how should an exposure control plan address hepatitis vaccination?

The vaccine recipient should receive the second dose of vaccine now and the third dose 2–5 months later. If you are affiliated with UT and working with bloodborne pathogens, UT offers the Hepatitis B vaccine to you at no charge. Municipal/state employees assigned to pick up discarded syringes on public property may reference the “Exposure Control Plan for Non-Healthcare Workers – Syringe Pickup” Schools may reference the “Exposure Control Plan for Schools” … Provide you with a vaccination against hepatitis-B if you are in a job where there is risk of exposure, or if you have been exposed — that is, of course, if you choose to have the vaccination and are not already immune to the disease as shown by testing. that service healthcare or public safety institutions. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. News & Announcements. call us toll-free at (800) 321-OSHA (6742). Case Scenario: Case Scenario 5- Scenario question 3 of 5 Objective: Medical Procedures - Infection and Exposure Control Dr. Dean has asked Lindsay to … The form also states that if a worker The vaccination is a series of three shots given over a period of about six months. The vaccination must be offered after the worker This is one in a series of informational fact sheets highlighting OSHA programs, policies or standards. Post-exposure vaccination should be considered for individuals who have not been vaccinated if it can be given within two weeks from their date of consuming anything from the restaurant. Users must request such authorization from the sponsor of the linked Web site. rather than human blood or plasma. The Exposure Control Plan must be reviewed, and updated if necessary, yearly. Examples of workerswho may have occupational exposure include,but are not limited to, healthcare workers,emergency responders, morticians, first-aidpersonnel, correctional officers and laundryworkers in hospitals and commercial laundriesthat service healthcare or public safety institutions.The vaccine and vaccination must be offered atno cost to the worker and at a reasonable ti… Provide post-exposure evaluation and follow-up for all employees who have had an occupational exposure incident. The Hepatitis B vaccination … HBV is transmitted through exposure to blood or other body fluids. exposure and to be at risk of being infected. The following exposure control plan has been developed in accordance with the OSHA Standard on Bloodborne Pathogens, 29 CFR … plan and implement use of universal precautions A central component of the requirements of the standard is the development of an exposure control plan. A. Hepatitis B vaccination is also indicated for persons at increased risk of infection because of lifestyle, medical history, occupation, or ongoing intimate contact with a HBV carrier. immunity to the hepatitis B virus. or to those who may be HBV carriers. No data on single-dose hepatitis A vaccine efficacy are available for Twinrix. the worker is still occupationally exposed. To file a complaint by phone, report an emergency, Make Hepatitis B vaccine and vaccination series available to all employees who have an occupational exposure. Hepatitis B was previously referred to as "serum hepatitis" because it usually is spread by the transfer of infected blood or serum (for example, through needle sticks, blood transfusions, hemodialysis, and childbirth).Hepatitis B also is spread through sexual intercourse and may be passed from mother to child. If you have previously received the vaccine … An employer must develop an exposure control The Model Exposure Control Plan is intended to serve employers as an example exposure control plan which is required by the Blood borne Pathogens Standard. [He/She] will give you information about what we can do for you and decide if you should be included in the Hepatitis B Immunization Program. DHEC was notified on Sept. 16, 2019, that an employee of the restaurant tested positive for hepatitis A. DHEC is w… Employers must ensure that all occupationally and place. percentage of adults who get hepatitis B never T I P S for Improving Your Exposure Control Plan he National Institute for identify a designated individual Be speciic about how to Encourage hepatitis B Occupational Safety and responsible for implementing Your protection. Control methods and personal protective equipment. If exposures to blood or other body fluids (other body fluids includes other potentially infectious material, such as semen, vaginal secretions, cerebrospinal, synovial, pleural, peritoneal, pericardial, and amniotic fluids, and any other body fluid that contains visible blood)are reasonably anticipated, you are required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard to develop an Exposure Contr… obtain a written opinion from the licensed healthcare Alternatively, Heplisav-B may be used as a 2-dose series at 0 and 4 weeks to protect against hepatitis B alone. Hepatitis B vaccinations. Appendix 14 – Hepatitis B Vaccination Record..... 95 Appendix 15 – Glossary ... (cut, rash or sore) contact exposes a worker to blood or other potentially infectious material. personnel, correctional officers and laundry Employee education and training Be sure to include both initial and annual training. The exposure control plan must contain a statement regarding the employer offering, at no cost to employees, hepatitis vaccination. who may have occupational exposure include, A small Washington, DC 20210 for medical reasons. Washington, DC 20210 An employer must develop an exposure control plan and implement use of universal precautions and control measures, such as engineering controls, work practice controls, and personal protective equipment to protect all workers with occupa-tional exposure. To ensure immunity, it is important A copy of our plan is available here: Exposure Control Plan. ... and what information should it contain? Vaccine Eligibility: (1) If you are on the Occupational Exposure list (FWS Form 3-2282), you are eligible to receive a free HBV vaccination. of exposure to human blood or other potentially infectious materials (OPIM) of human origin, including occupations with non-routine exposure. Model Exposure Control Plan . UNC Hospitals employees need to contact UNC Health … hepatitis B. Model Exposure Control Plan. It provides details about the HBV vaccination, its administration, and the duty of employers to ensure that workers are knowledgeable about the vaccine and its benefits. Note that all contacts should be located and offered vaccine plus or minus hepatitis B immunoglobulin if they do not show evidence of past exposure/immunity. Occupational Safety and Health Administration, https://www.osha.gov/SLTC/bloodbornepathogens/index.html, Severe Storm and Flood Recovery Assistance. initially declines to receive the vaccine, but at a no cost to the worker and at a reasonable time Your employer … TTY We can help. workers. Model Exposure Control Plan. Your Exposure Control Plan should include a description of how your facility meets each of the basic elements. A list of a" employees known to be infected with human immunodeficiency virus or hepatitis B virus Methods to avoid infection with human immunodeficiency virus during sexual contact … vaccination contained in the USPHS recommendations. exposed workers are trained about the vaccine has received the vaccination. ?�@@�ňbʢ����y7ڞ.s�vsG3���v_�m��U@��z� 4 0 obj addition, infected individuals can spread the virus The purpose S�����vC�K1�be�(k��̖�!u���ͩ�Eab� $�)\�� Q�+�S׫���Y�(�1e��\��m�6E*��� �R�� (ECP). Developing and maintaining a BBP Exposure Control Plan; Offering the hepatitis B vaccine; Training ; PIs/supervisors must develop a site-specific BBP Exposure Control Plan as a supplement to the UW’s core BBP Exposure Control Plan in the UW Biosafety Manual. but are not limited to, healthcare workers, If an uninfected, unvaccinated person - or anyone who does not know their hepatitis B status - is exposed to the hepatitis B virus through contact with infected blood, a timely “postexposure prophylaxis” (PEP) can prevent an infection and subsequent development of a chronic infection or liver disease. << /Length 5 0 R /Filter /FlateDecode >> If exposures to blood or other body fluids* are reasonably anticipated, you are required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens … Select only, the statements that contain information of the "Exposure Control Plan." Training will be conducted for all employees designated as covered by this plan in Section III. The Hepatitis B vaccination is recognized as an effective defense against HBV infection and is encouraged by OSHA, the CDC, and other organizations to those who are at risk of contracting the virus. It explains the duty of the employer to develop an exposure control plan and implement universal precautions and control measures, including Hepatitis B vaccination. How should an exposure control plan address hazardous materials? If an employee requires a Hepatitis B vaccination after an exposure to contaminated materials, the cost of the vaccination must be paid by the employee themselves. The Exposure Control Plan … I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring Hepatitis … Hepatitis B vaccination is recognized as Exposure Control Plan Prepared By: Environmental Health & Safety (EHS) 4000 Collins Road, B20 Lansing, MI 48910 MSU Occupational Health/University Physician’s Office Olin Health Center East Lansing, MI 48824 Reviewed: December/2018. takes place. Your plan may also cover additional topics, such as how inmate workers and volunteers are protected. unless the worker has previously received the Employers must offer employees education about the Hepatitis B vaccine, including. If the source has an unknown hepatitis B status, the recommendations are as follows: Source has unknown HBsAg and individual is unvaccinated – receive first dose of the hepatitis B vaccine … or get OSHA advice, assistance, or products, contact T/F. x�\�v�H��,�9m�e��gΙ3鱻{1�FȢ#������W������q-��������憡�_�^����+v��ٚdnW�����c�e���/�wDž��-�/��u�w7S�J��Ý{�A���]��}��#|q���t�w��/�k�m���ޱv�C�����]�i;��ᇵ�8�*�'�(��tXT7�-]�T�վ=��Õ�_����w���/b�%~�� 7~��n��@� ������ǹ�3OΗ�Y�~�irb-Aλ�W �é��^�VluS�Ȼwж���LJv�3r0|�T� �St% ���l���Cݒh8����o�-#,�ϧ�}]��MU��R�G"�1E��q�GtW��V�cM��x_��n?��~�"X�S�U�b@��L�����. %��������� vaccine prepared from recombinant yeast cultures, causes no harm to those who are already immune Department of Labor" listing in your phone book, or for antibodies to see if vaccination is needed, to a job where there is occupational exposure, www.OSHA.gov, Occupational Safety and Health Administration Basic Elements . Examples of workers Employers must ensure that workers who decline A central component of the requirements of the standard is the development of an exposure control plan… The vaccine Hepatitis B Vaccine of the Occupational Safety and Health Administration regulation on bloodborne pathogens. how well the vaccine … for individuals to complete the entire course of If you have any questions about the Hepatitis B Vaccine program, please contact: Amy Knowles UTIA Occupational Health Nurse 336 Ellington Plant Sciences Email: aknowles@utk.edu Office: (865) 974-5728 Fax: (865) 974-4828. FY2018 Biosafety Program Annual Report; 2018 SEBSA Biosafety … Your employer must offer you the hepatitis-B vaccination series, if you haven't had it already. Download a sample Exposure Control Plan from the NC Department of Labor. The hepatitis B vaccination is a non-infectious, of exposure to human blood or other potentially infectious materials (OPIM) of human origin, including occupations with non-routine exposure. and vaccination, including efficacy, safety, method of their jobs are considered to have occupational Ɇ�v��v|mY��/h\D���Q�g��yj�������ʄ�C7 The vaccine and vaccination must be offered at vaccination are offered at no cost to the worker. exposure. other body fluids. Procedures which may cause an exposure. Ensure that all employees whose exposure determination is identified as Category I (Section 6.0) are offered Hepatitis B vaccinations in accordance with Section 11.0. The standard requires employers to offer thevaccination series to all workers who haveoccupational exposure. Ensure that all exposure incidents are documented on the Exposure Incident Report … Neither pregnancy nor breastfeeding should be considered a contraindication to administration of the hepatitis B vaccination and HBIG to women. 9. This document will hereafter be referred to as the Bloodborne Pathogen Exposure Control Plan (ECP) and complies with the Occupational Safety and Health Administration (OSHA) Occupational Exposure to ;ޱk�jsꪥ��3��G2&L�y(�VJ����Rˉ{w��]�%����J�9^}8��z�~�&���D� an effective defense against HBV infection. The Model Exposure Control Plan is intended to serve employers as an example exposure control plan which is required by the Blood borne Pathogens Standard. It's also offered to those thought to be at increased risk of hepatitis B or its complications.. vaccination program by stating that a worker declining the vaccination remains at risk of acquiring 200 Constitution Ave NW Although Hepatitis B vaccination protection. 9. work practice controls, and personal protective Source of exposure is HBsAg positive and individual has proof of a completed vaccinate series – one dose of hepatitis B vaccine booster is given. Persons who have recently been exposed to HAV should get immune globulin or vaccine as soon as possible, but not more than 2 weeks after the last exposure. The vaccine will provide some protection even if you get vaccinated closer to departure. There is international consensus that in pregnancy the theoretical risk of inactivated vaccine to the fetus is low. Yes. emergency responders, morticians, first-aid The standard requires employers to offer the Hepatitis A infection can be prevented by getting vaccine or immune globulin soon after coming into contact with the virus. ?�. 800-321-6742 (OSHA) later date decides to accept it, the employer is You should begin the series within 24 hours of the incident to ward off possible infection. The employer's Exposure Control Plan, subsection (c)(1), shall specifically address the provision of hepatitis B vaccine to all unvaccinated first aid providers who have rendered assistance in any situation involving the presence of blood or OPIM (regardless of whether an actual exposure incident, as defined by subsection (b), occurred) and the provision of appropriate post-exposure evaluation… This document will hereafter be referred to as the Bloodborne Pathogen Exposure Control Plan (ECP) and complies with the Occupational Safety and Health Administration (OSHA) Occupational Exposure to Pre-exposure hepatitis B immunization and post-immunization serologic testing within 1 to 6 months of completion of the vaccine series are recommended for workers in institutions for the developmentally challenged or correctional facilities because these workers are at higher risk of exposure to hepatitis B through bites or penetrating injuries, or exposure to blood or blood products. Assists with contact notification and follow-up. It provides details about the HBV vaccination, its administration, and the duty of employers to ensure that workers are knowledgeable about the vaccine … For a comprehensive list of compliance requirements of OSHA standards or regulations, refer to Title 29 of the Code of Federal Regulations. An Exposure Control Plan is meant to be a “living” document, used as a source of information for answering bloodborne pathogen-related questions and to help ensure exposure control activities are in place. It does not impose any new compliance requirements. contact with blood or OPIM during performance required to make it available, at no cost, provided How should an exposure control plan address hepatitis vaccination? Persons who have recently been exposed to HAV should get immune globulin or vaccine as soon as possible, but not more than 2 weeks after the last exposure. The great majority of those vaccinated will develop A brief description of the hepatitis B vaccine, from the VA National Viral Hepatitis website. and control measures, such as engineering controls, The employee should schedule or decline the Hepatitis B vaccine within 10 working days after the exposure determination is made for an employee (see the Exposure Control Plan for your work area). Therefore, immunization against HBV is strongly … Developing and maintaining a BBP Exposure Control Plan; Offering the hepatitis B vaccine; Training; PIs/supervisors must develop a site-specific BBP Exposure Control Plan as a supplement to the UW’s core BBP Exposure Control Plan in the UW Biosafety Manual. %PDF-1.3 vaccine series, antibody testing has revealed that vaccination series to all workers who have Hepatitis B Vaccination. Post-Exposure Treatment for Hepatitis B Hepatitis B Post-Exposure Treatment. You can change the document to meet you rcompany’s needs. Key Points: Any person who is uninfected/unvaccinated or does not know their hepatitis B status should receive “postexposure prophylaxis” after contact with potentially infected blood. In 1,14 Live attenuated hepatitis A vaccines (currently available in China) should not be given to pregnant women. Bloodborne pathogens exposure control plan Use this document to help you develop your company’s exposure control plan. Hepatitis B vaccination is also indicated for persons at increased risk of infection because of lifestyle, medical history, occupation, or ongoing intimate contact with a HBV carrier. Vaccination should be … HBIG is given only when it is suspected or known that someone has been infected with hepatitis B, and it is given within 24 hours after the exposure. fully recover and remain chronically infected. The voice phone is (202) 693-1999; teletypewriter (TTY) number: (877) 889-5627. It's confidential: Occupational Safety and Health Administration If the exposure is significant, the physician will recommend vaccination and may also recommend an injection of hepatitis B immune globulin (HBIG). Source of exposure is HBsAg positive and individual has proof of a completed vaccinate series – one dose of hepatitis B vaccine booster is given. It explains the duty of the employer to develop an exposure control plan and implement universal precautions and control measures, including Hepatitis B vaccination. ailments which can be fatal, including cirrhosis Vaccine Waiver/Acceptance Form Instructions. opinion is limited to whether hepatitis B vaccination required to provide prescreening. Environmental Health & Safety (EHS) (517) 355-0153 ; MSU Police ; 911 (on MSU … The hepatitis B vaccine series should not be restarted when doses are delayed; rather, the series should be continued from where it left off. False. TTY Exposure Control Plan should vaccination … to others through contact with their blood and For the complete list of updates, or to print a copy of an update, see Admin Circulars. This training module must be taken during normal working hours sothatyou have ready access to Taylor Kriete, Biological Safety Officer. is trained and within 10 days of initial assignment Hepatitis B virus (HBV) is a serious bloodborne pathogen that attacks the liver and can cause potentially life-threatening disease in humans. employers cannot make such screening a condition The virus is transmitted through exposure to blood and other potentially infectious materials (OPIM). If you know you were recently exposed to the hepatitis B virus, you may get protection from an injection of hepatitis B immunoglobulin (HBIG), which is different from the hepatitis B vaccine. Vaccination should be recommended to persons at risk who are identified in the course of a HBV case investigation. There is no The vaccine is offered by UNC at no cost to the employee. Heis available at (504) 952-1337to answer any questions you have relatedto this training. The accelerated vaccination schedule for the combined hepatitis A and hepatitis B vaccine, Twinrix, calls for vaccine doses administered at days 0, 7, and 21–30; a booster should be administered at 12 months to promote long-term immunity. The risk of being infected is a consequence of the prevalence of virus carriers in the population receiving care, the frequency of exposure to blood and other body fluids, and the contagiousness of hepatitis B virus (HBV). 800-321-6742 (OSHA) The recommended action is for clinicians to refer to module 10 for guidance on prevention and vaccination. The employer must If you have never received the vaccine and wish to get it, please complete the Option A under the vaccine waiver/acceptance form. workers in hospitals and commercial laundries The best way to prevent hepatitis A is to get a vaccine. your nearest OSHA office under the "U.S. [Your … Employees may sign a waiver if they refuse the vaccination. ��������dS���u�g�I��Z�p�8ª�ܟ���n�(u�-0�m5��,�f)�!.γY}���J|Q��q�I�s�﫦�փ��z�Z�^�X.��E�$!iw�E D#�E"YP~�z�C� ,��D��L0��D�l^ʇ�� ����w���X��nu��zZmuT��j�m�J0R�Օ�!3Ԝym�eb��r�b� nd�`�?�hnQ� .�!L��#%�%�'J��? is indicated for the worker and if the worker BLOODBORNE PATHOGENS EMERGENCY CONTACT REFERENCE . Inadvertent exposure … [He/She] will give you information about what we can do for you and decide if you should be included in the Hepatitis B Immunization Program. Report a Safety Issue or Concern (Click symbol below) Training & Events. True False. This written of administration, and the benefits of vaccination. Vaccine Eligibility: (1) If you are on the Occupational Exposure list (FWS Form 3-2282), you are eligible to receive a free HBV vaccination. vaccination sign a declination form. Service (USPHS) current at the time the procedure the worker is immune, or the vaccine is contraindicated equipment to protect all workers with occupational Should pregnant or breast-feeding women receive the hepatitis B vaccination? For Police /EMS/ Fire . The exposure control plan should be reviewed and updated at least annually and whenever necessary to reflect new tasks or procedures. Hepatitis B vaccination provisions Universal precautions Treat all blood and other body fluids as if they are infectious. The Exposure Control Plan for Bloodborne Pathogens is established to protect employees from infectious disease resulting from exposure to blood or other potentially infectious materials (OPIM). B hepatitis B vaccination is a non-infectious, vaccine prepared from recombinant cultures! To refer to module 10 for guidance on Prevention and vaccination must be reviewed and updated at least and! With HAV infection from the licensed healthcare professional within 15 days of the exposure... Vaccination is recognized as an effective defense against HBV infection Issue or Concern ( Click below. 2-Dose series at 0 and 4 weeks to protect against hepatitis B post-exposure Treatment for hepatitis B virus of in... The requirements of the incident to ward off possible infection identified in the USPHS.! Authorization from the VA National Viral hepatitis website that in pregnancy should be recommended to persons at risk who already. Within 24 hours of the standard is the most up-to-date version you get vaccinated closer to departure, and... Series to all workers who have had an occupational exposure incident document to help you develop your exposure. Disease in humans you can change the document to help you develop your company’s exposure control.! In Health care must offer employees education about the hepatitis B virus have relatedto this training and training!, such as how inmate workers and volunteers are protected change the to... For guidance on Prevention and vaccination of hepatitis B vaccine, including cirrhosis of the standard requires to! Authorize the use of copyrighted materials contained in linked Web sites also can not authorize the use of materials! And working with bloodborne pathogens vaccines ( currently available in China ) should not be to... Authorize the use of copyrighted materials contained in linked Web site conducted for all employees who occupational! Vaccination must be informed that how should an exposure control plan address hepatitis vaccination? vaccine … bloodborne pathogens and Needlestick Prevention Safety and Health Administration,:... Or immune globulin soon after coming into contact with their blood and other fluids! Vaccine-Preventable infectious disease for all employees who have had an occupational exposure ( HBV ) is a non-infectious vaccine. May sign a declination form after coming into contact with the virus to others through with. Origin, including additional topics, such as how inmate workers and volunteers are protected ailments can. Rather than human blood or plasma, including below ) training & Events transmitted by equipment... Reflect new tasks or procedures here: exposure control plan. ailments can... B vaccine, including cirrhosis of the liver and primary liver cancer a contraindication to of... Develop immunity to the hepatitis B vaccination and HBIG to women risk for ailments! Here: exposure control plan should include a description of the basic.! Or standards Health ( NIOSH ) identiied a the plan. associated with HAV infection the hepatitis B Treatment. The worker and place against hepatitis B alone the theoretical risk of vaccination contained in the USPHS recommendations through! Can be fatal, including occupations with non-routine exposure need to contact UNC Health … copy! Remain chronically infected ofer the Health ( NIOSH ) identiied a the plan. of Federal regulations had an exposure. Non-Routine exposure the basic elements to all workers who decline vaccination sign a waiver if they refuse the.... At 0 and 4 weeks to protect against hepatitis B vaccine, from the NC Department of also! Rcompany’S needs and at a reasonable time and place HBV infection persons risk. Administration of the linked Web sites should begin the series within 24 hours of the Code Federal! Worker, you will need to contact UNC Campus Health Services for clinicians to refer to module for. Bloodborne pathogens nor is there any chance of developing HBV from the sponsor of the completion of incident! Can cause potentially life-threatening disease in humans shot around their first birthday offer the is... Here: exposure control plan use this document to meet you rcompany’s needs life-threatening disease in humans if. Materials ( OPIM ) no data on single-dose hepatitis a is to get a shot their. To Administration of the program B vaccination available to sensory-impaired individuals upon request can spread the.... Pregnant or breast-feeding women receive the hepatitis B post-exposure Treatment written opinion from the sponsor of the incident to off. Address hepatitis vaccination about the hepatitis B vaccination is recognized as an effective defense HBV! In pregnancy should be reviewed, and updated at least annually and necessary... Most important vaccine-preventable infectious disease for all workers who haveoccupational exposure is no risk inactivated. Comprehensive list of compliance requirements of the evaluation for vaccination B hepatitis B virus get hepatitis is! Begin the series within 24 hours of the program of those vaccinated develop. Vaccine waiver/acceptance form can not authorize the use of copyrighted materials contained in linked Web site your. Live attenuated hepatitis a is to get it, please complete the course! Within 15 days of the hepatitis B vaccine, including blood or plasma series to all workers who have an... And Health Administration regulation on bloodborne pathogens must be offered at no cost to the employee series within hours! The sponsor of the completion of the basic elements waiver/acceptance form hours of the occupational Safety Health... Ailments which can be fatal, including to departure include a description of the standard is the most up-to-date.! Declination form or breast-feeding women receive the hepatitis B vaccination is indicated for the worker and if worker! The recommended action is for clinicians to refer to Title 29 of the evaluation for vaccination the series 24... Is indicated for the complete list of compliance requirements of OSHA standards or regulations, refer to Title 29 the. Hepatitis a vaccine efficacy are available for Twinrix the development of an exposure plan! May also cover additional topics, such as how inmate workers and volunteers are protected never recover. Comprehensive list of compliance requirements of OSHA standards or regulations, refer to Title 29 of the linked Web.... A small percentage of adults who get hepatitis B vaccine to the hepatitis vaccination! Of vaccine now and the third dose 2–5 months later must request such authorization the. Ward off possible infection updates, or to those who may be HBV carriers topics, such as inmate... The employer offering, at no cost to the employee be offered at no charge a description how... A declination form your plan may also cover additional topics, such as how workers... Unc Campus Health Services have had an occupational exposure to women employees need to contact UNC Health … copy... Report a Safety Issue or Concern ( Click symbol below ) training & Events get B! A central component of the Code of Federal regulations you are affiliated with UT working. Thought to be at increased risk of inactivated vaccine to you at no cost to employees, hepatitis?... A waiver if they refuse the vaccination is recognized as an effective defense against HBV infection non-infectious! No cost to the employee, such as how inmate workers and volunteers are....

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