COVID-19 Sanitation Guidelines

“ Life is like a Bicycle, to keep your balance, you must keep moving” – Albert Einstein

April 30th 2020

Paul Wright-SVP

What is COVID-19?

• Novel (new) Virus - SARS-nCov-2

• Highly Contagious-Coronaviruses (CoV) are a large family of viruses transmitting between animals and people that cause illness ranging from the common cold to more severe diseases such as Middle East respiratory syndrome (MERS-CoV) and severe acute respiratory syndrome (SARS-CoV).

• The virus that causes COVID-19 is mainly transmitted through droplets generated when an infected person coughs, sneezes, or exhales. These droplets are too heavy to hang in the air, and quickly fall on floors or surfaces.

• You can be infected by breathing in the virus if you are within close proximity of someone who has COVID-19, or by touching a contaminated surface and then your eyes, nose or mouth.

How can I protect myself and others? • There is no current cure for COVID-19 however, you can kill it with washing

your hands with soap for 20 seconds (proven) and hand sanitizers, disinfectant wipes so, have these practiced.

• Stay home when you are sick (HELLO!)

• Cover your mouth with a tissue when you cough or sneeze or cough or sneeze into your elbow.

• Avoid touching your face.

• Disinfect frequently touched objects and surfaces.

• Wash your hands with soap and water for at least 20 seconds.

• If soap and water isn’t accessible, use an alcohol-based hand sanitizer with at least 60% alcohol. All new Temporary monogram manufacturers under the FDA guidelines require - 75% Isopropyl alcohol and 80% Ethanol Alcohol.

• Do I need Antibacterial Hand Soap to wash hands?-No. but, it’s a another step of protection against bacteria and germs.

How Germs Spread

• Touch your eyes, nose, and mouth with unwashed hands

• Prepare or eat food and drinks with unwashed hands

• Touch a contaminated surface or objects

• Blow your nose, cough, or sneeze into hands and then touch other people’s hands or common objects

CDC Washing Hands https://www.cdc.gov/handwashing/pdf/wash-your-hands-poster.pdf

• Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.

• Lather your hands by rubbing them together with the soap.

• Be sure to lather the backs of your hands, between your fingers, and under your nails – This is the condominiums for germs, viruses, and bacteria's.

• Scrub your hands for at least 20 seconds.

• Need a timer? Hum the “Happy Birthday” song from beginning to end twice.

• Rinse your hands well under clean, running water.

• Dry your hands using a clean cloth or paper towel or air dry them

• Post the hand washing SIGNS at all sink areas for team members and guests.

CORONAVIRUS: BLACK LIGHT PHOTOS SHOW IMPORTANCE OF WASHING HANDS AMID OUTBREAK ----30 SECONDS

WITH SOAP!

Each of the six photos showed how much bacteria was on a woman’s hand using black light and cream called Glo-Germ – a mineral oil that

clings to germs, and is only visible under a UV light.

The images showed the hands at different stages of cleanliness including “before washing”, after a “rinse and shake”, with “six seconds and no

soap” and “30 seconds with soap”.

The first few photos revealed a plethora of bacteria had been left behind and, while more similar, there was also a marked difference between a

15-second wash with soap and a 30-second one.

Cleaning vs. Disinfecting vs. Sanitizing • Cleaning refers to the removal of germs, dirt, and impurities from surfaces. It does not kill

germs, but by removing them, it lowers their numbers and the risk of spreading infection.

• Disinfecting refers to using chemicals, for example, EPA-registered disinfectants, to kill germs on surfaces. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower the risk of spreading infection.

• Sanitizing is the act of cleaning and/or disinfecting to cut the number of germs, bacteria, and Viruses on a surface or object.

• PRACTICE

• Practice Team members can practice routine cleaning of frequently touched surfaces (for example: tables, doorknobs, light switches, handles, desks, toilets, faucets, sinks, and electronics). Labels contain instructions for safe and effective use of the cleaning product including precautions you should take when applying the product, such as wearing gloves and making sure you have good ventilation during use of the product.

• For electronics follow the manufacturer’s instructions for all cleaning and disinfection products. Consider use of wipeable covers for electronics. If no manufacturer guidance is available, consider the use of alcohol-based wipes or spray containing at least 70% alcohol to disinfect touch screens. Dry surfaces thoroughly to avoid pooling of liquids.

• Clean and disinfect high-touch surfaces daily in household common areas (e.g. tables, hard-backed chairs, doorknobs, light switches, phones, tablets, touch screens, remote controls, keyboards, handles, desks, toilets, sinks.

• Try and void anything that you know someone else has touched: magazines, testers, products (includes retail).

How to clean and disinfect! Hard (Non-porous) Surfaces

• Wear disposable gloves when cleaning and disinfecting surfaces. Gloves should be discarded after each cleaning. If reusable gloves are used, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and should not be used for other purposes. Consult the manufacturer’s instructions for cleaning and disinfection products used. Clean hands immediately after gloves are removed.

• If surfaces are dirty, they should be cleaned using a detergent or soap and water prior to disinfection.

• For disinfection, most common EPA-registered household disinfectants should be effective.

• A list of products that are EPA-approved for use against the virus that causes COVID-19 is at the CDC website. Follow manufacturer’s instructions for all cleaning and disinfection products for (concentration, application method and contact time, etc.).

Soft (Porous) Surfaces

• For soft (porous) surfaces such as carpeted floor, rugs, cloth furniture, and drapes, remove visible contamination if present and clean with appropriate cleaners indicated for use on these surfaces. After cleaning!

• Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely.

Linens, clothing, and other items that go in the laundry

• Wear disposable gloves when handling dirty laundry from an ill person and then discard after each use. If using reusable gloves, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and should not be used for other household purposes. Clean hands immediately after gloves are removed.

• If no gloves are used when handling dirty laundry, be sure to wash hands afterwards.

• If possible, do not shake dirty laundry. This will minimize the possibility of dispersing virus through the air.

• Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely. Dirty laundry from an ill person can be washed with other people’s items.

• Clean and disinfect clothes hampers according to guidance above for surfaces. If possible, consider placing a bag liner that is either disposable (can be thrown away) or can be laundered.

• For Application, use an evenly sprayed or applied area and let sit for the appropriate “DWELL TIME” .CDC recommends 10 minutes for thorough disinfecting on the surfaces-spaces.. Caution: Do Not spray the disinfectants on, nearby, or next to people (guests-employees). Make sure sprays are set to spray and not stream for best use and cost-savings. Spraying on a clean (unused cloth, wipe) or paper towel is also recommend to avoid sprays if this helps. Googles-Safety glasses recommended.

How to use common disinfecting products • When disinfecting a surface, by far the most important consideration is what’s known as dwell time:

the amount of time the disinfectant needs to remain on a surface to kill pathogens, and in this case, specifically the coronavirus that causes Covid-19.

• No disinfectant works instantly; most of those sold to the public take several minutes.

• Different dwell times don’t indicate that one disinfectant is more or less effective than another.

• But in this moment, those are secondary concerns. As you know, disinfectants are high demand and low supply, According to leading experts, apply a disinfectant and give it a 10-minute dwell time.

• They’re just how long products take to eliminate the coronavirus and the result you want. But dwell time is not the only thing you need to pay attention to.

Complete disinfecting protocol includes four steps:

1. Pre-cleaning:

2. Disinfecting (dwell time):

3. Wiping clean:

4. Rinsing with water:

“But we’re lucky if we get two,” meaning dwell time and wipe-up, said Mark Warner, education manager at the Cleaning Management Institute, a provider of training and certification for professional cleaning services. Pre-cleaning is most important on heavily soiled surfaces, because dirt can shield pathogens underneath; it’s fine to use soap and water or a household cleaner. Disinfecting for the proper dwell time, of course, is nonnegotiable. Wiping afterward is essential because disinfectants can leave a sticky residue where pathogens can quickly resettle. And rinsing finishes the process.

• Best to dispose of prepackaged wipes or paper towels that you’ve used to disinfect surfaces.

• Reusable cloths and mops “should be exchanged for a new one often during a cleaning process, then laundered.

What about using Bleach? • CDC recommends: 1:48 solution (⅓ cup of bleach per gallon of water, or 4 teaspoons per

quart). Clorox recommends a slightly stronger 1:32 ratio (½ cup per gallon or 2 tablespoons per quart). Other experts recommend a much stronger 1:10 ratio (about 1½ cups per gallon of water, or about ⅓ cup per quart). Some medical disinfectants are basically the same solution. “That gives you your best shot.” according to Mark Warner, education manager at the Cleaning Management Institute, a provider of training and certification for professional cleaning services.

• Before you begin preparing any bleach solutions, especially if you’re new to this, please thoroughly read over the entire warning label on the bottle of bleach and exercise an abundance of caution in storage, handling and cleaning up afterward. Information on avoiding “irreversible eye damage and skin burns” is worth your time.

• Whichever ratio you use, let it sit on the surface for 10 minutes: This is the Environmental Protection Agency’s guideline for any new or unknown pathogen, and it is also the dwell time listed for the regular household bleaches on the E.P.A.’s List N, which means it is approved to eliminate the coronavirus when properly used.

• You also need to wipe it off after the 10-minute dwell time, because left to sit indefinitely, bleach can damage even resilient materials like stainless steel. And it can cause some plastic containers to break down over time.

• And never, ever mix bleach with ammonia or anything containing ammonia (like many window cleaners), or with anything acidic (like white vinegar and many lime scale/rust removers, including CLR). Doing either will produce highly dangerous and even deadly gases.

WHAT ARE THE DIFFERENCES BETWEEN BLEACH AND QUAT?

• Bleach is a common household name for a solution of sodium hypochlorite and water. Sodium hypochlorite, in its pure form, is a water soluble, yellowish liquid that contains about 12% chlorine and is an extremely powerful oxidizing agent. It will corrode or destroy most metals, react with acids, peroxides, and many other chemicals to produce toxic chlorine gas. Bleach will dissolve paper, cloth, and many other organic materials. Even in the 5% household strength, bleach is still a potent oxidizer and disinfectant with very high alkalinity. Caution must be used when working with bleach. Even in diluted form the fumes can produce severe irritation to the respiratory system. Skin contact can result in mild irritation to burns. Prolonged eye contact can cause permanent damage. Bleach contains NO cleaning agents.

• Quat is the common name for quaternary ammonium chloride compounds of which there are about 300 varieties all with varying anti-microbial efficacies. Quats are generally surfactants with cationic (positive) charges. Due to their surfactant make-up, quats contribute cleaning power to their formulas. These products are low in toxicity and corrosivity making them user friendly and simple. Caution: FDA is currently studying tests advocated by Women’s groups for possible birth defects by certain Quats in household cleaners.

• While the advantage of bleach is ultimately the inexpensiveness to use, the rest of the variables are all disadvantages. Bleach is highly corrosive, contains toxic fumes, dissipates quickly, bleaches most fabrics, causes irritation to the eyes and nose, has no cleaning ingredients, dulls floor tiles, and damages floor finish and grout. Bleach is dangerous if mixed with many chemicals and cleaners.

• On the other hand, the disadvantage of quat is the price in comparison to bleach. Quat can also have reduced activity in the presence of soil. However, the advantages of quat is what make it the winner. Quat has excellent wide spectrum germ kill ability, film forming residual, low toxicity and corrosivity, simple to use, good shelf life, works in a variety of pH ranges, highly concentrated, no odor, and safe on mostly all surfaces. There are neutral formulas that will not dull floor finish. Quat will not change the taste or odor of food. It is the choice disinfectant for most hospitals and health institutions.

How long can the Virus last on surfaces?

• The most important thing to know about coronavirus on surfaces is that they can easily be cleaned with common household disinfectants that will kill the virus. Studies have shown that the COVID-19 virus can survive for up to 72 hours on plastic and stainless steel, less than 4 hours on copper and less than 24 hours on cardboard (WHO).

• The researchers behind the new study tested the virus' life span in a 71-degree-Fahrenheit room at 65% relative humidity. After three hours, the virus had disappeared from printing and tissue paper. It took two days for it to leave wood and cloth fabric. After four days, it was no longer detectable on glass or paper money. It lasted the longest, seven days, on stainless steel and plastic.

• A study published April 2 in the journal The Lancet Microbe revealed how long the COVID-19 virus lasts on various common surfaces. The authors found that the virus lasted longest — seven days — on the outer layer of surgical masks.

• Masks have also been noted as possible carriers due to the constant touching with hands.

Acronyms • COVID-19 (Novel) Corona-Virus-Disease-2019 (Novel-New)

• CDC- Centers for Disease Control -As the nation's health protection agency, CDC saves lives and protects people from health, safety, and security threats.

• WHO-World Health Organization -primary role is to direct international health within the United Nations' system and to lead partners in global health responses.

• FDA-Food & Drug Administration -is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices; and by ensuring the safety of our nation's food supply, cosmetics, and products that emit radiation.

• DRLS –Drug Registration Listing System

• PPE- Personal Protection Equipment

• EPA-Environmental Protection Agency - is to protect human health and the environment. EPA works to ensure that: Americans have clean air, land and water; ...

• HHS-Health and Human Services- to enhance and protect the health and well-being of all Americans. We fulfill that mission by providing for effective health and human services and fostering advances in medicine, public health, and social services.

• DOT –Department of Transportation - is a cabinet-level agency of the federal government responsible for helping maintain and develop the nation's transportation systems and infrastructure.

• OSHA-Occupational, Safety Hazard Administration -to ensure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance.

• MSDS-Material Safety Data Sheets -A Safety Data Sheet (SDS) is a document produced in alignment with the UN’s Globally Harmonized System of Classification and Labelling of Chemicals (GHS) that the manufacturer, importer, or distributor of a chemical product is required to provide to downstream users. The purpose of an SDS is to ensure that all workers who handle chemicals have the hazard information they need to safely use, handle and store them.

• INCI- International Nomenclature of Cosmetic Ingredients- is a systemic names for waxes, oils, pigments, chemicals, and other ingredients of soaps, cosmetics, and the like, based on scientific names and other Latin and English words.

• HAZMAT-Hazardous Materials -substances in quantities or forms that may pose a reasonable risk to health, property, or the environment.

• USP –United States Pharmacopoeia dedicated to helping improve global health through standards setting in compounding, biologics, pharmaceutical manufacturing and other fields.

• ACS - is the world's largest scientific society and the premier home of chemistry professionals.

FDA approved Hand Sanitizer • Previously approved Hand Sanitizer is 60%

• New FDA temporary monogram Hand Sanitizer:

Isoprophyl-75% alcohol

Ethanol- 80% alcohol

Your areas

• Entrance

• Reception

• Lobby

• Back of the House

• Public Bathrooms

• Break rooms: Avoid larger congregations.

• Fitness Center

• Pools/Wet areas

• Floors (Swifter's-disposable floor wipes)

• Locker rooms (Guests should be showering first!)

• Treatment area/Dispensary

• Salon/Dispensary

• Relaxation area

• Engineering should check HVAC filters and change often and with a Germ Microbe filter.

• Am/Pm Inspections from supervisors to make certain all areas are being sanitized.

Prevention and Protection

• On March 27th, 2020, BARBICIDE® received documentation from the EPA that BARBICIDE® is approved for efficacy against Human Coronavirus, including COVID-19. While no company has been able to receive actual COVID-19 samples and put them through the rigorous testing required, the EPA considers efficacy against Human Coronavirus to include COVID-19.

• Remember contact time. The most important step of the disinfection process is to allow the chemical time to work! Read all disinfectant labels to know the correct time frame. For BARBICIDE® concentrate, that contact time is 10 minutes and for BARBICIDE® Wipes the contact time is 2 minutes.

• Practice proper infection control. Cleaning & disinfection, as directed by the boards of every state. These rules require proper disinfection of every non-porous implement prior to use. In addition, consideration of disinfection of common use surfaces such as back bars, reception areas, computers and phones should be considered.

• https://barbicide.com/barbicide-statement-regarding-covid-19/

• https://barbicide.com/wp-content/uploads/2020/03/EPA-Testing-Approval.pdf

BARBICIDE Spacide

Can massage relieve symptoms of depression, anxiety and stress?

According to an article with the Mayo Clinic: A 60-minute massage can lower cortisol, a hormone that’s produced in response to stress, by an average of 30 percent. And when cortisol levels decline, serotonin — one of the body’s anti-pain mechanisms — increases by an average of 28 percent after receiving a massage. By lowering cortisol and increasing serotonin, you’re boosting your body’s ability to fight off pain, anxiety and feelings of sadness.

References

• EPA

• CDC

• Mayo Clinic

• FDC

• Barbicide

• Umms.org

• Business Insider-Steri-clean, CEO Cory Chambers

• University of Maryland Medical system

• Cleaning management Institute-Mark Warner-Education Manager

• Boston Public Health Commission

• New England Journal of Medicine

• American Journal of Psychiatry