases your risk of developing lung diseases including asbestosis, lung cancer, or mesothelioma, and disease may not occur until decades after exposure. The risk of disease increases as the level, duration, and frequency of exposure increases. That risk is made worse by smoking.

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To assess your exposure risk, it is essential to determine the type of bodily fluid you have been exposed to. Some bodily fluids are considered potentially infectious for pathogens such as HIV, HBV and HCV, while others are not2.

If an exposure incident with a specific client leads to a positive test result for HIV, HBV or HCV, midwives are legally obligated to report the result to Public Health. After the exposure incident, midwives also have an ethical obligation to inform the client that their testing revealed a positive serologic status. The CMO requires that this information be reported to the client so they may seek appropriate care and prevent further transmission. The CMO also requires that members report positive serologic status to the College as soon as reasonably possible4. Finally, to reduce the risk of transmission to other clients, midwives have an ethical obligation to seek advice on appropriate measures to prevent transmission in their clinical practice.

3. Ontario Agency for Health Protection and Promotion (Public Health Ontario). Provincial Infectious Diseases Advisory Committee (PIDAC). Infection Prevention and Control for Clinical Office Practice. 2 ed. [Internet] Toronto, ON: Queen’s Printer for Ontario. April 2015. [cited 2019 Apr 10]

Amphibole

Perlite

Look at the photos on this website and then look at the insulation without disturbing it. Vermiculite insulation is a pebble-like, pour-in product and is usually gray-brown or silver-gold in color.

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1. Ontario Hospital Association and Ontario Medical Association. Blood Borne Diseases Surveillance Protocol For Ontario Hospitals. [Internet]. 2018. [cited 2019 June 19]. Retrieved from https://www.oha.com/Documents/Blood%20Borne%20Diseases%20Protocol%20(November%202018).pdf

Transmission of a blood borne pathogen requires exposure to an infectious bodily fluid via a portal of entry (i.e., non-intact skin, percutaneous injury, mucous membrane). If a blood borne pathogen has no portal of entry into the body, there is no risk of transmission. Occupational exposures most commonly occur as a result of sharps injuries1. Although HIV, HBV and HCV can be transmitted through blood or other bodily fluids, their estimated risk of transmission following percutaneous (sharps) exposure is2:

YOU SHOULD ASSUME THE VERMICULITE CONTAINS ASBESTOS AND DO NOT DISTURB IT! Any disturbance could potentially release asbestos fibers into the air. If you absolutely have to go in your attic and it contains vermiculite insulation, you should limit the number of trips you make and shorten the length of those trips in order to help limit your potential exposure.

Vermiculite is a naturally-occurring mineral composed of shiny flakes, resembling mica. When heated to a high temperature, flakes of vermiculite expand as much as 8-30 times their original size. The expanded vermiculite is a light-weight, fire-resistant, and odorless material and has been used in numerous products, including insulation for attics and walls. Sizes of vermiculite products range from very fine particles to large (coarse) pieces nearly an inch long.

If you have been exposed to blood borne pathogens, consult with a physician as soon as possible. The physician can provide a risk assessment on the likelihood of pathogen transmission and the potential need for post-exposure prophylaxis (PeP). PeP is medication that you take after exposure to a pathogen to prevent becoming infected.

Although there are a number of pathogens that health-care workers could be exposed to during an occupational exposure, human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) rank as the most critical when considering exposure prevention and management.

Wollastonite

HIROC, midwives’ Professional Liability Insurance provider, provides supplementary coverage for all HIV positive individuals who are working for midwifery practice group. To obtain payment, HIROC requires that the notice of positive test result be filed within 90 days of first learning of the incident.

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(e.g., sharps injury, pathogen contact with mucous membranes (including the eye) or contact with skin that is abraded, inflamed or otherwise not intact). If PeP is necessary, rapid response increases its potential for effectiveness.

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4. College of Midwives of Ontario. Standard on Blood Borne Pathogens. [Internet]. Toronto; 2014 [Cited 2019 Apr 10]. Retrieved from: http://www.cmo.on.ca/wp-content/uploads/2017/12/Blood-Borne-Pathogens.pdf

A mine near Libby, Montana, was the source of over 70 percent of all vermiculite sold in the United States from 1919 to 1990. There was also a deposit of asbestos at that mine, so the vermiculite from Libby was contaminated with asbestos. Vermiculite from Libby was used in the majority of vermiculite insulation in the United States and was often sold under the brand name Zonolite. If you have vermiculite insulation in your home, you should assume this material may be contaminated with asbestos and be aware of steps you can take to protect yourself and your family from exposure to asbestos.

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When health-care workers are exposed to bodily fluids at work, they face the risk of occupational exposure and infection1. Occupational exposure occurs when bodily fluids come into contact with a health-care worker’s non-intact skin via abrasions, mucous membranes such as the mouth, nose and eyes, and percutaneous injuries from needlesticks or sharp objects.