The Basics — What Is It And Where It Is Found?   

First discovered in 1961, these MRSA infections are fiercely resistant to usually reliable beta antibiotics such as methicillin, oxacillin, penicillin and amoxicillin. In rare cases, mild skin infections featuring boils or pimples can transform lactams into necrotizing fasciitis (“flesh eating”) bacterial infections that can spread with horrifying speed and result in amputations or death.     

Currently, the majority of MRSA cases are in Healthcare settings. According to an October 2007 study published in “The Journal of the American Medical Association” (JAMA), approximately 85% of invasive MRSA infections occur in these environments, while 14% are categorized as community-associated (CA-MRSA) infections, or in those individuals lacking the risk factors associated with healthcare environments. As outlined in a Centers for Disease Control and Prevention (CDC) report, more individuals died from MRSA in 2005 than from AIDS.    

Transmission and Vulnerability     

SOURCES

:CDC Web site. The American Academy of Family Physicians Web site. WebMD Web site.Capriotti, T. Dermatology Nursing, Jan. 26, 2004; vol 15: pp 535-538. Johnson, L.
Infections in Medicine, 2005; vol 22: pp 16-20.
Klevens, R.M. The Journal of the American Medical Association, Oct. 17, 2007; vol 298: pp 1763-1771. R. Monica Klevens, DDS, MPH, Division of Healthcare Quality Promotion, CDC, Atlanta.
Elizabeth Bancroft, MD, Acute Communicable Disease Control, Los Angeles County Department of Public Health.
CDC Basic Statistics, HIV/AIDS Status Report, 2005. WebMD Medical News: “MRSA Rates Much Higher Than Thought.”
CDC Press Release, “CDC estimates 94,000 invasive drug-resistant staph infections occurred in the U.S. in 2005.” October 16, 2007.
Linezolid for the treatment of methicillin-resistant Staphylococcus aureus infections in children. Kaplan SL - Pediatr Infect Dis J - 01-SEP-2003; 22(9 Suppl): S178-85
Prospective comparison of risk factors and demographic and clinical characteristics of community-acquired, methicillin-resistant versus methicillin-susceptible
Staphylococcus aureus infection in children.
Sattler CA - Pediatr Infect Dis J - 01-OCT-2002; 21(10): 910-7 Methicillin-resistant Staphylococcus aureus in the community. Bratcher D - Pediatr
Infect Dis J - 01-DEC-2001; 20(12): 1167-8

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Nursing Home Chemicals by Area

Restrooms and Showers
	Clean and Disinfect
	Fixtures	AIS WFC Washroom Fixture Cleaner
	Toilet Bowls/Urinals	AIS Neutral Disinfectant Big D
	Counter Tops	AIS WFC Washroom Fixture Cleaner
	Floors	AIS Neutral Disinfectant Big D
	Stainless and Chrome	AIS WFC Washroom Fixture Cleaner
	Showers (Daily Clean)	AIS WFC Washroom Fixture Cleaner
	Spot Clean Walls,Doors, etc	AIS WFC Washroom Fixture Cleaner
	Blood Spills	AIS WFC Washroom Fixture Cleaner
	Soap and Scum Removal (Deep Clean)	Citrus H2O2 Peroxy Blend
	Mildew Remover	Tilex Mildew Remover
	Whirlpools	AIS Neutral Disinfectant Big D
	Glass Surfaces	Window Kleen Conc / AIS RTU Glass Clnr
	Urine Smells	AIS Liquid Life
	Floor Drains	AIS Liquid Life
	Hair and Body Soap	Kutol Hair and Body Shampoo
Office
	Clean Counter Tops	AIS WFC Washroom Fixture Cleaner
	Glass Surfaces	Window Kleen Conc Glass Clnr
	Wipe Down Equipment	AIS WFC Washroom Fixture Cleaner
	Disinfect Telephones	AIS WFC Washroom Fixture Cleaner
	Light Clean and Disinfect Trash Containers	AIS WFC Washroom Fixture Cleaner
	Light Spot Clean Walls,Doors, etc	AIS WFC or Soft Scrub
	Floor Drains	AIS Liquid Life
Halls and Lobbys
	Clean Counter Tops	AIS WFC Washroom Fixture Cleaner
	Glass Surfaces	Window Kleen Conc Glass Clnr
	Wipe Down Equipment	AIS WFC Washroom Fixture Cleaner
	Disinfect Telephones	AIS WFC Washroom Fixture Cleaner
	Light Clean and Disinfect Trash Containers	AIS WFC Washroom Fixture Cleaner
	Spot Clean Walls,Doors, etc	AIS WFC or Soft Scrub
	Stainless and Chrome	AIS WFC Washroom Fixture Cleaner
	Floor Drains	AIS Liquid Life
Dining Room/Break Rooms
	Clean Counter Tops, Tables, Chairs	AIS WFC Washroom Fixture Cleaner
	Glass Surfaces	Window Kleen Conc Glass Clnr
	Wipe Down Equipment	AIS WFC Washroom Fixture Cleaner
	Disinfect Telephones	AIS WFC Washroom Fixture Cleaner
	Light Clean and Disinfect Trash Containers	AIS WFC Washroom Fixture Cleaner
	Spot Clean Walls,Doors, etc	AIS WFC or Soft Scrub
	Stainless and Chrome	AIS WFC Washroom Fixture Cleaner
	Floor Drains	AIS Liquid Life
Patient/Resident Rooms
	Clean and Disinfect
	Counter Tops and Hard Surfaces	AIS WFC Washroom Fixture Cleaner
	Switches, Handles, Knobs, etc	AIS WFC Washroom Fixture Cleaner
	Vinyl Furniture and Coverings	AIS WFC Washroom Fixture Cleaner
	Stainless and Chrome	AIS WFC Washroom Fixture Cleaner
	Telephones	AIS WFC Washroom Fixture Cleaner
	Spot Clean Walls,Doors, etc	AIS WFC or Soft Scrub
	Toilet Bowls	AIS Neutral Disinfectant Big D
	Blood Spills	AIS WFC Washroom Fixture Cleaner
	Neutral Disinfect Vinyl Floors	AIS Neutral Disinfectant
	Glass Surfaces	Window Kleen Conc Glass Clnr
	Urine Smells	AIS Liquid Life
	Floor Drains	AIS Liquid Life
Misc
	Furniture Polish	Lemon ScentFurniture Polish
	Dust Mop Treatment	Dust Mop Treatment Aerosol

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Truth About Swine Flu 2009 H1N1

Ms. Michele Wingfield, Branch Chief, Product Science Branch of the US EPA Office of
Pesticide Programs, Antimicrobial Division is recommending the use of any registered
product with label claim against Influenza A. If your products have an Influenza A
label claim, you can use against the current H1N1 strain. That being said, you cannot
add “swine flu” to your label just because you have Influenza A. The Administration is
currently calling this strain 2009-H1N1 flu instead of swine flu.

DO NOT BE MISLEAD! There are NO disinfectants registered through the US EPA that
can claim to be effective against the 2009H1N1 strain of “swine flu.” All current swine flu
claims refer to animal quarters.

Amerisource Products effective agains Influenza A

BIG DINSINFECTANT
150 SANITIZER

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 Overview

In the event of pandemic influenza, businesses will play a key role in protecting employees’ health and safety as well as limiting the negative impact to the economy and society. Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist for large businesses. It identifies important, specific activities large businesses can do now to prepare, many of which will also help you in other emergencies. Further information can be found at www.pandemicflu.gov and www.cdc.gov/business.

QUICK ACTION GUIDE

• 1. Liberal leave policy to anyone exhibiting fever, cough and flu symptoms
• 2. Promote frequent hand washing or sanitizing after personal contact
• a. Carry personal hand sanitizer
• 3. Avoid touching nose, eyes and face with hands
• 4. Cough into arm vs hands
• 5. Consider applying protective residual disinfectant coating to all hard surfaces

CHECKLIST

1.1 Plan for the impact of a pandemic on your business:

• 1. Identify a pandemic coordinator and/or team with defined roles and responsibilities for preparedness and response planning. The planning process should include input from labor representatives.
• 2. Identify essential employees and other critical inputs (e.g. raw materials, suppliers, sub-contractor services/products, and logistics) required to maintain business operations by location and function during a pandemic.
• 3. Train and prepare ancillary workforce (e.g. contractors, employees in other job titles/descriptions, retirees).
• 4. Develop and plan for scenarios likely to result in an increase or decrease in demand for your products and/or services during a pandemic (e.g. effect of restriction on mass gatherings, need for hygiene supplies).
• 5. Determine potential impact of a pandemic on company business financials using multiple possible scenarios that affect different product lines and/or production sites.
• 6. Determine potential impact of a pandemic on business-related domestic and international travel (e.g. quarantines, border closures).
• 1. Find up-to-date, reliable pandemic information from community public health, emergency management, and other sources and make sustainable links.
• 2. Establish an emergency communications plan and revise periodically. This plan includes identification of key contacts (with back-ups), chain of communications (including suppliers and customers), and processes for tracking and communicating business and employee status.
• 3. Implement an exercise/drill to test your plan, and revise periodically.

1.2 Plan for the impact of a pandemic on your employees and customers:

• 1. Forecast and allow for employee absences during a pandemic due to factors such as personal illness, family member illness, community containment measures and quarantines, school and/or business closures, and public transportation closures.
• 2. Implement guidelines to modify the frequency and type of face-to-face contact (e.g. hand-shaking, seating in meetings, office layout, shared workstations) among employees and between employees and customers (refer to CDC recommendations).
• 3. Encourage and track annual influenza vaccination for employees.
• 4. Evaluate employee access to and availability of healthcare services during a pandemic, and improve services as needed.
• 5. Evaluate employee access to and availability of mental health and social services during a pandemic, including corporate, community, and faith-based resources, and improve services as needed.
• 6. Identify employees and key customers with special needs, and incorporate the requirements of such persons into your preparedness plan.

1.3 Establish policies to be implemented during a pandemic:

• 1. Establish policies for employee compensation and sick-leave absences unique to a pandemic (e.g. non-punitive, liberal leave), including policies on when a previously ill person is no longer infectious and can return to work after illness.
• 2. Establish policies for flexible worksite (e.g. telecommuting) and flexible work hours (e.g. staggered shifts).
• 3. Establish policies for preventing influenza spread at the worksite (e.g. promoting respiratory hygiene/cough etiquette, and prompt exclusion of people with influenza symptoms).
• 4. Establish policies for employees who have been exposed to pandemic influenza, are suspected to be ill, or become ill at the worksite (e.g. infection control response, immediate mandatory sick leave).
• 5. Establish policies for restricting travel to affected geographic areas (consider both domestic and international sites), evacuating employees working in or near an affected area when an outbreak begins, and guidance for employees returning from affected areas (refer to CDC travel recommendations).
• 6. Set up authorities, triggers, and procedures for activating and terminating the company’s response plan, altering business operations (e.g. shutting down operations in affected areas), and transferring business knowledge to key employees.

1.4 Allocate resources to protect your employees and customers during a pandemic:

• 1. Provide sufficient and accessible infection control supplies (e.g.hand-hygiene products, tissues and receptacles for their disposal) in all business locations.
• 2. Enhance communications and information technology infrastructures as needed to support employee telecommuting and remote customer access.
• 3. Ensure availability of medical consultation and advice for emergency response.

1.5 Communicate to and educate your employees:

• 1. Develop and disseminate programs and materials covering pandemic fundamentals (e.g. signs and symptoms of influenza, modes of transmission), personal and family protection and response strategies (e.g. hand hygiene, coughing/sneezing etiquette, contingency plans).
• 2. Anticipate employee fear and anxiety, rumors and misinformation and plan communications accordingly.
• 3. Ensure that communications are culturally and linguistically appropriate.
• 4. Disseminate information to employees about your pandemic preparedness and response plan.
• 5. Provide information for the at-home care of ill employees and family members.
• 6. Develop platforms (e.g. hotlines, dedicated websites) for communicating pandemic status and actions to employees, vendors, suppliers, and customers inside and outside the worksite in a consistent and timely way, including redundancies in the emergency contact system.
• 7. Identify community sources for timely and accurate pandemic information (domestic and international) and resources for obtaining counter-measures (e.g. vaccines and antivirals).

1.6 Coordinate with external organizations and help your community:

• 1. Collaborate with insurers, health plans, and major local healthcare facilities to share your pandemic plans and understand their capabilities and plans.
• 2. Collaborate with federal, state, and local public health agencies and/or emergency responders to participate in their planning processes, share your pandemic plans, and understand their capabilities and plans.
• 3. Communicate with local and/or state public health agencies and/or emergency responders about the assets and/or services your business could contribute to the community.
• 4. Share best practices with other businesses in your communities, chambers of commerce, and associations to improve community response efforts.

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