Policy and Legislation
related to healthcare worker safety and occupational exposure prevention in countries worldwide
The International Healthcare Worker Safety Center tracks legislative and policy initiatives related to sharps safety, needlestick prevention, and healthcare workers protection from bloodborne pathogens in countries around the world. Countries that have laws, policies or regulations either currently in force or under consideration (either at the state, provincial, regional or national level) will be included on the regional "Policy and Legislation" pages.
To date, the United States is the only country in the world that has passed national-level legislation specifically mandating the use of safety-engineered sharp devices: the Needlestick Safety and Prevention Act, passed in November 2000. Canada has laws or regulations in four provinces; Brazil has a regulation, NR 32, that has not yet taken full effect; and Germany has a "technical rule" (TRBA 250) that requires the use of safety-engineered needles for high-risk clinical settings and procedures. The text of the U.S. law can be found here, as well as a timeline and an article tracing the progress of needlestick policy and legislation in the U.S.
If you are aware of relevant laws or policy initiatives for a specific country, please send information here.
- Policy and legislation, by global region:
- Asia/Asia Pacific
- Europe
- Latin America
- Middle East/North Africa
- North America - U.S. and Canada
- Sub-Saharan Africa
- International organizations - guidance documents and policy statements
- European Union:
- European Parliament - Resolution on Protecting European healthcare workers from blood borne infections due to needle stick injuries
- EU Draft Report with Recommendations to the Commission on Protecting European Healthcare Workers from Bloodborne Infections Due to Needlestick Injuries (2006 - Committee on Employment and Social Affairs)
- Update on European Union initiatives on needlestick injuries in the healthcare sector (from U.K. Health & Safety Executive website)
- European Parliament - Resolution on Protecting European healthcare workers from blood borne infections due to needle stick injuries
- International Council of Nurses
- International Labor Organization (ILO)
- ILO Code of Practice on HIV/AIDS and the world of work (2001) (includes section on training for workers who come into contact with human blood and other body fluids)
- Joint ILO/WHO Guidelines on Health Services and HIV/AIDS (2005)
- Joint ILO/WHO Guidelines on Health Services and HIV/AIDS (2007)
- ILO Code of Practice on HIV/AIDS and the world of work (2001) (includes section on training for workers who come into contact with human blood and other body fluids)
- Pan-American Health Organization (PAHO)
- World Health Organization:
- Aide Memoire on Health Care Worker Safety
- Global burden of disease from sharps injuries to health-care workers
- GOHNet (Global Occupational Health Network) newsletter
- Healthcare waste - risks to workers
- Joint ILO/WHO Guidelines on Health Services and HIV/AIDS (2005)
- Joint ILO/WHO Guidelines on Health Services and HIV/AIDS (2007)
- Occupational Health page
- Policy checklist for bloodborne pathogens exposure control
- Preventing needlestick injuries among healthcare workers
- SIGN: Safe Injection Global Network
- Toolkit - Protecting Healthcare Workers: Preventing Needlestick Injuries (includes training and presentation materials)
- Toolkit - Protecting Healthcare Workers (Spanish version)
- Aide Memoire on Health Care Worker Safety