Department of Health
Michael C. Caldwell, MD, MPH, Commissioner

Disease Prevention for Wastewater Operators
Wastewater operators are exposed to various pathogens in the sewage their plants treat. Consider handwashing, gloves, clothing, goggles, respirators, immunizations.
Visit the following website for more information: http://www.rescuenet.com/rn/vault/wastewtr.html.
Recommended Immunizations and Immunoglobulins
for Wastewater Treatment Personnel
| Disease | Prophylaxis |
| Diphtheria |
Diphtheria toxoid |
| Influenza | Vaccination |
| Hepatitis A | Immunoglobulin (after exposure) |
| Hepatitis B | Vaccination |
| Paratyphoid | Vaccination |
| Tetanus | Tetanus toxoid and tenatus immunoglobulin |
| Typhoid | Vaccination |
Wastewater Parasites and Pathogens of Concern
| Group | Example | Disease |
|
Virus |
Enterovirus Hepatitis A |
Gastrointestinal disorders Hepatitis |
|
Bacteria |
Leptospira interrogans Salmonella typhi |
Leptospirosis Typhoid fever |
|
Fungi |
Aspergillus fumigatus Candida albicans |
Respiratory tract disorders Skin disorders |
|
Protozoa |
Entamoeba histolytica Giardia Lamblia |
Amebiasis Giardiasis |
|
Flatworms |
Taenia solium Vampirolepis nana |
Pork tapeworm Dwarf tapeworm |
|
Roundworms |
Ascaris lumbicoides Necator americanus |
Roundworm disease Hookworm disease |