Healthier You May 2020 Edition by standard-examiner

HEALTHIER

YOU

L A I C E SP

V I V SUR

9 1 D I COV

E D I U G AL

Utah’s Premier Knee and Hip Replacement Specialist

THOMAS F. CALTON, MD

NOW SEEING PATIENTS, AND SCHEDULING. Including MEDICARE AGE PATIENTS, according to state and local hospital COVID-19 guidelines.

• OUTPATIENT JOINT REPLACEMENT • ANTERIOR HIP REPLACEMENT • BALANCED KNEE REPLACEMENT

THOMAS F. CALTON, MD • Fellowship trained hip and knee replacement • Over 20 years experience • Board-certified • Member of the American Board of Orthopaedic Surgery

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5782 Adams Ave Parkway Ogden, UT 84405 (801) 917-8000 office (801) 917-8001 fax www.utahorthopaedics.com

SPONSORED CONTENT

The Evolution of Hip and Knee Replacement Surgery in Northern Utah And Who Brought us Here. Dr. Thomas Calton began his hip and knee replacement specialty practice in Ogden, Utah in 1996. He has been a tireless advocate for advances in all aspects of the delivery of hip and knee replacements. “Helping people get back on their feet has been my mission since I started practicing joint replacement surgery in 1996.” A Clinician for The People In the late 1990s, patients would typically stay in the hospital five to seven days post kneereplacement surgery. General anesthesia was commonly used, and patients were frequently sent to rehabilitation centers. As an innovator, Dr. Calton began encouraging spinal anesthesia, same-day ambulation and avoidance of bladder catheters. He was also one of the first of his peers to discourage the use of rehabilitation centers. These changes paved the way for Dr. Calton to be one of the earliest adopters of the outpatient concept for hip and knee replacement surgery,

which is now becoming the standard of care for the industry. “Helping people get back on their feet has been my mission since I started practicing replacement surgery in 1996.” -Dr. Calton

A Knee-Replacement Innovator

anatomy lead to the development of different widths of knee implants— narrow for women, standard and wide, which men frequently require. “All patients are obviously not the same size; our instruments and implants should obviously vary in size to best fit the patient.”

Instrument and Implant Advancements After establishing himself as the first fellowshiptrained, replacement specialist in northern Utah, Dr. Calton found himself frustrated with the lack of customization for instruments and implants to precisely fit individual patients’ anatomy. He teamed up with Doctors Bourne and Mariani, and together they began developing instruments and implants to improve the quality of care for all knee-replacement patients.

In-Surgery Advancements During a typical knee replacement, a jig is placed, and all preparatory cuts are made. Early executions of this practice did not allow for adjustments during the procedure. Again, Dr. Calton realized the inefficiency and set off to design an adjustable block to improve the ability to customize to each patient. Dr. Calton and the engineers applied for and received a patent from their efforts.

Together they developed a one-mm polyethylene liner option, which allows the surgeon to fine-tune the fit and balance to individual patient’s anatomy. Dr. Calton’s drive to precisely fit patient’s unique

Hip replacement Advancements Dr. Calton was the earliest adopter of the anterior hip replacement in northern Utah. His experience began in 2005 when a trauma surgeon in Califor-

A Hip-Replacement Innovator

nia modified an approach to replace hips. Dr. Calton adopted the approach and immediately was able to provide more precise surgery, see less postoperative pain, fewer dislocations and happier patients. The anterior approach was everything Dr. Calton hoped it would be—more precise, less painful and fewer complications. In addition, the hipreplacement community commonly used an implant that had limitations and drawbacks. Again, together with Ortho Development engineers, Dr. Calton developed an improved femoral design that again allowed for improved anatomical matching. The “Entrada” system is the fastest-growing system in the Ortho Development line and is used by many fellowship-trained surgeons in Utah. Dr. Calton is in private practice at Utah Orthopedics and continues his pursuit of precision and the delivery of one of the most growing and needed elective surgeries in medicine.” Healthier You - June, 2020 3

Utah’s Low Risk Phase

A ER

Moving to yellow

Utah’s efforts to slow the spread of COVID-19 have been working. Finding a new normal won’t be instant, like flipping a switch, it’ll be more like gradually moving a dial. NEW NOR

HIG

What does it mean and what can you do?

RISK

Continue to follow the public health protocols for Low Risk (yellow) to keep the dial moving forward and to prevent it from turning back.

High-risk individuals operate under stricter instructions because they are more likely to suffer severe illness from COVID-19.

General guidelines:

50 Groups of

or fewer

Social gatherings in groups of 50 while maintaining social distancing.

Maintain social distancing in public settings.

Face coverings worn when social distancing is difficult to maintain.

Counties in the Low-Risk (Yellow) Phase Beaver Box Elder Cache Carbon Daggett Davis Duchesne Emery Garfield Iron Juab Kane Millard Morgan Piute Rich Salt Lake San Juan Sanpete Sevier Tooele Uintah Utah Washington Wayne Weber

Counties in the Moderate-Risk (Orange) Phase Grand County Summit County

Symptom check prior to team sport competitions or practices.

K-12 schools reopening anticipated for 2020/2021 school year.

6-foot distance between household groups at events & entertainment venues.

CHURCH

Pools open with social distancing.

Spacing between household groups, multiple meeting schedules for smaller gatherings and stream services if preferred.

Wasatch County

Cities in the Moderate-Risk (Orange) Phase Magna Salt Lake City West Valley City

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General guidelines for businesses:

All businesses open and take reasonable precautions.

Dine-in service open with appropriate social distancing and hygiene measures.

High-Risk Individuals: Face coverings worn in settings where other social distancing measures are difficult to maintain

Encourage flexible work arrangements, follow hygiene guidelines, and continue social distancing in the workplace.

Children: Maintain social distancing in public settings

For any travel, use appropriate precautions; avoid high-risk areas

All symptomatic children should stay home from childcare, and will be sent home if exhibiting any symptoms

Telework if possible, if not, maintain 6-foot distance

Limit child interaction with other children in public spaces (e.g. playground equipment)

When visiting friends or family, wear face coverings when within a 6-foot distance Limit physical interactions with other high-risk individuals, except for members of your household or residence Social interactions in groups of 20 or fewer people outside your household or residence Limit visits to hospitals, nursing homes, or other residential care facilities

Find detailed guidelines for individuals and businesses at Coronavirus.Utah.gov

Healthier You - June, 2020 5

Social distancing

Stay calm, be kind and stay connected.

What you can do

It’s okay to go outside. Go on walks, bike rides, and get outdoors with your family. Do not gather in groups at parks or public places.

Everyone should practice social distancing right now.

Stay calm, be kind and stay connected.

Social distancing means to stay away from other people as much as you can. It’s okay to eat food from restaurants Social distancing is important because it slows the spread of COVID-19. Avoiding Order take-out, get curbside pick-up, and use crowds protects you and your family. drive-thrus. Dine-in services are allowable with It’s okay to eat food Try to stay at least 6 feetSocial away from other people.from You should be with distancing: What younot can do exteme precaution. restaurants. groups of more than 10 people. Stay home as much Order as possible. few take-out, get With curbsidevery pick-up, and use drive-thrus. You will not be able to eat inside exceptions, cancel all get-togethers. a restaurant at this time. If you need to go somewhere or be around groups of people, wash your hands with soap and water as soon as you can. If soap and water are not available, you can use hand sanitizer. If you are older than 60 or have other health probBe careful what you touch lems, stay home and away from other people. Tryother to stay 6 feet Try to stay 6 feet away from people. Try away not to from other people. use cash to pay for things. Try Use notatocredit use card cashortopay pay for things. Use a online. Wash your hands after card touching things that Wash your hands It’s okay to go outside credit or pay online. other people touch. after touching things that other people touch. Go on walks, bike rides, and get outdoors with your family. Do not gather in groups at parks or public places.

Be careful what you touch.

Tips for grocery shopping Wear a face mask at all times in public settings. Go grocery shopping at times when there are less people in the store. Try to go by yourself. Wash your hands with soap and water as soon as you can. Order your groceries online and have them delivered or get a pickup order. Do not touch your face, mouth, nose, or eyes while you are in the store. Try not to take your children or older family members to the grocery store.

Tips for grocery shopping: Go grocery shopping at times when there are less people in the store. Try to go by yourself. Wash your hands with soap and water as soon as you can. Order your groceries online and have them delivered or get a pickup order. Do not touch your face, mouth,TIME nose, or TO eyes while you are in WE HAVE BEEN OPEN THE ENTIRE SERVE the store. Try not to take your children or older family YOU AS WALK-IN, CURBSIDE, AND MAIL members to the groceryPICK-UP store.

Boost Your Immune System Mood Support We Carry Cloth or Disposable Masks

Keep older people safe:

people safe: marked supplements backeKeep Make and send care packages to loved d by scienolder patented and trade ce. We carry ones.toStay connected Make and send care packages loved ones. Stay with daily calls, video

connected with daily calls, videoand chats, and emails. chats, emails. Help your older loved Two Certified National Consultants Help your older loved ones by going to the grocery by going to the grocery store for them with over 80 years experience.store for them or helpingones them get groceries delivered

or helping them get groceries delivered to their home. Do not bring children Do not bring children or anyone who is sick close to or anyone who is people older than 60 because it putsto them at riskolder for than 60 because it sick close people getting severe illness. puts them at risk for getting severe illness. to their home.

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Guidelines

For high-risk individuals In every phase, high-risk individuals operate under stricter instructions instructions because they are more likely to suffer severe illness from COVID-19. Those 65 years and older, live in a long-term care facility or people with underlying medical conditions.

Who are High-Risk Individuals? High-risk individuals are defined as people 65 years and older, people who live in a nursing home or long-term care facility, people of all ages with underlying medical conditions, including lung disease or moderate to severe asthma, people who have serious heart conditions, people who are immunocompromised (many conditions can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, people living with HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications), people with severe obesity, diabetes, chronic kidney disease undergoing dialysis, or liver disease.

Actions by High-Risk Individuals • Face coverings worn at all times in public setting • Limit travel to only essential travel; if telework is not possible, limit travel to work-related travel only • Limit visiting friends or family without urgent need • Limit physical interactions with other high-risk individuals, except for members of your household or residence • Limit attending gatherings of any number of people outside your household or residence • Do not visit hospitals, nursing homes, or other residential care facilities Essential travel means to: safely relocate by an individual whose home or residence is unsafe, including individuals who have suffered or are at risk of domestic violence, or for whom the safety, sanitation or essential operations of the home or residence cannot be maintained; care for a family member or friend in the same household or another household, including transporting family members or friends; transport a child according to existing parenting time schedules or other visitation schedules pertaining to a child in need of protective services; care for pets, including travel to a veterinarian; seek emergency services; obtain medications and medical services; donate blood; obtain food, including delivery or carry-out services, beverages (alcoholic and non-alcoholic), and other grocery items, gasoline, supplies required to work from home, and products needed to maintain the safety, sanitation, and essential operation of homes and residences, businesses, and personally owned vehicles, including automobiles and bicycles; perform work if you cannot telework; transport/deliver essential goods; engage in recreational and outdoor activities; laundromats and dry cleaners; return to a home or place of residence.

Households with High-Risk Individuals For those living with a high-risk individual, household members should conduct themselves as if they are a significant risk to the high-risk individual

• Wash hands before interacting with high-risk household members, including before feeding or caring for the person • If possible, provide a protected space for high-risk household members, and ensure all utensils and surfaces are cleaned regularly • High-risk populations should take extra precaution to avoid close contact with multiple people, including having the same caretakers whenever possible • Those who are, or work with, vulnerable populations should undergo daily screening/symptom monitoring and should be tested if they develop COVID-19 symptoms • Consider providing additional protections or more intensive care for high-risk household member Healthier You - June, 2020 7

Guidelines

For individuals Common Sense and Personal Responsibility – Public health guidance cannot anticipate every unique situation. Residents and businesses must take personal responsibility to be informed and take actions based on common sense and wise judgment that will protect health and support economic reactivation.

Overview for General Public General public take extreme precautions • Face coverings worn in public settings where other social distancing measures are difficult to maintain • Follow strict hygiene standards, including: • Wash hands frequently with soap and water for at least 20 seconds • Use hand sanitizer frequently • Avoid touching your face • Cover coughs or sneezes (e.g. into a tissue, sleeve, or elbow; not hands) • Regularly clean high-touch surfaces (e.g. door handles, counters, light switches, remote controls, restroom surfaces) • Follow any other standards promulgated by the Centers for Disease Control and Prevention (CDC), the Utah Department of Health, and local health department • Do not shake hands • In-person interactions in decreased group sizes that enable all social distancing guidelines to be maintained; social interactions in groups of 20 or fewer • Increase virtual interactions • Leave home infrequently, stay 6 feet away from others when outside the home • Regularly disinfect high-touch areas (e.g. door handles, buttons/switches, countertops, handrails, shopping carts, check-out counters, restroom surfaces) • Give sick family members their own room if possible and keep the door closed • Have only one family member care for the sick individual • Schools closed Social Guidelines General public takes extreme precautions • Stay 6 feet away from others when outside the home unless not possible • Face coverings worn in settings where other social distancing measures are difficult to maintain • In-person interactions limited to individual households and those who have been following recommended distancing/hygiene guidelines; increase use of virtual interactions • Leave home infrequently • Private, social interactions that occur without oversight by a formal organization are allowable in groups of 20 or fewer

Use of Face Coverings • Face coverings (e.g. mask, scarf, gaiter, bandana) worn in public settings where other social distancing measures are difficult to maintain • Change or launder cloth face coverings routinely • Individuals should stay 6 feet away from others even when wearing a face 8 Standard-Examiner

covering • Cloth face coverings should not be placed on young children under the age of 2, anyone who has trouble breathing, or is unconscious, incapacitated, or otherwise unable to remove the mask without assistance

Family Gatherings (e.g. Funeral, Wedding, Religious Ceremonies) • Small group of close family and friends may attend, as long as they have been following social distancing and hygiene practices for two weeks Social Guidelines General public takes extreme precautions • Stay 6 feet away from others when outside the home unless not possible • Face coverings worn in settings where other social distancing measures are difficult to maintain • In-person interactions limited to individual households and those who have been following recommended distancing/hygiene guidelines; increase use of virtual interactions • Leave home infrequently • Private, social interactions that occur without oversight by a formal organization are allowable in groups of 20 or fewer

Children, including playgrounds • Do not attend school outside the home • Do not arrange or participate in in-person playdates or similar activities • Do not allow children on public playground • Soft closure of schools • Schools may send home food Social Guidelines General public takes extreme precautions • Stay 6 feet away from others when outside the home unless not possible • Face coverings worn in settings where other social distancing measures are difficult to maintain • In-person interactions limited to individual households and those who have been following recommended distancing/hygiene guidelines; increase use of virtual interactions • Leave home infrequently • Private, social interactions that occur without oversight by a formal organization are allowable in groups of 20 or fewer

Outdoor Recreation, Youth Outdoor Sports, including Parks, Playgrounds, Pavilions, Parades • Remain at least 6 feet apart from individuals from other households while engaging in outdoor activities (e.g., walking, hiking, running, bicycling, hunting, fishing, etc.)

Guidelines

For individuals continued • Do not touch high-touch surfaces, including handrails, trail signs, maps • Do not congregate at trailheads, parks, or other outdoor spaces • Do not engage in sporting activities requiring teammates or opponents to be closer than 10’ from one another • Skills development and conditioning activities are allowable under social distancing guidelines • Staff must disinfect all equipment after each use • Follow guidelines for state and national parks Social Guidelines General public takes extreme precautions • Stay 6 feet away from others when outside the home unless not possible • Face coverings worn in settings where other social distancing measures are difficult to maintain • In-person interactions limited to individual households and those who have been following recommended distancing/hygiene guidelines; increase use of virtual interactions • Leave home infrequently • Private, social interactions that occur without oversight by a formal organization are allowable in groups of 20 or fewer

Employers Employers exercise extreme caution, with employees working remotely, evaluating workforce concerns, and enacting strategies to minimize economic impact. Businesses that necessitate on-site work should monitor workforce for symptoms and well-being. Employers take extreme precautions • Provide accommodations to high-risk employees • Employees and volunteers operate remotely, unless not possible • Symptom* checking in business interactions • Face coverings worn in settings where other social distancing measures are difficult to maintain; ensure that face coverings are available • Make every possible effort to enable working from home as a first option; where not possible, workplaces comply with distancing and hygiene guidelines • Minimize face-to-face interactions, including with customers (e.g. utilize drivethru, install partitions) • Where distancing and hygiene guidelines cannot be followed in full, businesses should consider whether that activity needs to continue for the business to operate • Eliminate unnecessary travel and cancel or postpone in-person meetings, conferences, workshops, and training sessions • Require employees to self-quarantine when returning from high-risk areas • Employers evaluate workforce strategy and concerns and enact strategies to minimize economic impact • Employers must not allow any individuals under isolation or quarantine to come to work at any time unless authorized by LHD * Symptoms include fever of 100.4 degrees Fahrenheit or above, cough, trouble

breathing, sore throat, sudden change in taste or smell, muscle aches or pains

Pools, Water Parks, Spas • Pools are limited to lap swim only, one swimmer per lane; no congregating on pool decks • Swim team is allowed as long as social distancing is allowed on pool deck • Symptom screening • Maintain signage that encourages social distancing guidelines to be met at all times Social Guidelines General public takes extreme precautions • Stay 6 feet away from others when outside the home unless not possible • Face coverings worn in settings where other social distancing measures are difficult to maintain • In-person interactions limited to individual households and those who have been following recommended distancing/hygiene guidelines; increase use of virtual interactions • Leave home infrequently • Private, social interactions that occur without oversight by a formal organization are allowable in groups of 20 or fewer

Church Services Follow all social guidelines outlined below • Seating arrangements should be made such that a 6-foot distance is maintained between each household group • Limit the number of people in a confined area to enable adequate distancing at all times. Congregating in lobbies or meeting areas should not be allowed • Post signage to remind individuals to maintain social distancing when in common areas • Set an established window of time or provide separate entrances for high-risk individuals to enter and exit without pressure from crowds • Consider multiple meeting schedules to accommodate smaller gatherings where social distancing guidelines can be followed • Consider providing streamed services to households that prefer to participate virtually Social Guidelines General public takes extreme precautions • Stay 6 feet away from others when outside the home unless not possible • Face coverings worn in settings where other social distancing measures are difficult to maintain • In-person interactions limited to individual households and those who have been following recommended distancing/hygiene guidelines; increase use of virtual interactions • Leave home infrequently • Private, social interactions that occur without oversight by a formal organization are allowable in groups of 20 or fewer Healthier You - June, 2020 9

Mental Health Help for Adults Recognize the signs of stress

Do these things to feel better

BEHAVIORAL

EMOTIONAL

• Seek information from legitimate sources and limit time you

• Difficulty helping others or taking help from others • Increase in irritability or worrying • Not wanting to talk or be with others • Difficulty relaxing or sleeping

• Feeling anxious • Feeling angry • Feeling sad or depressed • Not caring about anything

• Take care of yourself first, then you can help others • Connect with others daily via phone, text and video chat • Get at least 30 minutes of exercise or physical activity every •

THINKING PHYSICAL • Headaches or other pain • Changes in appetite • Easily startled • Stomach aches

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spend on news and social media

• Feeling confused • Difficulty remembering things • Difficulty concentrating, or paying attention • Difficulty making decisions

• • • •

day Do things to help you relax: deep breaths, stretching and meditation, a short walk, reading or listening to music Spend time with your household family in positive ways Get some alone time When it feels like you have too much to do, take small breaks during the day Ask for support, including professional support if needed. Asking for help is a sign of strength; none of us can do this alone.

Mental Health Help for Kids

Talking to children about COVID-19 Talk to your children in an open and honest way about COVID-19. Children have already heard and seen things about the virus, and they need reassurance that things will be okay and that they can ask questions of someone they trust.

Mental health and stress can look differently for children than it does for adults. Children often show how they are feeling through their behaviors. Younger children may show fear and worry by withdrawing or becoming clingy with a parent or

caregiver. They may have stomach aches or changes in sleeping habits. Older children may argue with others and seem distant from family and friends. They may act differently than usual.

Signs of stress in children BEHAVIORAL

EMOTIONAL

• Clingy • Increase in irritability or worrying • Acting out behaviors • Having trouble relaxing or sleeping

• Feeling anxious or nervous • Feeling angry • Feeling sad or depressed • Not caring about anything

PHYSICAL

THINKING

• Headaches or other pain • Changes in appetite or eating habits • Easily startled • Stomach aches

• Feeling confused • Trouble remembering • Difficulty concentrating or paying attention • Difficulty making decisions

Do these to help your child feel better • Listen and talk about worries your child expresses--espe• • • • • • • •

cially during play Answer questions honestly and clearly Limit news they see or read Encourage positive coping activities like: Deep breathing, physical activity, writing in a journal Give them choices Have your child write or draw a hero story where they overcome a challenge Keep a routine Schedule meaningful family time Be a calming example

Healthier You - June, 2020 11

Use of Cloth Face Coverings to Cloth Face Coverings Help theofSpread of COVID-19 Slow theSlow spread Covid-19 How to Wear Cloth Face Coverings Cloth face coverings should—

• fit snugly but comfortably against the side of the face • be secured with ties or ear loops • include multiple layers of fabric

• allow for breathing without restriction

How to Wear Cloth Face Coverings • be able to be laundered and machine dried without damage or

How to Wear Cloth Face Coverings

Cloth face coverings should change to shape • fit snugly comfortably against the side of the face Cloth facebut coverings should— onloops Homemade Cloth Face Coverings • be secured with tiesCDC or ear •• include fit snugly but comfortably the side of the face multiple layers fabricagainst CDCofrecommends wearing cloth face coverings in public settings where other for breathing restriction socialordistancing measures are difficult to maintain (e.g., grocery stores and •• allow be secured with without ties ear loops • be able to be laundered and machine driedinwithout or community-based transmission. pharmacies), especially areas ofdamage significant •change include multiple layers of fabric to shape CDC also advises the use of simple cloth face coverings to slow the spread of • allow for breathing restriction the without virusCloth and help people who may have the virus and do not know it from CDC on Homemade Face Coverings transmitting to others. Cloth coverings fashioned •CDC be recommends able to be laundered andit machine driedface without damage orfrom household wearing cloth face coverings in public settings where other social distancitems or made at home from common materials at low cost can be used as an change are to shape ing measures difficult to maintain (e.g., grocery stores and pharmacies), especially in areas additional, voluntary public health measure. of significant community-based transmission. CDC also advises the Cloth use offace simple cloth should face coverings to slow the spread of the virus coverings not be placed on young children under ageand help people who may have the virus and do not know it fromortransmitting it to others. Cloth 2, anyone who has trouble breathing, is unconscious, incapacitated CDC recommends wearing cloth face coverings in public settings where otheror face coverings fashionedotherwise from household items or made at home from common materials unable to remove the cloth face covering without assistance.at distancing measures are difficult maintain grocery stores and lowsocial cost can be used as an additional, voluntarytopublic health(e.g., measure. The cloth face coverings recommended are not surgical masks or N-95 Cloth face coverings should in notareas be placed on young community-based children under age 2,transmission. anyone who has pharmacies), especially of significant respirators. Those are critical or supplies that must continue to bethe reserved trouble breathing, or is unconscious, incapacitated otherwise unable to remove cloth for healthcare workers and other medical first responders, as recommended CDC also advises the use of simple cloth face coverings to slow the spread of by face covering without assistance. current CDC The virus cloth face recommended notthe surgical or not N-95know respirators. the and coverings help people whoguidance. may are have virusmasks and do it fromThose are critical supplies that must continue to be reserved for healthcare workers and other medical transmitting it to others. Cloth face coverings fashioned from household first responders, as recommended by current CDC guidance. Should cloth face coverings be washed or otherwise

CDC on Homemade Cloth Face Coverings

items or made at home from common materials at low cost can be used as an cleaned regularly? How regularly? Should cloth face coverings be washed or otherwise additional, voluntary health Yes.public They should be measure. routinely washed depending on the frequency

cleaned Hownotregularly? use. Cloth faceregularly? coveringsofshould be placed on young children under age Yes. They should be routinely washed depending on the frequency of use.

2, anyone who has trouble breathing, or is unconscious, incapacitated or How does one safely sterilize/clean a cloth face covering? otherwise the cloth facesuffice covering without assistance. How doesunable one to safely ain properly cloth face covering? A remove washingsterilize/clean machine should washing a cloth face covering. A washing machine should suffice in properly washing a cloth face covering.

The cloth face coverings recommended are not surgical masks or N-95 How does one safely remove a usedface cloth face covering? respirators. are critical supplies mustcloth continue to becovering? reserved for How does Those one safely remove athat used Individuals should be careful not to touch their eyes, nose, and mouth Individuals should be careful not to touch their nose, andas mouth when removing their healthcare workers and other medical firsteyes, responders, recommended by when removing their cloth face covering and wash hands immediately cloth face covering and wash hands immediately after removing. current CDC guidance. after removing.

Should cloth face coverings be washed or otherwise cleaned regularly? How regularly? Yes. They should be routinely washed depending on the frequency of use. CS316353B 04/10/2020, 8:07 PM

How doescdc.gov/coronavirus one safely sterilize/clean a cloth face covering?

A washing machine should suffice in properly washing a cloth face covering. 12 Standard-Examiner

cdc.gov/coronavirus

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GUIDANCE FOR CLEANING & DISINFECTING

PUBLIC SPACES, WORKPLACES, BUSINESSES, SCHOOLS, AND HOMES

1 DEVELOP YOUR PLAN

DETERMINE WHAT NEEDS TO BE CLEANED. Areas unoccupied for 7 or more days need only routine cleaning. Maintain existing cleaning practices for outdoor areas. DETERMINE HOW AREAS WILL BE DISINFECTED. Consider the type of surface and how often the surface is touched. Prioritize disinfecting frequently touched surfaces.

CS316485B April 23, 2020 1:56 PM

CONSIDER THE RESOURCES AND EQUIPMENT NEEDED. Keep in mind the availability of cleaning products and personal protective equipment (PPE) appropriate for cleaners and disinfectants. Follow guidance from state, tribal, local, and territorial authorities.

CS316485B April 23, 2020 1:56 PM

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2 IMPLEMENT

CLEAN VISIBLY DIRTY SURFACES WITH SOAP AND WATER prior to disinfection. USE THE APPROPRIATE CLEANING OR DISINFECTANT PRODUCT. Use an EPA-approved disinfectant against COVID-19, and read the label to make sure it meets your needs. ALWAYS FOLLOW THE DIRECTIONS ON THE LABEL. The label will include safety information and application instructions. Keep disinfectants out of the reach of children.

SCAN HERE FOR MORE INFORMATION

3 MAINTAIN AND REVISE

CONTINUE ROUTINE CLEANING AND DISINFECTION. Continue or revise your plan based upon appropriate disinfectant and PPE availability. Dirty surfaces should be cleaned with soap and water prior to disinfection. Routinely disinfect frequently touched surfaces at least daily. MAINTAIN SAFE PRACTICES such as frequent handwashing, using cloth face coverings, and staying home if you are sick. CONTINUE PRACTICES THAT REDUCE THE POTENTIAL FOR EXPOSURE. Maintain social distancing, staying six feet away from others. Reduce sharing of common spaces and frequently touched objects.