Transmittable and Zoonotic Disease Control Safe Effective Cleaning May 2010 Pacific NW Association of Independent Schoo

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DOH School Environmental Health and Safety Program. Give specialized bolster

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Transmittable and Zoonotic Disease Control Safe & Effective Cleaning May 2010 Pacific NW Association of Independent Schools

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DOH School Environmental Health and Safety Program Provide specialized support & preparing, create assets Local Health Jurisdictions (LHJs) Schools: K – 12 th grade IAQ Best Practices Manual Asthma Plan execution - decreasing triggers in schools Investigations "Green Cleaning" Rehab the Lab/Hazardous Chemicals Integrated Pest Management (IPM) Healthy High Performing Schools Work with associations and organizations worried with SEH&S Website and List Serve DOH Fall 2010 SHE&S Workshops - Free Nov. 2 – Dec. 2, 8:30-3:30 Dave Waddell – 12:30-3:30

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Communicable (Infectious) Diseases In Schools

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Infectious Diseases in the US Every year, schools close because of irresistible sickness episodes Infectious maladies are ailments that are transmitted starting with one individual then onto the next by means of different courses OSPI/DOH Infectious Disease Guide for School Staff, April 2004 http://www.k12.wa.us/healthservices/pubdocs/InfectiousDiseaseControlGuide3-11-04.pdf

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Common Routes of Transmission Person-to-Person Contaminated surfaces Foodborne Waterborne

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Infectious Diseases and Children and youth are especially productive vectors for illness transmission. Youngsters have less created safe frameworks than grown-ups. Youngsters may not be completely inoculated against immunization preventable sicknesses (or require promoters). Schools have a tendency to be thickly pressed conditions. School situations may not be routinely cleaned and sterilized in a way that diminishes potential outcomes for sickness transmission (i.e. play areas).

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Consequences of Infectious Diseases for Schools Students and staff might be influenced by ailments. In the event that dealt with inadequately, group confide in schools is shaken. Contingent upon the ailment, may bring about high rates of ailment, conceivably a few passings in the school group. Unlucky deficiencies may make schools close for a considerable length of time or weeks – Continuity of Operations arrangements may should be authorized.

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Some Common Infectious Diseases That Affect Schools Viral Infections Gastroenteritis – Noroviruses Influenza Varicella (Chicken Pox) Meningitis Bacterial Infections E. Coli MRSA Strep throat Meningitis Fungal Infections Ringworm

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MRSA Case In Fall 2007, the demise of a secondary school football player in Virginia centered the country around MRSA in Schools Within a month or two, a few more MRSA episodes were accounted for the country over, shutting a few schools and activating cleaning endeavors

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MRSA ( M ethicillin-R esistant S taphylococcus a ureus ) Type of "staph" disease Often causes skin contaminations Resistant to (not killed by) penicillin Treatable with suitable anti-microbial Lives on surfaces for a considerable length of time – no less than 70!

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MRSA in High School Athletic Facilities Journal of EH, Jan/Feb 2010 10 secondary school athletic preparing offices 90% - at least 2 positive surfaces for MRSA ~50% of surfaces tried positive Water coolers – 80% Treatment/taping tables – 70% Sink fixture handles – 60% Shower handles – half Ice Machine – 30% 9 secondary school wrestling offices Wrestling mats – 89% Locker room seats – 78% Treatment table – 56% Doorknob – 44%

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What does MRSA resemble? Creepy crawly chomp Turf copy Impetigo Boil Abscess Source: LA County Health Department Source: Mark Grubb, MD Source: CDC Source: CDC Source: CDC

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How is MRSA spread? Skin to Skin Contact Touching MRSA tainted skin Touching waste from MRSA skin disease Surface to Skin Contact Sharing individual things (skin balms, razors, bar cleanser, towels) Touching unclean games gear (weights & seats) and practice surfaces (wrestling mats)

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What builds the danger of MRSA contamination? Close skin contact w/somebody who has MRSA Skin sickness or harm Lack of good cleanliness Sharing individual things Sharing games gear Overcrowded living conditions Lack access to social insurance Incorrect utilize or abuse of anti-microbials

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Controlling MRSA Washing hands regularly!! Try not to touch other individuals' skin sores. Report potential skin diseases to the mentor/nurture. Utilize a towel amongst skin and rec center gear. Try not to share garments, towels, water jugs, or individual cleanliness things. No body restorative shaving. Cleanser shower directly after all practices and rivalries. Wash outfits with cleanser/high temp water, dry in a hot dryer after each utilization. Utilize liquor based hand sanitizer when cleanser and water are not accessible.

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Cleaning for MRSA Athletic zones are basic, including PE. Keeping up gear in decent shape. Creating & taking after routine timetables for cleaning & purifying games hardware. Clean and sanitize every single hard surface that may contact skin at any rate day by day with an EPA-endorsed disinfectant, including seats, weights, workout machines, floor and divider mats, and so on. Prior and then afterward utilize is favored. Clean locker rooms and shower zones day by day. Keep cleanser distributors full – scent free, NOT anti-toxin cleanser. Have isolate cleaning mops (ideally miniaturized scale fiber) and basins for athletic ranges.

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MRSA Resources Tacoma-Pierce County Health Department www.tpchd.org/mrsa Washington State Department of Health http://www.doh.wa.gov/Topics/Antibiotics/MRSA.htm Centers for Disease Control and Prevention www.cdc.gov/ncidod/dhqp/ar_mrsa_ca.htm

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Noroviruses are a gathering of single-stranded RNA, nonenveloped infections that cause intense gastroenteritis in people. CDC evaluates that half of all foodborne episodes of gastroenteritis can be ascribed to Noroviruses are transmitted through the fecal-oral course, by utilization of fecally defiled sustenance or water, guide individual to-individual spread, or natural and fomite tainting. Quaternary mixes are NOT successful against Noroviruses

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Norovirus 24-48 hour hatching period Sudden onset heaving, the runs, cramping Low-review fever Symptoms last 1-2 days Viruses in stool and regurgitation Can shed infection for a considerable length of time to 2 weeks after side effect free Highly infectious (10 infections can bring about ailment) Lives for quite a long time on surfaces, where it can be "got" by others – no less than 7!

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Animals In Schools

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Zoonotic Diseases Salmonella Reptiles Chicks Owl Pellets Psittacosis (parrot fever) Rabies West Nile Virus Hanta Virus Lice Classroom Pets DOH Zoonotic Disease http://www.doh.wa.gov/ehp/ts/ZOO.HTM http://www.nasphv.org/documentsCompendiaAnimals.html

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Guidelines for Animals in Schools Health and Safety Guide K-12 Schools in Washington , Second Edition Section O: Animals in Schools Appendix F: Animals in the Classroom NASPHV Compendium of Measures to Prevent Disease Associated with Animals in Public Settings , 2009 - Appendix D: Guidelines for Animals in School and Childcare Settings Animals are compelling and profitable showing helps, however protects are required to diminish the hazard for contamination and damage. www.nasphv.org/Documents/AnimalsInPublicSettings.pdf

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Public contact with creatures ought to happen in settings where measures are set up to: Reduce the potential for wounds Reduce malady transmission Increase the likelihood that occurrences/issues related to creature contact settings will be 1) announced 2) recorded 3) took care of suitably

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Injuries related with creatures in broad daylight settings: Bites Kicks Falls Scratches Stings Crushing of the hands or feet Being stuck between the creature and a settled protest. *Extreme illustration: a Kansas young person was executed while posturing for her senior year photograph with a tiger being controlled by its handler at a creature haven

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Health Risks Associated with Animal Contact Enteric ailments Allergies Injuries Rabies exposures Infections

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Classroom pets Animal visits Dissection owl pellets street slaughter Habitat ventures reptiles creatures of land and water fish What's occurring in class?

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Classroom "analyzations" Owl pellets Road Kill Where's the gloves? Biohazard insurances?

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Playground guests

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Chicks and Ducklings Chicks and ducklings are improper in schools because of high danger of salmonellosis and campylobacteriosis

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Reptiles and Amphibians All reptiles and creatures of land and water can convey salmonella Students under 12 ought to be precluded from taking care of reptiles and creatures of land and water No turtles under 4 crawls long are permitted in schools Discourage youngsters from "kissing" or having them in close contact with their confronts Instruct any kid taking care of them to wash their hands instantly a short time later

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Parrots, Parakeets, Cockatiels , and Macaws Psittacosis (Parrot Fever) Infection that can bring about pneumonia and different genuine medical issues Inhalation of tidy from dried droppings and emissions, and tidy from quills Pet winged animals ought to never Brought to class hinting at ailment Be permitted to fly free in a classroom Be dealt with by kids Their waste must be contained in their spotless pens Birds for all time housed on school property in pens should be dealt with prophylactically for psittacosis for 45 days before entering the premises.

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School Guidelines PROPER HAND WASHING !! Instruct understudies of any age in appropriate hand washing procedures in the wake of taking care of creatures. Have a school arrangement and methods on creatures.

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Rabies Contact with out of control warm blooded animals can open people to rabies infection through: chomps defilement of mucous films (sprinkles, rubbing eyes, and so on.) scratches, wounds sullied with tainted spit or sensory tissue. * Note: Although no human rabies passings brought about by creature contact out in the open displays have been recorded, various rabies exposures hav

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