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Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

Appendix A

Workshop Agenda

PERSONAL PROTECTIVE EQUIPMENT FOR INFLUENZA A(H5N1) IN HIGH-RISK FARM SETTINGS: A WORKSHOP

Agenda
Day 1: September 29, 2025 | 10:00 AM – 4:30 PM ET
Day 2: September 30, 2025 | 10:00 AM – 4:00 PM ET

Sponsor

Sponsored by the National Institute for Occupational Safety and Health’s National Personal Protective Technology Laboratory.

Objectives

This workshop will examine personal protective equipment (PPE) needs and best practices to protect workers in high-risk U.S. farm settings and control Influenza A(H5N1) transmission between livestock and humans. The workshop will feature invited presentations and discussions to:

Discuss the latest scientific evidence on Influenza A(H5N1) transmission and remaining uncertainties and implications for PPE use in high-risk farm settings, including the role of PPE relative to other kinds of controls (e.g., engineering, administrative).
Examine U.S. regulatory frameworks and explore needed reforms to improve PPE use for preventing zoonotic disease transmission, with a focus on current guidance, best practices, and gaps in high-risk farm settings.

Page 146 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

Highlight individual-level and systemic barriers to PPE access and use in high-risk farm settings and explore potential solutions to overcome these barriers, including the roles of novel technologies, communication, and education and training.
Highlight key research needs to evaluate and improve the effectiveness of PPE when used in high-risk farm settings to protect workers and control the spread of zoonotic diseases.
Consider opportunities to improve future responses to emerging and re-emerging infectious diseases that have the potential to spread between livestock and humans.

DAY 1 – MONDAY, SEPTEMBER 29, 2025

Day 1 will explore how H5N1 spreads across species and what this means for PPE use in high-risk farm environments. Sessions will cover transmission risks, PPE regulatory structures, and current biosecurity practices, while highlighting real-world challenges farmworkers face when using PPE. Participants will also examine how risk perception, education, and trust influence PPE adoption, and they will identify community-level and systemic barriers to PPE access. Emphasis will be placed on the role of trusted organizations and what they need to better support worker protection and pandemic preparedness in the agricultural sector.

Welcome and Overview of the Workshop

10:00 a.m.	Chair Welcome and Opening Remarks
	Shawn Gibbs, Workshop Chair Dean, School of Public Health Dean’s Chair and Professor of Environmental and Occupational Health Texas A&M University
10:15 a.m.	National Institute for Occupational Safety and Health (NIOSH) Opening Remarks
	Maryann D’Alessandro Director National Personal Protective Technology Laboratory (NPPTL) National Institute for Occupational Safety and Health (NIOSH) Centers for Disease Control and Prevention (CDC)

Page 147 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	National Center for Immunization and Respiratory Diseases (NCIRD) Opening Remarks
	Lizette Durand Chief Veterinary Officer Influenza Division National Center for Immunization and Respiratory Diseases (NCIRD) Centers for Disease Control and Prevention (CDC)
Session 1	Stage Setting: Current State of Knowledge on H5N1 Transmission and Implications for PPE Use
10:45 a.m.	Session Introduction
10:45 a.m.	Matthew Nonnenmann, Planning Committee Member Professor University of Nebraska Medical Center Examine viral transmission within and across species and infection characteristics (common symptoms and severity) in animals and humans. Discuss the knowns and unknowns about animal-to-human transmission risks in high-risk farm activities, and examine the implications for PPE use in high-risk farm settings, including the role of PPE relative to other kinds of controls (e.g., engineering, administrative). Consider current science- and risk-based understanding of airborne disease transmission.
10:50 a.m.	Panel Presentations
	Animal Infection and Transmission Jason Lombard Veterinary Epidemiologist Colorado State University
	Environmental Transmission Seema Lakdawala Associate Professor Emory University

Page 148 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	Human Infection and Transmission Rachel Herlihy State Epidemiologist and Deputy Chief Medical Officer Colorado Department of Public Health and Environment (CDPHE)
11:30 a.m.	Audience Q&A
Session 2	Stage Setting: Current Practices and Policies for H5N1 Infection Control and Prevention in Farm Settings
11:45 a.m.	Session Introduction
11:45 a.m.	Michelle Kromm, Planning Committee Member Principal Food Forward, LLC Explore federal, state, and local oversight systems, regulatory variation, and opportunities for industry engagement in infection control. Review current best practices for PPE and biosecurity plans across agricultural settings, including how guidance is developed within the hierarchy of controls.
11:50 a.m.	Panel Presentations
	Systems or Federal Perspective John Gibbins Office of Agriculture Safety and Health (OASH) National Institute for Occupational Safety and Health (NIOSH)
	Public Health Perspective Stacy Holzbauer State Public Health Veterinarian Career Epidemiology Field Officer Minnesota Department of Health (MDH) Centers for Disease Control and Prevention (CDC)
	Poultry Perspective Caitlin Green Poultry Veterinarian Michigan Turkey Producers

Page 149 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	Dairy Perspective Joe Armstrong Technical Service Veterinarian Zoetis
12:30 p.m.	Audience Q&A
12:45 p.m.	BREAK
Session 3	Problem Setting: Individual Barriers to PPE Use for H5N1 Infection Control and Prevention in High-Risk Farm Settings
1:15 p.m.	Session Introduction
1:15 p.m.	Beth Lipton, Planning Committee Member Washington State Public Health Veterinarian Washington State Department of Health Hear firsthand perspectives on PPE use challenges in farm settings, including practical limitations, secondary health risks, and decision-making on protective options. Examine how risk perception influences PPE use, including task-based risk assessments, perceived protection, and individual risk tolerance. Identify barriers to effective PPE use, including education, training, language, cultural factors, and trust.
1:20 p.m.	Panel Presentations
	Insights from Farm Workers and Producers Brent Wilson Wilson Centennial Farm Member of the Michigan Milk Producers Association (MMPA)
	Research-Based Perspectives from the Field and Practical Experiences from Researchers Anabel Rodriguez Assistant Professor Department of Environmental and Occupational Health Texas A&M University

Page 150 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	Bethany Boggess Alcauter Director of Research and Public Health Programs National Center for Farmworker Health (NCFH)
	Training and Education Programs Anna Meyerhoff Senior Bilingual Agricultural Safety & Education Coordinator New York Center for Agricultural Medicine and Health (NYCAMH) Northeast Center for Occupational Health and Safety in Agriculture, Forestry, and Fishing
	Agricultural Extension Perspectives Gino Lorenzoni Associate Professor, Poultry Science and Avian Health PennState Extension
2:20 p.m.	Audience Q&A
Session 4	Problem Setting: Systemic Barriers to H5N1 Infection Control and Prevention in High-Risk Farm Settings
2:45 p.m.	Session Introduction
2:45 p.m.	Anabel Rodriguez, Planning Committee Member Assistant Professor Department of Environmental and Occupational Health Texas A&M University Discuss community and societal barriers to PPE access and use. Identify the needs of trusted organizations to better support worker PPE access and adoption.
2:50 p.m.	Panel Presentations
2:50 p.m.	Farmworker Advocacy Organizations Amy K. Liebman Chief Program Officer Migrant Clinicians Network

Page 151 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	Producers and Co-ops Martín J. Carrasquillo-Mangual Dairy Extension Educator Michigan State University Extension
	Promotoras and Community Partners Lus Chávez Community Health Worker Texas Panhandle
	Ma Elena Gutierrez Executive Director Fe y Justicia
3:50 p.m.	Audience Q&A

Day 1 Wrap-Up

4:15 p.m.	Chair’s Reflection and Preview of Day 2
4:15 p.m.	Shawn Gibbs, Workshop Chair Dean, School of Public Health Dean’s Chair and Professor of Environmental and Occupational Health Texas A&M University
4:30 p.m.	Day 1 Adjourns

DAY 2 – TUESDAY, SEPTEMBER 30, 2025

Day 2 focuses on forward-looking strategies to enhance PPE effectiveness and adoption through innovation, training, and systems integration. Sessions will highlight successful behavior-change programs, communication strategies, and collaborative efforts to strengthen farm-level preparedness within a broader national health and food security framework.

Page 152 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

Welcome and Recap of Day 1

10:00 a.m.	Chair Welcome and Opening Remarks
10:00 a.m.	Shawn Gibbs, Workshop Chair Dean, School of Public Health Dean’s Chair and Professor of Environmental and Occupational Health Texas A&M University
Session 5	Opportunities: Improving Existing PPE Access and Feasibility of Use
10:15 a.m.	Session Introduction
10:15 a.m.	Ximena Vergara, Planning Committee Member Chief, Hazard Evaluation System and Information Service California Department of Public Health (CDPH) Adjunct Assistant Professor of Epidemiology University of California, Los Angeles – Fielding School of Public Health Identify administrative and engineering controls to improve PPE feasibility, reduce transmission, and lower costs. Explore the potential alternatives to NIOSH-approved respirators in high-risk farm settings and implications for respiratory protection program. Identify barriers in the PPE supply chain and assess solutions to improve access, availability, and distribution of respiratory protection where it is most needed. Highlight key research needs to evaluate and improve the effectiveness of PPE to protect workers.
10:20 a.m.	Panel Presentations
10:20 a.m.	Worker Health – Project PROTECT Elon Ullman Research Scientist – Industrial Hygienist California Department of Public Health (CDPH), Project PROTECT

Page 153 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	Engaging Partners in PPE Distribution Heather Riden Director Western Center for Agricultural Health and Safety (WCAHS) University of California, Davis
	Research Priorities Jin Pan Assistant Professor Occupational and Environmental Health University of Iowa
11:00 a.m.	Audience Q&A
Session 6	Opportunities: Innovative PPE Technology and Research
11:15 a.m.	Session Introduction
11:15 a.m.	Herek L. Clack, Planning Committee Member Associate Professor Department of Civil and Environmental Engineering University of Michigan, Ann Arbor Cofounder, Co-chief Executive Officer, and Chief Scientific Officer for Taza Aya Highlight technologies and products, as well as key research needs, to improve the effective implementation of PPE for use in high-risk farm settings to protect workers from and control the spread of H5N1. Highlight advanced and emerging technologies with the potential to strengthen the hierarchy of controls, with a focus on PPE. Explore strategies to drive sustainable innovation in PPE and engineering controls, including certifications for consumer trust.

Page 154 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

11:20 a.m.	Panel Presentations
	Research Priorities and Gaps James Coburn Senior Advisor for Emerging Technologies U.S. Food and Drug Administration (FDA) On detail as Portfolio Lead to Advanced Research Projects Agency for Health (ARPA-H)
	Lessons Learned from Innovative Respirators Richard Gordon CEO Airgami Respirators Air99 LLC
	Wearable Air Curtains: Novel Respiratory Protection Against Airborne Pathogens Herek L. Clack, Planning Committee Member Associate Professor Department of Civil and Environmental Engineering University of Michigan, Ann Arbor Co-founder, Co-Chief Executive Officer, and Chief Scientific Officer for Taza Aya
	Wearable Technologies and Design of PPE Lucy Dunne Professor, Department of Design Innovation Co-Director, Wearable Technology Lab University of Minnesota
	Regulatory Pathways and Standards Sundaresan Jayaraman Professor School of Materials Science and Engineering Georgia Institute of Technology
12:20 p.m.	Audience Q&A
12:45 p.m.	BREAK

Page 155 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

Session 7	Implementation Considerations: Communications, Training, and Education Needs and Strategies
1:15 p.m.	Session Introduction
1:15 p.m.	Bethany Boggess Alcauter, Planning Committee Member Director of Research and Public Health Programs National Center for Farmworker Health (NCFH) Explore strategies to improve health communication and information accessibility for farm workers. Highlight successful training and education programs that have changed behavior and increased PPE adoption. Identify needs of both trainers and workers to enhance training and education effectiveness, and provide space for multi-stakeholder reflection on gaps, opportunities, and innovations.
1:20 p.m.	Panel Presentations
	Health Communications and Information Accessibility Sara Floor Creative Unit Supervisor California Department of Public Health (CDPH)
	Lisbeth Gall Associate Director of Population Health Programs National Center for Farmworker Health (NCFH)
	Training and Education Programs Carolyn Sheridan Executive Director/Founder Ag Health and Safety Alliance (AHSA)
	Jenna Gibbs Director of Operations Ag Health and Safety Alliance (AHSA)
2:05 p.m.	Audience Q&A

Page 156 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

Session 8	Optimizing PPE for High-Risk Farm Settings: Next Steps Stakeholder Roundtable
2:15 p.m.	Session Introduction
2:20 p.m.	Roundtable Discussion
	Michael Payne, Planning Committee Member Dairy Outreach Coordinator Western Institute for Food Safety and Security Director, California Dairy Quality Assurance Program Acknowledge this is an evolving issue with new scientific and social information constantly coming to the forefront. Acknowledge the societal public and animal health, food safety and security importance of PPE and infection prevention at the human-animal interface. Position PPE not just a workplace issue but as a national health and food security imperative. Introduce the One Health lens as the context in which these strategies must operate, connecting farm-level practices to national pandemic preparedness and food system resilience. Identify research investments, infrastructure, and cross-sector collaboration needed for pandemic preparedness.
	Industry Stakeholders Ashley Peterson Senior Vice President of Scientific and Regulatory Affairs National Chicken Council
	Anja Raudabaugh CEO Western United Dairies (WUD)
	Oscar Garrison Senior Vice President Food Safety Regulatory Affairs United Egg Producers

Page 157 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.

	Research Stakeholders Edie Marshall Branch Chief, Antimicrobial Use and Stewardship California Department of Food and Agriculture
	Public Health, Emergency Management, and Agricultural Department Stakeholders Jennifer Nuzzo Professor of Epidemiology Director of the Pandemic Center Brown University School of Public Health
	One Health Experts Meghan F. Davis Associate Professor Director of the Johns Hopkins P.O.E. Total Worker Health® Center in Mental Health Johns Hopkins Bloomberg School of Public Health

Day 2 Wrap-Up

3:30 p.m.	Sponsor Closing Remarks
3:30 p.m.	Maryann D’Alessandro Director National Personal Protective Technology Laboratory (NPPTL) National Institute for Occupational Safety and Health (NIOSH) Centers for Disease Control and Prevention (CDC)
3:45 p.m.	Workshop Closing Remarks
3:45 p.m.	Shawn Gibbs, Workshop Chair Dean, School of Public Health Dean’s Chair and Professor of Environmental and Occupational Health Texas A&M University
4:00 p.m.	ADJOURN

Page 158 Cite Bookmark

Suggested Citation: "Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2026. Personal Protective Equipment for Influenza A(H5N1) in High-Risk Farm Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/29364.