Portable Sanitation Association International

Association Insight March 18, 2020

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Page 2 ASSOCIATIONINSIGHT Portable Sanitation Association International News BIWEEKLY EDITION MARCH 18, 2020 Portable Sanitation and COVID-19—The Latest …continued from page 1 Continued on page 3 According to CCDC: "These results confirm that COVID-19 patients have live virus in stool specimens, which is a new finding in the transmission routes of 2019-nCoV. In addition to close contact and contact with respiratory secretions of patients, the virus can also be transmitted through the potential fecal-oral route. This means that stool samples may contaminate hands, food, water, etc., and may cause infection by invading the oral cavity, respiratory mucosa, conjunctiva, etc. This virus has many routes of transmission, which can partially explain its strong transmission and fast transmission speed. " 1 These findings supplement what we already knew. The virus lives a long time outside the human body and can be transmitted easily. What is new in this finding is that workers pumping human waste can possibly ingest the virus if, while pumping, fecal matter becomes airborne and is inhaled or ingested. This risk is in addition to the already-known risks of becoming infected by getting the virus on a hand or face and then into the mouth. To counter these risks the PSAI strongly advises: • All workers who are pumping units should wear face masks or face shields while cleaning as well as the regular minimum PPE of hard hats, waterproof gloves, boots with steel or composite toes, and eye protection. • All hard hats, gloves, and eye/face protection should be sanitized daily with solutions of bleach, hydrogen peroxide, or other approved cleaners. (See page 3.) • The compartments in/on trucks where gloves are stored between uses should be sanitized at least daily with one of these cleaning solutions. • As usual, gloves worn while cleaning hand wash stations and portable restrooms should be different (2 pair minimum) and stored separately to avoid cross-contamination. • Clothing worn while cleaning portable units should be removed and laundered immediately. (See sidebar for laundering tips.) Effective Cleaning Products and Durations The PSAI has previously issued guidance on cleaning products. See the March 4 issue of Association Insight for details. In addition to this, the Centers for Disease Control and Prevention (CDC) and Environmental Protection Agency (EPA) have now issued a more comprehensive list of cleaners and the duration of time they must be used to kill COVID-19. Download it here. 1 China CDC Weekly, "Notes from the Field: Isolation of 2019-nCoV from a Stool Specimen of a Laboratory-Confirmed Case of the Coronavirus Disease 2019 (COVID-19)" A virus particle with typical morphology of coronavirus was observed using electron microscopy after inoculating stool suspension into Vero cells. Laundering Clothing Worn While Cleaning Portable Units Do not wear clothes worn while cleaning portable units in public areas or for multiple days. Take precautions so that whatever gets on the clothing—whether it's COVID-19 or anything else—is not transferred to furniture, upholstery, or other surfaces. The CDC recommends the following laundry procedures: • Use gloves when handling dirty laundry, or be sure to wash hands afterwards. • Do not shake dirty laundry. This will minimize the possibility of dispersing virus through the air. • Launder items in accordance with the manufacturer's instructions. • Launder items using the warmest appropriate water setting for the items and dry them completely. A portable sanitation worker's clothes can be washed with other people's items. • If the laundry is not done right away, clean and disinfect the clothes hamper according to the PSAI's guidance for surfaces. If possible, place a bag liner that is either disposable or can be laundered inside the hamper.

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