Disease Control inside the Spaces

Disease Control inside the Spaces ?

Disease control within enclosed spaces, whether it’s a building on Earth or a spacecraft, involves a multifaceted approach. Here’s a breakdown of key considerations:

General Principles:

Ventilation:
- Proper airflow is crucial. This includes ensuring adequate fresh air intake and effective removal of contaminated air.
- HEPA filters can be used to remove airborne particles, including pathogens.
- In some cases, UV-C light can be used to disinfect air.
Hygiene:
- Hand hygiene is paramount. This includes frequent handwashing with soap and water or using alcohol-based hand sanitizer.
- Regular cleaning and disinfection of surfaces, especially high-touch areas, is essential.
Isolation:
- If someone becomes ill, isolating them can help prevent the spread of disease.
- This may involve creating designated isolation areas with appropriate ventilation.
Surveillance:
- Monitoring for signs and symptoms of illness is important for early detection and response.
- This can include temperature checks and other screening measures.
Vaccination:
- Where available, vaccination can provide protection against specific diseases.

Specific Considerations for Space Environments:

Microgravity:
- Microgravity can affect the human immune system, making astronauts more susceptible to infections.
- This necessitates strict hygiene protocols and careful monitoring of astronaut health.
Closed-Loop Systems:
- Spacecraft often have closed-loop environmental control systems, which can create challenges for disease control.
- It’s crucial to have systems in place to purify air and water and prevent the buildup of contaminants.
Isolation and Confinement:
- Astronauts live in confined spaces for extended periods, which can increase the risk of disease transmission.
- Quarantine procedures before and after space missions are essential.
Radiation:
- Space radiation can also affect the human immune system.
Psychological factors:
- The stress of space travel can also impact the immune system.

Key Control Measures in Space:

Strict quarantine of crews before flight.
Regular disinfection of surfaces and air.
Monitoring of crew health.
Onboard medical supplies and equipment.
Research into the effects of spaceflight on the immune system.

In essence, disease control in any enclosed space relies on a combination of engineering controls, hygiene practices, and medical surveillance. In space, these measures must be even more rigorous due to the unique challenges of the environment.

What is Disease Control inside the Spaces ?

Disease control within enclosed spaces refers to the strategies and practices implemented to minimize the spread of infectious diseases in environments where people are in close proximity. This is critical in various settings, including:

Healthcare facilities:
- Hospitals and clinics require stringent disease control to protect patients and healthcare workers.
Residential buildings:
- Apartments, dormitories, and other shared living spaces can be prone to disease transmission.
Workplaces:
- Offices, factories, and other workplaces need measures to prevent outbreaks.
Public transportation:
- Buses, trains, and airplanes pose risks of disease spread due to close contact.
Spacecraft:
- In the unique and confined environment of space, disease control is paramount.

Key aspects of disease control in these spaces include:

Ventilation:
- Ensuring adequate airflow to dilute and remove airborne pathogens.
Hygiene:
- Promoting handwashing, surface disinfection, and other hygiene practices.
Isolation and quarantine:
- Separating infected individuals to prevent further transmission.
Environmental cleaning and disinfection:
- Regularly cleaning and disinfecting surfaces to eliminate pathogens.
Vaccination:
- Providing vaccines to protect against preventable diseases.
Surveillance and monitoring:
- Tracking disease outbreaks and identifying potential risks.
Engineering controls:
- Implementing systems like HEPA filtration, and UV-C light sanitation.
Personal protective equipment (PPE):
- The use of masks, gloves, and gowns, when needed.

The specific measures taken will vary depending on the setting and the type of disease being controlled. However, the overarching goal is always to create a safe and healthy environment for everyone.

Who is required Disease Control inside the Spaces ?

Disease control within enclosed spaces is a concern for a wide range of individuals and organizations. Essentially, anyone responsible for or occupying a shared indoor environment has a stake in effective disease control. Here’s a breakdown:

Healthcare Professionals and Facilities:
- Hospitals, clinics, and long-term care facilities have the highest need for stringent disease control to protect vulnerable patients and healthcare workers.
Employers and Businesses:
- Workplaces, offices, factories, and retail stores must implement measures to protect their employees and customers.
Educational Institutions:
- Schools, colleges, and universities need to ensure a safe learning environment for students and staff.
Transportation Providers:
- Airlines, bus companies, and train operators are responsible for preventing the spread of disease among passengers.
Residential Building Managers:
- Landlords and property managers have a duty to maintain healthy living conditions in apartments, dormitories, and other shared residences.
Individuals:
- Everyone has a personal responsibility to practice good hygiene and take precautions to avoid spreading illness.
Space Agencies:
- Due to the closed loop enviroments, and the weakening of the human immune system in space, space agencies such as NASA, and others, must have very strict disease control measures.

In summary, disease control is a shared responsibility that affects everyone who lives, works, or travels in enclosed spaces.

When is required Disease Control inside the Spaces ?

Disease control within enclosed spaces is required both continuously and during specific situations. Here’s a breakdown:

Continuous Needs:

Routine Prevention:
- Regular cleaning and disinfection of surfaces.
- Consistent ventilation and air filtration.
- Promotion of good hygiene practices (handwashing, etc.).
- These measures are essential to minimize the background risk of disease transmission.
Healthcare Settings:
- Hospitals and clinics require constant vigilance to protect vulnerable patients.
- Strict adherence to infection control protocols is necessary at all times.
Food Processing and Handling:
- Facilities that handle food must maintain high levels of sanitation to prevent foodborne illnesses.

Situational Needs:

Outbreaks of Infectious Diseases:
- When a contagious illness (like influenza or COVID-19) is circulating, increased disease control measures are necessary.
- This may involve enhanced cleaning, mandatory mask-wearing, and social distancing.
During Pandemics:
- Large-scale outbreaks require widespread implementation of disease control measures.
- This can include lockdowns, travel restrictions, and mass vaccination campaigns.
In Response to Specific Hazards:
- If a known contamination occurs (e.g., a spill of biological material), immediate and thorough decontamination is required.
Space Travel:
- Due to the unique and confined nature of space travel, disease control is needed before, during, and after space travel.

In essence, while basic disease control is always necessary, the intensity of measures increases significantly when there is a heightened risk of disease transmission.

COURTESY : Meritain Health

Where is required Disease Control inside the Spaces ?

Disease control within enclosed spaces is essential in a very wide variety of locations. Here’s a breakdown of key areas:

Healthcare Settings:
- Hospitals, clinics, nursing homes, and other medical facilities are primary locations where strict disease control is crucial. These spaces contain vulnerable individuals and a high concentration of pathogens.
Residential Spaces:
- Apartment buildings, dormitories, and other shared living spaces require disease control measures to prevent outbreaks.
Workplaces:
- Offices, factories, warehouses, and other places of employment need to implement protocols to protect their workforce.
Educational Institutions:
- Schools, universities, and daycare centers are environments where close contact among individuals can facilitate disease transmission.
Transportation Hubs:
- Airports, train stations, bus terminals, and cruise ships are high-traffic areas where disease can spread rapidly.
Public Transportation:
- Buses, trains, airplanes, and subways require disease control measures to protect passengers.
Correctional Facilities:
- Prisons and jails are confined spaces where disease can spread quickly.
Food Service Establishments:
- Restaurants, cafeterias, and food processing plants must maintain strict hygiene standards to prevent foodborne illnesses.
Spacecraft and Space Stations:
- Due to the confined and unique environment of space, disease control is paramount for astronaut safety.
Any indoor public space:
- This includes places such as gyms, movie theaters, and shopping malls.

Essentially, any location where people gather in close proximity can benefit from effective disease control measures.

How is required Disease Control inside the Spaces ?

Effective disease control within enclosed spaces requires a layered approach, combining various strategies. Here’s a breakdown of how it’s typically implemented:

1. Engineering Controls:

Ventilation Systems:
- Properly designed and maintained HVAC (heating, ventilation, and air conditioning) systems are crucial.
- This includes ensuring adequate fresh air intake, proper air circulation, and effective filtration (e.g., HEPA filters).
- Negative pressure rooms in healthcare settings prevent contaminated air from spreading.
- UV-C light systems, can be implemented to disinfect the air.
Building Design:
- Architectural design can influence airflow and minimize contact points.
- Features like touchless faucets and automatic doors can reduce the spread of germs.

2. Administrative Controls:

Policies and Procedures:
- Establish clear guidelines for cleaning, disinfection, and hygiene practices.
- Implement policies for sick leave and isolation of infected individuals.
- Develop emergency response plans for outbreaks.
Training and Education:
- Educate occupants on proper hygiene, handwashing, and respiratory etiquette.
- Provide training for cleaning staff on proper disinfection techniques.
Surveillance and Monitoring:
- Track illness trends and identify potential outbreaks.
- Monitor air quality and environmental conditions.

3. Personal Protective Equipment (PPE):

Masks:
- Wearing masks can reduce the spread of respiratory droplets.
Gloves:
- Gloves are essential for healthcare workers and cleaning staff.
Gowns:
- Gowns provide an extra layer of protection against contamination.

4. Hygiene Practices:

Hand Hygiene:
- Frequent handwashing with soap and water or using alcohol-based hand sanitizer is essential.
Surface Disinfection:
- Regularly clean and disinfect high-touch surfaces (e.g., doorknobs, light switches, keyboards).
Respiratory Etiquette:
- Cover coughs and sneezes with a tissue or elbow.

5. Vaccination:

Immunization:
- Vaccination is a powerful tool for preventing the spread of vaccine-preventable diseases.

Key Considerations:

Risk Assessment:
- Tailor disease control measures to the specific risks of the environment.
Compliance:
- Ensure that all occupants adhere to established protocols.
Adaptability:
- Be prepared to adjust disease control measures in response to changing conditions.

By implementing these strategies, it’s possible to significantly reduce the risk of disease transmission within enclosed spaces.

Case study is Disease Control inside the Spaces?

When considering case studies related to disease control in enclosed spaces, several prominent examples emerge, each highlighting different facets of the challenges and solutions:

1. The COVID-19 Pandemic:

This global event served as a massive, real-time case study on disease control in virtually all enclosed spaces.
It highlighted the importance of:
- Ventilation: The role of airborne transmission emphasized the need for adequate ventilation in buildings.
- Hygiene: Handwashing and surface disinfection became paramount.
- Social distancing: Modifying human behavior to limit close contact.
- The efficacy and necessity of PPE, such as masks.
- The importance of rapid development and distribution of vaccinations.
It also illuminated the challenges of implementing effective control measures in diverse settings, from schools and workplaces to public transportation and healthcare facilities.

2. Disease Control in Space Travel:

Space missions provide unique and extreme case studies.
NASA and other space agencies have developed stringent protocols to:
- Quarantine astronauts before and after missions.
- Maintain strict hygiene on spacecraft.
- Monitor astronaut health closely.
- Address the impacts of microgravity on the immune system.
These cases demonstrate the critical importance of proactive disease control in highly confined and isolated environments.

3. Tuberculosis (TB) Outbreak Investigations:

TB outbreak investigations often involve detailed analysis of spatial data to identify transmission patterns.
Studies that map the spread of TB in densely populated urban areas, or within closed populations such as prisons, are very important.
These studies show the importance of:
- Contact tracing.
- Spatial analysis of disease clusters.
- Addressing social determinants of health that contribute to disease spread.

4. Healthcare-Associated Infections (HAIs):

Hospitals are a primary focus of disease control efforts due to the high risk of HAIs.
Case studies of HAI outbreaks have led to improvements in:
- Hand hygiene protocols.
- Sterilization procedures.
- Environmental cleaning practices.
- The implementation of isolation proceedures.

These examples illustrate the diverse contexts in which disease control is essential, and the importance of adapting strategies to specific environments and challenges.

COURTESY : Let’s Learn Public Health

White paper on Disease Control inside the Spaces ?

Creating a comprehensive white paper on “Disease Control Inside Enclosed Spaces” would involve synthesizing a vast amount of information from various fields. However, I can outline the key sections and topics that such a white paper would address:

I. Executive Summary:

A concise overview of the importance of disease control in enclosed spaces.
Key findings and recommendations.

II. Introduction:

Defining “enclosed spaces” and their significance.
The importance of disease control in these environments.
Overview of the challenges and risks.

III. Transmission Mechanisms:

Airborne transmission: Droplets, aerosols.
Surface transmission: Fomites.
Direct contact transmission.
Factors influencing transmission: Ventilation, humidity, temperature.

IV. Control Measures:

Engineering Controls:
- HVAC systems and ventilation.
- Air filtration (HEPA filters, UV-C light).
- Building design and layout.
Administrative Controls:
- Policies and procedures for cleaning and disinfection.
- Occupational health and safety protocols.
- Surveillance and monitoring systems.
- Training and education.
Hygiene Practices:
- Hand hygiene.
- Respiratory etiquette.
- Environmental cleaning and disinfection.
Personal Protective Equipment (PPE):
- Masks, gloves, gowns.
Vaccination and Immunization:
- The role of vaccines in disease control.
- Vaccination strategies for specific populations.

V. Specific Environments:

Healthcare Facilities:
- Hospital-acquired infections (HAIs).
- Isolation and quarantine procedures.
- Operating room protocols.
Workplaces:
- Office buildings, factories, and other work settings.
- Occupational health risks.
- Strategies for maintaining a healthy work environment.
Educational Institutions:
- Schools, universities, and daycare centers.
- Disease transmission among children.
- Protocols for handling outbreaks.
Public Transportation:
- Airplanes, trains, and buses.
- Ventilation and air filtration in transport vehicles.
- Passenger screening and hygiene measures.
Residential Buildings:
- Apartments, dormitories, and other shared living spaces.
- Importance of building management.
Spacecraft:
- Unique challenges of closed loop environments.
- Astronaut health.

VI. Emerging Technologies:

Advances in air filtration and disinfection.
Real-time monitoring and detection systems.
Digital contact tracing and surveillance tools.

VII. Recommendations and Best Practices:

Guidelines for implementing effective disease control measures.
Recommendations for policy development and implementation.
Future research and development needs.

VIII. Conclusion:

Summarizing the importance of proactive disease control.
Emphasizing the need for ongoing vigilance and adaptation.

IX. References:

A comprehensive list of scientific literature, guidelines, and reports.

Key considerations within the white paper would also involve:

Risk assessment: Tailoring disease control measures to specific environments and populations.
Interdisciplinary collaboration: Emphasizing the need for collaboration between public health officials, engineers, architects, and building managers.
Equity and accessibility: Ensuring that disease control measures are accessible to all populations.

I hope this outline is helpful.

Industrial application of Disease Control inside the Spaces ?

Disease control within enclosed spaces has significant industrial applications, impacting various sectors. Here’s how it manifests:

1. Manufacturing and Production:

Food Processing:
- Strict hygiene protocols are essential to prevent foodborne illnesses. This includes air filtration, surface disinfection, and worker hygiene.
- Cleanroom environments are used in some food production to minimize contamination.
Pharmaceuticals:
- Pharmaceutical manufacturing requires stringent cleanroom environments to prevent contamination of products.
- Air filtration, sterilization, and worker gowning are crucial.
Electronics:
- Cleanrooms are used in semiconductor manufacturing to prevent dust and particle contamination, which can damage sensitive components.

2. Healthcare and Biotechnology:

Hospitals and Clinics:
- Hospitals rely on strict infection control measures to prevent healthcare-associated infections (HAIs).
- This includes ventilation systems, sterilization procedures, and isolation protocols.
Biotechnology Labs:
- Biotechnology labs require controlled environments to prevent contamination of experiments and products.
- This involves specialized ventilation systems, biosafety cabinets, and strict lab protocols.

3. Transportation:

Aviation:
- Airlines use air filtration systems to maintain air quality in aircraft cabins.
- Cleaning and disinfection protocols are used to prevent the spread of infectious diseases.
Public Transit:
- Public transportation systems are implementing enhanced cleaning and disinfection measures to protect passengers.
- Ventilation systems are being optimized to improve air quality.

4. Building Management:

Commercial Buildings:
- Building managers are implementing improved ventilation systems and air filtration to enhance indoor air quality.
- Enhanced cleaning and disinfection protocols are being used to maintain healthy environments.
Warehousing and Logistics:
- Warehouses and logistics centers are implementing disease control measures to protect workers.
- This includes improved ventilation, cleaning protocols, and social distancing measures.

Key Industrial Applications:

HVAC Systems:
- The development and implementation of advanced HVAC systems with improved filtration and air purification capabilities.
Disinfection Technologies:
- The development and deployment of advanced disinfection technologies, such as UV-C light systems and aerosolized disinfectants.
Monitoring and Sensing:
- The use of sensors and monitoring systems to track air quality, temperature, humidity, and other environmental factors.
Automation and Robotics:
- The use of automation and robotics to perform cleaning and disinfection tasks, reducing human contact and improving efficiency.

In essence, disease control has become an integral part of industrial operations, driving innovation and improving safety across a wide range of sectors.

Research and development of Disease Control inside the Spaces ?

Research and development in disease control within enclosed spaces is a dynamic and multifaceted field, driven by the need to protect human health in various environments. Here’s a look at key areas of focus:

1. Air Purification and Ventilation:

Advanced Filtration:
- Research is ongoing to develop more efficient and durable air filters, including those capable of capturing smaller particles and inactivating pathogens.
- This includes advancements in HEPA filter technology and the development of novel filtration materials.
UV-C Technology:
- Research focuses on optimizing UV-C light systems for air and surface disinfection, including understanding the optimal wavelengths and exposure times for inactivating various pathogens.
- Development of safe and effective UV-C systems for use in occupied spaces.
Ventilation Strategies:
- Studies are conducted to understand airflow patterns in enclosed spaces and to develop ventilation strategies that minimize the spread of airborne pathogens.
- This includes research on personalized ventilation systems and smart ventilation controls.

2. Surface Disinfection:

Antimicrobial Coatings:
- Research is focused on developing durable antimicrobial coatings for surfaces that can continuously kill or inactivate pathogens.
- This includes the use of nanomaterials and other advanced technologies.
Automated Disinfection:
- Development of robotic and automated systems for surface disinfection, including the use of UV-C light and aerosolized disinfectants.
Improved Disinfectants:
- Development of disinfectants that are more effective, less toxic, and more environmentally friendly.

3. Monitoring and Detection:

Airborne Pathogen Detection:
- Research is focused on developing rapid and accurate methods for detecting airborne pathogens, including the use of biosensors and other advanced technologies.
Environmental Monitoring:
- Development of sensors and monitoring systems to track air quality, temperature, humidity, and other environmental factors that can influence disease transmission.
Early Warning Systems:
- Development of systems that can detect and predict outbreaks of infectious diseases in enclosed spaces.

4. Human Factors and Behavior:

Understanding Transmission Dynamics:
- Research is conducted to understand how human behavior and movement patterns influence the spread of infectious diseases in enclosed spaces.
Promoting Hygiene Practices:
- Studies are conducted to develop effective strategies for promoting hand hygiene, respiratory etiquette, and other preventive behaviors.

5. Space Applications:

Closed-Loop Life Support Systems:
- Research is ongoing to develop advanced life support systems for spacecraft and space stations, including systems for air and water purification and waste management.
Astronaut Health Monitoring:
- Development of advanced medical monitoring systems to track astronaut health and detect potential infections.
Countermeasures for Microgravity:
- Research into how microgravity affects the human immune system, and the development of countermeasures.

Key Organizations and Initiatives:

Centers for Disease Control and Prevention (CDC): Conducts research and provides guidance on disease control.
World Health Organization (WHO): Coordinates international efforts to control infectious diseases.
National Institutes of Health (NIH): Funds research on infectious diseases and related topics.
NASA: Conducts research on disease control in space environments.

By continuing to invest in research and development, we can improve our ability to prevent and control the spread of infectious diseases in enclosed spaces, protecting the health and well-being of people around the world.

COURTESY : Prime Minister’s Office of Japan

References

^ “Anti-infectives”. Drugs.com. Retrieved 27 July 2015.
^ “WHO | Infection prevention and control”. WHO. Retrieved 15 April 2020.
^ Jump up to:^a ^b ^c ^d ^e Infection Prevention and Control Guidelines for Anesthesia Care. Park Ridge, Illinois. 2015. pp. 3–25.
^ Lee-Archer P, Ungern-Sternberg BS (June 2020). Ungern-Sternberg BS (ed.). “Pediatric anesthetic implications of COVID-19—A review of current literature”. Pediatric Anesthesia. 30 (6): 136–141. doi:10.1111/pan.13889. ISSN 1155-5645. PMC 7264528. PMID 32306440.
^ Jump up to:^a ^b Bowdle A, Jelacic S, Shishido S, Munoz-Price LS (November 2020). “Infection Prevention Precautions for Routine Anesthesia Care During the SARS-CoV-2 Pandemic”. Anesthesia & Analgesia. 131 (5): 1342–1354. doi:10.1213/ANE.0000000000005169. ISSN 0003-2999. PMID 33079853.
^ “CDC Guideline for Hand Hygiene in Health-Care Settings”. MMWR.
^ “General information on Hand Hygiene”. CDC. 8 May 2019.
^ “Bloodborne Pathogens Regulations 1910.1030”. Occupational Safety and Health Administration.
^ “Policy for Hand Hygiene Infection Prevention and Control Policy No. 2” (PDF). Wirral.nhs.uk. Archived from the original (PDF) on 7 March 2016. Retrieved 3 March 2016.
^ According to p. 35 of the Redway/Fawdar presentation, “Note: this study has not been peer reviewed but it is intended that the test methods described in this document are provided in sufficient detail to allow replication by those who wish to confirm the results.”
^ Keith Redway and Shameem Fawdar (School of Biosciences, University of Westminster London) (November 2008). “A comparative study of three different hand drying methods: paper towel, warm air dryer, jet air dryer'” (PDF). Table 4. European Tissue Symposium. p. 13. Retrieved 31 October 2009.
^ “Report No. 425-452006 concerning a study conducted with regard to the different methods used for drying hands” (PDF). TÜV Produkt und Umwelt. September 2005.
^ “Preventing infections adequately”. Archived from the original on 10 June 2010. Retrieved 27 July 2010.
^ “Performance feedback, ultraviolet cleaning device, and dedicated housekeeping team significantly improve room cleaning, reduce potential for spread of common, dangerous infection”. Agency for Healthcare Research and Quality. 15 January 2014. Retrieved 20 January 2014.
^ Jump up to:^a ^b ^c Miller, Chris H. (2010). “11”. Infection control and management of hazardous materials for the dental team (4th ed.). Mosby Elsevier Health Science.
^ Jump up to:^a ^b “Sterilization” (PDF). Archived from the original (PDF) on 31 July 2005. Retrieved 27 July 2010.
^ “Eliminating microbes”. Archived from the original on 24 July 2010. Retrieved 27 July 2010.
^ Khalid M. “Infection Prevention and Control: General Principles and Role of Microbiology Laboratory”. World Journal of Pharmaceutical Research [Internet]. 2019 [cited 3 August 2019];8(9):68–91. Available from: https://wjpr.net/download/article/1564651973.pdf Archived 19 October 2020 at the Wayback Machine
^ “Bloodborne Pathogens Regulations”. Occupational Safety and Health Administration. 1910.1030(d)(2)(i).
^ “Bloodborne Pathogens Regulations”. Occupational Safety and Health Administration. 1910.1030(d)(3)(vii).
^ Jump up to:^a ^b ^c ^d ^e ^f ^g Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, Tikka C, Ruotsalainen JH, Kilinc Balci FS (15 May 2020). “Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff”. The Cochrane Database of Systematic Reviews. 2020 (5): CD011621. doi:10.1002/14651858.CD011621.pub5. hdl:1983/b7069408-3bf6-457a-9c6f-ecc38c00ee48. ISSN 1469-493X. PMC 8785899. PMID 32412096.
^ “Does glove use increase the risk of infection?”. 19 September 2014.
^ “Hand Hygiene and Glove Issues”. Archived from the original on 5 February 2020. Retrieved 7 October 2018.
^ Wilks SA, Michels H, Keevil CW (December 2005). “The survival of Escherichia coli O157 on a range of metal surfaces”. International Journal of Food Microbiology. 105 (3): 445–54. doi:10.1016/j.ijfoodmicro.2005.04.021. PMID 16253366.
^ Michels HT (October 2006). “Anti-microbial characteristics of copper”. ASTM Standardization News: 28–31.
^ Jump up to:^a ^b “Copper touch surfaces”. coppertouchsurfaces.org. Archived from the original on 23 July 2012. Retrieved 30 September 2011.^{[unreliable medical source?]}
^ “Sentara Leigh’s new copper-infused surfaces that kill bacteria said to be world’s largest clinical trial”. Inside Business. 6 December 2013.
^ CDC Vaccine Site
^ Weinstein RA (September 1998). “Nosocomial infection update”. Emerging Infectious Diseases. 4 (3). CDC: 416–20. doi:10.3201/eid0403.980320. PMC 2640303. PMID 9716961.
^ Jarvis WR (March–April 2001). “Infection control and changing health-care delivery systems” (PDF). Emerging Infectious Diseases. 7 (2). CDC: 170–3. doi:10.3201/eid0702.010202. PMC 2631740. PMID 11294699.
^ Kathy Kinlaw, Robert Levine, “Ethical Guidelines on Pandemic Influenza,” CDC, December 2006
^ Jump up to:^a ^b Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, Chan XH, Devane D, Biesty LM (April 2020). “Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis”. The Cochrane Database of Systematic Reviews. 4 (8): CD013582. doi:10.1002/14651858.CD013582. ISSN 1469-493X. PMC 7173761. PMID 32315451.
^ “Conducting an Outbreak Investigation” (PDF). Archived from the original (PDF) on 31 March 2010. Retrieved 27 July 2010.
^ “About CBIC”. Certification Board of Infection Control and Epidemiology. (official site)
^ “Education”. Society for Healthcare Epidemiology of America. Archived from the original on 12 July 2011. (official site)
^ The Royal Australian College of General Practitioners. “RACGP Infection Control Standards for Office-based Practices (4th Edition)”. Archived from the original on 20 December 2008. Retrieved 8 November 2008.
^ The Royal Australian College of General Practitioners. “Slides – RACGP Infection Control Standards for Office-based Practices (4th Edition)” (PDF). Archived from the original (PDF) on 17 December 2008. Retrieved 8 November 2008.
^ Dix K. “Airborne Pathogens in Healthcare Facilities”. Archived from the original on 2 August 2009. Retrieved 11 December 2008.
^ Nicas M, Nazaroff WW, Hubbard A (March 2005). “Toward understanding the risk of secondary airborne infection: emission of respirable pathogens”. Journal of Occupational and Environmental Hygiene. 2 (3): 143–54. doi:10.1080/15459620590918466. PMC 7196697. PMID 15764538.
^ “National Hand Hygiene Initiative”. Archived from the original on 4 October 2023. Retrieved 22 January 2020.
^ “Bloodborne pathogens”. U.S. Occupational Safety and Health Administration. 1910.1030. Archived from the original on 1 August 2020. Retrieved 24 September 2014.