Archive for the ‘Front Page’ Category

Thanksgiving: Keeping it Healthy for Everyone

Wednesday, November 23rd, 2011

Thanksgiving is almost here and across the country cooks are gearing up for one of the most spectacular feasts of the year. But as food preparations begin, is there enough focus on holiday food safety?

Last year at this time the Water Quality & Health Council conducted a survey that found Americans are more concerned about being around an annoying relative during the holidays than they are about getting sick from improperly prepared holiday food. I can’t help you with cranky Uncle Joe, but I do have some simple tips on keeping the holiday meal safe for him and everyone else around the table.

Food Safety: 5 Tips for a Healthy Thanksgiving

  1. Clean – Wash all food contact surfaces with hot, soapy water followed by disinfecting with 1/2 tablespoon chlorine bleach in 1/2 gallon of water. Do this before and after working with raw foods, especially meat and poultry.
  2. Wash Hands – Thoroughly wash hands with warm, soapy water before and after all food preparation and after handling turkey.
  3. Compartmentalize – Keep fresh fruits and vegetables separate from raw meat, poultry and seafood.
  4. Cook – to kill any bacteria that might be present, thoroughly cook meat, poultry and eggs to the appropriate temperature.
  5. Chill – Refrigerate leftover perishables at 40 degrees within two hours after cooking or serving.

Bonus Tip: Are You Transporting a Dish? The food editor of Epicurious.com offers tips on traveling with food this Thanksgiving. Among the “safest bets for road travel” are cranberry sauce (the high acid content of cranberries is unfriendly to bacteria), rolls and pies (excluding custard and pumpkin pies). For road trips longer than one hour, pack all food items in a cooler with ice. Dishes such as casseroles that are meant to be served hot should be prepared the day before, refrigerated and then transported in ice.

Whether you are hosting Thanksgiving or contributing a specialty dish this year, the members of the Water Quality & Health Council want to wish you a Happy and Healthy Thanksgiving. Oh, and regarding Uncle Joe, maybe I do have a tip: Why not spend a few minutes with him and see if there’s something positive hiding under his gruff exterior? Trying to find out what Uncle Joe enjoys is always a good way to start! You may be pleasantly surprised.

For more information on food safety, please visit www.disinfect-for-health.org.

Linda Golodner is President Emeritus of the National Consumers League and Vice Chair of the Water Quality & Health Council.

Disease Prevention for Occupier Protestors

Thursday, November 17th, 2011

Since mid-September, demonstrators from the international Occupy movement have inhabited US city parks to protest social and economic inequality. As the weeks pass, outdoor temperatures decline and sanitation conditions worsen, health officials are concerned that camps have become breeding grounds for disease. Protesters should heed basic principles of sanitation and take precautions to avoid spreading illness.

The New York Times reported (November 10) the New York City Health Department was monitoring conditions in Manhattan’s Zuccotti Park, the center of the Occupy Wall Street movement, a site from which protestors were recently evicted. The Times reported Dr. Philip M. Tierno, Jr. of the New York University Langone Medical Center believed conditions in the park could leave park-dwellers susceptible to respiratory viruses, norovirus and tuberculosis. The article concluded with a quote from one of the protesters, who boasted, “We’re the biggest tourist attraction in New York, and we shake everyone’s hands.” This statement raises a red flag among public health officials and epidemiologists.

What Protesters Should Know and Do about Disease Prevention

Wash Hands: Proper hand-washing is one of the best ways to prevent the spread of infection. This very simple activity, says CDC, has the potential to save more lives than any single vaccine or medical intervention. The Times article notes that hand sanitizer had appeared in Zuccotti Park. Hand sanitizer is acceptable if soap and water are not available, but according to CDC, hand sanitizers are not effective when hands are visibly dirty.

Get a Seasonal Flu Vaccination: CDC states that flu is a serious contagious disease that can lead to hospitalization and even death. A yearly flu vaccine is recommended as the first and most important step in protecting against flu virus. Whereas some protesters in Zuccotti Park welcomed free flu shots when a local health center offered them, others refused vaccinations, according to The Times, citing a government conspiracy. The 2011-2012 flu vaccine will protect against three influenza viruses, including influenza A (H1N1) virus.

Avoid Close Contact with Sick People (and take precautions to avoid contact when you are sick): It is very important to cover the nose and mouth with a tissue when coughing or sneezing, and then throw the tissue in the trash. Avoid touching the eyes, nose and mouth.

Close living quarters contributes to the spread of respiratory infections. One such infection, “Zuccotti Lung,” has appeared among New York protesters. In a news video, a doctor compares crowded park quarters to those of a cruise ship, raising the risk of the spread of intestinal and respiratory viruses. It is important to limit contact with those who are sick.

Proper Sanitation: Even though conditions are better than exist in encampments set up for refugees from both human-caused and natural disasters around the world, basic sanitation (e.g., safe water supplies, sanitary disposal of human waste, readily available facilities for washing, food sanitation and disinfection of food preparation surfaces) are critical for proper hygiene in city park camps. Doctors warn conditions in parks could leave Occupiers susceptible, not only to respiratory viruses, but also to norovirus, the winter “stomach bug” that can cause vomiting and diarrhea. In an outbreak situation, these symptoms could quickly overwhelm limited bathroom facilities in encampments.

In conclusion, while Occupiers exercise their right to protest, they must also make public health a priority.

Fred Reiff, P.E., is a retired official of the Pan American Health Organization, and lives in the Reno, Nevada area.

Pet Products and Salmonella Contamination

Thursday, November 10th, 2011

It is part of the daily routine in millions of American homes: Feeding the family pet; tossing the puppy a treat during training; administering a prescribed pet supplement. Not quite as routine are recommended precautions to avoid serious foodborne illnesses that may result from contact with these pet products.

The Food and Drug Administration (FDA) recently announced a new nationwide, year-long effort to collect and analyze samples of pet products for Salmonella bacteria. FDA wants to know how prevalent Salmonella is in dry pet food, treats and supplements; the agency aims to remove contaminated products from interstate commerce.

There are several documented cases of human disease outbreaks resulting from contact with Salmonella-contaminated pet products. Between January 2006 and December 2007, for example, seventy human cases of salmonellosis were linked to Salmonella- contaminated dry dog food manufactured in the United States. Children (who love to interact with pets and may inadvertently contact feeding bowls), the elderly and individuals with compromised immune systems are among the most vulnerable.

Here are some tips to prevent contamination from pet products:

Purchase and Storage

  • Purchase products in good condition (with no damage to packaging).
  • Store dry products in a cool, dry place (under 80 °F).

Pet Boundaries

  • Keep pets away from household food storage and preparation areas.
  • Keep pets away from garbage and household trash.
  • Supervise young children around pets and keep them away from pet feeding areas.

Preparation

  • Wash your hands for 20 seconds with hot water and soap before and after handling pet products.
  • Use a clean, dedicated scoop or spoon to transfer pet food to feeding bowl; do not use your pet’s feeding bowl as a scooping utensil.
  • Wash pet food bowls thoroughly with hot, soapy water to clean.
  • Disinfect feeding bowls periodically (see downloadable poster):
    • Wash with hot soapy water to clean; thoroughly rinse off soap
    • Sanitize with chlorine bleach solution (1/4 cup bleach + 1 gallon water); leave wet for 10 minutes
    • Rinse and dry.

We will be interested to learn the results of FDA’s examination of pet products for bacterial contamination. Meanwhile, pet owners, heed precautions to keep your family healthy.

Linda Golodner is President Emeritus of the National Consumers League and Vice Chair of the Water Quality & Health Council

Listeria Outbreak in Jensen Farms Cantaloupes: Lessons Learned

Wednesday, October 26th, 2011

Bacterial contamination recently turned a nutritious, beta-carotene-rich melon into an agent of foodborne illness for some unfortunate consumers. The Denver Post reports October 26 that the multi-state outbreak, traced to Rocky-Ford brand cantaloupes grown at Jensen Farms in Holly, Colorado, has caused 28 deaths and that the Colorado cantaloupe industry will be subjected to stronger oversight. Although all Jensen Farms cantaloupes have been recalled, the Centers for Disease Control and Prevention says further cases of infection may surface in the coming months as Listeria monocytogenes bacteria continues to incubate in human hosts. This foodborne outbreak is the deadliest one in the past 25 years.

An investigation conducted by the Food and Drug Administration (FDA) identified several likely sources of contamination at Jensen Farms, where agricultural practices were not up to par. The report cites several potential factors contributing to the outbreak. These factors fall under two categories:

Cross-contamination of Listeria on farm surfaces

  • Cattle are known carriers of Listeria. The packing shed floor, cantaloupe-transport truck tires and farm equipment might have been contaminated with cattle waste, leading to cantaloupe contamination. Another possibility is that Listeria infected cantaloupes through contact with a used potato-washing machine.

Conditions favorable to Listeria growth

  • The FDA noted a refrigerator drain line allowed water to pool on the floor next to cantaloupe packing equipment, setting up a moist environment conducive to bacterial grow. Additionally, in a departure from normal procedure, cantaloupes were not pre-cooled prior to cold storage, which might have resulted in condensation on the melon surfaces, providing moisture to sustain bacteria. Unlike many other germs, Listeria can grow even in the cold temperatures of the refrigerator. And the uneven surface of cantaloupe provides many “hiding places” for dirt and germs.

According to FDA, the cantaloupe outbreak highlights the importance of employing good agricultural and management practices in packing facilities as well as in growing fields. FDA recommendations include assessing produce facilities and equipment design to ensure adequately cleanable surfaces, eliminating opportunities for the introduction, growth and spread of Listeria. Cleaning and sanitizing procedures were clearly inadequate at Jensen Farms.

Foodborne Illness Prevention for Consumers:

  • Wash fresh produce thoroughly under running water just before eating, cutting or cooking. Even if you plan to peel the produce before eating or scoop it out as you would a melon, it is important to wash it first, according to www.foodsafety.gov. Use a clean produce brush to scrub the uneven surfaces of fruits like cantaloupe especially well because dirt and germs may be difficult to dislodge. Cut out any bruised areas.
  • FDA Directions for a Homemade Sanitizer for Food-contact Surfaces

    Combine one teaspoon of unscented bleach to one quart of water, flooding the surface and letting it stand for 10 minutes. Then rinse with clean water. Let surfaces air dry or pat them with fresh paper towels.

    Bleach solutions become less effective with time, so discard unused portions daily.

  • Clean and sanitize food-contact surfaces. The FDA web page, “Keep Listeria out of Your Kitchen” recommends cleaning hands and kitchen surfaces often in order to prevent Listeria spreading from one surface to another. FDA advises using warm soapy water on food preparation surfaces followed by sanitizing as an added precaution (see directions at right). FDA further recommends cleaning refrigerator walls and shelves regularly with warm water and liquid soap, followed by rinsing. Sanitize the refrigerator monthly, according to FDA, for added caution by using the diluted bleach solution and procedure described in the box at the right.
  • Be armed with knowledge. The website www.foodsafety.gov is an excellent source of information on food contamination issues. For example, the site explains that Listeria infection is 20 times more likely in pregnant women than in other healthy adults and can lead to miscarriage, stillbirth or life-long health problems. Knowledge is power, so learn all you can about preventing foodborne illness!

Linda Golodner is President Emeritus of the National Consumers League and Vice Chair of the Water Quality & Health Council.

Home and Garden Tips for Fall

Monday, October 10th, 2011

For home gardeners, late summer brings a happy burst of activity around the fruits–and vegetables–of their labor. Many gardeners can and store foods to prolong the enjoyment of their home-grown staples. Some are preparing the garden for a fall crop, benefiting from the last of the mild weather.

It is good to be mindful of a handy technique that, used judiciously, can increase the success and enjoyment of the backyard, the garden and its bounty. It’s the use of something that’s found in many home laundry rooms–an old standby–chlorine bleach*. Bleach is a great example of “chemistry in a bottle.” Dilute bleach solutions can be used prudently to help destroy plant and animal disease-causing microorganisms–on surfaces.

Here are some fall tips for the backyard gardener/farmer/canner/birder:

  • Keeping Halloween Pumpkins Fresh

    • To keep your Halloween pumpkin looking fresh longer, wipe away any soil on the pumpkin surface and then dip the gourd into a solution of 9 parts water and 1 part chlorine bleach. This will help reduce post-harvest rot.

  • Garden Tool Disinfection

    • Soak garden tools and shears in a solution of 9 parts warm water to 1 part chlorine bleach to help avoid spreading plant diseases. Rinse, dry and oil to prevent corrosion.

  • Terra cotta Pot Disinfection

    • After removing all soil and plant debris, wash pots and saucers, and then soak them in a solution of 9 parts warm water to 1 part chlorine bleach to reduce the spread of plant diseases. Rinse and allow to air dry.

  • Canning Fruits and Vegetables

    • Before canning your summer fruits and vegetables, clean then disinfect kitchen work surfaces with a solution of ½ gallon of water + ½ tbsp. of chlorine bleach.

  • Bird Feeder Disinfection

    • Disinfection is for the birds too: Clean and disinfect feeders once or twice per month. Immerse an empty, cleaned feeder for 2-3 minutes in a solution of 9 parts water and 1 part chlorine bleach. Allow the feeder to air dry.

    • Our feathered friends need clean drinking water too: Once every two weeks, scrub bird baths with dish detergent, rinse, then fill with a solution of 9 parts water and 1 part chlorine bleach. Let stand for 2-3 minutes. Pour it out and allow to air dry, then rinse it well and air dry again.

  • Keep Cut Flowers Fresh

    • Cut flowers last longer when ¼ tsp. of chlorine bleach is added to each quart of water in a vase.

Here’s to a productive and enjoyable fall!

Joan Rose, PhD, is the Homer Nowlin Chair in Water Research at Michigan State University and a member of the Water Quality and Health Council.

Back-to-School and Infected with Learning, Not Germs

Friday, September 30th, 2011

As students return to the classroom with brand-new backpacks and high hopes for a good academic year, an invisible army of microbes is preparing an attack on the little learners. Legions of cold and flu viruses are determined to circulate through the “student body” in a show of force that will make school PTA newsletter headlines. Lost learning hours will accumulate as germs proliferate, aided and abetted by a few strategic lapses in classroom and personal hygiene.

The following tips can help students avoid contracting cold and flu infection in the classroom, where the only good infection is the spread of knowledge:

    Teach children to wash their hands, properly and often.

    Germs rely on hand-to-face transmission, so hand-washing is critical. Germs can enter the body readily through hand contact with the mouth, eye or nose. One study found children under two years old bring their fingers to their faces 81 times per hour! For older children the number declines to 42, still a significant number of trips to the face.

    Have your children hum the “Happy Birthday Song” twice while lathering and rinsing to get the most out of hand-washing. Washing hands is a must after using the bathroom, before handling food or before eating. University of Arizona Professor Charles Gerba found the playground may be a major germ-transfer zone, so students should also wash their hands after coming in from recess.

    Teach children to “cover their cough”.

    Coughing is a very efficient method of spreading germs to a wide array of other children and environmental surfaces. Schools can provide children with tissues and also teach them how to use their arm to cover their mouth when coughing. If they cough and use their hands to cover their mouth and nose, a quick trip to the sink for soap and water hand-washing before touching other children or objects will help foil the germ army advance.

    Consult your doctor and vaccinate your child against the flu.

    The Centers for Disease Control and Prevention (CDC) recommends children of ages six months and older be vaccinated yearly against influenza (the flu). According to CDC, it is best to vaccinate before December to ensure protective antibodies are in place before flu activity peaks

    Send children to school with necessary supplies.

    Dr. Gerba found the germiest place in the classrooms of 4th to 6th graders is the pencil sharpener. To minimize your child’s contact with that hot spot, send your student to school with a mechanical pencil or a portable pencil sharpener. Make sure your child has all recommended school supplies to minimize borrowing from the classmate with the sniffles across the aisle.

    Check with your child’s school to ensure desks and other frequently touched surfaces are routinely disinfected.

    A classroom that looks clean could actually be a haven for viruses and bacteria. According to Dr. Gerba, desktops are second only to pencil sharpeners in sustaining germ populations in the 4th through 6th grade classrooms. Does your child’s school disinfect desktops and pencil sharpeners?

    Washing desk tops with detergent and water can help remove germs, but cleaning rags and sponges, which often harbor germs themselves, may introduce or simply move microbes around on surfaces. Cleaning should be followed by appropriate disinfection. For example, a simple solution of ¼ cup chlorine bleach in one gallon of water routinely applied to desktops and other frequently touched classroom surfaces during after-school maintenance can help destroy the flu virus.

Here’s to a happy and healthy school year!

Barbara M. Soule, R.N. MPA, CIC, is an Infection Preventionist and a member of the Water Quality & Health Council.

Can the U.S. Avoid a Foodborne Outbreak from Contaminated Sprouts?

Monday, June 27th, 2011

Forty people died and more than 3,500 became ill this spring as a result of ingesting E. coli-contaminated vegetable sprouts grown on a German organic farm.  Investigators do not know the source of the extremely virulent strain of E. coli, but one thing is certain:  Making sprouts safe for consumers has been a concern and a topic of ongoing research and investigation in the United States.

According to the U.S. Department of Agriculture (USDA), raw alfalfa sprouts have been recognized as a source of foodborne illness, including E. coli O157:H7 and Salmonella, since 1995. In 1996, Japan suffered the worst E. coli outbreak in history when radish sprouts made thousands sick and killed at least twelve.  According to the Food Poison Journal, since 1990, raw or slightly cooked sprouts have caused 2,273 illnesses, through 37 U.S. outbreaks.  The U.S. Food and Drug Administration (FDA) estimates that outbreaks linked to sprouts account for 40 per cent of all produce-related foodborne illness!  FDA materials indicate sprout seeds are the likely source of contamination in most sprout outbreaks.

Organic Farming:  The Problem?

It is not yet known whether the German outbreak was related to the fact that the sprouts were produced using organic farming methods.  Could composting practices be implicated? In the U.S., the Organic Trade Association guidelines specify that raw manures must be composted to Natural Resources Conservation Service standards to destroy pathogens, whereas European Union guidelines are focused on environmental contamination from factory farms.  There are no direct references to the use of sanitizers in the EU guidelines, and allowable disinfectants in the U.S. include chlorine levels in water no higher than those permitted in U.S. drinking water.  These standards would seem to increase the risks of contamination of organically grown sprouts.

Sprouts are Unique

There are serious difficulties in decontaminating pathogens during the sprout production and handling process.  For example, sprouts cannot withstand abrasive physical washing because of their fragility, and seeds have a somewhat oily surface that may repel water. The uneven surfaces of seeds provide areas where germs can hide and remain viable, even protected from a disinfecting soaking solution, such as calcium hypochlorite.  Additionally, seeds can harbor germs internally; and seeds are sprouted in warm, moist environments—ideal conditions for bacterial growth.  For these reasons, the Centers for Disease Control and Prevention advises that children, the elderly, and persons whose immune systems are compromised should not eat raw sprouts.  The FDA recommends cooking sprouts thoroughly to reduce the risk of illness.

Monitoring and Decontaminating Seeds and Sprouts

Seeds of different vegetables used for sprouts vary in their resistance to disinfection treatment.  In 1999, USDA microbiologists developed a combined irradiation and chlorine treatment that not only kills E. coli and Salmonella, but also extends the shelf life of alfalfa sprouts from about five days to more than a week (see article).  However, at least one industry expert, Lincoln Neal, in an interview for a June 20, 2011, article in Food Safety News, said irradiation sufficient to kill foodborne pathogens will almost invariably damage the seed germ, the heart of the seed needed for germination.  Weakened seeds, he said, are vulnerable to contamination, negating the benefit of irradiation. Neal is president of a company that provides purification, propagation and processing systems for sprout companies in North America.

FDA guidelines recommend sprout producers test spent irrigation water to detect the presence of pathogens in the sprout environment:  “Spent irrigation water that has flowed over and through sprouts is a good indicator of the types of microorganisms in the sprouts themselves and the microflora in spent irrigation water is fairly uniform.”  FDA recommends a sampling plan that ensures representation of each production lot.  Because seed is often the source of contamination, according to FDA, and “a single contaminated seed lot can result in contamination of multiple production lots of sprouts,” every contaminated batch, the seed lot used to produce that batch, and any other sprout production lots that were made from the same seed lot should be discarded.  Additionally, all surfaces that have contacted the contaminated materials should be thoroughly cleaned and then sanitized to avoid contaminating subsequent batches of sprouts.

The Food Safety News article describes several solutions developed to destroy germs associated with industrial production of sprouts:

  • Sanitize the seeds as they are sprouting by “repeatedly flushing the inside of the seed hull with disinfectant solution at the moments the seed ‘changes, opens, morphs, and detaches to release the sprout.’”
  • Pasteurize seeds by dipping them in very hot water to kill pathogens both on and under seed surfaces.
  • Maintain multiple sprouting rooms in production facilities to prevent cross-contamination; install automatic sanitizers that spray disinfectants on the floor where equipment and people enter.

Time Factor

Time is of the essence during foodborne outbreak investigations, as the unfortunate toll of the German outbreak demonstrates.  The longer an outbreak lasts, the greater the risk of public consumption of contaminated foods. In January 2011, President Obama signed into law the Food Safety Modernization Act.  One of the provisions of the Act requires the FDA to establish a product tracing system to effectively track and trace food. The agency will establish a list of high-risk foods and additional recordkeeping will be required for these foods.  The goal is to establish a traceability system that is consistent, speedy, covers the entire supply chain, has electronic records, has interoperable systems, and covers domestic and imported foods.

Conclusions

Sprouts can be a healthy, nutritious food, but consumers should be aware of the potential risks associated with their production.  Can consumers protect themselves by washing the sprouts they bring them home?  FDA researchers have found that if foodborne pathogens such as E. coli and Salmonella are on the finished sprouts, washing them only minimally decreases the amount of contamination.  Hopefully, through the combined efforts of sprout producers, industry innovators and a new government track and trace system, U.S. consumers will not experience a repeat of the devastating German E. coli outbreak.

Linda Golodner is President Emeritus of the National Consumers League and Vice Chair of the Water Quality & Health Council.

Five Myths about Chlorine Bleach

Tuesday, May 17th, 2011

Chlorine bleach is an effective and inexpensive disinfectant that is widely used to destroy germs that live on surfaces in healthcare and daycare settings, schools and homes. Misinformation on bleach is common, however, so the following list was compiled to dispel five myths about this product. This article is partly based on a September, 2010 article by Dr. Krishna Reddy in Infection Control Today.

Myth #1: Bleach contains free-standing chlorine.

There is no free-standing, or elemental, chlorine in bleach. Bleach is manufactured from salt and water to produce sodium hypochlorite, the active ingredient in bleach. Bleach is simply a water solution of this compound.

Myth #2:  If you can smell bleach, you are sure to experience negative health effects.

Simply smelling bleach does not indicate adverse health effects.  The human nose can detect the presence of bleach at levels much lower than those that cause health effects.  According to Dr. Reddy, research by Paustenbauch and Gaffney found that for some odorous chemicals, even when airborne concentrations are maintained below a particular occupational exposure limit, some people experience an unpleasant response.  According to the researchers, in some cases, workers’ pre-existing belief system about the source of an odor may be sufficient to create anxiety when exposed to any detectable concentration.  Dispelling the fear of bleach odor through real facts and information can help reduce concerns and complaints.

Bleach odor can be minimized by ensuring proper use according to label directions (not overuse) and good ventilation in the area of use.  Bleach should never be mixed with other household products.

Myth #3:  The more you use in each disinfection application, the better!

No!  Always follow use directions.  Just like laundry detergent, more is not better.  A 2010 Holiday Food Safety Survey by the Water Quality & Health Council found that most Americans (82%) do not know the right amount of bleach needed to kill common foodborne germs on kitchen surfaces.  Almost half of survey respondents overestimated this quantity.  In fact, to destroy the vast majority of common foodborne germs, a solution of only one tablespoon of bleach in one gallon of water is sufficient.  Consumers can order a free refrigerator magnet to remind them of the correct directions for using bleach to destroy germs on household food preparation surfaces.

Myth #4:  Bleach forms dioxins.

Dioxins1 are not formed by bleach disinfectant use.

Myth #5:  Bleach is harmful to the environment.

The two substances that react to form bleach—chlorine and sodium hydroxide–are made by conducting electricity through salty water.  As bleach is used to destroy germs, it reverts mainly to salty water.

Fred Reiff, P.E., is a retired official of the Pan American Health Organization.

1 “Dioxin” is a shortened version of the technical chemical name given to a family of halogenated organic compounds of variable toxicity that are unwanted byproducts of combustion and some chemical manufacturing. Among other atoms, these compounds contain two oxygen atoms in their chemical structure, hence, “di” refers to “two” and “ox” refers to oxygen.

Sensing Potential Problems with Electronic Eye Faucets

Monday, May 9th, 2011

The public bathroom scene is changing. Increasingly, manual faucets and soap dispensers are being replaced by hands-free electronic eye faucets that conserve water and need only sense a pair of hands to start running water of a perfect temperature. This is a positive development because those who wash their hands don’t have to touch the faucet handles, or the soap dispenser. Even many paper towel dispensers now detect our hands and automatically provide paper. Sensors have become our friend and ally in preventing infections.

So, you’ve washed your hands using this new technology, but how clean are they?

According to a March 31 press release, although hands-free electronic eye faucets conserve water, a seven-week study at Johns Hopkins hospital shows that there may be an unintended consequence to their use: Water dispensed from electronic eye faucets is more likely than manual faucets to be contaminated with a common hazardous bacterium. Researchers compared water samples from 20 electronic-eye faucets and 20 manual faucets in or near patient care areas at Johns Hopkins; they found the waterborne bacteria Legionella growing in 50 percent of water samples from electronic-eye faucets, whereas the same bacteria was found in only 15 percent of samples from manual faucets. Additionally, weekly water cultures showed half the amount of bacterial growth of any kind in manual faucets compared to electronic ones.

The researchers believe that standard hospital disinfection methods that complement normal public utility treatment, might not work well on the “complex valve components” of electronic faucets. Disassembling some of the faucets, the team found Legionella and other bacteria on all of the main component valves and other parts, very few of which exist in manual faucets.

Emily Sydnor, M.D. a fellow in infectious diseases at Johns Hopkins and the lead study investigator, stated in an article in Infection Control Today that “Legionella bacteria, commonly found in water supplied from public utilities, rarely cause illness in people with healthy immune systems, but pose a real risk of infection in hospital patients whose immune systems are weakened from cancer chemotherapy, anti-rejection drugs after organ transplant, or from diseases such as HIV/AIDS”.

As the result of the study, the Johns Hopkins hospital leadership made the decision to remove the 20 electronic-eye faucets from its patient care area and replace them with standard manual ones. The same is being done a building currently under construction and set to open in 2012.

In the following months, the Johns Hopkins researchers are planning to work with the manufacturers of electronic eye faucets to correct the faucet design flaw.

These study results are interesting, but also raise many questions. It would be good to know, for example, why Legionella proliferates in electronic eye faucets—is it because the preferred water temperature for hand washing is similar to the optimal temperature range for proliferation of Legionella? Is it due to a material or substance used in manufacturing the faucets that fosters Legionella’s growth? Further, is it possible that hand washing contributes to inhalation of water droplets or vapor, the primary route of Legionella exposure? Perhaps the researchers will consider an epidemiological study to see if reverting to traditional faucets results in any reduction in hospital acquired legionellosis.

Barbara M. Soule, R.N. MPA, CIC, is an Infection Preventionist and a member of the Water Quality & Health Council.

Household Disinfection 101

Friday, April 29th, 2011

Spring cleaning time is here again and many penny-wise consumers are choosing to mix their own cleaning and disinfecting solutions to help stretch the household budget.  The Water Quality & Health Council would like to help consumers make good choices as they tackle their disinfecting chores.

Cleaning Is Not the Same as Disinfection

Cleaning and disinfecting are different tasks with different goals.  In cleaning, water and detergent—and often a healthy dose of elbow grease—are used to help remove dirt and grime from surfaces.  The goal of disinfection is to destroy germs.  After cleaning food-contact surfaces, such as the kitchen counter, it is important to disinfect.  For many consumers, the question is:  What is the most effective product to use to disinfect?  Bleach, hydrogen peroxide, vinegar, lemon or lime juice and baking soda are some of the products suggested for use, but just how effective are they in destroying germs?

A few years ago, a team of scientists asked that question and designed experiments to rate the performance of five common household products against foodborne bacteria.1 The bacteria, E. coli O157:H7, Salmonella and Listeria monocytogenes, are frequent culprits in foodborne disease outbreaks and may be found as contaminants in food products brought into the home, including vegetables, cheeses, ice cream and raw meat.  The scientists noted that these bacteria can survive on food contact surfaces for hours or even days at a time.  Contaminated surfaces may harbor bacteria that can then cross-contaminate other foods.

Research Findings

The researchers found that of the five products tested, only a diluted solution of chlorine bleach was effective against all three of the common kitchen germs.  Baking soda had no detectable effectiveness against the trio of test germs.  For this analysis, product effectiveness was compared after one minute of exposure to germs at room temperature.  The table below summarizes the research findings.

Disinfecting Surfaces with Common Household Solutions

(Based on Yang et. al, 2009; all trials included application at room temperature

during which solution was left on surface for one minute.)

Most Effective

Arrow

Least Effective

Household Substance Mixing Directions Notes
Chlorine bleach

(0.0314% sodium hypochlorite)

1 tsp. bleach + 1 qt. water Make fresh solutions daily as bleach breaks down over time; degrades into mostly salty water as it destroys germs.  Effective at room temperature.

Do not mix bleach solution with other products.

Hydrogen peroxide (3%) undiluted Use freshly poured product within a short period of time; degrades quickly into oxygen and water when exposed to light.
White vinegar

(5% acetic acid)

undiluted
Lemon/lime juice

(5% citric acid)

undiluted
Baking soda

(50% sodium bicarbonate)

Ineffective as a disinfectant

Disinfection Efficacy of Common Household Products at Room Temperature and One-Minute Exposures

(Based on Yang et. al, 2009)

Listeria monocytogenes Escherichia coli Salmonella Typhimurium
Chlorine bleach destroys…

*Hydrogen peroxide destroys…

*White vinegar
*Lemon/lime juice
Baking soda

*Yang et. al (2009) found bacterial reductions of Listeria monocytogenes were possible using these substances when they were applied at an initial temperature of 55 C for 10 minutes at a time.

1 Yang, H., Kendall, P.A., Medeiros, L. and Sofos, J.N. (2009).  Inactivation of Listeria monocytogenes, Escherichia coli O157:H7, and Salmonella Typhimurium with Compounds Available in Households. Journal of Food Protection, v. 72, No. 6, pp. 1201-1208.

Linda Golodner is President Emeritus of the National Consumers League and Vice Chair of the Water Quality & Health Council.

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