All individuals dealing with soiled bedding, etc., should wear full PPE. Laundry and surfaces in all environments in which Ebola cases receive care (treatment units, community care centres, and homes) should be regularly (at least once a day and when a patient is discharged) cleaned (WHO, 2008 and 2014). Any areas contaminated with blood or other body fluids (including faeces and urine) should be cleaned and disinfected with a 0.5% chlorine solution of as soon as possible (WHO, 2014). Soiled linen should be placed in clearly labelled, leak-proof bags or containers, carefully removing any solid excrement, such as faeces or vomit and putting in covered bucket to dispose of in the toilet or latrine. Washing by machine with warm water and detergent is recommended followed by soaking in 0.05% chlorine for approximately 30 minutes and dried according to routine procedures. If machine washing is not possible, linens can be soaked in warm water and soap in a large drum, using a stick to stir, avoiding splashing. The drum should then be emptied and refilled with clean water and adding bleach (1000 ppm) and allowing to soak for 15-20 min and finally rinsed with clean water. For more details, refer to the WHO Interim Infection Prevention and Control Guidance (WHO, 2014).
Source: WHO & UNICEF (Reviewed by MSF, CDC, and Tufts 2014) Ebola Virus Disease (EVD) Key questions and answers concerning water, sanitation and hygiene
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