“…First, we found that 80% of the needle/lancet sticks occurred with non-safety devices. Considered in the context of earlier findings from this study-that the incidence rate of needle/lancet sticks was much lower 1) and the use of safety devices was much higher 7) in California compared to the U.S. as a whole-this suggests that, as with hospital health care workers [9][10][11] , increased use of safety devices by paramedics would reduce paramedics' risk of blood exposure. Furthermore, we reported previously that provision of safety devices by the employer was a major determinant of safety device use by paramedics 7) .…”