Welcome to Helping Facilities Prevent Illness & Absenteeism - PowerPoint Presentation

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Welcome toHelping Facilities Prevent Illness & AbsenteeismPresenter: Lori Strazdas, MPH, Public Health Liaison, Clorox HealthcareSlide2

Speaker OverviewLori Strazdas, MPH

Public Health Liaison, Clorox HealthcareLori Strazdas, MPH is a Public Health Liaison with Clorox Healthcare.In her 12 years at Clorox, Lori has held various positions within R&D, supporting both the consumer and professional product portfolios. Her experience includes ensuring end-user product safety and regulatory compliance for EPA, FDA and CPSC regulated products, managing Clorox Healthcare sponsored epidemiological studies and providing thought-leadership for educational materials. Prior to joining Clorox, Lori worked for the Pima County Health Department as a Communicable Disease Investigator and Epidemiologist, as well as in various clinical settings.Lori received both her Bachelor’s in Environmental Science and Master’s in Public Health Epidemiology from the University of Arizona. She was subsequently awarded a Fulbright Scholarship to Lithuania, where she studied risk factors for stomach cancer, including the bacteria Helicobacter pilori.She is currently a member of the American Public Health Association and Association for Professionals in Infection Control & Epidemiology.Slide3

Learning Objectives Learn about common infections that can spread in facilities and their impact on absenteeism and public health.

Understand the difference between cleaning, sanitizing and disinfecting.Learn about new technologies and best practices to help prevent the spread of infections.Slide4

AgendaFacility maintenance & infection prevention: why it matters

Common infectionsThe role of the environmentBreaking the chain of transmission: product selection, new technology and best practicesConclusion & questionsSlide5

Facility Maintenance & Infection PreventionWhy IT matTerSSlide6

Why it MattersIllnesses and outbreaksReputational damage

Lost revenue due to facility closures, absenteeism and lost productive timehttp://www.cdc.gov/oid/docs/ID-Framework.pdf  Germs that cause infectious diseases are common. They can spread in public spaces and cause:Slide7

Why it Matters Today, illness and infection have larger impacts than ever before. Infections can strike where you work, learn and play.

$1,685/employee – Average annual cost of illness to employers.$400,000 – Cost to a major university to combat a Norovirus outbreak.$14,000 – Direct cost of hospitalization alone due to a MRSA infection.http://journals.lww.com/joem/Abstract/2003/12000/ Lost_Productive_Work_Time_Costs_From_Health.4.aspx http://www.issa.com/trade-shows/certification-standards/ issa-clean-standards/clean-standard-k-12/how-dirty-is-your-childsschool- infographic.html#.WCESGS0rKM http://www.hcup-us.ahrq.gov/reports/statbriefs/sb35.jsp Slide8

Health Impact

Long-Term Care Facilitieshttp://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htmhttps://www.cdc.gov/foodborneburden/estimates-overview.html. http://www.cdc.gov/norovirus/trends-outbreaks.htmlSlide9

Financial ImpactLong-Term Care Facilities

Walter SF et al. Journal of Occupational & Environmental Medicine. 45.12 (2003): 1234-1246.http://www.cleaninginstitute.org/clean_living/cleaning_for_health_some_facts.aspx. http://www.cdc.gov/flu/about/qa/disease.htm.http://www.cdcfoundation.org/businesspulse/flu-prevention.Slide10

Millions of cases in the U.S. each year:70 million work days missed by non-parents189 million school days missed by kids

129 million work days missed by parentsEconomic impact of common colds costs Americans more than $40 billion annually:$17 billion direct costs$23 billion indirect costshttp://www.ur.umich.edu/0203/Mar10_03/15.shtmlCommon InfectionsCommon Coldshttp://www.cdc.gov/Features/Rhinoviruses/index.htmlFendrick MF et al. Arch Intern Med. 2003 Slide11

Common InfectionsCDC - Seasonal Influenza (Flu) - Q & A: Preventing Seasonal Flu. Centers for Disease Control and Prevention, 1 Aug. 2013.http://www.cdc.gov/flu/about/qa/disease.htm.

Seasonal Influenza (Flu): CDC Study: Treating children’s flu illness costly. CDC, 21 May 2012. Cause of seasonal epidemics of disease almost every winter in the U.S.Impacts ~ 5-20% of Americans annuallyMore than 200,000 hospitalized per yearSeverity can vary widelyEpidemics cost the U.S. economy $71-$167 billion per yearCosts parents of influenza-stricken children:11-73 hours of missed work$300-$4,000 in medical expensesInfluenza. World Health Organization, Mar. 2003. Web. 10 Oct. 2016.Influenza or “Flu”Slide12

Common InfectionsHall, A. "Norovirus disease in the United States." Emerging Infectious Diseases. 19.8 (2013).

http://www.jhsph.edu/news/news-releases/2016/the-high-cost-of-norovirus-worldwide.htmlNorovirus, sometimes called “stomach flu,” is highly contagiousLeading cause of foodborne illness in the U.S.Per year in the U.S., results in:~800 deaths71,000 hospitalizations19-21 million total illnesses~$1.4 billion in healthcare costs~$23.5 billion in societal costsFoodborne illness is a major problem with significant impact on schools and businessesRoughly 48 million get sick, 128,000 are hospitalized, 3,000 die each yearhttp://www.cdc.gov/foodsafety/foodborne-germs.htmlNorovirus & Foodborne IllnessSlide13

Common Infectionshttps://www.cdc.gov/mrsa/community/index.htmlS. aureus

, or “staph,” is commonly carried on the skin or in the nose of healthy peopleMRSA is a type of S. aureus bacteria that is resistant to antibiotics Risk is increased in activities or places that involve crowding, skin-to-skin contact, and shared equipment or suppliesContaminated surfaces and lack of cleanliness make it easier to spreadhttp://www.cdc.gov/niosh/topics/mrsa/S. aureus & MRSASlide14

The Role of the EnvironmentCleaning and Disinfection

Why is it so important?Slide15

Surfaces as Reservoirs Cleaning and disinfecting helps eliminate environmental reservoirs and

combat cross-contamination.PATHOGENSURFACE VIABILITYInfluenza Virus1-2 daysNorovirus8 hours to 7 daysRhinovirus / Common Cold2 hours to 7 daysE. coli1.5 hours to 16 monthsSalmonella

3 -7

days

S. aureus

/

MRSA

7 Days to 7 months

Enterococcus species (VRE)

5

d

ays to 4 months

Clostridium difficile

Days

to 5 months

Pathogens can survive on surfaces for a long time and contribute to increased risk of infections.

Kramer A et al.

BMC Infect. Dis.

2006;

6

:130.

Sirsat

AS et al. J.

Env

. Health; 2013;75(7):8.Slide16

Role of Surfaces in TransmissionBy the numbers:

50% of viruses on a surface are picked up by hands when the surface is touchedA contaminated doorknob and a person can infect 40% of colleagues and contaminate 40-60% of surfaces in in 4 hours Lopez GU. et al. Applied and Environmental Microbiology 79.18 (2013): 5728–5734. Reynolds KA et al. Arch Environ Occup Health. 2016 May 3;71(3):157-62.Sick person sneezes or coughs and deposits pathogens on surfaces, or touches surfacesPeople pick up pathogens from surfacesPeople get sickSlide17

Breaking the Chain of TransmissionProduct selection, new technology and best practices for preventing illness and absenteeismSlide18

Selecting the Right Products

*Adapted from Rutala WA, Weber DJ; Healthcare Infection Control Practices Advisory Committee. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.What’s the Difference?EPA registration numberNon-food contact sanitizer“Kills 99.9% of germs”Food-contact sanitizerSterilantFDA regulatedEPA registration numberDisinfectantCleaner Disinfectant“Kills 99.999% of germs”Product label may contain the following information:CleanerDetergentSlide19

Rutala & Weber. Selection of the ideal disinfectant. Infect. Control Hosp. Epidemiol.

2014, 35 (7), 855–865.Selecting the Right ProductSlide20

Selecting the Right ProductsDisinfectants should be tough on germs, not surfaces and equipmentDon’t compromise between efficacy and surface compatibility – look for products that offer both

Saito, R et al. American Journal of Industrial Medicine 58.1 (2015): 101–111.Ready-to-use products can improve overall efficiency:Surface CompatibilityNo mixing necessaryStandardized dilutionReduced user errorPre-saturated wipes:One-step cleaning and disinfectionMinimize cross-contaminationMany sizes availableSlide21

New TechnologyElectrostatic technology enables superior coverage of trusted solutionsSlide22

Electrostatic Spray TechnologyElectrostatic Spray Technology was created in the 1930s to improve spray deposition

In the 1980s, the agricultural industry started using sprayers to help reduce pesticidal driftIn the 1940s, the automobile industry implemented the technology for paint coatingSlide23

Electrostatic Spraying is a System ….. Not just a DeviceSlide24

Clorox® Total 360® System

Combines electrostatic technology with trusted Clorox® products to quickly and easily provide superior coverage of surfaces even outside line-of-sight. Electrostatic sprayer:Delivery system for superior coverageForce stronger than gravity attracts solutions to surfacesDisinfecting & sanitizing solutions:Clorox® Total 360™ Disinfectant Cleaner4Clorox® Anywhere® Hard Surface Sanitizing SpraySlide25

Clorox® Total 360® SystemSaves time: Works up to 4x faster*

Saves labor: Covers up to 18,000 ft2/hourSaves money: Uses up to 65% less solution** Compared with a trigger sprayThe Clorox® Total 360® System helps keep facilities healthier while also saving time, money and laborSlide26

Clorox® Total 360® SystemElectrostatic technology enables superior coverage of Clorox® trusted solutions in hard to reach places —the side, underside, and backside of surfaces.

How it works:26Slide27

Clorox® Total 360® System Device and Solution

Designed and tested as a system against three critical criteria:27Micro-efficacyNorovirus, Cold & Flu viruses, MRSA (2 min) Eliminates tough odorsResidueNo wiping requiredMinimal residueWorker FlowImmediate re-entry Micro-efficacyHard surface sanitizer (1 min)Food contact sanitizer (2 min)Residue No wiping/rinsing requiredMinimal residueWorker FlowImmediate re-entry time

Micro-efficacy & Performance

Residue

Worker FlowSlide28

Implementing Best PracticesHow to Protect Your Facility During cold and flu season and all year

FIGHT ABSENTEEISM28Slide29

Best Practices: ComplianceKey Barriers

Ready-to-use productsElectrostatic technologyTraining and supportClear roles and responsibilitiesPurpose is criticalBuy-inProtocols and check-listsMonitoring

Cleaning protocols not followed

Product misuse

Incomplete product coverage

Time constraints

What can help? Slide30

Tips for preventing the spread of the common cold, flu and norovirus:

Surfaces Clean surfaces from clean to dirtyClean regularly to remove visible soilDisinfect high-touch surfaces dailyUse bleach or another EPA-registered disinfectant that is approved to kill influenza and norovirusEmploy electrostatic spray technology for superior surface coverageClean and disinfect surfaces regularly using a bleach solution or EPA-registered disinfectant that is approved to kill flu and norovirusEmploy electrostatic spray technology for superior surface coverageAlways follow product label instructions for dilution (if necessary), application and contact timeUse PPE when necessaryIncrease frequency of cleaning and disinfection during outbreaksThrow disposable cleaning items away after useWash hands properly and regularly

Best Practices: Hard Surfaces

Bathrooms

Things to Remember

http://www.flu.gov/planning-preparedness/hospital/influenzaguidance.html#

https://www.cdc.gov/features/norovirus/

http://www.cdc.gov/flu/school/cleaning.htm

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Some pathogens can survive on soft surfaces for as long as three months. Best Practices: Soft Surfaces

1. Routinely launder washable items and soft surfaces in your facility.2. Use an EPA-registered product to kill bacteria on soft surfaces between laundering and on soft surfaces that cannot be laundered. 3. Encourage good hand hygiene practices by staff during and between routine cleanings.Improve soft surface sanitization with three simple steps:Slide32

Best Practices: Preventing Cross ContaminationSlide33

Encourage Healthy Habits

Stay home when sick to avoid spreading germs throughout the environment and to others.Regularly wash hands with soap and warm water, especially after sneezing or coughing, touching used tissues or using the bathroom.Cough or sneeze into a tissue or your elbow to prevent the spread of illness-causing germs. To help slow the spread of flu, the first line of defense is getting vaccinated.Slide34

34Conclusion & Questions

For more information and resources, visit www.CloroxProfessional.com.