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FAQs about ISOL-AIDE Mail
Processing Products:
Is
ISOL-AIDE effective against Ricin? Are ISOL-AIDE
products difficult to operate? What is an ULPA
grade HEPA filter? Is there evidence ISOL-AIDE is
effective for organisms like anthrax? Is ISOL-AIDE
effective against smallpox? Are gloves and masks still
necessary using ISOL-AIDE products? If I use
ISOL-AIDE products can I still become infected? Does
OSHA require isolation products for mail processing? Where can I find official information about bioterrorism and
mail processing? What should I do if I discover
contaminated mail while using ISOL-AIDE products? Why
don't these products have alarms and UV light like the medical
products? How often do filters need to be
changed? What power requirements are necessary for
ISOL-AIDE products? How do I clean my CVFU or Isolation
Station? Can ISOL-AIDE products be leased? What is the warranty on ISOL-AIDE
products?
FAQs Specific
to Isolation Rooms:
What is "Negative Pressure"? Is the
Isolation Room a "Clean Room"? Why don't ISOL-AIDE
rooms require an "airlock" or "ante room"? How do
I know that my Isolation Room is maintaining negative pressure? Can I install a CVFU in my existing room to isolate mail
processing? What if I would rather exhaust air from
the CVFU outdoors? What is the largest Isolation Room
available? How long does it take to assemble an
Isolation Room? My plant/warehouse is air conditioned.
Do I still need a thru-the-wall HVAC unit? What if
bioterrorism stops and my ISOL-AIDE room is no longer
needed?
FAQs Specific to the Isolation
Station:
How
loud is the Isolation Station? Does the Isolation
Station create drafty conditions in an office environment? Can I carry the Isolation Station from office to
office? Is the Isolation Station a "biological
safety cabinet?"
FAQs about ISOL-AIDE Mail Processing
Products
Is ISOL-AIDE
effective against Ricin? Ricin is one of the most toxic biological
agents known -- a Category B bioterrorism agent and a Schedule 1 chemical
warfare agent. Its chemical and physical properties make it an appropriate
agent for use as a terrorist weapon. Ricin dispersed in particles smaller than
5 microns are an effective terrorist or military weapon via inhalation.
Generally, it is technologically difficult to produce ricin particles of this
size and necessary purity. However, ricin granules were discovered in mail
being processed at the Dirksen Senate Office building in Washington,
DC.
There is currently no data available
regarding the size of the ricin particles discovered in Washington, DC.
However, the ULPA filtration used by Isol-Aide capture particles .12 micron and
larger This is less than 1/10th the particle size of that commonly used in
ricin research (1 to 5 microns). This data suggests that ISOL-AIDE will capture
and contain granulated ricin particles potentially found found in mail.
(Back to top)
Are
ISOL-AIDE products difficult to operate? The CVFU in the isolation rooms
and Isolation Stations are individually tested and calibrated for proper
operation and air flow. As a result, there are no complicated settings or
controls. Once in place, you simply turn them on when needed. (Back to top)
What is
an ULPA grade HEPA filter? "ULPA grade HEPA filter" is a commonly used
phrase when referring to ULPA filters. In reality, ULPA and HEPA are two
different types of filters. They are identical in appearance but ULPA filters
are capable of capturing particles much smaller in size, at an efficiency rate
10 times greater than HEPA filters. The generic name "ULPA" stands for "Ultra
Low Penetration Air" filter. ULPA filters are tested and rated to remove
particles .12 micron in size and larger, at an efficiency of 99.9995%. HEPA
(High Efficiency Particulate Air) filters remove particles .3 micron and larger
at an efficiency of 99.99%. ISOL-AIDE commercial products use ULPA filtration.
(Back to top)
Is there
evidence ISOL-AIDE is effective for organisms like anthrax? Yes,
ISOL-AIDE's filtration was tested for efficacy when introduced as a medical
device using viable, bacterial aerosols. The positive results of this testing
were accepted for publication in the prestigious medical journal, "Infection
Control and Hospital Epidemiology" after a comprehensive peer review. The
results stated "the ventilation-filtration unit efficiently cleared bacterial
aerosols and particles >.2 micron from the air" and "maintained required
negative pressures and air flows" (see ISOL-AIDE "Safety
and Efficacy" page for more information).
Robert Marier MD MHA, Professor of
Public Health and Dean, LSU School of Medicine in New Orleans, LA performed the
original ISOL-AIDE research and coauthored the article referenced above. He
offered the following opinion about ISOL-AIDE mail processing
products:
"After evaluating the design and
function of the ventilation filtration systems you have developed for handling
the mail, I feel that the mail processing isolation rooms and desktop stations
are both appropriate and practical methods to isolate potentially contaminated
mail in an office environment thereby protecting mail handlers and others who
might be in the vicinity and who might otherwise be exposed to airborne
biologic agents such as anthrax."
"It is my opinion based on the
research that we carried out more than 10 years ago with the Isol-aide system
for the protection of health care workers from multi drug resistant
tuberculosis that this device will significantly lower the risk of exposure to
airborne pathogens and that Isol-Aide devices are an effective component of a
comprehensive mail handling safety program that would include personal
protective devices where appropriate, and employee training based on the most
current CDC guidelines"
According to the Journal of the
American Medical Association (Vol. 281 No. 18, May 12, 1999), anthrax spores
are approximately 1 micron in size. ISOL-AIDE removes particles down to .12
micron. Also, The "CDC* Interim Recommendations for Protecting Workers from
Exposure to Bacillus anthracis in Work Sites Where Mail Is Handled or
Processed" recommend "HEPA filters installed in the building's HVAC systems (if
feasible) to capture aerosolized spores" (CDCHAN-00051-01-10-31-ADV-N). This
additional evidence indicates that ISOL-AIDE's ULPA filtration system is
effective. (Back to top)
Is
ISOL-AIDE effective against smallpox? To date, there have been no
reported incidents of smallpox being used by biological terrorists in the mail.
The Journal of the American Medical Association (Vol. 281 No. 22, June 9, 1999)
states the smallpox virus is characteristically a brick-shaped structure with a
diameter of about .2 micron (larger than .12 micron ULPA rating). Conventional
HEPA filtration (.3 micron rating) is currently used in laboratories doing
smallpox research and for respiratory protection in health care settings. This
evidence would indicate that ISOL-AIDE's ULPA filtration would be effective
should smallpox become a weapon in mail.(Back to top)
Are gloves
and masks still necessary using ISOL-AIDE products? The CDC interim
recommendations (noted above) state "Protective, impermeable gloves should be
worn by all workers who handle mail". They also state "Persons working with or
near machinery capable of generating aerosolized particles (e.g., electronic
mail sorters) or at other work sites where such particles may be generated
should be fitted with NIOSH-approved respirators that are at least as
protective as an N95 respirator". If mail is opened in the ISOL-AIDE Isolation
Station or Acrylic Capture Chamber, aerosolized particles are isolated from the
operator. However, should a contaminated piece of mail leak before entering
either of these devices, personal inhalation protection would not be provided.
The CDC states "These measures should be selected on the basis of an initial
evaluation of the work site. This evaluation should focus on determining which
processes, operations, jobs, or tasks would be most likely to result in an
exposure should a contaminated envelope or package enter the work site".
Therefore, it is recommended that each facility develop their own comprehensive
program for employee personal protection. (Back to top)
If I
use ISOL-AIDE products can I still become infected? The Isolation Rooms
and Isolation Station offer significant protection from "inhalation anthrax"
infection, which has a fatality rate of approximately 90% once symptoms occur.
They do not however, offer protection against "cutaneous (skin) anthrax," which
has a fatality rate of less than 1% if treated. You must wear protective gloves
and clothing for protection from cutaneous anthrax infection. A combination of
employee education, a comprehensive safety program and effective engineering
controls like ISOL-AIDE products is necessary to provide the maximum protection
from infection. (Back to top)
Does OSHA
require isolation products for mail processing? Currently, we have found
no OSHA engineering control requirements. (Back to top)
Where can
I find official information about bioterrorism and mail processing? The
following government web sites are excellent sources of information and are the
reference for many of the answers to the questions on this site. (Back to top)
CDC's Interim* Recommendations for Protecting Workers
from Exposure to Bacillus anthracis in Work Sites Where Mail Is Handled or
Processed
CDC's Facts about: Anthrax, Botulism, Pneumonic Plague,
Smallpox
OSHA Recommendations for Handling Suspicious Letters or
Packages
FBI
Advisory: What should you do if you receive a suspicious letter or
package?
What should
I do if I discover contaminated mail while using ISOL-AIDE products? The
government guidelines issued on the web sites shown above are an excellent
source of information. They typically state that you should isolate the mail
and call the appropriate authorities. If the contaminated mail is in the
ISOL-AIDE Isolation Station, Acrylic Capture Chamber or Isolation Room, do not
remove it or turn off the device. The air flow into the device is necessary to
isolate the threat until the proper authorities arrive. You may also want to
contact your local health department or authorities before implementing your
mail processing program for their specific recommendations. (Back to top)
Why don't
these products have alarms and UV light like the medical products? The
ISOL-AIDE VFU and Chamber were designed specifically for health care settings.
They were implemented in hospitals, prisons, HIV clinics and multi-drug
resistant TB treatment centers. The filters were constantly exposed to airborne
organisms that could potentially colonize inside of the unit once trapped. The
UV light irradiated organisms trapped in the filter to protect employees
maintaining the devices. The alarms were necessary to notify nurses of
potential problems and non-compliant patients leaving their rooms. These
features are unnecessary in a commercial setting. (Back to top)
How often
do filters need to be changed? The recommendation for changing
prefilters is 720 hours (approximately one month of continuous use). However,
since this filter is inexpensive, easily changed and extends the life of the
more expensive ULPA filter, many choose to change it monthly as part of a
preventive maintenance program. The ULPA filter should last 3-5 years,
depending on the quality of the ambient air and how often the prefilter is
replaced. (Back to top)
What power
requirements are necessary for ISOL-AIDE products? Both the Isolation
Station and the CVFU are equipped with a power cord with polarized plug end for
connection to a grounded, duplex receptacle with field voltage of 120/1/60
(standard 120V., 15A., wall outlet with ground). The power that is required for
Isolation Rooms will depend on the size of the room, the size of the HVAC unit
and the mail processing equipment utilized in the room. (Back to top)
How do I clean
my CVFU or Isolation Station? The painted metal surfaces can be cleaned
with a mild detergent. Acrylic components of the Acrylic Capture Chamber and
Isolation Station MUST be cleaned using an acrylic cleaner/polish. Glass
cleaners and other spray cleaners will damage the devices and void the
warranty. (Back to top)
Can ISOL-AIDE
products be leased? Yes. ISOL-AIDE products are considered capital
equipment. Component Systems, Inc. does not lease ISOL-AIDE products but can
provide your private leasing company or bank with all of the information
required for your lease.
What is the
warranty on ISOL-AIDE products? The ISOL-AIDE CVFU and Isolation Station
are warranted to be free from defects in material and workmanship for a period
of one year after the date of shipment. Building components manufactured by
A-WALL Building Systems and used to create Isolation Rooms are warranted for a
period of 10 years. Room accessory items such as air conditioners and light
fixtures manufactured by companies other than Component Systems, Inc. are
warranted under the terms of each equipment manufacturer. (Back to top)
FAQs Specific to Isolation
Rooms
What is
"Negative Pressure"? By OSHA's definition, "negative pressure" means the
relative air pressure difference between two areas. A room that is under
negative pressure has a lower pressure than adjacent areas, which keeps air
from flowing out of the room and into adjacent room or areas". Simply put, the
environment in a negative pressure room is somewhat like a vacuum. When doors
are opened in negatively pressured rooms, air only rushes into the room, not
out. (Back to top)
Is the
Isolation Room a "Clean Room"? Isolation rooms and clean rooms are
similar in that they both use high efficiency filtration and room
pressurization to control airborne contamination. However, clean rooms are
positively pressurized to protect a product or process inside of the room from
contamination in the surrounding ambient air. Unlike negatively pressured
isolation rooms, when doors are opened in a clean room, air only rushes out,
not in.(Back to top)
Why don't
ISOL-AIDE rooms require an "airlock" or "ante room"? Isolation rooms for
mail processing are similar in many ways to hospital isolation rooms. Traffic
may be frequent and staff will be pushing carts or carrying large items into
the mail processing rooms. Research done in health care settings when ISOL-AIDE
was first developed for TB isolation revealed that both of the ante room doors
were often propped open by the staff, regardless of policy to the contrary.
This practice severely compromised safety. The ISOL-AIDE patented, automatic
fan speed control that compensates for pressure loss when doors are opened
eliminated this problem. (Back to top)
How do I
know that my Isolation Room is maintaining negative pressure? When the
red indicator light is illuminated on the CVFU, the device is activated and
creating negative room pressure. However, the policy in health care settings
typically dictates that patient isolation rooms be checked daily to verify
proper operation using a visual indicator, or the room be equipped with an
electronic pressure sensing device/alarm. A comprehensive plan for safe mail
processing might include routine testing for negative room pressure using a
visual indicator such as a smoke stick or tissue paper. Digital, electronic
devices are also available from ISOL-AIDE as an accessory, but are costly to
implement if your specific level of risk doesn't warrant the expense.
(Back to top)
Can I
install a CVFU in my existing room to isolate mail processing? Yes. Like
the VFU used in health care settings, the CVFU can be modified to "convert" an
existing room. However, if your mail room is located in your main office and
not isolated in a plant or warehouse, you will need to hire a mechanical
engineer and contractor to make major, costly modifications to your existing
HVAC system. You may also need to hire a carpenter to make architectural
changes to your room. It is not the most cost-effective or recommended
approach. (Back to top)
What if I
would rather exhaust air from the CVFU outdoors? An optional plenum with
duct collar is available for the CVFU. However, depending on the length and
routing of the ductwork, the amount of exhaust from the room may be
significantly reduced. Also, outdoor influences such as wind can effect the
performance of the CVFU's performance. It is highly recommended that this be
avoided if possible. (Back to top)
What is the
largest Isolation Room available? ISOL-AIDE uses the A-WALL Building
System to create the architectural enclosure. Pre-engineered A-WALL components
can be configured to create unlimited room sizes and configurations. The
largest room size recommended for a single CVFU is 12' x 24' x 8' ceiling
(approximately 2,300 cubic feet). Multiple CVFU's and HVAC units can be
installed in larger rooms to accommodate the additional cubic area of the room
and still maintain negative room pressure. (Back to top)
How long
does it take to assemble an Isolation Room? The assembly time will vary
depending on the size of the room. The Isolation Room pictured on this web site
is 12' x 20' and required 2-1/2 days to assemble and wire in an area that was
clear of obstructions. A-WALL building components are completely pre-engineered
and assembled using common power and hand tools. (Back to top)
My
plant/warehouse is air conditioned. Do I still need a thru-the-wall HVAC
unit? Through exhaust, the CVFU is replacing the air in the isolation
room with surrounding, ambient air at a rate of 4 to 16 times each hour (the
specific number of air changes will vary based on the size of each room). In
some cases, conditioned ambient air may be sufficient to maintain comfort in
the mail room. Factors to consider are how many people will occupy the room and
what equipment will be used in the process. People and equipment generate heat
in enclosed spaces. Therefore, the amount of exhaust may need to be increased
or additional air conditioning may be necessary. (Back to top)
What if
bioterrorism stops and my ISOL-AIDE room is no longer needed? Since
A-WALL pre-engineered buildings are demountable, the room can be relocated and
used as office space or for storage. The panel with the CVFU can be replaced
with a flush panel or window panel if desired. (Back to top)
FAQs Specific to the Isolation
Station
How loud is the
Isolation Station? The Isolation Station generates less than 49 dba
noise when operating. You can comfortably speak on the telephone when sitting
near the device while it is operating. (Back to top)
Does the
Isolation Station create drafty conditions in an office environment? No.
Air is being drawn into the front of the device at a velocity of approximately
200 feet/minute insure particle containment but exhausted out the rear at only
60 feet/minute and in a laminar fashion. Laminar (layered) exhaust minimizes
draft and turbulence. (Back to top)
Can I carry
the Isolation Station from office to office? Yes, but it would require
two people. The Isolation Station is a commercial, desktop device, similar in
weight to a 32" television (125 pounds). Although portable, we highly recommend
the optional mobile table if you intend to move it frequently.(Back to top)
Is the
Isolation Station a "biological safety cabinet?" The Isolation Station
functions in the same manner as a Class I biosafety cabinet but has greater
filter efficiency (most use HEPA filtration). Also, biological safety cabinets
are typically much larger, significantly more expensive and aren't portable.
(Back to top)
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