Personal Protective Equipment (PPE) for Ebola

Personal Protective Equipment (PPE)
for Ebola virus disease
INFORMATION ON EBOLA VIRUS DISEASE
As we have learned from the international press and media, the World Health Organization (WHO) has categorized the Ebola virus as a
”Public Health Emergency of International Concern (PHEIC)”. The disease is often fatal with death rates up to 90%.
Guidance on Ebola virus disease is available from the WHO and other national and international organizations (such as
the European Centre for Disease Prevention and Control and the United States Centers for Disease Control and Prevention). If you may come into contact with the Ebola virus disease you should regularly check the information on the WHO website
(http://www.who.int/mediacentre/factsheets/fs103/en/) and the websites of other relevant organizations.
This bulletin is not a substitute for the guidance of these organizations, but the following is a summary of some of the key information
published by the WHO (source: http://www.who.int/csr/disease/ebola/faq-ebola/en/). Please note that we have inserted the emphasis on
WHO references to the use of personal protective equipment and protective measures:
WHAT IS EBOLA VIRUS DISEASE?
WHO IS MOST AT RISK?
Ebola virus disease (formerly known as Ebola haemorrhagic fever)
is a severe, often fatal illness, with a death rate of up to 90%. The
illness affects humans and nonhuman primates (monkeys, gorillas,
and chimpanzees).
During an outbreak, those at higher risk of infection are:
HOW DO PEOPLE BECOME INFECTED WITH THE
VIRUS?
More research is needed to understand if some groups, such as
immuno-compromised people or those with other underlying health
conditions, are more susceptible than others to contracting the
virus.
In the current outbreak in West Africa, the majority of cases in
humans have occurred as a result of human-to-human transmission.
Infection occurs from direct contact through broken skin or mucous
membranes with the blood, or other bodily fluids or secretions (stool,
urine, saliva, semen) of infected people. Infection can also occur if
broken skin or mucous membranes of a healthy person come into
contact with environments that have become contaminated with an
Ebola patient’s infectious fluids such as soiled clothing, bed linen,
or used needles.
More than 100 health-care workers have been exposed to the virus
while caring for Ebola patients. This happens because they may
not have been wearing personal protection equipment or were
not properly applying infection prevention and control measures
when caring for the patients. Health-care providers at all levels of
the health system – hospitals, clinics, and health posts – should be
briefed on the nature of the disease and how it is transmitted, and
strictly follow recommended infection control precautions.
1
health workers;
family members or others in close contact with infected
people;
mourners who have direct contact with the bodies of the
deceased as part of burial ceremonies.
Exposure to the virus can be controlled through the use of
protective measures in clinics and hospitals, at community
gatherings, or at home.
WHAT CAN I DO? CAN IT BE PREVENTED? IS THERE A
VACCINE?
Currently, there is no licensed medicine or vaccine for Ebola virus
disease, but several products are under development.
Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
WAYS TO PREVENT INFECTION AND
TRANSMISSION:
PERSONAL PROTECTIVE EQUIPMENT (PPE)
FOR EBOLA VIRUS DISEASE
While initial cases of Ebola virus disease are contracted by
handling infected animals or carcasses, secondary cases occur
by direct contact with the bodily fluids of an ill person, either
through unsafe case management or unsafe burial practices.
During this outbreak, most of the disease has spread through
human-to-human mission. Several steps can be taken to help in
preventing infection and limiting or stopping transmission.
For those working to control the Ebola virus disease and treat
patients, the WHO recommends personal protective equipment
for most activities. For further details, we specifically refer you
to WHO guidance “Interim Infection Prevention and Control
Guidance for Care of Patients with Suspected or Confirmed
Filovirus Haemorrhagic Fever in Health-Care Settings, with focus
on Ebola” available at http://www.who.int/csr/resources/whoipc-guidance-ebolafinal-09082014.pdf.
Understand the nature of the disease, how it is transmitted,
and how to prevent it from spreading further. (For additional
information, please see the previous questions about Ebola
virus disease [published by the WHO])
Listen to and follow directives issued by your country’s
respective Ministry of Health.
If you suspect someone close to you or in your community of
having Ebola virus disease, encourage and support them in
seeking appropriate medical treatment in a care facility.
If you choose to care for an ill person in your home, notify
public health officials of your intentions so they can train you
and provide appropriate gloves and personal protective
equipment (PPE), as well as instructions as a reminder
on how to properly care for the patient, protect yourself
and your family, and properly dispose of the PPE after
use. N.B. WHO does not recommend home care and
strongly advises individuals and their family members to seek
professional care in a treatment centre.
When visiting patients in the hospital or caring for someone at
home, hand washing with soap and water is recommended
after touching a patient, being in contact with their bodily
fluids, or touching his/her surroundings.
People who have died from Ebola should only be handled
using appropriate protective equipment and should be
buried immediately.
Additionally, individuals should reduce contact with highrisk infected animals (i.e. fruit bats, monkeys or apes) in the
affected rainforest areas. If you suspect an animal is infected,
do not handle it. Animal products (blood and meat) should be
thoroughly cooked before eating.
The guidance recommends use of:
Fluid resistant mask or respirator (with some activities
requiring particular respiratory protection)
Protective clothing
Impermeable gloves
Impermeable footwear
Eye and face protection
The purpose of this bulletin is to provide you with details of some
of our PPE that may be suitable for use when working in an
environment where the Ebola virus may be present or with people
affected by the virus. When selecting PPE for particular use it
is essential to note that:
There are currently no national or international regulations
that require specific performance criteria for protective
clothing used in connection with the Ebola virus. Selection
should therefore be based on site-specific assessment. PPE
must be selected after making a site-specific assessment
taking into consideration potential exposures and the need
for protection against infected fluids and other carriers of
infection, but also work conditions, environmental conditions,
tasks and availability of decontamination facilities.
Our PPE is certified for use in countries where EN standards
and EU certification are valid; please refer to your Honeywell
contact if your location or your regulations require a different
type of certification.
If you are involved in infection control activities relating to the
Ebola virus, you should ensure that you have read and are
fully familiar with the WHO Infection, Prevention and Control
(IPC) Guidance available at: http://www.who.int/csr/
resources/who-ipc-guidance-ebolafinal-09082014.pdf.
PPE can prevent infected material from coming into contact
with mouth, nose, eyes and broken skin, but it is essential that
all relevant infection prevention and control (IPC) protocols,
and our manufacturer’s user instructions are followed when
(i) putting on (donning) and removing (doffing) PPE to avoid
contamination, and (ii) when cleaning any re-usable PPE.
OUR PPE IS NOT DESIGNED TO BE USED IN MEDICAL
OPERATIONS REQUIRING STERILISED PRODUCTS.
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Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
HONEYWELL SAFETY PRODUCTS RECOMMENDED:
GOGGLES – EYE PROTECTION
The following products are non-vented goggles with an anti-fog coating which (according to NIOSH) are preferred for infection control.
Please ensure that goggles fit closely to the face, in particular from the corners of the eye across the brow, and note that goggles do not
provide splash or spray protection for the rest of the face.
FLEXY SERIES
• Economy goggle.
• Soft, flexible frame.
• Worn over most safety spectacles or over most prescription glasses.
Ref.
Flexacid 80 51 71
3
Lens / Ventilation
CP / Without neoprene strap
Treatment
Frame marking
Lens marking
Replacement glass
Anti-scratch/Fogban
EN166 3 4 F CE
EN166 1F CE
80 51 02
Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
RESPIRATORY PROTECTION
The following products (single-use or reusable masks) are recommended for particulates and aerosols protection.
Ref.
Name
Description
Standards
EN149:2001+A1:2009
10 189 21
Honeywell EasyFit 200
10 132 05
Honeywell Superone 3205
10 156 43
One-Fit HC-NB095
NIOSH APPROVED N95
10 157 21
One-Fit HC-NB295F
NIOSH APPROVED N95
FFP2 NR D, no exhalation valve, elastic fasteners
EN149:2001+A1:2009
N65550032
N5500
Elastomeric Half Mask, Class 1, Size M
EN140
N06575008
N Series Filters
Class 1, P3 Cartridges
EN143
DURATION OF USE
All disposable masks are recommended for a single-use only. After usage, the single-use mask should be discarded. If the mask
has been used in an environment where the Ebola virus might be present, we recommend that the P3 cartridges should also be discarded
after each use.
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Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
When using a mask please ensure that manufacturer’s instructions are complied and, in particular:
1. FITTING A MASK:
For good respiratory protection, the user must ensure that there is no air leakage.
Move the mask smoothly, from right to left, up and down, in order to achieve the best position of the mask on the face. The facial
fit should be checked as follows:
For single-use masks:
(i) Place both hands over the mask and inhale sharply.
(ii) If you feel air entering around the edges, tighten the nose-piece (for EasyFit and ONE-FIT HC-NB295F only) and/or increase tension of the headstraps.
EasyFit: how to fit a single-use mask?
1
Before fitting the mask:
• Ensure that the mask
is worn with the nosebridge uppermost.
• Open the mask.
• Shape the nose-bridge.
2
• Hold the elastic
headband at each side
of the mask.
• Place the lower part of
the mask under the chin
and the elastic above
the ears.
3
4
• Adjust the mask by pulling slightly on both sides.
• Mould the nose area to the shape of the face by
pinching the nose-bridge from the top to the bottom.
5
Check for leak-tightness
as follows:
• Place both hands over
the mask and exhale
sharply.
• If you feel air escaping
around the edges,
increase tension of
the elastic and/or
tighten the nose-bridge.
6
• When discarding the
mask, pull the elastic
up with both hands
over the head without
touching the mask.
Honeywell Superone: how to fit a single-use mask?
1
• Cup the mask in the
hand.
2
• Put the mask on your face starting at your chin.
• First, place the lower headstrap around the neck
below the ears, then place the upper headstrap
above the ears.
3
4
• Move smoothly, right
and left, up and down,
in order to achieve the
optimal position of the
mask on the face.
5
Check for leaks (pre-use check) as follows:
• Place both hands over the mask and inhale
sharply.
• If you feel air entering around the edges, increase
tension of the headstraps.
2. FITTING A HALF-MASK:
(i) Place the palms of the hands over the openings in the N5500 fit check/filter covers, inhale and hold
your breath for about 5 seconds.
(ii) If the facepiece collapses slightly and no air leaks between the facepiece and the face are detected,
a good fit has been obtained. If air leaks are detected, reposition the facepiece on the face and/or
readjust the tension of the headbands and repeat the negative pressure.
(iii) Check until an effective seal is obtained.
3. CLEANING A REUSABLE MASK
Depending on the level of exposure, the half-mask (N5500) should be cleaned after each use with a warm water-based cleaning
solution (use neutral detergents only) in a non-contaminated atmosphere.
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Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
PROTECTIVE DISPOSABLE GLOVES:
Our Dermatril disposable gloves are suitable for short-term and light contact use. For harder work or more extensive contact (such as
cleaning and burying of bodies) a stronger glove, such as Camatril or Tricotril should be used.
Listed below is a selection of KCL protective gloves:
Ref.
Name
740
Dermatril
740
Standards
Classification
Cat III, EN374
Disposable nitrile
glove, 240 mm
long, 0.1 mm
thickness, AQL
0.65
EN 374-2 EN 374
Dermatril®
L 741
Disposable nitrile
glove, 280 mm
long, 0.1 mm
thickness, AQL
0.65
EN 374-2 EN 374
Dermatril®
P 743
Disposable nitrile
glove, 280 mm
long, 0.2 mm
thickness, AQL
0.65
EN 374-3 EN 374
759
SivoChem®
759
Disposable nitrile
glove, 280 mm
long, 0.2 mm
thickness, AQL
0.65
EN 374-3 EN 374
Cat III, EN374, EN388
730
Camatril®
730
Flock-lined nitrile
glove, 300 mm
long, 0.4 mm
thickness, AQL
0.65
EN 374-3 EN 388 EN 374
Cat III, EN374, EN388
732
Camatril®
732
Flock-lined nitrile
glove, 400 mm
long, 0.4 mm
thickness, AQL
0.65
EN 374-3 EN 388 EN 374
Cat III, EN374, EN388
741
743
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Description
®
Fulfils requirements of EN455 as follows:
EN455-1:2001-01 completely
EN455-2:2011-05 completely
EN455-3:2007-03 5.3 proteins, extractable
EN455-4:2009-12 5.2 accelerated determination of shelflife period
This glove is no medical product according to guideline
93/42/EWG.
Virus-resistant according to ASTM 1671:2007
Cat III, EN374
Fulfils requirements of EN455 as follows:
EN455-1:2001-01 completely
EN455-2:2011-05 completely
EN455-3:2007-03 5.3 proteins, extractable
EN455-4:2009-12 5.2 accelerated determination
of shelf-life period
This glove is no medical product according to
guideline 93/42/EWG.
Virus-resistant according to ASTM 1671:2007
Cat III, EN374
Fulfils requirements of EN455 as follows:
EN455-1:2001-01 completely
EN455-2:2011-05 completely
EN455-3:2007-03 5.3 proteins, extractable
EN455-4:2009-12 5.2 accelerated determination
of shelf-life period
This glove is no medical product according to
guideline 93/42/EWG.
Virus-resistant according to ASTM 1671:2007
Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
Ref.
Name
733
Description
Camatril
733
736
737
Standards
Classification
Unlined nitrile
glove, 600 mm
long, 0.5 mm
thickness, AQL
0.65
EN 374-3 EN 388 EN 374
Cat III, EN374, EN388
Tricotril®
736
Nitrile glove with
seamless cotton
liner, 300 mm
long, 1.5 mm
thickness, AQL
0.65
EN 374-3 EN 388 EN 374
Cat III, EN374, EN388
Tricotril®
737
Nitrile glove with
seamless cotton
liner, 400 mm
long, 1.5 mm
thickness AQL
0.65
EN 374-3 EN 388 EN 374
Cat III, EN374, EN388
®
All of these gloves are made of special nitrile and offer a barrier to infected material. At the same time, these products are certified in
accordance with EN374 as full chemical protective gloves (apart from 740 and 741, which are classified as simple chemical protective
gloves). KCL chemical protective gloves offer the maximum penetration level 3 (corresponding to an AQL of 0,65).
REMINDER:
Always use the products in accordance with the Manufacturer’s instructions of use.
All gloves must be given a careful visual check before use; they must be in perfect condition, without holes, scratches, or other
damage and free of chemicals and other contaminants.
All gloves must be correctly removed to avoid contamination. Below are instructions on how to remove gloves to avoid
contamination.
The WHO emphasises the importance of hand hygiene both before and after donning and doffing gloves.
INSTRUCTIONS FOR THE REMOVAL OF GLOVES
1.
Grasp the palm of one glove near your wrist.
Carefully pull the glove off.
2.
Hold the glove in the palm of the still-gloved hand.
Slip 2 fingers under the wrist of the remaining glove.
3.
Pull the glove until it comes off inside out.
The first glove should end up inside the glove you just took off.
Dispose of the gloves safely.
4.
7
Always wash your hands after removing gloves. Gloves can have holes in them
that are too small to be seen.
Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
PROTECTIVE DISPOSABLE CLOTHING
The following coveralls are certified according to standard EN14126 and provide a barrier to contaminated body fluids and protection
against other risks in accordance with the standard.
Spacel® 3500 RA/EBJ*
• Liquid tight coverall designed to protect
workers from chemicals. Its new ergonomics
offer a better fitting and protection.
Type 3, 4, 5 & 6 B
Antistatic, protection against biological agents
• Model with elasticized wrists and ankles
and adhesive flap to protect the zipper from
liquids.
• Sealed zipper.
EN 1149-5
EN 14126
EN 13463-1:2009
Ref.
45 035 00
Name
SPACEL® 3500 RA/EBJ
Gender
Unisex
Sizes
From S to XXXL International size
Color
Orange
Thickness
100μm**
Composition
Three-layered orange polyethylene film
Packaging
25 units per carton, individually packed
*RA: Adhesive flap - EBJ: elasticated arms and legs.
** 1 μm equals 1 / 1, 000, 000 m = 1 x 10-6 m = 1 micron
Spacel® 3000 RA/EBJ*
• Liquid tight coverall designed to protect
workers from chemicals. Its new ergonomics
offer a better fitting and protection.
• Model with elasticated wrists and ankles;
double adhesive flap and welded zipper.
Type 3 B, 4, 5 & 6
Protection against biological agents
EN 14126
Ref.
45 030 00
Name
SPACEL® 3000 RA/EBJ
Gender
Unisex
Sizes
From S to XXXL International size
Color
Yellow
Thickness
100μm**
Composition
Three-layered yellow polyethylene
film
Packaging
25 units per carton, individually
packed
* RA/EBJ: Adhesive flap / Elasticated arms and legs.
**1 µm equals 1/1,000,000m = 1 x10-6m = 1 micron.
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Adhesive flap
Personal Protective Equipment (PPE) for Ebola virus disease, September 5th 2014
Ref.
Name
Composition
45 035 00
SPACEL® 3500
100 % polyethylene,
three-layer - orange
45 030 00
SPACEL® 3000 RA EBJ
45 030 01
EN 14126
Test result according EN 14126
ISSO 16 603*
ISO 16 604*
EN ISO 22 610*
ISO 22 611*
ISO 22612*
OK
conform
6/6
6/6
3/3
3/3
Three-layer
polyethylene film yellow
OK
conform
6/6
6/6
3/3
3/3
SPACEL® 3000 RA GC PS
Three-layer
polyethylene film yellow
OK
conform
6/6
6/6
3/3
3/3
41 800 02
MUTEX® 2
White non-woven
polypropylene
laminated with
a microporous film
OK
conform
6/6
6/6
3/3
3/3
45 030 02
SPACE® 3000 EBJ
Three-layer yellow
polyethylene film
OK
conform
6/6
6/6
3/3
3/3
45 030 04
SPACEL® 3000 AP EBJ
Three-layer yellow
polyethylene film
OK
conform
6/6
6/6
3/3
3/3
45 030 03
SPACEL® 3000 AP RA EBJ
Three-layer yellow
polyethylene film
OK
conform
6/6
6/6
3/3
3/3
45 040 00
SPACEL® 4000 RA EBJ
Three-layer
polyethylene film green
OK
conform
6/6
6/6
3/3
3/3
45 040 01
SPACEL® 4000 RA GC PS
Three-layer
polyethylene film green
OK
conform
6/6
6/6
3/3
3/3
45 060 00
SPACEL COMFORT Medium
OK
conform
6/6
6/6
3/3
3/3
45 070 00
SPACEL® COMFORT Heavy
OK
conform
6/6
6/6
3/3
3/3
45 030 05
APRON SPACEL® 3000
Three-layer yellow
polyethylene film
OK
conform
6/6
6/6
3/3
3/3
45 006 00
MUTEX® T4 (white)
Polypropylene
laminated
with microporous film
OK
conform
6/6
6/6
3/3
3/3
45 006 10
MUTEX® T4 (green)
Polypropylene
laminated
with microporous film
OK
conform
6/6
6/6
3/3
3/3
45 005 00
MUTEX® Light
White non-woven
polypropylene laminated
with a microporous film
OK
conform
6/6
6/6
3/3
3/3
®
Non-woven
polypropylene
laminated with
polyethylene film orange
Non-woven
polypropylene laminated
with a complex
polyethyleneEVOH film - gray
* ISSO 16 603 synthetic blood and body fluids penetration resistance
ISO 16 604 Blood pathogens penetration resistance
EN ISO 22 610 Infectious agents by mechanical contact with contaminated liquids penetration resistance
ISO 22 611 contaminated liquid aerosols penetration resistance
ISO 22 612 contaminated solid particles penetration resistance
REMINDER
Always use the suits in accordance with the Manufacturer’s instructions of use.
All suits must be given a careful visual check before use; they must be in perfect condition, without holes, scratches, or other
damage; clean, free of any trace of chemicals and other contaminants.
When you remove your equipment, keep your gloves. The coverall must be rolled up carefully to the bottom so that the skin or the
interior side of the coverall has no contact with its external side.
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Thank you for reading this data sheet.
For pricing or for further information, please contact us at our UK Office, using the details
below.
UK Office
Keison Products,
P.O. Box 2124, Chelmsford, Essex, CM1 3UP, England.
Tel: +44 (0)1245 600560
Fax: +44 (0)1245 808399
Email: [email protected]
Please note - Product designs and specifications are subject to change without notice. The user is responsible for determining the
suitability of this product.

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