This experimental study aimed to determine the activity of a near-UVA (405 nm) LED ceiling system against the SARS-CoV-2 virus. The ceiling system comprised 17 near-UVA LED lights with a radiant power of 1.1 W/each centred at 405 nm wavelength. A 96-multiwell plate, fixed to a wooden base, was inoculated with suspensions of VERO E6 cell cultures infected with SARS-CoV-2 virus and irradiated at a distance of 40 cm with a dose of 20.2 J/cm2 for 120 min. The collected suspensions were transferred to VERO cell culture plates and incubated for 3 days. The maximum measurable log reduction obtained, starting from a concentration of 107.2 TCID50/mL, was 3.0 log10 and indicated inhibition of SARS-CoV-2 replication by the near-UVA LED ceiling system. Near-UVA light at a 405-nm wavelength is emerging as a potential alternative treatment for localised infections and environmental decontamination because it is far less harmful to living organisms’ cells than UV-C irradiation.

Branched broomrape, an obligate root parasitic weed, has recently re-emerged in tomato fields in several California counties. California produces more tomato than any other state, and the outbreak of this noxious weed could potentially wreak havoc on the industry’s economy. Preventive measures must be taken to stop or reduce the spread of branched broomrape seeds to other areas. Branched broomrape can produce thousands of tiny seeds, which can easily spread with farm machinery over short and long distances. To prevent branched broomrape seed dispersal, sanitation and disinfection of farm equipment are necessary before entering a new farm. We tested the effectiveness of various ammonium compounds, including didecyl dimethyl ammonium chloride (DDAC), alkyl dimethyl benzyl ammonium chloride (ADBC), didecyl dimethyl ammonium bromide (DDAB), ammonium bromide (AB), and ammonium chloride (AC) on prevention of branched broomrape seed germination. Dose-response analysis showed that three chemical products, ADBC, DDAB, and DDAC, could completely inhibit branched broomrape seeds (potentially making them nonviable) at 1%, 1%, and 10% wt/vol concentrations, respectively. These three compounds were further tested in an exposure duration experiment that additionally included Egyptian broomrape. Only 10 min of exposure to these compounds was needed to prevent germination of both branched and Egyptian broomrape seeds at 1% (ADBC, DDAB) and 10% wt/vol (DDAC). Lower concentrations can provide similar inhibition effects when combined with longer exposure times. Egyptian broomrape seeds were more sensitive than branched broomrape seeds. Findings suggest that quaternary ammonium compounds could be used as potential sanitation agents to disinfect agriculture machinery from branched and Egyptian broomrape seeds.

This study investigated an outbreak in a kindergarten in Wuyi County of acute gastroenteritis concerning a large number of students and teachers. We performed a case-control study, and collected information on the layout of the school, symptoms, onset time of all cases and vomiting sites. A total of 62 individuals fit the definition of probable cases; among these, there were 19 cases of laboratory-confirmed norovirus infection. Nausea and vomiting were the most common symptoms in the outbreak. Seven student norovirus patients vomited in the school. The odds ratio (OR) of norovirus illness was 15.75 times higher among teachers who handled or interacted with student vomitus without respiratory protection than compared to those without this type of exposure (OR 15.75, 95% CI 1.75–141.40). Nine samples were successfully genotyped; eight samples were norovirus GII.2[P16], one sample was norovirus GII.4 Sydney[P16]. This study revealed that improper handling of vomitus is a risk factor of norovirus infection. Therefore, more attention should be given to train school staff in knowledge of disinfection.

International guidelines stipulate that autoclavation is necessary to sterilize surgical equipment. World Health Organization (WHO) guidelines for decontamination of medical devices require four levels of decontamination: cleaning, low- and high-level disinfection, as well as sterilization. Following disasters, there is a substantial need for wound care surgery. This requires prompt availability of a significant volume of instruments that are adequately decontaminated. Ideally, they should be sterilized using an autoclave, but due to the resource-limited field context, this may be impossible. The aim of this study was therefore to identify whether there are portable and less resource-demanding techniques to decontaminate surgical instruments for safe wound care surgery in disasters. A scoping review was chosen, and searches were performed in three scientific databases, grey literature, and included data from organizations and journals. Articles were scanned for decontamination techniques feasible for use in the resource-scarce disaster setting given that: they achieved at least high-level disinfected instruments, were portable, and did not require electricity. A total of 401 articles were reviewed, yielding 13 articles for inclusion. The study identified three techniques: pressure cooking, boiling, and liquid chemical immersion, all achieving either sterilized or high-level disinfected instruments. It was concluded that besides autoclaves, there are less resource-demanding decontamination techniques available for safe wound surgery in disasters. This study provides systematic information to guide optimal standard setting for sterilization of surgical material in resource-limited disaster settings.

Pulsed-xenon-ultraviolet light (PX-UVL) is increasingly used as a supplemental disinfection method in healthcare settings. We undertook a systematic search of the literature through several databases and conducted a meta-analysis to evaluate the efficacy of PX-UVL in reducing healthcare-associated infections. Eleven studies were included in the systematic review and nine in the meta-analysis. Pooled analysis of seven studies with before-after data indicated a statistically significant reduction of Clostridium difficile infection (CDI) rates with the use of the PX-UVL (incidence rate ratio (IRR): 0.73, 95% CI 0.57–0.94, I2 = 72%, P = 0.01), and four studies reported a reduction of risk of methicillin-resistant Staphylococcus aureus (MRSA) infections (IRR: 0.79, 95% CI 0.64–0.98, I2 = 35%, P = 0.03). However, a further four trials found no significant reduction in vancomycin-resistant enterococci (VRE) infection rates (IRR: 0.80, 95% CI 0.63–1.01, I2 = 60%, P = 0.06). The results for CDI and MRSA proved unstable on sensitivity analysis. Meta-regression analysis did not demonstrate any influence of study duration or intervention duration on CDI rates. We conclude that the use of PX-UVL, in addition to standard disinfection protocols, may help to reduce the incidence of CDI and MRSA but not VRE infection rates. However, the quality of evidence is not high, with unstable results and wide confidence intervals, and further high-quality studies are required to supplement the current evidence.

Disinfectants are important for arresting the spread of pathogens in the environment. Frequently used disinfectants are often incompatible with certain surfaces, expensive and can produce hazardous by-products. We report that micron-sized water droplets can act as an effective disinfectant, which were formed by spraying pure bulk water with coaxial nebulizing airflow. Spraying for 20 min onto Escherichia coli and Salmonella typhimurium on stainless-steel discs caused inactivation of over 98% of the bacteria. Control experiments resulted in less than 10% inactivation (water stream only and gas only) and 55% inactivation with 3% hydrogen peroxide. Experiments have shown that cell death results from cell wall destruction. We suggest that the combined action of reactive oxygen species present in water droplets (but not in bulk water) along with the droplet surface charge is responsible for the observed bactericidal activity.

Canine parvovirosis is a very contagious, severe and often lethal infectious disease of dogs caused by canine parvovirus type 2 (CPV-2). Parvoviruses are very resistant to several disinfectants while are sensitive to halogens such as sodium hypochlorite which is often used for decontamination of veterinary clinics and animal housing facilities due to its broad spectrum of activity. If compliance with vaccination programmes and with proper disinfection plans is ensured, there should be no continuous, nor frequent, CPV-2 outbreaks in kennels and veterinary clinics. However, a continuous spread of CPV-2 infections is observed, even in kennels where an appropriate vaccination programme is applied, and this imposes a re-evaluation of disinfection protocols using sodium hypochlorite. The aim of the present study was to determine the effect of concentration, contact time and presence of organic matter on the virucidal activity of sodium hypochlorite against several CPV-2 strains. A sensitive in vitro assay capable of measuring the infectivity of CPV-2 was employed to determine the efficacy of three different concentrations of sodium hypochlorite. The data indicate that using a 0.75% sodium hypochlorite solution for a short contact time (1 min) can reduce significantly the CPV-2 titres and that even lower concentrations, i.e. 0.37%, can efficiently inactivate the viruses provided that the contact time is extended to 15 min. Results also confirm the importance of cleaning before disinfection since the presence of organic matter totally abrogated the virucidal activity of sodium hypochlorite solutions against the three CPV-2 strains.

The 1899/1900 arrival of bubonic plague in Argentina had thrown the model status of Buenos Aires as a hygienic city into crisis. Where the idea of foreign threats and imported epidemics had dominated the thinking of Argentina’s sanitarians at that time, plague renewed concerns about hidden threats within the fabric of the capital’s dense environment; concerns that led to new sanitary measures and unprecedented rat-campaigns supported by the large-scale application of sulphur dioxide. The article tells the story of early twentieth-century urban sanitation in Buenos Aires through the lens of a new industrial disinfection apparatus. The Aparato Marot, also known as Sulfurozador was acquired and integrated in the capital’s sanitary administration by the epidemiologist José Penna in 1906 to materialise two key lessons learned from plague. First, the machine was supposed to translate the successful disinfection practices of global maritime sanitation into urban epidemic control in Argentina. Second, the machine’s design enabled public health authorities to reinvigorate a traditional hygienic concern for the entirety of the city’s terrain. While the Sulfurozador offered effective destruction of rats, it promised also a comprehensive – and utopian – disinfection of the whole city, freeing it from all imaginable pathogens, insects as well as rodents. In 1910, the successful introduction of the Sulfurozador encouraged Argentina’s medico-political elite to introduce a new principle of ‘general prophylaxis’. This article places the apparatus as a technological modernisation of traditional sanitary practices in the bacteriological age, which preserved the urban environment – ‘el terreno’ – as a principal site of intervention. Thus, the Sulfurozador allowed the ‘higienistas’ to sustain a long-standing utopian vision of all-encompassing social, bodily and political hygiene into the twentieth century.

An unusually long-lasting community-acquired outbreak of Legionnaires’ disease (LD) occurred in the inhabitants of a town in northern Italy from 2005 to 2008. Overall, 43 cases were diagnosed including five deaths. Hundreds of water samples were collected for Legionella isolation but only two clinical samples were obtained. Clinical strains were ST23 as were environmental isolates detected in most Legionella-positive patients' homes and those from a public fountain. Although no Legionella was found in the municipal water mains, a continuous chlorination was applied in 2008. This action resulted in a halving of cases, although incidence remained tenfold higher than the Italian average incidence until the end of 2013, when it dropped to the expected rate. Retrospective analyses of prevalent wind direction suggested that a hidden cooling tower could have been the main cause of this uncommon outbreak, highlighting the importance of implementation of cooling tower registers in supporting LD investigations.

A cross-sectional study into risk factors for Salmonella was undertaken using data gathered from 252 fattening turkey flocks in the UK. The data was derived from the EU baseline survey conducted during 2006 and 2007, in addition to a voluntary questionnaire. Multivariate logistic regression models identified significant risk factors for Salmonella spp. and Salmonella Typhimurium. A decreased risk of Salmonella spp. infection was associated with a history of intestinal illness in the sampled flock (OR 0·17), the use of wood shavings as litter (OR 0·21), use of disinfectant in the cleaning process (OR 0·25), incineration of dead birds on farm (OR 0·29), seasonal production (OR 0·31), farm staff also working with cattle (OR 0·31), and the presence of pigs on neighbouring farms (OR 0·38). The risk of isolating Salmonella spp. varied according to the company from which the poults were sourced. A reduced risk of S. Typhimurium infection was associated with the use of wax blocks to control rodents (OR 0·09), using mains water (OR 0·19) and having a Salmonella test programme (OR 0·23). An increased risk of S. Typhimurium infection was associated with storage of items around the turkey house (OR 5·20), evidence of mice (OR 4·71) and a soil surface surrounding the turkey house (OR 2·70). This study therefore identifies a number of important practical measures which can be implemented by farmers and veterinarians within the turkey industry to assist in the control of salmonellosis at the farm level.

Tri-County Health Department investigated an outbreak of cryptosporidiosis linked to a community swimming pool. A cohort study was conducted in 37 persons who were invited to the pool party; 12 (57%) of 21 attendees had primary cryptosporidiosis infection. Risk factors for illness included swimming, getting water in mouth, and swallowing water. The pool met chlorination guidelines and used UV light irradiation, a supplemental disinfection technology that inactivates Cryptosporidium. A follow-up survey of the cohort was completed 7–8 weeks after the pool party; four (25%) of 16 non-attendees had secondary cryptosporidiosis infection. The median duration of illness, including patients with recurring symptoms, was 26 days. Clinical response rate to nitazoxanide, a therapeutic agent, was 67%. This study is unique because it describes a cryptosporidiosis outbreak from a well-maintained community swimming pool using supplemental disinfection. It also reports information on disease burden and treatment response.

Introduction. For the micropropagation of woody species, contamination of in vitro cultured explants is a constant problem, which can compromise the development of the technique. The aim of our study was to evaluate the effects of an antibiotic and a fungicide on surface and endophytic microorganisms associated with Annona cauliflora, A. bahiensis and A. glabra (Annonaceae) tissue culture. Materials and methods. Our work made it possible to compare a standard disinfection of in vitro cultured explants and the use of either a commercial fungicide, Benlate 500 (50% of benomyl) at (0.0, 1.0, 2.0 and 4.0) ${\rm g} \cdot {\rm L}^{-1}$, or an antibiotic, ampicillin at (0.0, 1.0, 2.0 and 4.0) ${\rm mg} \cdot {\rm L}^{-1}$. Results. The study revealed considerable variations in the infection rates within species and according to the concentrations of benomyl and ampicillin used. Benomyl was effective at cleaning leaf segments, and, at a concentration of 1.0 ${\rm g} \cdot {\rm L}^{-1}$, this fungicide was sufficient to eliminate all fungi. Ampicillin treatments at (0.0 to 4.0) ${\rm mg} \cdot {\rm L}^{-1}$ were ineffective at controlling bacterial contamination. Conclusion. Referring to the difficulty in obtaining an aseptic in vitro culture starting from a woody species, the average number of healthy explants obtained after the disinfection of foliar explants of Annona sp. using the antimicrobial substances tested was significant. Further studies to evaluate the effects of the concentration of chemicals on in vitro plant regeneration for Annona species are needed to clarify the relationship between the concentration and phytotoxic effect of chemicals.

This random survey was to determine the flexible nasopharyngoscope disinfection practice employed by South African otolaryngologists and to establish whether a breach in the disinfection process exists. The study also aimed to identify organisms most likely to be transmitted via endoscopy and to propose a protocol for the disinfection of the flexible nasopharyngoscope.

A questionnaire regarding disinfection techniques used for the flexible nasopharyngoscope was sent to 90 otolaryngologists in South Africa. All provinces were equally represented in the survey.

Forty-five otolaryngologists out of a total of 90 participated in the study. Many of the otolaryngologists had no access to a flexible nasopharyngoscope and were therefore not included in the study. Fewer than 50 per cent of the 45 surgeons washed the instrument with soap/detergent and water after use. Only 42 per cent of surgeons used a FDA-approved disinfectant, 52 per cent of which immersed the scope for a shorter period than the recommended contact time. Of the 58 per cent using non-FDA-approved products, 33 per cent used only a 70 per cent Isopropyl alcohol wipe, without immersion of the scope in disinfectant solution. The remaining 25 per cent used non-FDA-approved disinfectants either by wiping or limited immersion of the scope. Of the 45 surgeons, 49 per cent used a different method of disinfection for high-risk patients.

Strict guidelines have been proposed for the disinfection of this semi-critical device by the Association of Professionals for Infection Control (APIC) and the Centers for Disease Control (CDC). These guidelines are currently not being followed by many South African otolaryngologists. There is therefore a real risk of transmitting infectious diseases, especially tuberculosis, via endoscopy.

We present the results of a confidential telephone survey of ENT units in England on the disinfection of flexible fibre-optic nasendoscopes out-of-hours. The on-call residents of 124 units were contacted and questioned. In 35.1 per cent of units surveyed, the on-call resident was primarily responsible for cleaning the scopes after use. Only 46 per cent of these junior doctors had access to a chemical sterilant to allow for high-level disinfection of these scopes. Provision for disinfection of scopes was poorer in teaching hospitals and in units that served inner city populations. Only 12.1 per cent of Senior House Officers (SHOs) received any training in disinfection techniques and only 25.5 per cent of units kept a register of patients nasendoscoped out-of-hours for purposes of contact tracing.

Introduction. Le contrôle sanitaire des bananes, essentiel pour assurer la qualité après-récolte du produit commercialisé, dépend beaucoup des techniques d'application des fongicides. Une enquête réalisée in situ en Martinique a mis en évidence des temps et des techniques d'application des produits fongicides variables. Différentes techniques ont été expérimentées pour définir les meilleures conditions opératoires. Matériel et méthodes. Plusieurs facteurs qui, au stade du hangar, peuvent influencer l'efficacité des applications de fongicides après-récolte ont été étudiés : l'emploi ou non d'alun, le temps d'application, le type et le débit des buses, l'angle des pulvérisations. Les traitements ont été réalisés sur fruits après inoculation contrôlée avec Colletotrichum musae sur blessures et sur couronnes. Les fruits ont ensuite été conservés 8 j à 14 °C, puis mis en maturation en simulation industrielle (24 h ; 1 L éthylène × m-3) avant d'être stockés 5 j à 22 °C. La surface des nécroses ou l'altération des pédoncules ont alors été mesurées. Résultats et discussion. L'alun ajouté à du thiabendazole a diminué l'efficacité du fongicide utilisé seul. Le temps d'aspersion a eu un effet sur la performance des produits fongicides, une application de 30 s étant le minimum souhaitable. La combinaison de l'imazalyl au thiabendazole ou au bitertanol a eu un effet favorable pour le contrôle du chancre dans les pourritures de couronne. La comparaison des débits testés a montré qu'un débit de buse de l'ordre de 0,4 L × min-1, appliqué pendant 30 s, garantissait le passage effectif de la solution fongicide entre les fruits et les bouquets. La taille des gouttes (fines ou grosses gouttelettes) a peu d'incidence quand le volume pulvérisé et le temps de contact sont respectés (5 L par tray pendant 30 s). Les performances ont été améliorées en utilisant un tray tubulaire "sans fond " , faisant intervenir une pulvérisation par-dessus et par-dessous. Conclusion. L'action réelle des fongicides est directement liée à une qualité d'application qui intègre le temps et le débit. Les préconisations données, liées à une inoculation expérimentale sévère, sont probablement surestimées ; elles peuvent cependant servir de référence dans les situations où la qualité sanitaire laisse à désirer.