Risks from ebola discharge from hospitals to sewer workers / by Kyle Bibby, Ph.D. [and three others].

Format:

Book

Author/Creator:

Bibby, Kyle, author.

Series:

WERF Research Report Series

WERF Research Report Series ; v.WERF4C15

Language:

English

Subjects (All):

Ebola virus disease.

Bacterial diseases.

Hemorrhagic Fever, Ebola.

Medical Subjects:

Hemorrhagic Fever, Ebola.

Physical Description:

1 online resource (64 pages) : illustrations, tables

Edition:

1st ed.

Place of Publication:

Alexandria, Virginia : WERF, 2016.

Summary:

Current World Health Organization and Centers for Disease Control and Prevention guidance for the disposal of liquid waste from patients undergoing treatment for Ebola virus disease at hospitals in the United States is to manage patient excreta as ordinary wastewater without pretreatment.

Contents:

Cover

Copyright

Acknowledgments

Abstract and Benefits

Table of Contents

List of Tables

List of Figures

List of Abbreviations and Acronyms

Executive Summary

Chapter 1.0: Study Significance

Chapter 2.0: Quantitative Microbial Risk Assessment

2.1 Introduction

2.2 Materials and Methods

2.2.1 Exposure Assessment

2.2.2 Dose-Response Assessment

2.2.3 Risk Characterization

2.3 Results and Discussion

2.3.1 Exposure Assessment

2.3.1.1 Patient Excreta and Secreta Production to Sewer

2.3.1.2 Excreta and Secreta Concentrations of EBOV

2.3.1.3 Hospital Daily Outflow (For internal dilution rate in hospital)

2.3.1.4 Interceptor Daily Flow (For dilution from hospital discharge to sewer to point of worker exposure)

2.3.1.5 EBOV Die-Off Rate

2.3.1.6 Sewer Travel Time from Patient to Point of Worker Exposure

2.3.1.7 Partition Coefficient (Ratio of aerosol concentration of EBOV to liquid concentration)

2.3.1.8 Respirable Fraction (Fraction of aerosols generated that are respirable)

2.3.1.9 Worker Inhalation Rate

2.3.1.10 EBOV Removal Fraction by Worker PPE

2.3.1.11 Time Spent by a Sewer Worker in the Proximity

2.3.1.12 Conversion from EBOV RNA Copies to PFUs

2.3.1.13 Dose of Respirable EBOV Inhaled and Retained in Lungs per Exposure

2.3.2 Dose-Response Assessment

2.3.3 Risk Characterization

2.4 Conclusions

Chapter 3.0: Inactivation Review

3.1 Background and Results

Appendix A: Ebola Risks/Discharge Frequently Asked Questions

Appendix B: Inactivation Matrix

Glossary of Terms

References.

Notes:

Includes bibliographical references.

Description based on online resource; title from PDF title page (ebrary, viewed November 24, 2016).

Description based on publisher supplied metadata and other sources.

ISBN:

1-78040-831-5

OCLC:

963568305