unit 6.3. ultraviolet germicidal irradiation (uvgi) tb infection control training for managers at...
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Unit 6.3. Ultraviolet germicidal irradiation (UVGI)
TB Infection Control Training
for Managers at National and Subnational Level
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Objectives
After this unit, participants will be able to:• Understand the principles of UVGI• Describe the benefit and risks of UVGI• List appropriate settings for upper room
UVGI• Describe why upper room UVGI is an
adjunct to appropriate ventilation
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A public health manager is expected to:
• Understand the principles of UVGI• Understand the importance of making
basic measurements as part of routine maintenance
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A qualified technical expert is responsible for:
• Installation and maintenance according to the producer’s standards, in line with existing international and country regulations
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Outline
• What is UVGI?• Upper room UVGI• Complementary role of UVGI• Avoiding direct exposure or
overexposure• Appropriate settings for upper room
UVGI• Monitoring and maintenance• UVGI air cleaners
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Ultraviolet irradiation
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Wavelength of light
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How much UVGI do we need to kill M. tuberculosis?
UVGI Dose Inactivation
6 200 J/cm2 90%*10 000 J/cm2 99% 13 800 J/cm2 99.9% 17 600 J/cm2 99.9%
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Upper room UVGI
UV
Contaminated air
Disinfected air
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Upper room UVGI
• May be capable of air disinfection equivalent to 10-20 air changes per hour
• Air disinfection is decreased by as much as 80% with incomplete air mixing
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WHO recommendations
• Priority should be given to achieving adequate air changes per hour using ventilation systems
• If not possible, UVGI is a complementary intervention
• Upper room UVGI devices must be properly designed, installed, maintained and operated
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UVGI is a complementary infection control measure
• Requires air mixing to be effective
• > 70% humidity may reduce efficacy
• Does not provide fresh air or directional airflow
• Precautions necessary to avoid short term effects on the skin and eyes
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UVGI Occupational Exposure Limit
At the 254 nanometre wavelength,• The occupational exposure limit is 6,000
J/cm2 for a daily 8-hour shift
• Corresponds to a maximum irradiance of 0.2 W/cm2 for an 8 hour exposure
J = micro Joules
W = micro Watts
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UVGI monitoring to ensure radiation level is:
UVGI meter
• Effective for disinfecting the air • Safe for room occupants
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UVGI measurement devices• International Light meter model 1400A with
SEL240 detector, or• Gigahertz-Optik model X911 UVC meter with
UV-3718-4 detector
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UVGI must be shielded when room is occupied
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Example of unshielded device
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Appropriate settings for UVGI• Large, overcrowded congregate
settings where:– TB is often undiagnosed– Ventilation is insufficient
• Examples– Emergency (casualty) departments– Waiting areas in health facilities– Homeless shelters– Sputum induction booth
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Upper-air UVGI is suitable for a particular room if:
• There is a high ceiling (so people cannot look into the lamp)
• Fans or ventilation system mix the disinfected upper room air with the potentially contaminated air below
• There is not so much ventilation that air doesn’t have time to be irradiated
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Little “near field” protection
UV
Contaminated air
Disinfected air
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Is this a rational location?
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UVGI is not useful here either
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UVGI is not needed here
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Monitoring and maintenance
Designate a person to be responsible for routinely:
• Monitoring radiation levels
• Cleaning (turn off before cleaning)
• Replacing bulbs as recommended by manufacturer
• Keeping records of monitoring and maintenance activities
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UVGI cleaning
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UVGI cleaning
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• Upper air disinfection
• Duct irradiation
• Air cleaners
Applications of UVGI
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Summary
• Upper air UVGI may be capable of disinfecting equivalent to 10-20 air changes per hour if properly designed, installed and maintained
• Eye and skin risks can be avoided by shielding and measuring to ensure no overexposure
• Upper air UVGI is a complementary intervention to adequate ventilation
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