Fitness Industry Webinar, 04/11/2020
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Presenter 1: Cleo Zvidzai Cleo Zvidzai | IPC Knowledge Lead | Infection Prevention and Control Advice Cell Intelligence, Data and Corporate|COVID-19 Public Health Division Department of Health and Human Services | 50 Lonsdale Street Melbourne Victoria 3000 e. cleo.zvidzai@dhhs.vic.gov.au. www.dhhs.vic.gov.au Cleo Zvidzai RN, BN, ICP, MPH, MSc. Med (SH)
COVID-19 Transmission Guo M, Xu P, Xiao T, He R, Dai M, Miller SL. Review and comparison of HVAC operation guidelines in different countries during the COVID-19 pandemic. Building and Environment. 2021;187:107368.
Persistence of SARS-CoV-2 virus on surfaces Table 1. Hours of persistence (range) of SARS-CoV-2 on different surfaces by temperature Surface Type ≤4°C range 15-29°C range 30-44°C range Reference Plastic N/A 72-672 48-168 1-5 Glass N/A 48-672 1, 4 Cardboard N/A 0-24 3 Wood N/A 0-24 4 Stainless steel N/A 48-672 48-168 1-5 Copper N/A 0-4 N/A 2, 3 Cotton N/A 24-336 24-72 1, 4, 5 Surgical mask (inner) N/A 0-96 N/A 4 Paper N/A 0-0.5 N/A 1, 4 Banknote N/A 24-672 168-504 1, 4 Tissue N/A 0-0.5 N/A 4 Metal N/A 0-180 N/A 6 Food 0-504 N/A N/A 7 Vinyl N/A 0-672 48-72 1 Nitrile gloves N/A 0-168 N/A 6 Chemical resistant gloves N/A 0-96 N/A 6 N95/N100 respirator N/A 0-504 N/A 6
Hours of SARS-CoV-2 persistence ≤4°C Hours of SARS-CoV-2 persistence 15-29°C HOURS OF PERSISTENCE 500 ≤4°C min 15-29°C 400 300 700 HOURS OF PERSISTENCE 200 600 100 500 0 400 300 200 100 0 SOLID SURFACE MATERIAL SOLID SURFACE MATERIAL Hours of SARS-CoV-2 persistence 30-44°C 30-44°C 500 HOURS OF PERSISTENCE 400 300 200 100 0 SOLID SURFACE MATERIAL
Main Findings Viral persistence on different surfaces, non-porous surfaces, may be longer than initial assumptions However, due to uncontrolled environmental conditions (temperature and humidity) and frequent routine disinfection, viral persistence in nosocomial settings may be lower compared to that found by experiments conducted in controlled, laboratory settings. Temperature appears to have an effect on the persistence and viability of SARS-CoV-2 on different surfaces, whereby increasing temperature reduces survivability. Duration of viral persistence was longest on plastic (672 hours), stainless steel (672 hours), glass (672 hours) and banknotes (paper and polymer, 672 hours) in temperatures of around 20°C. These findings were reported by Riddell et al (most recent publication). SARS-CoV-2 may survive on refrigerated and frozen foods (e.g. chicken, salmon, pork) being transported for international trade and remain infectious after 21 days. Nosocomial surfaces that had high rates of contamination were those in close proximity to COVID-19 positive patients and healthcare workers in COVID-19 wards. Cotton fabrics have a shorter duration of viral persistence.
Screen employees, subcontractors (PTs) and Gym member Anyone who is unwell should not enter gym Screen all employees and PTs before commencing work (ensure privacy is maintained) Consider screening gym members actively (declaration on app, other online forms, email communications etc.) or passively through signage at entry points Ensure local policies and guidelines are adjusted to accommodate unwell employees with COVID-19 related illnesses Develop systems to register gym members to check in and check out and develop a plan to notify potentially exposed persons (record names, time in & time out) or utilise QR codes. Have a dedicated person responsible for such communications
Hand Hygiene & respiratory hygiene Ensure availability of soap and water in bathrooms for hand washing Use alcohol based hand rub with at least 60% ethanol or 70% isopropanol at entry/exit points, and workout stations All gym users to perform hand hygiene: after coughing or sneezing after going to the toilet, and when changing tasks and after touching potentially contaminated surfaces Before leaving perform hand hygiene with soap & water Ensure availability of tissues. Encourage gym members to cover coughs and sneezes or cough in elbow then perform hand hygiene. Ensure availability of bins with lids Avoid touching your eyes, nose, and mouth with unwashed hands Place Hand hygiene posters
Physical distancing Consider marking distance between members using tape/floor markers/or signage) to maintain the required physical distancing 1.5 metres Utilise social media/email communications, or inhouse treadmill video platform to educate members on physical distancing Maintain 8 square metre per person and this applies regardless of space dimensions and for density requirements, follow current guidelines Stagger classes to avoid overcrowding (small groups) Elderly are at high risk, consider admittance limit for specific times Restrooms/locker rooms-Post signage limiting restroom occupancy & maintain required physical distancing of 1.5 metres
Staff Lunchrooms/Tearoom Remove excess chairs/block seats, distance tables 2 metres apart with 0.5m being the buffer. Apply required room density, physical distancing and reinforce messaging passively by use of infographics at tearoom entry and exit points. Ensure lunchrooms are well ventilated Provide hand sanitiser at tearoom entrance and exit. Ensure signage is available Provide TGA approved disinfectant wipes to wipe down frequently touched lunchroom surfaces Stagger tea/lunch breaks to reduce staff numbers at any given time. Ensure a system to monitor who goes into lunchroom is in place. Utilise QR codes, or paper based register bearing date, name, time in & time out and staff contact number.
Ventilation Switch air handling units to recirculate to 100% outdoor air Depending on your climatic region, some air conditioning systems will struggle to adequately condition the air with 100 per cent outside air being introduced. Please consult your air conditioning service provider or seek assistance from suitably qualified people before changing the function of your systems. Seek assistance from suitably qualified people before changing the function of your systems Switch on ventilation at least 2 hours before and after occupancy Have a staff dedicated and trained in controlling ventilation units Keep toilet ventilation in operation whilst gym is open Put signage instructions for members to flush toilets closed with lid closed Flush all toilets, water taps and showers frequently
Cleaning A 2-step clean, involves a physical clean using detergent solution followed by use of a chemical disinfectant A 2-in-1 clean in which a combined detergent/disinfectant wipe or solution is used and mechanical/manual cleaning action is involved Sole reliance on a disinfectant without mechanical/manual cleaning is not recommended TGA have listed disinfectant products that have been entered into the TGA register with specific claims against SARS- CoV-2 (COVID 19) or COVID-19 on the product label. For list of approved TGA disinfectant wipes visit: https://www.tga.gov.au/disinfectants-use-against-covid-19-artg-legal- supply-australia To search for any cleaning product visit: https://www.tga.gov.au/australian-register-therapeutic-goods Identify staff to clean & disinfect surfaces including floor Clean and disinfect all exercise equipment Provide wipes at each workout station Consider removing hard-to-clean items and equipment such as bands, rubber mats, foam rollers, and yoga blocks For further workplace prevention strategies visit: https://www.dhhs.vic.gov.au/preventing-infection-workplace-covid- 19 For waste handling and disposal visit: https://www.dhhs.vic.gov.au/sites/default/files/documents/202008/COVID-19- Disposing-clinical-waste-guide-1901.pdf
Presenter 2: Sherryn Lethlean Sherryn Lethlean Covid Squad Coordination and Operations Director COVID-19 Public Health Division, Sun-Wed Department of Health and Human Services | 50 Lonsdale Street, Melbourne, Victoria, 3000 E. sherryn.lethlean@dhhs.vic.gov.au E: olwyn.Schiavone@dhhs.vic.gov.au
IPCON – Infection Prevention and Control Outreach Nurses One team – 2 divisions – Outbreak and Prevention All IPCON staff are experts in preventing the spread of infectious diseases to enhance current practices of COVID safety. Team of Highly skilled and experienced Nurses trained in infection control, and Infection Control Consultants Outbreak Squads work with organisations in a range of settings to develop their COVID safe plans, strengthen their infection control procedures and protocols, and to put that into practice. IPCON teams provide a range of strategies and advice on infection control protocols based on the latest evidence. Strategies typically cover hand hygiene, social distancing, personal protective equipment (PPE), cleaning techniques (eg for frequently touched surfaces, or in the event of an outbreak), ventilation, securing management structures, and how to manage a facility should a staff member become symptomatic.
IPCON Team Visits (Outbreak Squads)
Review of Covid19 Outbreak Squad Findings VARIOUS SETTINGS / INDUSTRIES: Lack of adequate cleaning – particularly high touch points Many health professionals forget basic shared items i.e. stethoscopes, BP Cuffs etc, pens, scales Social distancing – lack of, signage, chairs placed too close encourages people to sit close together Inadequate mask usage / wearing incorrectly Continuous wearing of gloves Inadequate hand hygiene Large volumes of staffing lost to isolation, close contacts and Covid infection
Areas of concern often overlooked: Tea Rooms and shared staff areas Considerhigh touch points such as microwaves, tea / coffee facilities Chairs not 1.5m apart Fridges (handles are often highest touch points) Nohand hygiene in tea rooms which is easily accessible Shared food – biscuits, open food – should be individually wrapped only Shared dishes is a risk
Cleaning Cleaning means physically removing germs, dirt and organic matter from surfaces. Cleaning alone does not kill germs, but by reducing the numbers of germs on surfaces, cleaning helps to reduce the risk of spreading infection. Disinfection means using chemicals to kill germs on surfaces. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs that remain on surfaces after cleaning, disinfection further reduces the risk of spreading infection. Cleaning before disinfection is very important as organic matter and dirt can reduce the ability of disinfectants to kill germs. Importance of cleaning your hands regularly Soap and water should be used for hand hygiene when hands are visibly soiled. Use an alcohol-based hand rub at other times after touching surfaces Cleaning hands helps to reduce contamination of surfaces and objects that may be touched by other people. What to clean and disinfect and when Clean and disinfect all areas – consider high touch points such as: Door handles Bathrooms / lockers Equipment Lunch rooms Water fountains
Points to Consider Is hand hygiene readily accessible? Are equipment wipes readily accessible? How are shared items cleaned? Frequency? Consider the communal areas and staff areas: Lunch rooms, Administration areas – photocopiers What items are regularly touched by a client? Kettle Bells/Dumbells/Free Weights/Bands Stationary Equipment i.e. Treadmills, Weight Machines Items in client assessment areas i.e measuring tapes? Laundering of Towels?
Presenter 3: Nicole Brady Nicole Brady Executive Director, Strategy & Policy Deputy Public Health Commander COVID-19 Department Incident Management Team Department of Health and Human Services 50 Lonsdale Street, Melbourne, Victoria, 3000 e. nicole.brady@dhhs.vic.gov.au w. www.dhhs.vic.gov.au/coronavirus
Changes from 11.59PM Sunday 8 Nov Indoor physical recreation (including classes) will be open with the following restrictions: Subject to strict density quotient of 1 person per 8sqm Patron cap of up to 10 per room and 20 per venue, with a maximum class/ group size of 10 per session Keep at least 1.5m between each participant Patrons continue to wear face masks unless out of breath No physical contact between trainers and customers Staggered class times and time gap of 15 minutes between sessions to avoid congregation or exceeding group limits Requirement for a COVIDSafe Marshal onsite
Changes from 11.59PM Sunday Personal training (no change): Remains outdoors for up to 10 people or a household (whichever is more) the trainer not included in cap Trainer must wear a mask Clean & disinfect all equipment between each person using Outside defined as no roof or, may have a roof so long as at least 2 sides of the space do not have walls.
If there is a positive case at a gym/studio Case interviewed, all primary contacts notified and must quarantine for 14 days Defined as anyone who spent 15 minutes in a room with the person during symptomatic period (which is 48 hours before symptoms appear) This will likely mean your staff Deep clean Exposure sites identified on DHHS website
References 1. Riddell S, Goldie S, Hill A, Eagles D, Drew TW. The effect of temperature on persistence of SARS-CoV-2 on common surfaces. Virology Journal. 2020;17(1):145. 2. van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. The New England journal of medicine. 2020;382(16):1564-7. 3. Akram MZ. Inanimate surfaces as potential source of 2019-nCoV spread and their disinfection with biocidal agents. Virusdisease. 2020;31(2):94-6. 4. Chin AWH, Chu JTS, Perera MRA, Hui KPY, Yen H-L, Chan MCW, et al. Stability of SARS-CoV-2 in different environmental conditions. The Lancet Microbe. 2020;1(1):e10. 5. Kasloff SB, Strong JE, Funk D, Cutts TA. Stability of SARS-CoV-2 on Critical Personal Protective Equipment. medRxiv. 2020:2020.06.11.20128884. 6. Kratzel A, Steiner S, Todt D, V'Kovski P, Brueggemann Y, Steinmann J, et al. Temperature-dependent surface stability of SARS-CoV-2. J Infect. 2020;81(3):452-82. 7. Fisher D, Reilly A, Zheng AKE, Cook AR, Anderson DE. Seeding of outbreaks of COVID-19 by contaminated fresh and frozen food. bioRxiv. 2020:2020.08.17.255166. 8. Guo M, Xu P, Xiao T, He R, Dai M, Miller SL. Review and comparison of HVAC operation guidelines in different countries during the COVID-19 pandemic. Building and Environment. 2021;187:107368 9. https://www.safeworkaustralia.gov.au/covid-19-information-workplaces/industry-information/gyms-and-fitness- centres/hygiene# 10. https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/gym-employers.html 11. https://aiha-assets.sfo2.digitaloceanspaces.com/AIHA/resources/Reopening-Guidance-for-Gyms-and-Workout- Facilitiess_GuidanceDocument.pdf
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