This is from UCSF Occ Health

1. UCSF Occupational Health Services
1600 Divisadero Street, Box 1661, San Francisco, CA 94116
WORKING / TRAINING ABROAD – RETURNING TO UCSF
INFORMATION REGARDING RETURNING TO CAMPUS AFTER WORKING / TRAINING ABROAD
Introduction
Individuals from UCSF may travel abroad for training, working in research, teaching or performing other
service work. Your travel may bring you into contact with infectious disease while traveling on behalf of
UCSF or during your personal trip. Prior to return to UCSF, please complete the accompanying
Working-Training Abroad – Returning to UCSF Clearance form in order to record any infectious
diseases, injuries, and the date of your follow-up TB Screening. It is the role of UCSF OHS to screen for
communicable disease, to follow up on blood borne pathogen exposures, and to assess any work-related
traumatic injury.
Review of Symptoms
An individual can contract an infectious disease(s) during travel abroad. There is a danger that such
diseases can be transmitted to UCSF patients, clients, students, co-workers, and contract staff. The
symptoms of concern for working in health care are the following: fever over 100.4F or 38C, rash or
open sores on the face, sneezing, coughing, vomiting, diarrhea and general aches and pains.
Hopefully, you did not have any symptoms during your travels or following your return. If you did have
symptoms, you may need to seek treatment from your personal care physician. When the symptoms
resolve, you should be able to return to the campus / medical center for work. Monitor your symptoms
using the Infectious Disease Symptom Self-Monitoring form. See UCSF Stay at Home / Return to Work
guidelines for influenza like illnesses.
Review of Direct Contact
Working and training abroad can expose an individual to direct contact with an infectious disease in a
patient, their family members, co-workers, people in congregate living quarters, and members of the
public. During travels, you may have been exposed to common infectious diseases and location specific
infectious diseases. Other diseases are transmitted through insects and not directly from humans. This
form will help to document (highlight) exposures which may impact your health in the future. Please take
a moment to identify all exposures that apply.
Review of Trauma / Treatment Received
While abroad, you may have had a traumatic injury, had a blood borne pathogen (BBP) exposure, or
received treatment for a medical condition. All blood borne pathogen exposures will need follow-up
testing with UCSF OHS to confirm that transmission of disease did not occur. All cases of treated
trauma need to be recorded by UCSF OHS. Please identify any trauma requiring medical treatment, any
BBP exposures, and medical care received.
Follow Up TB Testing – Symptom Review and Skin Test
Tuberculosis continues to have a high prevalence in most of the world outside North America and
Western Europe. If you have been traveling for more that 2 weeks in countries outside of North America
and Western Europe, then you need to complete a TB symptom review (and TB skin test if you were
previously negative), 12 weeks after your return from travel. Please complete your date of departure,
date of return and identify when you expect to have the TB screening. The TB Symptom review can be
obtained here. The TB skin test can be administered during the drop in hours at the Parnassus and
Mount Zion OHS clinics.
If you have any questions about the content of this form, call UCSF Occupational Health Services at 415-
885-7580 to speak with a clinician. If you are a student, contact Student Health Services at 415-476-
1281
STAFF, FACULTY, TRAINEES: SEND COMPLETED FORM TO THE ADDRESS ABOVE OR FAX THE FORM TO: (415) 771-4472
STUDENTS: FAX COMPLETED FORM TO STUDENT HEALTH SERVICES AT: (415) 476-6137
Updated 11/8/2012