Infection Control in Public Buildings Must Start With Hygiene

y seem obvious that infection thrives in dirtyThe Albany Healthy Schools Programme
places, and finds it tougher to survive in freshlyAccording to Mike Burton, Managing Director of
cleaned places, but a large proportion of theAlbany Hygiene Facilities, the
population does not seem to have grasped it.government’s National Healthy Schools
Despite endless publicity on the dangers ofProgramme currently enables four million pupils to
inadequate hygiene, the majority of people do notenjoy the benefits of attending a healthy school.
clean their hands after going to the lavatory, do“Unfortunately, this programme does not
not ensure that they use a tissue when theysufficiently cover the hygiene of the built
sneeze and, even if they do, do not dispose ofenvironment that the pupils, staff and teachers
the tissue hygienically after the sneeze.inhabit” he said in mid-October when
People bring infection on their hands into work- itlaunching his company’s Albany Healthy
has been shown that the majority of publicSchools Programme. “The government
transport commuters have traces of humanprogramme also fails to encompass the critical
faeces on their hands when boarding buses andarea of infection control within the school”.
trains. Bacteria and viruses are smearedThe Albany Healthy Schools Programme has been
constantly over office entrances, reception chairslaunched to help children to understand about
and staircase handrails by staff and visitors alike.viruses and bacteria that cause illness and how
During the day, pathogens are added to deskthorough and frequent hand washing and drying
surfaces, the arms of office chairs, keyboardscan help to keep everybody well. Albany is
and equipment.making learning about infection and hand cleaning
It is no better in leisure centres, swimming poolsfun for children by running the Albany Max Road
and gymnasiums – in fact, where pools areshow, which has been touring independent
concerned, it is arguably worse, as somepreparatory schools since 19th October with a live
infections are at their best when water-borne.animated character – Albany Max –
Outbreaks of cryptosporidiosis, a parasitic bowelto get the message across to the children.
infection, have been frequently associated withAlbany Hygiene Facilities is also offering schools a
swimming pools in recent years. Even publicfree A+ Hygiene Audit, which includes a report
libraries fare no better. Although the Public Healthhighlighting non-compliance with legislation,
Act of 1935 forbids anyone taking ‘out ofrecommendations for hygiene improvement and
the library any book for use by any personsuggestions for saving water and energy.
suffering from a notifiable disease (i.e. cholera,Flexibility in the preferred suppliers list
plague, relapsing fever, smallpox orWithout wishing to seem heretical, it could be that
typhus’ or returning ‘to the libraryit is time for local authorities to be a little less
any book which has been exposed to a notifiabledoctrinaire than usual where its list of preferred
disease’, none of the legislators seems tosuppliers is concerned. The usual principal is that,
have thought of insisting that people about toonce a firm is on the preferred suppliers list, little
read a library book should clean their hands.short of treason or an earthquake can dislodge
The essence of the problem seems to be that, ifthem. That, where the control of infection is
the public is unwilling to change its behaviour, theconcerned, may have to change.
efficiency of daily cleaning must be stepped up inLocal authorities should consider asking all cleaning
all public buildings – and that daily cleaning,contractors to provide details of how their aseptic
however efficient, is not enough in times of crisis.measures can be improved to reduce the risk of
Staff in public building’s are going to havereservoirs of infection in public buildings
to contribute to reducing contamination, partly bytransmitting disease. Cleaners should perhaps be
cleaning their own hands frequently, but also byrequired to detail their quality control measures
using disinfectant wipes for frequent rudimentary(for example the use of ultraviolet lamps to show
disinfection of furniture and equipment.where there is organic matter in places where it
Recent increases in the scale and frequency ofshould not be), and to use them consistently.
outbreaks of infection have made managementsThere is nothing like lighting a freshly cleaned
more aware of the crucial role of cross infectionlavatory pan with a UV lamp to convince people
in causing illness and staff absence. That in turnthat traditional cleaning methods can be unreliable.
has made it essential that those in charge ofIn short, the effectiveness of cleaning and
cleaning look again at the real purpose of whatasepsis, particularly in kitchens and washrooms,
they are doing.should be closely and continuously monitored, and
There has to be a shift of emphasis away fromquality control procedures should be defined and
‘polished and tidy’ and a movepractised.
towards ‘clean and infection-free’.With norovirus and swine flu at the forefront of
Cleaning companies and teams have to becomepeople’s minds as winter sets in,
more aware of the less obvious sources ofmaintenance of washrooms, lavatories and
cross-infection, such as the handles andkitchens in near-aseptic condition is vital. Efficient
finger-plates on doors, the receptionist’smodern washrooms are easier to clean and keep
desk and computer keyboards. People working ininfection-free than older ones, but whatever their
public buildings must stop regarding disinfection asage, they must be maintained effectively to
somebody else’s job, and use disinfectantminimise infection. The essence of infection control
wipes during the day. People must be made tois more frequent and more efficient cleaning and
realise that they do not clean their handsdisinfection of frequently used surfaces. Make
thoroughly enough or often enough.sure everybody takes a role in doing just that.
A key approach to improving matters is toSee how our Albany Max programme can
expose people to good hand hygiene practice atencourage hand washing hygiene at your school
an early age.by arranging a visit today.