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	<title> &#187; Technical Library</title>
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	<link>http://carpet9.org</link>
	<description></description>
	<lastBuildDate>Fri, 30 Jul 2010 21:20:40 +0000</lastBuildDate>
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		<title>Lumberyard Mold in New Construction and its Complexities</title>
		<link>http://carpet9.org/lumberyard-mold-in-new-construction-and-its-complexities/</link>
		<comments>http://carpet9.org/lumberyard-mold-in-new-construction-and-its-complexities/#comments</comments>
		<pubDate>Thu, 15 Jul 2010 17:16:05 +0000</pubDate>
		<dc:creator>Matt Sanders</dc:creator>
				<category><![CDATA[Technical Library]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=1702</guid>
		<description><![CDATA[Lumberyard Mold in New Construction and its Complexities by Peter Sierck, Connie Jenkins and Andrew Jordan To view this article please download the PDF file below.]]></description>
			<content:encoded><![CDATA[<p>Lumberyard Mold in New Construction and its Complexities by Peter Sierck, Connie Jenkins and Andrew Jordan</p>
<p>To view this article please download the PDF file below.</p>
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=100" title=" downloaded 12 times" >Lumberyard Mold in New Construction and its Complexities (12)</a>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>New Wastewater Disposal Regulations From Orange County Watersheds</title>
		<link>http://carpet9.org/new-wastewater-disposal-regulations-from-orange-county-watersheds/</link>
		<comments>http://carpet9.org/new-wastewater-disposal-regulations-from-orange-county-watersheds/#comments</comments>
		<pubDate>Thu, 15 Jul 2010 15:08:20 +0000</pubDate>
		<dc:creator>Matt Sanders</dc:creator>
				<category><![CDATA[Technical Library]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=1700</guid>
		<description><![CDATA[Below are 2 PDF&#8217;s from Orange County Watersheds regarding Waste Water Disposal for Carpet Cleaners and Mobile Businesses and Outdoor Activities.]]></description>
			<content:encoded><![CDATA[<p>Below are 2 PDF&#8217;s from Orange County Watersheds regarding Waste Water Disposal for Carpet Cleaners and Mobile Businesses and Outdoor Activities.</p>
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=98" title=" downloaded 13 times" >Carpet Cleaning (13)</a>
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=99" title=" downloaded 12 times" >Waster Water Disposal (12)</a>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Consumer, Restorer and Adjuster Right-To-Know Bulliten #105 &#8211; By Patrick Moffett</title>
		<link>http://carpet9.org/consumer-restorer-and-adjuster-right-to-know-bulliten-105-by-patrick-moffett/</link>
		<comments>http://carpet9.org/consumer-restorer-and-adjuster-right-to-know-bulliten-105-by-patrick-moffett/#comments</comments>
		<pubDate>Tue, 02 Feb 2010 18:40:58 +0000</pubDate>
		<dc:creator>Matt Sanders</dc:creator>
				<category><![CDATA[Technical Library]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=1315</guid>
		<description><![CDATA[CONSUMER, RESTORER AND ADJUSTER RIGHT-TO-KNOW BULLETIN #105 What is the IICRC S500 Standard and how should it Be Used to Manage Water Damage Claims? By: Patrick Moffett, CHMM, REA Copyright © 2009 Patrick Moffett. All Rights Reserved Notice: Often property adjusters are at odds with water damage cleanup contractors. This education bulletin provides valuable information [...]]]></description>
			<content:encoded><![CDATA[<p>CONSUMER, RESTORER AND ADJUSTER RIGHT-TO-KNOW BULLETIN #105</p>
<p>What is the IICRC S500 Standard and how should it<br />
Be Used to Manage Water Damage Claims?</p>
<p>By: Patrick Moffett, CHMM, REA<br />
Copyright © 2009 Patrick Moffett. All Rights Reserved</p>
<p>Notice:</p>
<p>Often property adjusters are at odds with water damage cleanup contractors. This education bulletin provides valuable information to consumers, insurance adjusters and restorers about current water damage restoration industry standards of care and the role of experts and environmental professionals.<br />
This bulletin is not intended to replace or amend ANSI/IICRC S500 2006 edition. As a procedural document the S500 is over 300 pages in length. Adjusters and restorers who are not up to date on the information contained in the S500 Standard 2006 edition should take a continuing education class.</p>
<p>Patrick Moffett</p>
<p>About the Author:</p>
<p>Patrick Moffett is a senior consultant and partner of Environmental Management &#038; Engineering, Inc., located in Huntington Beach California.</p>
<p>Patrick is a licensed general contractor in several states, a California registered environmental assessor, certified hazardous materials manager, master restorer, senior environmental/industrial hygienist, certified building science thermographer; and he holds other certifications in water, mold and fire damage building remediation and restoration. </p>
<p>For over 25 years Patrick lectures and teaches classes across the U.S., Canada and U.K., on remediating chemical and biological contamination in buildings; OSHA safety codes and regulations.<br />
Patrick has published over 50 articles and 5 books on environmental and building remediation practices.<br />
Patrick provides mediation, arbitration and expert witness testimony across the U.S. involving causation associated with water, mold, sewage and fire damaged properties; Patrick also provides expert testimony in industry standards of care and OSHA compliance. </p>
<p>Contact Patrick Moffett through his office phone: 714-379-1096. Cell phone: 714-928-4008. Email PMoffett@emeiaq.com or PatMoffett@att.net. </p>
<p>Please download the PDF below</p>
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=51" title=" downloaded 105 times" >CONSUMER, RESTORER AND ADJUSTER RIGHT-TO-KNOW BULLETIN #105 (105)</a>
]]></content:encoded>
			<wfw:commentRss>http://carpet9.org/consumer-restorer-and-adjuster-right-to-know-bulliten-105-by-patrick-moffett/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Customer and Contractor Right to Know   Building and Occupant Survey Forms for Water Damaged Structures</title>
		<link>http://carpet9.org/customer-and-contractor-right-to-know-building-and-occupant-survey-forms-for-water-damaged-structures/</link>
		<comments>http://carpet9.org/customer-and-contractor-right-to-know-building-and-occupant-survey-forms-for-water-damaged-structures/#comments</comments>
		<pubDate>Wed, 16 Sep 2009 00:21:12 +0000</pubDate>
		<dc:creator>Matt Sanders</dc:creator>
				<category><![CDATA[Technical Library]]></category>
		<category><![CDATA[Building and Occupant Survey Forms for Water Damaged Structures]]></category>
		<category><![CDATA[cfi water damage]]></category>
		<category><![CDATA[CHMM]]></category>
		<category><![CDATA[Customer and Contractor Right to Know]]></category>
		<category><![CDATA[Patrick Moffett]]></category>
		<category><![CDATA[Patrick Moffett REA]]></category>
		<category><![CDATA[REA]]></category>
		<category><![CDATA[water damage]]></category>
		<category><![CDATA[water damage forms]]></category>
		<category><![CDATA[Water Damaged Buildings]]></category>
		<category><![CDATA[Water Damaged Structures]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=816</guid>
		<description><![CDATA[Now that Your Building Experienced Water Damage What Must You and Your Water Damage Restoration Contractor Agree On? By Completing a Building and Occupant Survey Hopefully Your Questions will be Answered. This is another highly valuable technical document by Patrick Moffett, CHMM, REA Senior Environmental/Industrial Hygienist Registered Environmental Assessor Licensed General Contractor Certified Master Restorer [...]]]></description>
			<content:encoded><![CDATA[<p>Now that Your Building Experienced Water Damage<br />
What Must You and Your Water Damage Restoration Contractor Agree On?<br />
By Completing a Building and Occupant Survey<br />
Hopefully Your Questions will be Answered.</p>
<p>This is another highly valuable technical document by Patrick Moffett, CHMM, REA</p>
<p>Senior Environmental/Industrial Hygienist<br />
Registered Environmental Assessor<br />
Licensed General Contractor<br />
Certified Master Restorer<br />
Copyright © 2009 Patrick Moffett. All Rights Reserved<br />
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=27" title=" downloaded 177 times" >Survey Forms for Water Damaged Structures (177)</a></p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Containment of Fire Retardants Settled on Buildings, Contents and Land</title>
		<link>http://carpet9.org/containment-of-fire-retardants-settled-on-buildings-contents-and-land/</link>
		<comments>http://carpet9.org/containment-of-fire-retardants-settled-on-buildings-contents-and-land/#comments</comments>
		<pubDate>Tue, 04 Aug 2009 15:24:31 +0000</pubDate>
		<dc:creator>Matt Sanders</dc:creator>
				<category><![CDATA[Technical Library]]></category>
		<category><![CDATA[children safety fire retardants]]></category>
		<category><![CDATA[cleaning fire retardants]]></category>
		<category><![CDATA[fire retardant clean up]]></category>
		<category><![CDATA[fire retardant resudue]]></category>
		<category><![CDATA[Fire Retardants]]></category>
		<category><![CDATA[Pat Moffett]]></category>
		<category><![CDATA[Phos-Chek]]></category>
		<category><![CDATA[removal of fire retardants]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=583</guid>
		<description><![CDATA[Containment of  Fire Retardants Settled on Buildings, Contents and Land. By: Patrick Moffett, CHMM, REA Copyright © 2009 Patrick Moffett. All Rights Reserved]]></description>
			<content:encoded><![CDATA[<p>Containment of  Fire Retardants Settled on Buildings, Contents and Land.<br />
By: Patrick Moffett, CHMM, REA<br />
Copyright © 2009 Patrick Moffett. All Rights Reserved</p>
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=19" title=" downloaded 278 times" >Containment of Fire Retardants, Settled on Buildings, Contents and Land (278)</a>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Understanding The Use Of Moisture Diagram and Moisture Maps And How To Apply Them In Water Damaged Buildings</title>
		<link>http://carpet9.org/understanding-the-use-of-moisture-diagram-and-moisture-maps-and-how-to-apply-them-in-water-damaged-buildings/</link>
		<comments>http://carpet9.org/understanding-the-use-of-moisture-diagram-and-moisture-maps-and-how-to-apply-them-in-water-damaged-buildings/#comments</comments>
		<pubDate>Sat, 11 Jul 2009 00:10:32 +0000</pubDate>
		<dc:creator>Matt Sanders</dc:creator>
				<category><![CDATA[Technical Library]]></category>
		<category><![CDATA[Moisture Mapping]]></category>
		<category><![CDATA[Patrick Moffit]]></category>
		<category><![CDATA[Water Damaged Buildings]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=518</guid>
		<description><![CDATA[Understanding The Use Of Moisture Diagram and Moisture Maps And How To Apply Them In Water Damaged Buildings By: Patrick Moffett, CHMM, REA Copyright © 2009 Patrick Moffett. All Rights Reserved]]></description>
			<content:encoded><![CDATA[<p>Understanding The Use Of Moisture Diagram and Moisture Maps And How To Apply Them In Water Damaged Buildings</p>
<p>By: Patrick Moffett, CHMM, REA<br />
Copyright © 2009 Patrick Moffett. All Rights Reserved</p>
<a class="downloadlink" href="http://carpet9.org/wp-content/plugins/download-monitor/download.php?id=9" title=" downloaded 391 times" >Understanding The Use Of Moisture Diagram and Moisture Maps And How To Apply Them In Water Damaged Buildings - (391)</a>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Indoor Mold, Building Dampness Linked to Respiratory Problems and Require Better Prevention; Evidence Does Not Support Links to Wider Array of Illnesses</title>
		<link>http://carpet9.org/indoor-mold-building-dampness-linked-to-respiratory-problems-and-require-better-prevention-evidence-does-not-support-links-to-wider-array-of-illnesses/</link>
		<comments>http://carpet9.org/indoor-mold-building-dampness-linked-to-respiratory-problems-and-require-better-prevention-evidence-does-not-support-links-to-wider-array-of-illnesses/#comments</comments>
		<pubDate>Thu, 14 May 2009 01:48:06 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Technical Library]]></category>
		<category><![CDATA[asthma]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[mold]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=206</guid>
		<description><![CDATA[PRESS RELEASE: WASHINGTON &#8212; Scientific evidence links mold and other factors related to damp conditions in homes and buildings to asthma symptoms in some people with the chronic disorder, as well as to coughing, wheezing, and upper respiratory tract symptoms in otherwise healthy people, says a new report from the Institute of Medicine of the [...]]]></description>
			<content:encoded><![CDATA[<p><em>PRESS RELEASE:</em><br />
<strong>WASHINGTON &#8212; Scientific evidence links mold and other factors related to damp conditions in homes and buildings to asthma symptoms in some people with the chronic disorder, as well as to coughing, wheezing, and upper respiratory tract symptoms in otherwise healthy people, says a new report from the Institute of Medicine of the National Academies. However, the available evidence does not support an association between either indoor dampness or mold and the wide range of other health complaints that have been ascribed to them, the report says. Given the frequent occurrence of moisture problems in buildings and their links to respiratory problems, excessive indoor dampness should be addressed through a broad range of public health initiatives and changes in how buildings are designed, constructed, and maintained, said the committee that wrote the report.<span id="more-206"></span></strong></p>
<p>&#8220;An exhaustive review of the scientific literature made it clear to us that it can be very hard to tease apart the health effects of exposure to mold from all the other factors that may be influencing health in the typical indoor environment,&#8221; said committee chair Noreen Clark, dean, School of Public Health, University of Michigan, Ann Arbor. &#8220;That said, we were able to find sufficient evidence that certain respiratory problems, including symptoms in asthmatics who are sensitive to mold, are associated with exposure to mold and damp conditions. Even though the available evidence does not link mold or other factors associated with building moisture to all the serious health problems that some attribute to them, excessive indoor dampness is a widespread problem that warrants action at the local, state, and national levels.&#8221;</p>
<p>Excessive dampness influences whether mold as well as bacteria, dust mites, and other such agents are present and thrive indoors. Moreover, wetness may cause chemicals and particles to be released from building materials. Many studies of health effects possibly related to indoor dampness do not distinguish the specific health effects of different biological or chemical agents.</p>
<p>Through its careful review of the available scientific studies, the committee found sufficient evidence to conclude that mold and damp conditions are associated with asthma symptoms in asthmatics who are sensitive to mold, and to coughing, wheezing, and upper respiratory tract symptoms in otherwise healthy people. However, the evidence did not meet the strict scientific standards needed to establish a clear, causal relationship. An uncommon ailment known as hypersensitivity pneumonitis also is associated with indoor mold exposure in genetically susceptible people. Damp conditions and all they entail may be associated with the onset of asthma, as well as shortness of breath and lower respiratory illness in otherwise healthy children, although the evidence is less certain in these circumstances. Likewise, the presence of visible mold indoors may be linked to lower respiratory tract illness in children, but the evidence is not as strong in this case.</p>
<p>The committee found very few studies that have examined whether mold or other factors associated with indoor dampness are linked to fatigue, neuropsychiatric disorders, or other health problems that some people have attributed to fungal infestations of buildings. The little evidence that is available does not support an association, but because of the dearth of well-conducted studies and reliable data, the committee could not rule out the possibility.</p>
<p>Studies on animals and cell cultures in labs have found toxic effects from various microbial agents, raising concerns about whether these same agents growing in buildings can cause illness in people. Molds that are capable of producing toxins do grow indoors, and toxic and inflammatory effects also can be caused by bacteria that flourish in damp conditions, the report noted. Little information exists on the toxic potential of chemicals or particles that may be released when building materials, furniture, and other items degrade because of wetness. The committee recommended that current animal studies of short-term, high-level inhalation exposures to microbial toxins be supplemented with new research that evaluates the effects of long-term exposures at lower concentrations.</p>
<p>Moisture and mold problems stem from building designs, construction and maintenance practices, and building materials in which wetness lingers. Technical information describing how to control dampness already exists, but architects, engineers, building contractors, facility managers, and maintenance staff do not always apply this knowledge, the report says. Training curricula on why dampness problems occur and how to prevent them should be produced and disseminated. Guidelines for preventing indoor dampness also should be developed at the national level to promote widespread adoption and to avoid the potential for conflicting advice from different quarters. In addition, building codes and regulations should be reviewed and modified as necessary to reduce moisture problems.</p>
<p>Research on various means to prevent or eliminate excessive dampness &#8212; including educational initiatives and building renovations or design changes &#8212; should be undertaken to find out which are effective. While there is universal agreement that promptly fixing leaks and cleaning up spills or standing water substantially reduces the potential for mold growth, there is little evidence that shows which forms of moisture control or prevention work best at reducing health problems associated with dampness, the report notes. In addition, materials designed to educate the public about the actual health risks associated with indoor dampness should be developed and evaluated. The effectiveness of economic and other incentives to spur adherence to moisture prevention practices &#8212; such as bonuses for facility managers who meet defined goals for preventing or reducing problems, or fines for failure to correct problems by a specified deadline &#8212; should be evaluated, and successful strategies should be implemented.</p>
<p>The committee had insufficient information to recommend either an appropriate level of dampness reduction, or a safe level of exposure to organisms and chemicals linked to dampness. Better standardized methods for assessing human exposure to these agents are greatly needed, the report says. It calls for studies that compare various ways to limit moisture or eliminate mold and to evaluate whether the interventions improve occupants&#8217; health.</p>
<p>The study was sponsored by the Centers for Disease Control and Prevention. The Institute of Medicine is a private, nonprofit institution that provides health policy advice under a congressional charter granted to the National Academy of Sciences. A committee roster follows.</p>
<p>Pre-publication copies of Damp Indoor Spaces and Health are available from the National Academies Press; tel. 202-334-3313 or 1-800-624-6242 or on the Internet at http://www.nap.edu. Reporters may obtain a copy from the Office of News and Public Information (contacts listed above).</p>
<p>[ This news release and report are available at http://national-academies.org ]</p>
<p>INSTITUTE OF MEDICINE<br />
Board on Health Promotion and Disease Prevention</p>
<p>Committee on Damp Indoor Spaces and Health</p>
<p>Noreen M. Clark, Ph.D. (chair)<br />
Dean<br />
School of Public Health;<br />
Marshall H. Becker Professor of Public Health; and<br />
Professor of Pediatrics<br />
University of Michigan<br />
Ann Arbor</p>
<p>Harriet M. Ammann, Ph.D., D.A.B.T.<br />
Senior Toxicologist<br />
Air Quality Program<br />
Washington State Department of Ecology<br />
Olympia</p>
<p>Bert Brunekreff, Ph.D.<br />
Professor of Environmental Epidemiology<br />
Institute of Risk Assessment Sciences<br />
University of Utrecht<br />
Netherlands</p>
<p>Peyton A. Eggleston, M.D.<br />
Professor of Pediatrics<br />
School of Medicine, and<br />
Professor of Environmental Health Science<br />
Bloomberg School of Public Health<br />
Johns Hopkins University<br />
Baltimore</p>
<p>William J. Fisk, M.S., P.E.<br />
Senior Staff Scientist and Department Head<br />
Indoor Environment Department<br />
Lawrence Berkeley National Laboratory<br />
Berkeley, Calif.</p>
<p>Robert E. Fullilove III, Ed.D.<br />
Associate Dean for Community and Minority Affairs, and Associate Professor of Clinical Sociomedical Sciences<br />
Mailman School of Public Health<br />
Columbia University<br />
New York City</p>
<p>Judith Guernsey, M.Sc., Ph.D.<br />
Associate Professor<br />
Department of Community Health and Epidemiology<br />
Dalhousie University<br />
Halifax, Nova Scotia<br />
Canada</p>
<p>Aino Nevalainen, Ph.D.<br />
Head of Laboratory<br />
Division of Environmental Health<br />
National Public Health Institute<br />
Kuipio, Finland</p>
<p>Susanna G. Von Essen, M.D.<br />
Professor of Pulmonary and Critical Care Medicine<br />
University of Nebraska Medical Center<br />
Omaha</p>
<p>CONSULTANTS TO THE COMMITTEE</p>
<p>Terry Brennan, M.S.<br />
President<br />
Camroden Associates Inc.<br />
Westmoreland, N.Y.</p>
<p>Jeroen Douwes, Ph.D.<br />
Associate Director<br />
Centre for Public Health Research<br />
Massey University<br />
Wellington, New Zealand</p>
<p>INSTITUTE STAFF</p>
<p>David A. Butler, Ph.D.<br />
Study Director</p>
]]></content:encoded>
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		<item>
		<title>Swine Flu 1</title>
		<link>http://carpet9.org/swine-flu-1/</link>
		<comments>http://carpet9.org/swine-flu-1/#comments</comments>
		<pubDate>Tue, 05 May 2009 16:06:47 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Technical Library]]></category>
		<category><![CDATA[cfi]]></category>
		<category><![CDATA[CHMM]]></category>
		<category><![CDATA[Environmental Disinfection Contractors]]></category>
		<category><![CDATA[H1N1]]></category>
		<category><![CDATA[mild respiratory illness]]></category>
		<category><![CDATA[Patric Moffit]]></category>
		<category><![CDATA[Patrick Moffett]]></category>
		<category><![CDATA[REA]]></category>
		<category><![CDATA[swine flu]]></category>
		<category><![CDATA[Swine Flu Information]]></category>
		<category><![CDATA[The swine influenza A (H1N1)]]></category>
		<category><![CDATA[What are the Symptoms of Swine Flu?]]></category>
		<category><![CDATA[What is the Swine Flu?]]></category>

		<guid isPermaLink="false">http://carpet9.org/?p=181</guid>
		<description><![CDATA[What Building Owners, Health Professionals and Environmental Disinfection Contractors Need to Know about the Current Swine Influenza A (H1N1) Outbreak By: Patrick Moffett, CHMM, REA Swine Flu Information for Building Owners, Health Professionals and Environmental Disinfection Contractors Copyright © 2009 Patrick Moffett. All Rights Reserved What is the Swine Flu? The swine influenza A (H1N1) [...]]]></description>
			<content:encoded><![CDATA[<p><strong>What Building Owners, Health Professionals and Environmental Disinfection Contractors Need to Know about the Current Swine Influenza A (H1N1) Outbreak<br />
By: Patrick Moffett, CHMM, REA<br />
Swine Flu Information for Building Owners, Health Professionals and<br />
Environmental Disinfection Contractors<br />
Copyright © 2009 Patrick Moffett. All Rights Reserved</strong><br />
<strong>What is the Swine Flu?</strong><br />
The swine influenza A (H1N1) virus is a flu that has recently infected humans in the U.S. and Mexico. It is a novel flu in that it has not previously been identified in North America. It is also unique in that it appears to be a new genetic strain mutating from pigs to flies to people.<br />
When a human gets the swine flu the current virus is resistant to antiviral medications such as amantadine (Symmetrel) and rimantadine (Flumadine), but is sensitive to oseltamivir (Tamiflu) and zanamivir (Relenza).<span id="more-181"></span><br />
<strong>What are the Symptoms of Swine Flu?</strong><br />
Swine flu symptoms are similar to those caused by other influenza viruses. Although many cases have been reported as uncomplicated influenza-like illnesses (fever, cough or sore throat), some have reported mild respiratory illness symptoms (nasal congestion, rhinorrhea) without fever and occasional severe disease also has been reported. Other symptoms reported with swine influenza A virus infection include vomiting, diarrhea, myalgia, headache, chills, fatigue, and dyspnea. Conjunctivitis is rare, but has been reported. Severe disease (pneumonia, respiratory failure) and fatal outcomes have been reported with swine influenza A virus infection. The potential for exacerbation of underlying chronic medical conditions or invasive bacterial infection with swine influenza A virus infection should be considered.<br />
<strong>Infectious Period</strong><br />
Persons with swine influenza A (H1N1) virus infection should be considered potentially contagious for up to 7 days following illness onset. Persons who continue to be ill longer than 7 days after illness onset should be considered potentially contagious until symptoms have resolved.<br />
Children, especially younger children, might potentially be contagious for longer periods. The duration of infectiousness might vary by swine influenza A (H1N1) virus strain. Non-hospitalized ill persons who have confirmed or suspected cases of swine influenza A (H1N1) virus infection are recommended to stay at home (voluntary isolation) for at least the first 7 days after illness except to seek medical care.<br />
<strong>Phase 4 Alert</strong><br />
A Phase 4 alert is characterized by confirmed person-to-person spread of a new influenza virus able to cause “community-level” outbreaks. The increase in the pandemic alert phase indicates that the likelihood of a pandemic has increased. CDC determined that swine influenza A (H1N1) virus is contagious and is spreading from human to human. However, at this time, it is not known how easily the virus spreads between people.<br />
Swine Flu Information for Building Owners, Health Professionals and<br />
Environmental Disinfection Contractors<br />
<strong>Medical Professionals</strong><br />
Medical professionals who must examine patients that have a confirmed or suspected case of swine flu::<br />
•<br />
Should avoid close contact (up to 6 feet) from patients.<br />
•<br />
Should wear personal protective equipment including fit-tested N95 respirator or comparable surgical mask, disposable gown, gloves and goggles.<br />
•<br />
Should dispose PPE in a biohazardous bag when finished with the examination.<br />
•<br />
Must wash hands thoroughly with soap and water or alcohol-based hand gel before and after examining a patient.<br />
<strong>What are Building Owners and Managers expected to do when Reported Cases of Swine Flu is found in Their Buildings?</strong><br />
The swine flu virus is expected to only live for a few hours without a host. However when reported cases of swine flu become a public health issue in your building, building owners and managers may be required to take extraordinary cleanup and disinfecting measures to regain the confidence of the public that the building is safe. This is especially true when reported cases of influenza affect schools, libraries, planes, ships, restaurants, and other public use areas.<br />
The transmission of swine flu is generally from person to person through coughing or having physical contact with a sick person. Sick people pass the influenza virus by touching surfaces and objects such as counters, desks, phones, keyboards, sinks, door handles, bedding and exercise equipment. Parents should be concerned about children’s toys.<br />
<strong>Cleanup Worker Protection</strong><br />
Immune compromised workers and some elderly workers, including employees who have chronic medical conditions such as heart and respiratory disease should not be working in environments known or suspected of containing swine influenza.<br />
Healthy workers should wear disposable personal protective equipment including Tyvek-like full-body clothing or gown, a minimum of an N-95 respirator (preferably P-100), gloves and splash resistant goggles.<br />
Regularly train employees on and especially for this virus, refresh the training on OSHA compliant safety procedures concerning the proper use of PPE and respiratory protection, handwashing and chemical usage before your workers begin their workday.</p>
<p><strong><br />
Swine Flu Information for Building Owners, Health Professionals and Environmental Disinfection Contractors</strong></p>
<p>Common Answers about Cleaning and Disinfecting Chemicals<br />
1.<br />
Detergents and warm water washing provide the best cleaning method for materials and surfaces that are dirty.<br />
2.<br />
Disinfectants work best once the surface is clean.<br />
3.<br />
Regular dishwashing detergents work well on dishes that can be washed in the sink or dishwasher.<br />
4.<br />
Hot water washing of linens and laundry followed by drying in the sun or dryer works best for fabrics.<br />
Recommended Cleaning and Disinfecting Methods for Surfaces and Contents<br />
Rooms requiring a general surface cleaning generally involve the cleaning of surfaces an average person can touch plus 3 feet beyond that surface. In these situations consider:<br />
•<br />
Securing the work area except for qualified employees.<br />
•<br />
Stage cleaning chemicals, disinfectants and containers in an orderly process where you are always using clean solutions.<br />
o<br />
This process will allow you to have a fresh supply of cleaners, disinfectants and towels.<br />
•<br />
Doors, knobs and handles should be cleaned twice:<br />
o<br />
When entering and cleaning the room for the first time; and<br />
o<br />
On completion of the room’s cleaning process.<br />
•<br />
When many desks and surfaces are involved, triage the work area into manageable sections:<br />
o<br />
The most difficult to the least difficult;<br />
o<br />
The farthest surface to the closest surface that allows you out of the workspace.<br />
•<br />
When different types of surfaces are involved such as non-porous desks, phones, computers and keyboards, each surface or material may require a different cleaning and disinfecting solution that will not damage them.<br />
•<br />
Book covers require a good surface cleaning. Do not attempt to clean pages of books.<br />
•<br />
Works of art may require special handling and cleaning methods. Ask the owner for their approved cleaning procedures and follow that procedure. Valuable contents, contents having a patina, photographs and oil paints should not be disinfected without the advice of a certified contents restorer or conservator.<br />
•<br />
Dishes and general kitchen items that can safely be placed in a dishwasher can be cleaned and sanitized by normal cleaning processes.<br />
•<br />
Open food should be disposed.<br />
•<br />
Open personal sanitary items such as makeup, soap, toothpaste, contact lens cleaner should be disposed.<br />
•</p>
<p>Laundry can be laundered by normal cleaning processes.</p>
<p>•<br />
Children’s toys can usually be cleaned and disinfected.<br />
o<br />
When there is a question about children’s toys and how they should be cleaned and sanitized or disposed, as a general rule of thumb:</p>
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