Medical surveillance examinations may be required for researchers who work directly with biohazardous agents. Depending on the agent, the strain, and
the work being done, such surveillance testing may be required annually or biannually, with the optimal protocols determined in consultation between the APB, Biosafety, and Stanford University Occupational Health Center (SUOHC).

Animal handlers or Veterinary Service Center (VSC) staff who must tend to animals inoculated with etiologic or zoonotic agents may be recommended (or required) to participate in medical surveillance programs prior to performing these at-risk tasks. This includes those who work with purposefully- inoculated animals, as well as those that work with animals that may be infected with zoonotic agents not related to the research, such as sheep whose body fluid may contain Coxiella burnetii, the causative agent for Q-fever. The Department of Comparative Medicine will work with Biosafety and the SUOHC to identify animal handlers who may be at risk for occupational exposure to infectious microorganisms in the course of their duties.

Procedures for undergoing medical evaluation:

• Each University School/Department shall administer the Medical Surveillance program for its employees and ensure programmatic compliance for those employees identified as potentially at risk for occupational exposure to biological agents. The SUOHC staff can assist the supervisor in determining if a medical examination is appropriate.
• The Department/School will schedule a medical appointment with:
  Stanford University Occupational Health Clinic
  Environmental Safety Facility (ESF)
  484 Oak Road, Second Floor
  Stanford, CA 94305-8007
  Phone: (650) 725-5308
  https://suohc.stanford.edu
• Upon completion of the medical examination, the participant will be notified by the SUOHC of pertinent test results, with appropriate referrals made in the event of abnormal findings. The Occupational Health clinic will provide medical clearance as indicated to the requesting department.
• If there is a restriction indicated on the medical clearance that significantly limits an individual’s ability to complete their job, then the supervisor shall notify the Biosafety Officer to discuss a remedial course of action.
• Medical records, including clearance paperwork, will be kept at the Occupational Health Clinic for the duration of the individual’s participation in the Medical Surveillance Program at Stanford University.