EUROPEAN TISSUE SYMPOSIUM The European Tissue Paper Industry Association

EUROPEAN TISSUE SYMPOSIUM The European Tissue Paper Industry Association

www.europeantissue.com

Introductory Presentation

Roberto Roberto Berardi Berardi

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Presentation of the activitiesPresentation of the activitiesof the European Tissue Symposiumof the European Tissue Symposium

and of the studies of Westminster University and of the studies of Westminster University and Eurofins-Inlaband Eurofins-Inlab

Capture bacteria for a clean washroomCapture bacteria for a clean washroom3° edition3° edition

Contest to create a cartoon or illustration for use Contest to create a cartoon or illustration for use

in Institutional Campaigns, in collaboration in Institutional Campaigns, in collaboration with the Fine Arts Academy of Bolognawith the Fine Arts Academy of Bologna

www.europeantissue.com 2

• This is an introductory presentation to the ETS (European Tissue ETS (European Tissue Symposium)Symposium), its main activities and to the Worldwide Cartoon Worldwide Cartoon Contest Contest being launched in these days.

• In order to provide some background to the participants to the contest, this document illustrates:• the AFHAFH (Away From Home) Tissue Products and how they help to achieve Tissue Products and how they help to achieve

a superior level of Hygiene.a superior level of Hygiene.• the results of the the results of the Hygiene studies Hygiene studies supported by ETS and conducted supported by ETS and conducted

by the Westminster University and recently byby the Westminster University and recently by Eurofins-Inlab. Eurofins-Inlab. The presentation includes also the conclusions of the scientific article The presentation includes also the conclusions of the scientific article published in Aug 2012 on Mayo Clinicpublished in Aug 2012 on Mayo Clinic ProceedingsProceedings.

• the indications provided by the leading Worldwide Health Authorities leading Worldwide Health Authorities (which are perfectly consistent with the outcome of our studies)

• the ecologicalecological aspects of paper• the ETSETS objectivesobjectives while promoting a CartoonCartoon and IllustrationIllustration contestcontest

Content of this document Content of this document


ETS (European Tissue Symposium)ETS (European Tissue Symposium)is the Association is the Association

of the European Tissue producersof the European Tissue producers

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** ETS Members ETS Members

In 2012 the EuropeanOperations of Georgia Pacifichave been acquired by SCA


ETS activitiesETS activities

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The European Tissue Symposium (ETS)European Tissue Symposium (ETS) ( (www.europeantissue.com) ) represents 9090 per cent of tissue production in Europe. Its purpose is:

• to monitomonitorr events and developments within the European Tissue industry, and ensure members are kept informed

• to to research and develop issues research and develop issues that have an impact on tissue• to to liaiseliaise with NGOs and European institutions • to to improve the science behind tissue usageimprove the science behind tissue usage, by producing

bespoke advanced Studies using the most authoritative institutions, including Users preference Users preference studies, LCALCA / Carbon Footprint Carbon Footprint studies, Hygiene studiesHygiene studies, Food contactFood contact, etc.

• to define and communicate Industry Position Papers Position Papers on relevant issues

• to promotepromote tissue usage• to increasingly use Internet to communicate with all the

relevant Stakeholders

http://www.europeantissue.com/


x

Towards the end of 2009 the ETS Website has Towards the end of 2009 the ETS Website has been changed, since 2010 we use AdWords.been changed, since 2010 we use AdWords.

Thanks to a number of factors, we achieve today Thanks to a number of factors, we achieve today in 10 days the visits we had previously in a year.in 10 days the visits we had previously in a year.

Results in the last 2 years: 2011 = 78.927 visits2011 = 78.927 visits, 2012 = 135.610 visits2012 = 135.610 visits

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2010 33004 16927 1410

We currently record above 10.000We currently record above 10.000visits per month to our website, visits per month to our website,

and in addition about 600 on YouTubeand in addition about 600 on YouTube


Why the number of visits has increased by a factor Why the number of visits has increased by a factor of 5 during 2011, in comparison to 2010, when it had of 5 during 2011, in comparison to 2010, when it had doubled already vs. 2009?doubled already vs. 2009?

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Three are the key reasons of the big visits increase during 2011:1.The creation of pages in German, French, Italian, Spanish and the relative AdWords. (before the website was just in English. Now a single Italian page «l’igiene nel lavare le mani» has achieved in 2012 11.200 visits and a French one «Comment se laver et se sécher les mains – Recommandations de l’Organisation mondiale de la Santé (OMS – WHO)» has been visited 36.000 times in 2012)

2.Advertising on major Category Magazines,with the indication of our homepage

3.The creation of 2011-2012 Cartoon Contest pages and the relative AdWords investment(which has providedin 2012 47.200 visits 47.200 visits for the for the 2012 edition and 9.7009.700 visits for the 2011 edition)


But let’s get acquainted But let’s get acquainted with the Tissue Products and with the Tissue Products and

their main featurestheir main features

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Comparison Comparison Per Capita Tissue Consumption Per Capita Tissue Consumption --- - Life expectancyLife expectancy

The correlation is quite strong, both are The correlation is quite strong, both are related to improved related to improved hygiene conditionshygiene conditions

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USA

CANADA

JAPAN

GERMANYFRANCE UK

POLAND

CHINA

RUSSIA

BRASIL

TAIWAN

KOREA

Data: 2005 per capita Tissue cons: EU ConsultingLife Expectancy at birth 2005: Gapminder

INDIA

ITALY SWEDEN


How Tissue products contribute How Tissue products contribute to improved life quality and health to improved life quality and health (1) (1)

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““HygieneHygiene is also a very important factor in healthhealth. For example if you look at the last cholera outbreak in Chilecholera outbreak in Chile, it was traced back to and spread by dirty dish clothdirty dish cloth. That is a fact.So perhaps paper kitchen towels would have been useful inkitchen towels would have been useful in avoiding this.” avoiding this.”

Professor Hans RoslingHans Rosling, of Global Health at Karolinska Medical University in Sweden (the institution responsible for deciding the Nobel Prize in medicine) is the creator of GAPMINDERGAPMINDER, (http://www.gapminder.org/videos),a program which provides very useful data, presented in a exciting, dynamic way, about HEALTHHEALTH aroundaround thethe worldworld.

In an interview released in 2009*, he has declared:

* Perini Journal , Issue #33

http://www.gapminder.org/videos


How Tissue products contribute How Tissue products contribute to improved life quality and health to improved life quality and health (2)(2)

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• The USE of TISSUEUSE of TISSUE, both at HomeHome and Away From HomeAway From Home, is an important element of improved life quality improved life quality and hygienehygiene conditionsconditions

• Lower hygiene risks contribute to better healthbetter health. • The uniqueunique propertiesproperties of TissueTissue productsproducts (superiorsuperior hygienehygiene, absorbencyabsorbency,

disposabilitydisposability, easyeasy dispensingdispensing) provide the Users with superior performance and safety.

• The highhigh performanceperformance of the recent Tissue products also means that fewerfewer are needed: reduced consumption saves resources and the environment.

• Tissue is a forest based business which uses renewablerenewable resourcesresources,improves the wellwell-beingbeing of the Society, which not only is an essential ingredient of modernmodern life-stylelife-style, but contributes to improve people healthhealth conditionsconditions everyday, everywhere.

• Additionally Tissue products are preferred by UsersUsers too: an independentindependent surveysurvey conducted in France, Germany, Sweden and the UK, commissioned by the European Tissue Symposium, found that 63%63% of consumers consider paper towels paper towels their preferredpreferred system for hand drying

Find more at: http://www.europeantissue.com/awayfromhome/


Summary of Intermetra Summary of Intermetra User Preference studyUser Preference study

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WHICH SYSTEM DO YOU LIKE THE MOST?

• 2 consumers out of 3 2 consumers out of 3 prefer paper tissue towels (while the remaining 1/3 is split among air dryers and textile rolls)

• their key motivation key motivation is hygienehygiene, in addition to speed of drying speed of drying and driest feelingdriest feeling..

Intermetra study on Consumers’ attitudes to different Hand-drying systems Consumers’ attitudes to different Hand-drying systems was performed in 2008 and took place in a number of European countries.


KEY AFH PRODUCTS AREAS: KEY AFH PRODUCTS AREAS: HYGIENE - DRYINGHYGIENE - DRYING

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In the washroomswashrooms tissue products offer the best hygiene standards in a variety of environments, from luxury hotels to production facilities. TowelsTowels, toilettoilet tissuetissue, facialfacial tissuetissue, tissuetissue dispensersdispensers are designed to minimize consumption / waste and optimize cost in use,while offering the right image and style to each location:•highhigh capacitycapacity rolls, useful to reduce refills, labor and waste, typically recommended for high traffic washrooms, •interfoldedinterfolded and foldedfolded towels, particularly suitable for commercial and upscale washrooms.To match the different types of towels different types of towels a wide range of dispensers are offered: from "design", slim folded towels dispensers, to roll towels "no touch" ones.

Obviously different solutions are available for toilettoilet tissuetissue: standard rolls, never ending jumbo rolls, folded toilet paper, each of them particularly suitable for specific locations.

What tissue products have absolutely in common is their superior hygienesuperior hygiene level: the study done by the University of WestminsterUniversity of Westminster confirms that drying hands with paper drying hands with paper tissue hand towels reduces substantially the bacteria count on hands, while the use tissue hand towels reduces substantially the bacteria count on hands, while the use of electric air dryers actually increases the bacteria count. of electric air dryers actually increases the bacteria count.

Tissue towels insure not only dry hands in few seconds, but also a much safer hygiene level.


The products tested * The products tested * by the Westminster University by the Westminster University

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PT – Paper TowelsWAD – Warm Air Dryers JAD – Jet Air Dryers

* Study report with details, including models tested, available on the ETS website


How long does it take to dry your hands? How long does it take to dry your hands? 10 seconds for Paper Towels and JAD , 10 seconds for Paper Towels and JAD ,

much more for Warm Air Dryersmuch more for Warm Air Dryers

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Immagine prodotti testati da WU

Jet Air Dryer (JAD)


Drying hands with Drying hands with Paper Towels Paper Towels significantly significantly reducesreduces the number of Bacteria on your the number of Bacteria on your

hands, while the use of hands, while the use of anyany Electric Air Dryer Electric Air Dryer increases increases the number of the number of BacteriaBacteria!!

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Paper Towels A & B Warm <- Air Dryers -> Jet


Due to their very high air speed, the Due to their very high air speed, the Jet Air Dryers Jet Air Dryers present a significant dispersion and present a significant dispersion and potential potential

contamination of other users problemcontamination of other users problem, which has , which has been evaluated in the Westminster University study been evaluated in the Westminster University study

(page 1) (page 1)


0 0,25 0,50 0,75 1,00 1,25 1,50 1,75 2,00 meters

Due to their very high air speed, the Due to their very high air speed, the Jet Air Dryers Jet Air Dryers present a significant dispersion and present a significant dispersion and potential potential

contamination of other users problemcontamination of other users problem, which has , which has been evaluated in the Westminster University study been evaluated in the Westminster University study

(page 2) (page 2)


The new Eurofins-Inlab study.The new Eurofins-Inlab study.

This should be the key source of inspiration key source of inspiration for the 2013 edition of the cartoon Contestfor the 2013 edition of the cartoon Contest


Short DescriptionShort Description

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Institut for Microbiology of food, analyses, hygiene of companies and environmental hygiene

Inlab was founded in 1992 as a microbiology laboratory of food. Inlab is member of the Eurofins Group since December 1st, 2007. Microbiological testing, expert advice & sample drawing in the following areas:

• Food (final-, intermediate products and raw materials), feeding stuff, articles of daily use including passing of rapid analyses

• Drinks and dispensing equipment• Sanitary products, cosmetics and commercially available drugs• Drinking- and mineral water, bath water• Medical water like flushing water• Hygiene of companies• Compost• Training courses, inspections, hygiene advice

Accreditation:Accredited according to DIN/EN ISO/IEC 17025 (DAR and DAkkS for second governmental samples), § 43 IfSG (permission for working with pathogens - according to NRW-governmental permission) drinking water laboratory and admitted laboratory of the “compost qualitycontrol association” for analysis of salmonella." DIN EN ISO/IEC 17025:2005; Authorised experts for double and cross checks accordingto § 43 LFGB (German Food and Feed Code) cosmetics excluded - authorised for drinking water analysis by German authoritiesFor further informations about Eurofins and Inlab look up: www.eurofins.de www.eurofins.com www.inlab-dortmund.de

http://www.eurofins.de/

http://www.eurofins.com/

http://www.inlab-dortmund.de/


Basics on the Basics on the need of Hands Dryingneed of Hands DryingExtracts from comments by Prof. Mark Wilcox about the Extracts from comments by Prof. Mark Wilcox about the

studystudy

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• Hand washing Hand washing helps to preventprevent thethe cross-contaminationcross-contamination of microbes from one person or surface to another.

• It prevents infection prevents infection and can sometimes even save lives, by reducing the numbers of pathogens on hands.

• A fundamental aspect to hand washing is thethe dryingdrying ofof handshands. • Hands can be dried with …:

• the use of single use paperpaper handhand towelstowels, • reusable cotton/textilecotton/textile towels, • traditional warmwarm airair driersdriers • high velocity jetjet airair driersdriers.

• The first two methods absorbabsorb waterwater on the hands; the other types dispersedisperse waterwater into the airinto the air, via a variety of mechanisms.

• Micro-organisms, especially StaphylococciStaphylococci, ColiformsColiforms and YeastsYeasts may contaminatecontaminate handshands duringduring toiletingtoileting.

• Hands may alreadyalready bebe contaminatedcontaminated with bacteria, viruses or yeasts beforebefore washing and could be transferred during the drying process or afterwards.


Eurofins – Inlab Study descriptionEurofins – Inlab Study description

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• The Eurofins-Inlab study measured the microbial contamination microbial contamination of three types three types of drier devices of drier devices in the washrooms. Commissioned by ETS, it was carried out in various settings in the RuhrRuhr regionregion, WestWest GermanyGermany (Feb-May 2012).

• 150 washrooms 150 washrooms were selected by Eurofins –Inlab (ETS doesn’t know their location) and contained jetjet airair driersdriers, warmwarm airair driersdriers, or handhand toweltowel dispensersdispensers (50 of each). They were balancedbalanced to represent high versus low use settings.

• Specialised sponges were used to swab the surfaces of hand drying devices. • The sampled surfaces were those most likely touched most likely touched during hand drying, i.e.

the inside surface of jet air driersinside surface of jet air driers, the insideinside or outsideoutside surfacessurfaces of the outletoutlet tubetube of warmwarm airair driersdriers, and the outletoutlet (bottom) of paperpaper toweltowel dispensers.dispensers. Also a surfacesurface areaarea (100 cm2) of the floorsfloors below was sampled.

• The sponges were processed to determine the total number of microorganismsdetermine the total number of microorganismsand numbers of potentialpotential pathogenspathogens (e.g. Staphylococci including Staphylococcus aureus, and coliforms including Escherichia coli).

• As the sampled drier device surfaces differed in size, measured microbial counts were reanalysedreanalysed according to counts per unit surface area.


Eurofins – Inlab Study: key findings Eurofins – Inlab Study: key findings (1a)(1a)

The total microbe total microbe (aerobic bacteria) countscounts were significantlysignificantly higherhigher both on the surfaces of Jet Air Driers Jet Air Driers (approximately 1000 times higher1000 times higher) and on the floorsfloors beneath these devices (approximately 2020 timestimes higher), in comparison with PaperPaper Hand Towel DispensersHand Towel Dispensers.

There were also a similar significant difference in total Staphylococcaltaphylococcal counts on and beneath these two hand drier device types. Jet Air DryersJet Air Dryers PaperPaper HandHand TowelsTowels DispenserDispenser

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The proportion of Jet Air DriersJet Air Driers, Warm Air Driers Warm Air Driers and Paper Paper Towel DispensersTowel Dispensers on which ColiformsColiforms were found was 52%, 52%, 14%14% and 0%0%, respectively; the corresponding proportions of floorsfloors beneath devices positive for ColiformsColiforms were 46%46%, 16%16% and 10%10%, respectively.

Eurofins – Inlab Study: key findings Eurofins – Inlab Study: key findings (1b)(1b)


• Approximately 1 in 8 1 in 8 of the floorsfloors below Jet Air Driers Jet Air Driers had staphylococcal staphylococcal counts > 10 million counts > 10 million (per 100 cm2); nonenone of the counts on the floorsfloors below Paper Hand Towels Dispensers Paper Hand Towels Dispensers exceeded this level. 4% of floors beneath Warm Air Dryers Warm Air Dryers had counts above this level.

• There was consistency of resultsconsistency of results: higher drier surface microbe counts were usually accompanied by higher counts on the floors beneath the devices.

• The surfaces that were tested were those most likely to be touchedmost likely to be touched. As a result, the actual surfaces that were examined differed in terms of size (surface area); the jet air driers had the largest potential touch areas.

• In a recent observational study (commissioned by the Kimberly-Clark Corporation), one or both hands of all subjects (n=120) touched the blades of a Dyson Jet Air Drier during hand drying; the avg. number of observedobserved devicedevice touchestouches by hands per drying was 1313.

Eurofins – Inlab Study: key findings Eurofins – Inlab Study: key findings (2)(2)

• The microbemicrobe countscounts were adjustedadjusted to take account of the differencesdifferences inin surfacesurface areasareas that were sampled. Having made this adjustment, the microbe counts were still significantly higher (i.e. over 300 times higher over 300 times higher per unit area sampled) on the inner surfaces of Jet Air Drier inner surfaces of Jet Air Drier in comparison with those found on bottom surface of Hand Towel Dispensers.bottom surface of Hand Towel Dispensers.


Why microbes dispersal must be avoidedWhy microbes dispersal must be avoided

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• But how may micro-organisms contaminate the hand driers? • direct transfer by handshands touchingtouching a device (direct touch transfer), • transfer by the airair duringduring handhand dryingdrying (direct air transfer), • transfer by the airair afterafter handhand dryingdrying (indirect air transfer).

• Procedures should minimise the risk of microbes dispersalminimise the risk of microbes dispersal.

• AvoidanceAvoidance of touchingtouching contaminatedcontaminated surfacessurfaces and preventionprevention of airborneairborne spreadspread of microbesmicrobes are key ways of minimisingminimising thethe transmissiontransmission ofof infectioninfection.

• In cases of increased dispersal of microbes during hand drying, hands are more likely to be re-contaminatedre-contaminated during the drying process, and this could lead to increasedincreased spreadspread of potentialpotential pathogenspathogens.

• In some cases this could affect the person who acquires the microbes duringduring handhand dryingdrying, or a subsequentsubsequent personperson using the same washroom.

• Microbes could be acquired either by touchingtouching a contaminated surface (e.g. the hand drier device), from microbe-containing droplets/particlesdroplets/particles present in the airair thatthat landland onon aa personperson, or by breathingbreathing in tiny microbe-containing microbe-containing particlesparticles or dropletsdroplets.


Examples of risks associated Examples of risks associated with microbes dispersal:with microbes dispersal:

Staphylococcus aureus and flu virusStaphylococcus aureus and flu virus

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Staphylococcus aureus Staphylococcus aureus is carried in the nose and some skin sites of about 1 in 5 people. •It can cause a wide range of disease if the bacteria gain access to certain sites e.g. a skin wound; some types of Staphylococcus aureus can also cause food poisoning. •The most common way that The most common way that Staphylococcus aureusStaphylococcus aureus is transferred is on hands is transferred is on hands. •Therefore, the contaminated surface of some hand driers (particularly, according to this study, JetJet AirAir DriersDriers) may posepose a greatergreater riskrisk of the transfertransfer of such potential pathogenspathogens.

The influenza (flu) virus influenza (flu) virus is highly contagious. •Influenza can spread so easily because of the large amounts of virus that an infected person large amounts of virus that an infected person can spreadcan spread into the environment, plus the low number of virus cells needed low number of virus cells needed to set up a new infection, and the timetime that the viruses can survive (in the air / on surfaces). •Acquisition of the influenza virus occurs when an infected person coughs or sneezes and small droplets/particlesdroplets/particles (each one can contain > 100 virus cells) are breathedbreathed in by another individual. One or a few droplets/particles One or a few droplets/particles can be enoughenough to initiateinitiate infectioninfection. •Transmission may also occur by touching a surface that is contaminated touching a surface that is contaminated with the virus/respiratory secretions. Influenza virus can live on a hard surface for several hours. •FloorsFloors in particular reflect the potential for airborne transmissionpotential for airborne transmission, including from droplets emitted during hand drying. Droplets/particles released during hand drying could transmit Droplets/particles released during hand drying could transmit respiratory viruses such as influenza from contaminated handsrespiratory viruses such as influenza from contaminated hands; alternatively, viruses could be acquired by touching Hand Dryer surfacestouching Hand Dryer surfaces. Both possibilities would appear to be more likely with Jet Air Driersmore likely with Jet Air Driers.


Conclusions drawn byConclusions drawn byProf. Mark Wilcox Prof. Mark Wilcox

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• Good hand washing Good hand washing followed by careful hand drying careful hand drying are keykey ways to preventprevent microbemicrobe spreadspread.

• A handhand dryingdrying methodmethod should be chosen that minimisesminimises the risk of re-contaminatingre-contaminating the hands.

• From the results of the current study, it appears that there may be a greatergreater riskrisk of exposureexposure to microbesmicrobes associated with some types of hand driers.

• There was an increased level of microbial contamination on and beneath air driers, particularly Jet Air Driersair driers, particularly Jet Air Driers, in comparison with HandHand TowelTowel DriersDriers.

• These findings have implicationsimplications for the preventionprevention of spread of microbes and infection, that should be explored further.

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ETS Communication in the next monthsETS Communication in the next months


End of the pages describing the Eurofins-Inlab study the Eurofins-Inlab study

The next 3 pages describe the article about Hands Hygiene published

on the very authoritative “Mayo Clinic Proceedings” “Mayo Clinic Proceedings” journal


What is “Mayo Clinic ProceedingsWhat is “Mayo Clinic Proceedings”? ”? •Mayo Clinic ProceedingsMayo Clinic Proceedings is one of the premier peer-reviewed clinical journals premier peer-reviewed clinical journals in general medicine, among the most widely read and highly cited scientific publication for physicians, with a circulation of 124,000circulation of 124,000. •Continuously published since 19261926, the Proceedings content includes Nobel-prize-winning researchNobel-prize-winning research.

Article on Mayo Clinic Proceedings:Article on Mayo Clinic Proceedings: ““The Hygienic Efficacy of Different The Hygienic Efficacy of Different Hand-Drying Methods: Hand-Drying Methods: A Review of the Evidence” A Review of the Evidence”

The study and the article The study and the article ::•A literature search in April 2011, using the electronic databases PubMed, Scopus, and Web of Science. The search was limited to articles from January 19701970 through March 20112011. Twelve studies Twelve studies were included in the review.•Among other studies, the authors also reference the University of Westminster University of Westminster 20082008 study for ETS (and the university of Bradford Study). •The review was published in the Mayo Clinic Proceedings in August 2012 and reported in December 2012 on the Washington PostWashington Post, with the title: The paper towel-hand dryer wars are overThe paper towel-hand dryer wars are over


• Hand washing Hand washing is the mostmost importantimportant measuremeasure to reducereduce the burden of health care–associated infectioninfection.

• Because the transmissiontransmission of bacteriabacteria is more likelylikely to occur from wetwet skin than from dry skin, the proper dryingdrying of hands after washing should be an essentialessential componentcomponent of handhand hygienehygiene procedures.

• The hygienic efficacy of hand drying includes dryingdrying efficiencyefficiency, the effectiveeffective removalremoval of bacteria, and the preventionprevention of cross-contaminationcross-contamination.

• From a hygiene viewpoint, paper towels are superior From a hygiene viewpoint, paper towels are superior to electric air dryers.to electric air dryers.

• Drying hands thoroughly with single-usesingle-use, disposabledisposable paperpaper towelstowels is the preferredpreferred methodmethod of hand drying in healthhealth carecare.

• The provision of paperpaper towelstowels should be considered as a means of improvingimproving handhand hygienehygiene adherence among health care workers.

Mayo Clinic Proceedings Mayo Clinic Proceedings ARTICLE HIGHLIGHTSARTICLE HIGHLIGHTS


To have access to the original article , you can click:http://download.journals.elsevierhealth.com/pdfs/journals/0025-6196/PIIS002561961200393X.pdf

HandHand hygienehygiene has the potential to prevent diseases prevent diseases and reduce healthhealth care–care–associatedassociated infectionsinfections.

The properproper dryingdrying of hands after washing should be an essentialessential componentcomponent of effective handhand hygienehygiene procedures.

Most studies have found that paperpaper towelstowels cancan drydry handshands efficientlyefficiently, removeremove bacteriabacteria effectivelyeffectively, and causecause lessless contaminationcontamination of the washroomwashroom environmentenvironment.

From a hygiene standpoint, paper hygiene standpoint, paper towels are superior to air dryerstowels are superior to air dryers; therefore, paper towels should be recommendedrecommended for use in locationslocations in which hygienehygiene is paramountparamount, such as hospitals and clinics.

The provision of paper towels should also be considered as a means of improvingimproving handhand hygienehygiene adherenceadherence among healthhealth carecare workersworkers.

Our findings may have implicationsimplications for health professionals and medical educators aiming to designdesign effectiveeffective programsprograms to promotepromote handhand hygienehygiene practicespractices.

Mayo Clinic Proceedings Mayo Clinic Proceedings ARTICLE CONCLUSIONARTICLE CONCLUSION

http://download.journals.elsevierhealth.com/pdfs/journals/0025-6196/PIIS002561961200393X.pdf

http://download.journals.elsevierhealth.com/pdfs/journals/0025-6196/PIIS002561961200393X.pdf


Also the Also the most Authoritative Health Insitutionsmost Authoritative Health Insitutions

in the World doin the World do raccommend raccommend the use of the use of Paper Hands TowelsPaper Hands Towels

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In the ETS Website we publish the instructions for hands washing and drying provided by the leading Health related Institutions leading Health related Institutions around the world. Among them:

• World Health Organization (WHOWHO)

• CDCCDC (Centers for Disease Control and Prevention)

• UK Health Protection Agency (HPAHPA)

• UK National Health Service (NHSNHS)

Additionally, in the page “hygiene in the world”, we also publish the link to a number of national institutions /health authorities websitesnational institutions /health authorities websites, dealing with hygiene, from The Koch Institute, to the French Ministry

of Education, to the UK Department of health, etc. etc.


The The World Health Organization (WHO) World Health Organization (WHO) strongly recommends the use of Paper strongly recommends the use of Paper Towels in their Hand Washing PosterTowels in their Hand Washing Poster

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A key point in these recommendations is:"DRY HANDS THOROUGHLY WITH A SINGLE DRY HANDS THOROUGHLY WITH A SINGLE USE TOWELUSE TOWEL; use towel to turn off faucet."


The CDC (Centers for Disease Control and Prevention), a USA. Gov. initiative, publishes in the page "Health Hygiene in Healthcare SettingsHealth Hygiene in Healthcare Settings" a complete set of instructions to obtain the best Hands Hygiene.

The WHO Poster "How to HandwashHow to Handwash" is quoted.

Single use Towels are recommended.

An interesting video is also presented, illustrating the importance of careful Hands washing and Drying, to reduce transmission of pathogenic microorganisms.

At the ETS Website page: http://www.europeantissue.com/hygiene/how-to-wash-your-hands-cdc-usa-hand-hygiene-basics/ the complete CDC’s hands washing instructions VIDEO is published

The The CDC (Centers for Disease Control and CDC (Centers for Disease Control and Prevention), Prevention), a USA. Gov. initiative, a USA. Gov. initiative, strongly recommends the use of Paper strongly recommends the use of Paper Towels Towels


The UK Health Protection Agency ((HPAHPA)) www.hpa.org.uk/provides advice on Hand Washing for the general public.

The equipment needed for effective hand washing includes:"DISPOSABLE PAPER TOWEL"

The complete HPA document can be found at the ETS Website.

NHSNHS provides a complete "MRSA Guidance for nursing staff", also available at the ETS website,.

Among the fundamental indications, see in page 7:

"DRY WELL USING DISPOSABLE PAPER "DRY WELL USING DISPOSABLE PAPER TOWELS".TOWELS".

The The HPA (UK health Protection Agency) HPA (UK health Protection Agency) and the and the NHS (National Heath Service)NHS (National Heath Service) indicate for the best hygiene the use of indicate for the best hygiene the use of Paper Towels Paper Towels

These instructions are provided by HPA HPA

the UK Health Protection Agency.

http://www.hpa.org.uk/


Well, we have seen the benefits of Paper Products Well, we have seen the benefits of Paper Products and we have seen that they are supported and we have seen that they are supported

by the most reputable Health Authorities in the by the most reputable Health Authorities in the world …world …

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but … are Tissue Paper Products really but … are Tissue Paper Products really sustainable?sustainable?

There are around a number of prejudices There are around a number of prejudices about paper … isn’t it true that you must cut trees about paper … isn’t it true that you must cut trees

in order to produce Paper products? in order to produce Paper products?

… … and what about and what about Paper sustainibility?Paper sustainibility?

You may start by having a look to You may start by having a look to this short Danish animation this short Danish animation

about about wood properties wood properties and and meritsmerits..See the video at:See the video at:

http://www.youtube.com/user/ETSChoices

http://www.youtube.com/watch?v=t6XEUAhm5SQ&context=C36e7c24ADOEgsToPDskKo6NnUUf8yybJU8UyGxJSP


Let’s examine some of the myths about Let’s examine some of the myths about Paper:Paper:1) The paper industry destroys forests1) The paper industry destroys forests

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The paper industry The paper industry destroys forestsdestroys forests

The myth The realityThe paper industry contributes to keepkeep upup forestsforests.The paper industry practices sustainablesustainable forest management.The paper industry is not not responsibleresponsible for the depletion of tropical forests.

Comments:•Around 11%11% of the timber felled throughout the world is used to make paper (FAO 2007)•The Food and Agriculture Organization (FAO) reckons that there is an annual forestforest growthgrowth of 0,5 per cent in the Northern Hemisphere, equivalent in Europe alone to the area of 1.4 million football pitches. •DeforestationDeforestation is generally occurring in the southern hemisphere and is mainly due to conversion of forests into agricultural land and for fuel wood collection*

*(FAO Global Forest Resource Assessment 2010)


The utilization The utilization of Paper products of Paper products should be minimizedshould be minimized

Paper supports sustainablesustainable consumption. Paper is made from renewablerenewable raw materials. RecyclingRecycling spares resources.

The myth The reality

Comments:•We need paper for our daily hygienehygiene. Unlike other materials, paper is made from a renewable material:renewable material: woodwood. Sustainable forest management will ensure that forests grow and enough material is available. •The paper industry’s motto is doing more with lessdoing more with less: making paper with fewer materials, less energy increasingly renewable, in more efficient machines, towards zero waste, and providing needed products. •As much as 72% of paper in use is collected for recycling. More concretely, nine out of ten corrugated boxes are made from recycled fibre; and nine out of ten newspapers are made with recovered paper.

Let’s examine some of the myths about Paper:Let’s examine some of the myths about Paper:2) The utilization of Paper products should 2) The utilization of Paper products should be minimized be minimized


The myth The realityPaper is one of the few sustainablesustainable products.The paper industry has reducedreduced its envir onmental impactimpact greatly over the last 10 years.Paper products storestore CO2CO2.

Paper production Paper production is bad is bad for the environment for the environment

Comments:• Paper boasts exceptional environmental credentials:

it’s naturalnatural, biodegradablebiodegradable, recyclablerecyclable, comes from an infinitely renewablerenewable resource and is produced in a sustainablesustainable manner.

• Through nature’s own process – the photosynthesis – treestrees capturecapture and storestore billionsbillions of tonnestonnes of carboncarbon, day after day. The carbon sequestered in forests is subsequently storedstored in productsproducts mademade of woodwood, such as paperpaper, and the carbon storage is further prolonged by recyclingrecycling paper.

•While paper production has increased steadily in the last 10 years, environmentalenvironmental impactsimpacts have decreaseddecreased.

LIGHT

SUGARS →WOOD

Let’s examine some of the myths about Let’s examine some of the myths about Paper:Paper:3) Paper production is bad for the 3) Paper production is bad for the environment environment


The myth The realityEuropeEurope is the worldworld leaderleader in paper recyclingrecycling.

To keep the recycling process going, freshfresh fibersfibers are needed.

All paper should All paper should be recycled be recycled

Comments:•Paper is the mostmost recycledrecycled material in Europe and more than half of the paper produced comes from recycling. In Europe, 72% 72% of paper is collected for recycling. Recycling rate has increased 30% has increased 30% in the last 20 years •Year after year paper recyclingrecycling rates continue to riserise and when fibres can no longer be used they can be converted into renewable or greengreen energyenergy. It is estimated that it can be reused fourfour to eighteight times on average.•Some paper grades, due to their end use, need to offer characteristics that can bestbest be provided byby virginvirgin fibrefibre.

Let’s examine some of the myths about Let’s examine some of the myths about Paper:Paper:4) All paper should be recycled 4) All paper should be recycled


The myth The realityThe paper industry has considerably reducedreduced its energyenergy requirement. 54%54% of the energy used by the European paper industry is bio-energybio-energy.

Paper production Paper production uses too much uses too much energyenergy

Comments:•EnergyEnergy is required for all industrial production. Of course also the paper industry requires energy to operate its machines and to dry the paper web.

•About half of the energy used in the European paper industry already comes today from renewable energy sources and the Industry is committed to bring it to 56% soon.

•Around 500 kWh of energy are required to make 200200 kgkg of paperpaper, which is about the annual per capita consumption in Europe. TissueTissue is about 15Kg15Kg. Energy used for TissueTissue inin aa yearyear is equivalentequivalent to the energy consumed by a typical household leaving its electronic equipment on stand-bystand-by in a monthin a month!

Let’s examine some of the myths about Let’s examine some of the myths about Paper:Paper:5) Paper production uses too much energy5) Paper production uses too much energy


The myth The reality

Paper production Paper production is bad is bad for the climate for the climate

The EuropeanEuropean CouncilCouncil has recognized wood products as climateclimate friendlyfriendly. The paper industry has reducedreduced its carboncarbon dioxidedioxide emissions.SustainableSustainable forestforest managementmanagement helps reducereduce worldwide carbon dioxide emissions

Comments:• The main source of raw material for paper - treestrees – is a vast

carboncarbon storestore and the prime absorber of CO2 from the atmosphere. YoungYoung treestrees are much more efficientefficient at absorbing carbon than old forests.

• MatureMature treestrees absorb carbon slowerslower the older they get. To maximize the carbon storage we need youngyoung healthyhealthy forestsforests where trees are regularly harvested and re-grown.

• Paper also continues to store carbon throughout its lifetime. Still, around 160 kg of CO2 are emitted during the production of 200kg of paper, equivalent to the amount emitted by a typical car over 1,000 km. 15 Kg of Tissue yearly are equivalent to 75 15 Kg of Tissue yearly are equivalent to 75 KmKm.

1 Year of Tissue(≈ 15 KG)

75 Km by car

Let’s examine some of the myths about Let’s examine some of the myths about Paper:Paper:6) Paper production is bad for the climate 6) Paper production is bad for the climate


The role of The role of Cartoons Cartoons in ETS Hygiene communication in ETS Hygiene communication

Though they are known by thethe SpecialistsSpecialists (like WHO), (like WHO), the results of these studies are essentially ignoredignored by the PublicPublic OpinionOpinion. And yet the high cost of Mass Media is prohibitive for an Association like ETS

TheThe objectiveobjective of Cartoons and Illustrations is to synthetically portray the superiorsuperior hygienichygienic performancesperformances of Paper Products in comparison to Warm Air Dryers (WAD) and Jet Air Dryers ( JAD)

YoungYoung generationsgenerations in particular ignoreignore almost completely the benefits of paper Towels, which deliver a superior hygiene for hands drying

Up to now the ETS supported Hygiene studies have been presentedin Press Conferences in the WestminsterWestminster UniversityUniversity, Hygiene and Cleaningfairsfairs (ISSA, Tissue World), Advertising and PR on CategoryCategory MagazinesMagazines.

The modernmodern and youngyoung messages of last years winners are currently used in the ETSETS Website Website and in a number of European Cleaning MagazinesEuropean Cleaning Magazines(like «GSA (Giornale Servizi Ambientali), Pulizia Industriale,

and will appear shortly on «Tomorrow Cleaning» and «ECJ (European Cleaning Journal)

.

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The results of the 2011 – 2012The results of the 2011 – 2012Cartoon contests. Cartoon contests.

http://www.europeantissue.com/position-papers/cartoon-contest-2012/

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This is a summary of the Cartoonsand Illustrations which took part to the 2011 Contest, summarized by Letizia Rostagnoin a Video, also available at http://www.youtube.com/user/ETSChoices

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The 2013 Contest includes 3 sectionsThe 2013 Contest includes 3 sections::

1) Cartoon or Illustration

2) Video (viral)

3) Cartoon or Illustration

Works produced by students of:•«Triennio del corso di Fumetto e Illustrazione», •«Biennio del Corso di Linguaggio del Fumetto e Illustrazione per l’Editoria», •«Digital Video», •«Organizzazione e Produzione dell’Arte Mediale (Biennio di Comunicazione & Didattica e Fotografia)» of the Bologna Fine Arts Accademy.

Key elements of the 2013 ContestKey elements of the 2013 Contest(for details see the Contest Announcement) (for details see the Contest Announcement)

Works produced by Artists and Students worldwide

The number of works per author is limited to 1 (one).The awards will be: •An aid grant of € 1.000€ 1.000 for the Category Cartoon and Illustration (Bologna students only)•A prize of € 1.000 € 1.000 for the Category Cartoon and Illustration (International Contest)•An aid grant of € 1.000 € 1.000 for the category Video (Bologna students only). Additionally ETS offers an aid grant / prize worth € 1.000€ 1.000, to be split among the works which, based on ETS judgment, will be particularly relevant from the marketing and communication point of view.

A committee appointed by the Organizers of the competition will make the selection of works - the Committee will be composed of members of the ETS working in the field of Marketing and qualified artists working in comics and illustration

The deadline for the works submission is May 15, 2013May 15, 2013..

«International Contest»«International Contest»


More information about the studies and activities of the European Tissue Symposium,

is available on the Association Web site:



Documents

EUROPEAN TISSUE SYMPOSIUM The European Tissue Paper Industry Association