Click here to load reader

ITCHY BUGS - pests not including headlicebedbugs.pdf · Tinea capitis. Tinea barbae. Tinea pedis. Tinea faciei. Tinea . corporis. Tinea manus. Tinea cruris. Tinea

  • View

  • Download

Embed Size (px)

Text of ITCHY BUGS - pests not including headlicebedbugs.pdf · Tinea capitis. Tinea...


    Indoor session 1 Start scratching now

  • Bed bugs and head lice will be covered at 2pm


  • Itchy bugs Top 14

    Scabies Ringworm Clostridium difficileMethicillin-resistant

    Staphylococcus aureus (MRSA)

    Impetigo (Step/Staph)


    Bacterial conjunctivitis Pertussis Meningococcal meningitis Hand, foot and mouth Chickenpox MeaslesMumps Fifth disease Flu Influenza Stomach flu Norovirus

  • 4

    Female burrows into the upper skin layer

    Infestation of the skin

  • 5

    Sarcoptes scabiei var. hominis

    Human scabies human itch mite

  • 6

    Moderately contagious Adults 1/3 millimeter long Inactive below 20oC (68oF)At 20oC mites can persist for 2 weeks

    Intensely pruritic skin infection

  • 7

    Spread by direct, prolonged, skin-to-skin contact

  • 8

    Infection occurs due to the direct transfer of a single fertilized female

  • 9

    Life cycle 10-17 days

    Remain viable for 3 days on inanimate objects (>22oC, 72oF)

    Transmission via articles is possible, but unlikely

  • 10

    Burrows and malformed fingernails may or may not be evident

  • 11

    An affected host harbors only 10-15 adult mites - typical infestation

    Skin scrapes are the only way to positively identify mites

  • 12

    Hypersensitivity reaction to the mites, molts, eggs, or scybala occurs about 30 days after infestation

  • 13

    Disproportionately affects women and children

    Secondary bacterial infection is common Staphylococcus aureusStreptococciPeptostreptococci

  • 14

    Immunocompromised prone to develop crusted scabies

  • 15

    Usually below the neck - adults

    Fingers, flexor surfaces of the arms, wrists, axillae, and the waistline

    Umbilicus, nipples, penis, and scrotum

  • 16

    Infection eliminated using prescription treatments

    Once treatment starts individuals are not infectious

  • 17


    Permethrin (e.g. Elimite) Lotion applied over body from neck down Left on for 8-12 hours, then rinsed offReapplication

    1 week laterClothes dryer

    will kill mites

  • 18


    Crotamiton (e.g. Eurax; Crotan) frequent treatment failure has been reported

    Lindane lotion is NOT recommended

  • 19

    Relief from itching

    Antihistamine diphenhydramine Itching becomes worse after mites die

  • Inappropriate things

    OTC pesticides applied to rooms or buses Incorrect use of sterilants or disinfectants

    applied to roomsurfaces


  • Happy kids21

  • Itchy bugs Top 14

    Scabies Ringworm Clostridium difficileMethicillin-resistant

    Staphylococcus aureus (MRSA)

    Impetigo (Step/Staph)


    Bacterial conjunctivitis Pertussis Meningococcal meningitis Hand, foot and mouth Chickenpox MeaslesMumps Fifth disease Flu Influenza Stomach flu Norovirus

  • Antimicrobial products are pesticides23

    Slows growth Stops

    growth Kills some in time

    Kills some quickly

    Kills all quickly

    Quickly =

  • Microorganisms bugs

    Have only 2 jobs: Survive Reproduce


  • 25

    Ringworm - fungal skin infection

    Dermatophytes live off dead tissues (skin, hair, and nails)

    Scaly, crusted rash May itch

  • Moist areas26

    ChildrenWarm, moist

    climatesContagious Contracted from an

    infected person, animal, object, surfaces, or soil

    Tinea capitis

    Tinea barbae

    Tinea pedis

    Tinea faciei

    Tinea corporis

    Tinea manus

    Tinea cruris

    Tinea unguium (nails)

  • Transmitted from animals to humans27

    Class pets Exclude feral cats

    from classrooms

  • 1. 1. 1.


    Immunocompromised individuals should not be around ringworm

  • Clean hard surfaces with disinfectant29

    Carpeted areas vacuumed Prescription antifungal medications before

    returning to contact sports Medications - topical

    and/or oral

  • 1. 1. 1.


    Can persist on skin, hard surfaces, and on items such as clothing, towels, furniture and bedding

    Spores can survive >year

    Students should be referred to a doctor

  • 31

    Wear sandals or slides in showers and locker rooms Discourage sharing towels and clothing

    Students should not participate in contact sports until treated

  • 1. 1. 1.


    Must be spayed/neutered, vaccinated and maintained in good health

    Campus animals

  • More happy kids33

  • Itchy bugs Top 14

    Scabies Ringworm Clostridium difficileMethicillin-resistant

    Staphylococcus aureus (MRSA)

    Impetigo (Step/Staph)


    Bacterial conjunctivitis Pertussis Meningococcal

    meningitis Hand, foot and mouth Chickenpox MeaslesMumps Fifth disease Flu Influenza Stomach flu Norovirus

  • 1. 1. 1. Clean35

    Cleaning removes pathogens and dirt Sanitation reduces the number of disease-

    causing organisms to non-threatening levels Disinfection destroys microorganisms, does not

    kill all pathogens Sterilization kills

    all disease-causing pathogens

  • 1. 1. 1.You NEED to know36

    1. What are you doing?2. What product?3. What are you killing?4. What are you treating?5. What concentration?6. What length of time? 7. What next?

  • 5 billion pounds cleaning chemicals annually(25% hazardous substances)

    One custodian uses, on average, 194 pounds of chemicals / year

    Custodians and teachers experience some of the highest rates of occupational asthma


  • 20% burns to the eyes or skin

    12% inhaling vapours

    6% of custodians are injured annually38

  • Disinfectants and sanitizers39

    Chlorine / Sodium Hypochlorite



    Peroxide EPA Sanitizer Superior health & environmental



  • Environmentally preferable purchasing (EPP)


    EPP = Environment + Price + Performance

  • Lower toxicity No cancer-causing ingredients or asthmagens Not corrosive to eyes or skin or skin sensitizers Wont pollute air or deplete ozone layer Wont kill fish Will biodegrade Low phosphorous Package recyclable Available as concentrate Limits on fragrances used Certain ingredients prohibited e.g, phthalates Performance tested Vendor training available

    What are green cleaners? 41

  • Increase frequency of cleaning frequently touched surfaces

    Infection interruption from contaminated environmental surfaces


  • 43

    Influenza virus survives on surfaces 2 - 8 hours

    Norovirus survives on surfaces 2 weeksDestroyed by heat (167-212F), chemical

    germicides: chlorine, hydrogen peroxide, detergents, iodophors, alcohols

    Concentration and length of time

    Sanitation for norovirus and influenza

  • 1. 1. 1.


    Wash surfaces with general cleaner to remove dirt and organic matter first

    Follow label directions

    Rinse with water if instructed

    EPA approved disinfectants

    Sanitation steps

  • 1. 1. 1.


    Alcohol wipes and gels

    Clean hands constantlyCover coughs

    and sneezes -droplets can move through the air 3-6 feet

  • 1. 1. 1.


    1 tablespoon of bleach to 1 quart (4 cups) of water, or cup of bleach to 1 gallon (16 cups) of waterApply solution to surface with a clothLet it stand for 3 to 5 minutesRinse with clean water

    If using chlorine bleach

  • 1. 1. 1.


    Door handles PhonesComputer keyboards

    Wipes used on items that are touched often

  • 1. 1. 1.


    Students should not clean surfaces with disinfectant wipes

    Surface disinfectant wipes are not hand wipes

    Many labels clearly state KEEP OUT OF REACH OF CHILDREN

    Many disinfectant wipes are registered pesticides

  • 1. 1. 1.


    Persons cleaning classrooms or emptying trash wear gloves, then wash hands

    Tissues thrown in trash or bagged

  • 1. 1. 1.


    Sick staff or those caring for others who are sick should not prepare food

    Infected food workers cause 70% of reported norovirus outbreaks

    Very contagious

    Norovirus is leading cause of food-borne illness

  • 1. 1. 1.


    Found in vomit or stool even before a person is sick, and for 2-3 weeks after symptoms abate

    Alcohol-based hand sanitizers used in addition to hand washing

    Hand washing is critically important

  • Impetigo

    Highly contagious Caused by Staphylococcus aureus and/or

    Streptococcus pyogenes Red sores on the face, around nose, mouth,

    hands and feet Sores burst and develop

    honey-colored crusts Itchy


  • MRSA Methicillin-resistantStaphylococcus aureus

    Spread through cuts, abrasions and skin-to-skin contact


    Begins as painful/itchy boil


  • Managing methicillin-resistantStaphylococcus aureus

    Survives 7 days - 7 months on dry surfaces Exclude students with wound drainage

    from sports Enforce hand hygiene Cover sores


  • Clostridium difficile (C-diff)

    After antibiotic therapyDiarrhea Pseudomembranous and toxic colitis FeverAbdominal painCrampingNausea and loss

    of appetite


  • Managing Clostridium difficile

    Spores highly resistant to cleaning agents Survive for 5 months on dry surfaces HandwashingKilled by

    chlorine bleach

    Isolate infected individuals


  • >23,000 Americans die annually from antibiotic resistant infections

    Resistance occurs when antibiotics are used:Appropriately Food and water (waste)Our environment Inappropriately (e.g., vial infection)


  • Resistant infections58



    InactivationAdded phosphate groupreduces ability to bind

    Pumping outIncreasing active efflux

    Modifiedtarget site


  • 59

    CDC: washing hands with soap and water is effective

    1 (800) 858-7378

    Increasing incidence of super bugsAvoid triclosan absorbed through the

    skin and bio-accumulates, linked to liver damage and resistant bacteria

  • [email protected]


    More itching at 2pm

    Itchy BugsBed bugs and head lice will be covered at 2pmItchy bugs Top 14Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12Slide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Slide Number 18Slide Number 19Inappropriate thingsHappy kidsItchy bugs Top 14Antimicrobial products are pesticidesMicroorganisms bugsSlide Number 25Moist areasTransmitted from animals to humans1. 1. 1. Clean hard surfaces with disinfectant1. 1. 1. Slide Number 311. 1. 1. More happy kidsItchy bugs Top 141. 1. 1. 1. 1. 1.Custodians6% of custodians are injured annuallyDisinfectants and sanitizersEnvironmentally preferable purchasing (EPP)Slide Number 41Infection interruption from contaminated environmental surfacesSlide Number 431. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. 1. ImpetigoMRSA Methicillin-resistant Staphylococcus aureus Managing methicillin-resistant Staphylococcus aureusClostridium difficile (C-diff) Managing Clostridium difficile >23,000 Americans die annually from antibiotic resistant infectionsResistant infectionsCDC: washing hands with soap and water is effectiveMore itching at 2pm