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Pandemics, Germs

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Title: Pandemics, Germs


1
CLEANING FOR HEALTH
  • Pandemics, Germs Disinfection

2
THIS SESSION IS DESIGNED TO EDUCATE YOU NOT
INTIMIDATE YOU
AFTER ALL. YOUVE SURVIVED THIS LONG!!
3
In the 20th century, the largest number of
people in the US dieda) from AIDSb) in WWI,
WWII, Korea, Vietnamc) in the 1918 influenza
pandemic
4
Annual Influenza Statistics in Canada
  • 5 million (1 in 6) infected
  • 50,000 hospitalizations
  • 2,000 to 5,000 deaths
  • 1.5 million work-days lost

5
PANDEMIC!
  • A WORLDWIDE SPREAD
  • OF ANY DISEASE

Could AVIAN INFLUENZA be the NEXT BIG ONE?
6
Be an influenza virus, see the world
7
PANDEMIC!
  • ARE WE PREPARED?

ARE WE AWARE?
WHAT CAN WE DO?
8
History of Recent Pandemics
9
Influenza Pandemics 20th century
Russian Influenza
H1N1
Asian Influenza
H3N2
Hong Kong Influenza
H2N2
Spanish Influenza
H1N1
1918
1957
1968
1977
1997
2003
10
PANDEMIC SPREADS
11
PANDEMIC SPREADS
Worlds 500 largest airports covering 100
countries!
12
PANDEMIC SPREADS
With todays air travel.....Air Canada only
13
IN THE NEWS
14
Avian Flu Spreads
15
Avian Flu Spreads
16
Avian Flu Spreads
17
Avian Flu Spreads
18
Avian Flu Spreads
19
Avian Flu - Current
20
(No Transcript)
21
PANDEMIC!
  • The scenario sends shivers down disease
    specialists' spines
  • Indonesia Taxi driver develops a fever dies
  • His wife grows ill dies so do his children
  • Victims of H5N1 influenza
  • Within 10 days Many of his passengers also die
  • Virus found an efficient way to spread in humans
  • Spread by nasal mouth secretions

22
PANDEMIC!
  • One unlucky passenger a French businessman
  • First leg Jakarta - Singapore
  • Businessman infects
  • Australian grandmother sat next to him at
    airport
  • Swedish stewardess Canadian couple on plane.
  • Second Leg Singapore to Paris
  • He meets a
  • Brazilian man when changing planes
  • Greek family on the plane
  • Spanish steward Italian Stewardess

23
PANDEMIC!
  • All make it home
  • All die within days
  • First, they each pass it on to dozens of people
  • Beginning of a frightening chain of infections
  • Welcome to the global flu pandemic!

24
PANDEMIC!
  • A influenza pandemic struck today
  • borders close (not effective!)
  • global economy shut down
  • international vaccine supplies health-care
    systems overwhelmed
  • panic reigns

25
In the News
Canada best preparedfor flu pandemic but...
OTTAWA - Jan. 28, 2005 Dr. Earl Brown, an Ottawa
viral geneticist, says Canada may not be as
prepared for a flu pandemic as the WHO thinks it
is.  
  • Could kill thousands
  • Canadas pandemic plan warns that
  • between 11,000 and 58,000 could die
  • 10.6 million Canadians could fall ill

A clear strategy is a good start, but Canadians
would be virtually defenseless if a pandemic were
to strike , says Dr. Brown.
26
Flu Notes
  • Avian flu - death/cases rate about 50
  • If seasonal influenza combines with H5N1
  • new strain spread easily rapidly among humans
  • little or no immunity
  • Direct contact - sneezing or coughing - droplets
  • Indirect contact shaking hands or touching
    contaminated surfaces

27
Human to Human?
  • JAKARTA, Indonesia
  • The U.N. health agency described the deaths of
    six Indonesian family members from bird flu as
    the most important development in the spread of
    the virus since 2003, saying the size of the
    cluster and difficulties in determining the
    source were worrying.
  • MSNBC News Services
  • May 24, 2006

28
WHO periods phases
29
Pandemic Certainties
  • It is coming
  • Very unlikely a vaccine until first wave past
  • Will not be able to control transmission
  • Will overwhelm our health care system
  • As with other disasters, good planning can
    provide effective mitigation

30
Pandemic Uncertainties
  • When will it happen?
  • How bad is it going to be? How many people will
    die?
  • How long will it take from when we know it is
    starting until people start to get sick?

31
What will it be like when it hits?
  • First wave last 6-9 weeks
  • 35-40 of people will be ill
  • Proportion of people needing hospital care/dying
    depends on virulence of strain
  • During peak (3 weeks), absenteeism 25-35
  • If disease is severe borders will close,
    schools/public places will close

32
  • What is the role of good hygiene practices in
    prevention containment of the disease?
  • Extremely important safety measure to prevent
    infection (Bio-security)
  • Should people get flu shots?
  • Personal decision everyone must make every year
  • Guidance of local health authorities should be
    followed
  • Different vaccines will become available

33
  • Which disinfectant should I use against avian
    influenza?
  • Soapy water detergents are first choice for
    many items!!
  • Disinfectant cleaner also good
  • Avian influenza virus
  • Simpler to destroy than many viruses
  • Very sensitive to detergents
  • Destroys fat-containing outer layer of virus
  • Destroys ability to infect

34
Stop the Spread of Germs
35
Stop the Spread of Germs
  • ABSOLUTE NECESSITY
  • NEW, NASTY BUGS DEVELOP EVERY DAY
  • EDUCATE OURSELVES
  • STAY CURRENT WITH LATEST DEVELOPMENTS
  • Reducing spread of germs essential to maintaining
    good health
  • Proper hygiene good sanitation 25 less
    absenteeism

36
Stop the Spread of Germs
  • ABSOLUTE NECESSITY
  • PROPER CLEANING PROCEDURES
  • Several different approaches
  • USE UNDERSTAND DISINFECTANTS
  • Importance of dilution
  • Prevention of cross contamination

37
Stop the Spread of Germs
  • ABSOLUTE NECESSITY
  • NOT the TERMINOLOGY
  • Why worry about pronouncing words?
  • SIMPLE AS POSSIBLE
  • Aware of basics

38
YOU ARE CRITICAL TO PREVENTING THE SPREAD OF
DISEASE!
39
  • BASIC
  • BACTERIA
  • KNOWLEDGE
  • for our
  • everyday world

40
From an article on WebMD.
If you squirm at the thought of creepy germs ..
spend as little time as possible in restrooms of
your workplace, not to mention those in
restaurants, hotels gas stations...
41
Dare to venture into a public bathroom?
Do you
Push open with your elbows?
Flush with your shoe?
Crouch precariously above the toilet seat?
64 of us are afraid to touch anything catching
germs!
42
SPREADING DISEASE!
58 of us dont wash our hands after using
washroom facilities!
43
ABSOLUTELY NECESSARY????
64 of us Say dont wash our hands
unless ABSOLUTELY NECESSARY!
44
PERCEPTION OR REALITY?
  • 92 felt dirty washroom negative image of whole
    facility
  • 82 indicated FOUL ODOURS biggest turn off
  • 75 thought odours easy to eliminate
  • Couldnt understand why staff could NOT get rid
    of them

45
A REASON TO BE WORRIED!
  • A study of
  • 25 Quick Serve Restaurant washrooms
  • - tested for coli form bacteria (E-coli) only

of sites contaminated
15
19
15
62
31
15
25
Surface
Toilet paper dispenser
Toilet seat (underside)
Toilet seat (top side)
Floor of stall
Hot water tap
Cold water tap
Sanitary napkin receptacle
46
WHAT DOES THIS MEAN TO ME???A little knowledge
about germs will help...
47
SURROUNDED BY BACTERIA!
48
EXPOSURE
MRSA
HEPATITIS
LEGIONELLA
AVIAN FLU
STAPH
NORWALK
STREP THROAT
SARS
HIV
ECOLI
PNEUMONIA
COLDS
TUBERCULOSIS
INFLUENZA A
WEST NILE
49
Germs
  • live from 20 minutes up to 2 hours or more
    (cafeteria tables, doorknobs, desks)
  • Become spores which revive under right conditions
  • Survive extreme heat cold

50
  • GERMS
  • Tiny, living things (micro-organisms)
  • Only seen with a microscope
  • Billions on skin or in body
  • MOST are harmless

51
  • Bacteria Viruses
  • Two categories of germs
  • Cause contagious diseases
  • DISEASE GERMS PATHOGENS

52
  • BACTERIA
  • Single cell
  • Live on own
  • Most harmless
  • Some beneficial
  • May produce toxins to poison body
  • Pathogens
  • strep throat, pneumonia, tetanus, e-coli ,
    legionella

E-COLI BACTERIA
STAPHYLOCOCCUS AUREUS
53
GERMS DISEASE
  • VIRUSES
  • 10 100 X smaller than bacteria
  • invade cell to multiply
  • reproduce until cell bursts
  • change normal chemical activity
  • Pathogens
  • common cold, influenza, SARS, HIV, cold sores

HIV Bursts Cell
INFLUENZA VIRUS
54
GERMS DISEASE
  • ON THE HEAD OF A PIN
  • 1 - 10 MILLION BACTERIA
  • 10 MILLION - 1 BILLION VIRUSES

55
  • Which would be less hazardous to your health?
  • You touch your mouth after
  • 1. Touching a toilet seat?
  • 2. Touching a telephone or a desk?

56
Less Hazardous?
  • Office toilet seats 49 germs per sq. in.
  • Desktops 21,000 germs per sq. in.
  • Phones 25,000 germs per sq. in.
  • University of Arizona

57
Not All Bad!
Enjoy fresh Bread?
  • Enjoy Beer? Wine?

Compost grows
Digestion of food
Tasty vegetables
58
  • GERMS
  • Reside on
  • Shower walls kitchen counters
  • Cleaning tools TV remotes
  • Elevator buttons mattresses
  • Hot tubs bathroom stalls
  • Light switches books
  • ANYTHING WE TOUCH!

Study Hotel remote controls covered in traces
of human feces
59
  • GERMS
  • travel through the air or by contact

60
Contact!
Diseases Colds, Influenza, SARS, Strep Throat,
Hepatitis
61
Enter!
  • Bacteria enter our body
  • Mouth
  • Nose
  • Eyes
  • Open cuts or skin lesions

62
MULTIPLY!
  • Human body
  • perfect environment
  • Most appear to require moisture

63
DOUBLE!
Millions of bacteria in the human body Millions
more every hour
ECOLI BACTERIA 600 AM
823 AM
64
DOUBLE!
  • Brain Teaser!
  • STARTING WITH
  • 1 BACTERIUM,
  • HOW
  • MANY
  • BACTERIA
  • WOULD
  • WE HAVE
  • IN
  • 8 3/4 HOURS
  • ??????

65
SERIOUS BACTERIA!
  • Mould / Mildew
  • one of most serious bacteria outside human body
  • 34 million in North America suffer from
    respiratory problems
  • 36,000 new cases in Canada annually

66
SUPERBUGS!!
GERMS RESISTANT TO COMMON ANTIBIOTICS
VRE
MRSA
increased 2000 in 4 years!
increased 500 in 4 years
Superbugs cost Canadian hospitals 60
million per year!
Hospital Superbug Found on 96 of Doctors Mobile
Phones February 10,2006          RealTechNews
67
Registering Disinfectants
VERY IMPORTANT FACTOR Registered Product
  • D. I. N.
  • Drug
  • Identification
  • Number
  • Health Canada
  • - meets hospital criteria
  • P.C.P.
  • Pest
  • Control
  • Act
  • Agriculture Canada
  • - needs DIN for hospital use
  • E.P.A.
  • Environmental
  • Protection
  • Agency
  • Environmental Protection Agency
  • - meets US specs

68
  • Disinfectant Testing
  • DILUTION RATIO - Correct Exact
  • Tested Certified for 99.999 kill of stated
    pathogens
  • Wet for 10 minutes
  • In contaminated water, not distilled
  • Hard cold water

69
Using Disinfectants
  • YOU CANT KILL MORE THAN 100!
  • We spend developing correct dilution ratio
    for
  • DETERGENCY
  • INFECTION CONTROL

70
  • WHY MIX STRONGER?
  • If we agree you cannot kill more than 100
  • Stronger dilutions project
  • a NEGATIVE image of you!
  • White film, streaks, sticky residue
  • Bacteria thrive in these conditions
  • Dirt magnet
  • Poor indoor air quality
  • Facility looks un-cleaned

71
Hand Mixing
Glug! Glug! RESULT (9 / 10) 3-5 oz when
measured
  • Typical Hand Mixing
  • Object
  • Pour 2 oz
  • into the bucket

72
Water Temperature
  • Lukewarm vs. Cold
  • Registered disinfectants tested in COLD water
  • Lukewarm feels better on the hands
  • NEVER use HOT

73
Using Disinfectants
  • FREQUENT SOLUTION CHANGES
  • PARTICULARLY IN WINTER
  • Prevent cross contamination
  • Increased kill

74
Cleaning, Disinfecting, Sanitizing
  • CLEANING DISINFECTING
  • ARE NOT
  • THE SAME THING!

TO KEEP GERMS FROM SPREADING YOU NEED TO DO BOTH
75
Cleaning, Disinfecting, Sanitizing
  • Cleaning
  • VISIBLE dirt human soils
  • Fingerprints, smudge marks
  • Disinfecting
  • HIDDEN dirt, germs bacteria
  • Only seen under microscope

76
Cleaning, Disinfecting, Sanitizing
  • DISINFECTING SANITIZING
  • Are NOT
  • THE SAME THING!

77
DISINFECTING vs. SANITIZING
  • DISINFECT
  • Registered product
  • Moist 5-10 minutes
  • Kills 99.999 of STATED PATHOGENS
  • SANITIZE
  • Moist for 60 seconds
  • Kills 99.99 of germs

78
  • EXTREMELY IMPORTANT
  • PREVENT CROSS CONTAMINATION
  • Studies 30-40 of antibiotic resistant
    infections spread from hands of cleaning staff
  • SARS virus spread often caused by poor cleaning
    practices personal hygiene

79
Restrooms
  • Critical Disinfection / Sanitizing Points

Door Panels, Handles, Knobs
Mirrors
Flush Handles
Dispenser Handles
Taps
Counter Tops
80
HALLWAYS
Critical Disinfection / Sanitizing Points
Door handles, Glass above below
Hand Rails Banisters
Inside grasp-type handles
Stair Risers Edges
81
WHAT MOTHER ALWAYS TOLD YOU
  • WASH YOUR HANDS
  • MOST WASH LESS THAN 10 SEC.
  • DONT USE SOAP
  • 15-30 SECONDS REQUIRED
  • GOOD OLD SOAP WATER
  • ANTI-MICROBIAL / ANTI-BACTERIA
  • PEACE OF MIND

82
How Disinfectants Work
QUATS - now into 5th generation compounds -
Reduce surface tension in cell walls -
Attack the proteins in the bacteria - Allow
vital substances for growth of bacteria to
leak out
83
PROTECT YOURSELF YOUR FAMILY
84
Protect Yourself Your Family
  • Know symptoms of each disease
  • React when they are present
  • Be health vigilant
  • Get information from websites, TV programs,
    newspapers
  • If you have symptoms
  • Limit exposure to others
  • Cover your mouth
  • Use a Kleenex

85
Protect Yourself Your Family
  • Practice good personal hygiene
  • Wash or sanitize hands frequently after potential
    exposure
  • Increase family awareness of diseases how they
    spread
  • Talk about it
  • Never flush a toilet while sitting on it

86
Protect Yourself Your Family
  • Use disinfectant/sanitizing cleaners
  • per the EXACT label directions
  • Use sanitizer or sanitizer wipes
  • when unable to wash hands
  • Ensure automatic dishwashing temperatures are
    high enough to kill bacteria
  • (Read your Owners Manual!)

87
SUMMARY
  • Cleaning disinfecting not the same
  • DWELL TIME CORRECT DILUTION very important
  • Frequent solution changes - prevent cross
    contamination
  • Stay current with latest health concerns
    cleaning information
  • Protect yourself your family

88
Cleaning for Health - Disinfection
  • THANK YOU
  • FOR THE OPPORTUNITY
  • TO SPEAK TO YOU!
  • ANY QUESTIONS?
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