DEPARTMENT MEMORANDUM ASSISTANT SECRETARIES; …

1 RepublicofthePhilippinesDepartmentofHeal thOFFICEOF :ALLUNDERSECRETARIESANDASSISTANTSECRETAR IES;DIRECTORSOFBUREAUS,SERVICESANDCENTER SFORHEALTHDEVELOPMENT;MINISTEROF| health BANGSAMOROAUTONOMOUSREGIONINMUSLIMMINDAN AO;EXECUTIVEDIRECTORSOFSPECIALTYHOSPITAL SANDNATIONALNUTRITIONCOUNCIL;DIRECTORGEN ERALOF THEPHILIPPINESINSTITUTEOF TRADITIONALMEDICINEANDALTERNATIVEHEALTHC ARE;CHIEFSOFMEDICALCENTERS,HOSPITALS,SAN ITARIAANDINSTITUTES:PRESIDENTOFTHEPHILIP PINEHEALTHINSURANCECORPORATION;DIRECTORS OF PHILIPPINENATIONALAIDSCOUNCILANDTREATMEN TANDREHABILITATIONCENTERSANDALLOTHERSCON CERNEDSUBJECT:Guidelines_onCleaningand ,HubeiProvinceofChinalastDecember31, 2019,Chinesehealthauthoritiespreliminari lyidentifiedthecauseofthisviralpneumonia asanew increasingnumberofcasesspreadingtovariou sterritoriesandconfirmedhuman-to-humantr ansmission,theWorldHealthOrganizationdec laredthe outbreakasaPublicHealthEmergencyofIntern ationalConcern(PHEIC)lastJanuary30, (DOH)herebyissuestheseinterimguidelinest opublicandprivateoffices,homesand individualsontheuseofchemicaldisinfectan tsuchassodiumorcalciumhypochloritesoluti onfor infectionpreventionand controlagainstCoronavirusDisease2019(COV ID-19).

2 Removalofmicrobes,dirt, ,butbyremovingthem, removemicrobes,butby killingmicrobesonasurfaceaftercleaning, ,San LazaroCompound,RizalAvenue, ,1003 Manila (equivalentto5000ppm)usingaratioof1:10)s hallbe usedfordisinfectingsurfacesincludingsoil edclothes,toilets,bodyfluidspilledonthef loors,vehicles,roads,disposedPPEsand similarhealthcarewastes, ( ,soapandwater)arenotavailable, (equivalentto500ppm)usingaratioof1:100)m aybe ,itmustbe ,phenolsandhydrogenperoxideshallbe usedaccordingtomanufacturer' Allindividualsdealingwiththe disinfectionprocessshallwearappropriatep ersonalprotectiveequipment(PPE). (1:10solution)for surfacedisinfection(RefertoAnnexA) activechlorine,dilute|partofbleachto9par tsofcleanwater; ,dissolve1tablespoonofchlorine(equivalen tto10grams) (1:100solution)(RefertoAnnexB) ( ), ,add100mLofsolution(7tablespoons)to| ,suchasthe COVID-19virus, ,suchasreusablededicatedequipment(forexa mple,thermometers); (strongbleachsolution) (equivalentto5000ppm)fordisinfectingsurf aces(RefertoAnnexA).

3 Wipesurfacesdirectly,sprayingofcleaningo rdisinfectantsolutiondirectlyon asurfacecanbe donewithcaution,andonlywhenthereisnoothe roptionofapplyingthesame,sincethe disinfectantmayalso routinecleaningwhereonebucketcontainsade tergentorcleaningsolutionand the cleaningsolution,onecontainsrinsewateran donewith the ( ,tables, ,lightswitches,doorknobs,andcabinethandl es) , sinstructionsforallcleaningand safe and effectiveuseofthecleaningproductincludin gdilutioninformationandprecautionsthat shouldbetakenwhenapplyingtheproduct, the surfaceusingclothorpaperroll, ,sprayingofcleaningordisinfectantsolutio ndirectlyon asurfacecanbe donewithcaution,andonlywhenthereisnoothe roptionofapplyingthesame, bedpanswithcare, ,afterdisposingofthefeces,thebedpanshoul dbe cleanedwitharegularhouseholddetergentand water,thendisinfectedwithastrong( )chlorinesolution( ),then rinsewith (morefrequentlyifhouseholdmembersareregu larlygoinginandoutofthehouse). soft(porous)surfacessuchas carpetedfloor,rugs,anddrapes,removevisib lecontaminationifpresentand cleanwithappropriatecleanersindicatedfor use manufacturer ,launderitemsusingthewarmestappropriatew atersettingfortheitemsanddryitemscomplet ely, manufacturer :Weardisposableorimpermeableglovesandgow nsforalltasksinthecleaningprocess, (PPE)mightberequiredbasedonthecleaning/d isinfectantproductsbeingused removedcarefullytoavoidcontaminationofth ewearerand ,washhandsoftenwithsoapandwaterforatleas t20 ,analcohol-basedhandsanitizerthat containsatleast70%alcoholmaybe ,ifhandsare visiblydirty,alwayswashhandswithsoapandw aterFor hardsurfaces,first cleanthen frequentlytouchedsurfacesinclude.

4 Tables,doorknobs,lightswitches,counterto ps,handles,desks,phones,keyboards,toilet s,faucets,sinks, doneusinghouseholdcleanersanddisinfectan ts,dilutedhouseholdbleachsolutionsoralco holsolutionswithatleast70%alcohol asappropriateforthe ,directlymoppingor ,sprayingofcleaningordisinfectantsolutio nonasurfacecanalso beappliedwithcaution,andonlywhennoothero ptionisavailable,asincommunityisolationu nitsand sinstructionstoensuresafe and | (suchascarpetedfloor,rugs,anddrapes) (ifpossible)accordingtothemanufacturer ;ORDisinfectwithan electronics(suchastablets,touchscreens,k eyboards,remotecontrols,andATMmachines) ,usealcohol-basedwipesorsolutionscontain ingatleast70% isnecessarytocleanthe (consistentwithhealthfacilitysanitarywor kers)and donottouchface ,accordingtothemanufacturer (calciumhypochlorite),mixten(10) tablespoonsoftwenty(20) wellfor10secondsoruntilthe ,itmaybesprayed,withcaution,onsurfacesli kewalls,doors,windows,glass,floor,etc.

5 (avoidelectronics) (infectiouswastebin).Washhandswithsoapan dwaterand takeashower, ,pavements,benchesandothersurfacesintheo penarea duringtheenhancedcommunityquarantineisre commendedprovidedthatthe directexposureofthepublictothecleaningan d usingapump-actiondispenserasdeemednecess ary,withthenecessaryprecautions,shallbe followedtoprotectalsothe DiseaseControl(CDC)reportedthe lackofmicrobicidalefficacyin theuseofdisinfectantsbut also ,commonlyusedchemicaldisinfectantssuchas hypochloriteareirritanttotheskinandthemu cousmembrane(eyes,nose,andthroat).Itmaya lso haveadversehealtheffectswheninhaledinane nclosedenvironment; surfacedisinfectantsintendedtoeliminatet hehumancoronaviruswouldhavethesameeffica cywhenappliedinthe ,theuseofdisinfectiontents,mistingchambe rs,orsanitationboothsfor ,activitiesconductedbyLGUsandagenciespri ortothe releaseofthis issuanceshallnotbe materialsandstaffinitiallyindicatedfor theseactivitiestoeffortsconsistentwithDO Hguidelinessuchasforuseofchemicalsfor surfacedisinfection,useofboothsfortempor aryisolationortriageareas,orreallocation of staff ,characterizedashavingnoexternalskinexpo sure,maybesubjectedtomistingorsprayingbe foredoffingtheirfullPPEswithcarefulconsi derationoftheeyes,nose, (liquidorpowder)inair-tightnon-metallicc ontainers,awayfromheat, ,acid,fuel,detergents,organicorinflammab lematerials( ,paperorcigarettes).

6 ,MD, ANNEXA"HowtoMakeStrong( )ChlorineSolutionfrom70%ChlorinePowderUs estrong( )chlorinesolutiontocleananddisinfectsurf aces,objects, ( ) (70%chlorine)Stirwellfor10seconds, Strong( ) K&]>=/|Bucketor)-TablespoonLsSatWater70% HTHS tickforstirring:withlid|REZWARNINGDoNOTd rinkchlorinewater.| PNNEX6"HowtoMakeMild( )ChlorineSolutionUsemild( ) ( ) ( ) (70%) for10seconds,oruntiltheHTHhasdissolvedWa it30 |Labelbucket Mild( )ChlorineSolution-HandWashing. | .ae