Exhibit — CDC household COVID-19 cleaning guidance (Jul. 10, 2020) — Agudath Israel v. Cuomo (2d Cir., 2020-10-08, 1)

Record facts

Full text

7/29/2020
Cleaning and Disinfection for Households | CDC
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html
1/4
Cleaning and Disinfection for Households
Detailed Disinfection Guidance
Interim Recommendations for U.S. Households with Suspected or ConÒrmed Coronavirus Disease 2019
(COVID-19)
Updated July 10, 2020
Print
Background
There is much to learn about the novel coronavirus (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19). Based on
what is currently known about COVID-19, spread from person-to-person of this virus happens most frequently among close
contacts (within about 6 feet). This type of transmission occurs via respiratory droplets. On the other hand, transmission of
novel coronavirus to persons from surfaces contaminated with the virus has not been documented. Recent studies indicate
that people who are infected but do not have symptoms likely also play a role in the spread of COVID-19. Transmission of
coronavirus occurs much more commonly through respiratory droplets than through objects and surfaces, like doorknobs,
countertops, keyboards, toys, etc. Current evidence suggests that SARS-CoV-2 may remain viable for hours to days on
surfaces made from a variety of materials. Cleaning of visibly dirty surfaces followed by disinfection is a best practice measure
for prevention of COVID-19 and other viral respiratory illnesses in households and community settings.
It is unknown how long the air inside a room occupied by someone with conÒrmed COVID-19 remains potentially infectious.
Facilities will need to consider factors such as the size of the room and the ventilation system design (including Óowrate [air
changes per hour] and location of supply and exhaust vents) when deciding how long to close o× rooms or areas used by ill
persons before beginning disinfection.  Taking measures to improve ventilation in an area or room where someone was ill or
suspected to be ill with COVID-19 will help shorten the time it takes respiratory droplets to be removed from the air.
Purpose
This guidance provides recommendations on the cleaning and disinfection of households where persons under investigation
(PUI) or those with conÒrmed COVID-19 reside or may be in self- isolation. It is aimed at limiting the survival of the virus in the
environments. These recommendations will be updated if additional information becomes available.
These guidelines are focused on household settings and are meant for the general public.
Cleaning refers to the removal of germs, dirt, and impurities from surfaces. It does not kill germs, but by removing them,
it lowers their numbers and the risk of spreading infection.
Disinfecting refers to using chemicals, for example, EPA-registered disinfectants, to kill germs on surfaces. This process
does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further
lower the risk of spreading infection.
Summary of Recent Changes
Revisions were made on 3/26/2020 to reÓect the following:
Updated links to EPA-registered disinfectant list
Added guidance for disinfection of electronics
Updated core disinfection/cleaning guidance
MENU
Coronavirus Disease 2019 (COVID-19)


7/29/2020
Cleaning and Disinfection for Households | CDC
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html
2/4
General recommendations for routine cleaning and
disinfection of households
Community members can practice routine cleaning of frequently touched surfaces (for example: tables, doorknobs, light
switches, handles, desks, toilets, faucets, sinks, and electronics (see below for special electronics cleaning and
disinfection instructions)) with household cleaners and EPA-registered disinfectants
 that are appropriate for the
surface, following label instructions. Labels contain instructions for safe and e×ective use of the cleaning product
including precautions you should take when applying the product, such as wearing gloves and making sure you have
good ventilation during use of the product.
For electronics follow the manufacturer’s instructions for all cleaning and disinfection products. Consider use of
wipeable covers for electronics. If no manufacturer guidance is available, consider the use of alcohol-based wipes
or spray containing at least 70% alcohol to disinfect touch screens. Dry surfaces thoroughly to avoid pooling of
liquids.
General recommendations for cleaning and disinfection of
households with people isolated in home care (e.g.
suspected/conrmed to have COVID-19)
Household members should educate themselves about COVID-19 symptoms and preventing the spread of COVID-19 in
homes.
Clean and disinfect high-touch surfaces daily in household common areas (e.g. tables, hard-backed chairs, doorknobs,
light switches, phones, tablets, touch screens, remote controls, keyboards, handles, desks, toilets, sinks)
In the bedroom/bathroom dedicated for an ill person: consider reducing cleaning frequency to as-needed (e.g.,
soiled items and surfaces) to avoid unnecessary contact with the ill person.
As much as possible, an ill person should stay in a speciÒc room and away from other people in their home, following
home care guidance.
The caregiver can provide personal cleaning supplies for an ill person’s room and bathroom, unless the room is occupied
by child or another person for whom such supplies would not be appropriate. These supplies include tissues, paper
towels, cleaners and EPA-registered disinfectants (see examples
).
If a separate bathroom is not available, the bathroom should be cleaned and disinfected after each use by an ill person.
If this is not possible, the caregiver should wait as long as practical after use by an ill person to clean and disinfect the
high-touch surfaces.
Household members should follow home care guidance when interacting with persons with suspected/conÒrmed
COVID-19 and their isolation rooms/bathrooms.
How to clean and disinfect
Hard (Non-porous) Surfaces
Wear disposable gloves when cleaning and disinfecting surfaces. Gloves should be discarded after each cleaning. If
reusable gloves are used, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and
should not be used for other purposes. Consult the manufacturer’s instructions for cleaning and disinfection products
used. Clean hands immediately after gloves are removed.
If surfaces are dirty, they should be cleaned using a detergent or soap and water prior to disinfection.
For disinfection, most common EPA-registered household disinfectants should be e×ective.
A list of products that are EPA-approved for use against the virus that causes COVID-19 is available here
. Follow
manufacturer’s instructions for all cleaning and disinfection products for (concentration, application method and
contact time, etc.)



Always read and follow the directions on the label to ensure safe and e×ective use.
Wear skin protection and consider eye protection for potential splash hazards

7/29/2020
Cleaning and Disinfection for Households | CDC
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html
3/4
Additionally, diluted household bleach solutions (at least 1000ppm sodium hypochlorite, or concentration of 5%–
6%) can be used if appropriate for the surface. Follow manufacturer’s instructions for application, ensuring a
contact time of at least 1 minute, and allowing proper ventilation during and after application. Check to ensure the
product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired
household bleach will be e×ective against coronaviruses when properly diluted.
Prepare a bleach solution by mixing:
5 tablespoons (1/3  cup) bleach per gallon of room temperature water or
4 teaspoons bleach per quart of room temperature water
Bleach solutions will be e×ective for disinfection up to 24 hours.
Soft (Porous) Surfaces
For soft (porous) surfaces such as carpeted Óoor, rugs, and drapes, remove visible contamination if present and clean
with appropriate cleaners indicated for use on these surfaces. After cleaning:
Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using
the warmest appropriate water setting for the items and dry items completely.
Otherwise, use products that are EPA-approved for use against the virus that causes COVID-19
 and that
are suitable for porous surfaces.
Electronics
For electronics such as cell phones, tablets, touch screens, remote controls, and keyboards, remove visible
contamination if present.
Follow the manufacturer’s instructions for all cleaning and disinfection products.
Consider use of wipeable covers for electronics.
If no manufacturer guidance is available, consider the use of alcohol-based wipes or sprays containing at least 70%
alcohol to disinfect touch screens. Dry surfaces thoroughly to avoid pooling of liquids.
Linens, clothing, and other items that go in the laundry
Wear disposable gloves when handling dirty laundry from an ill person and then discard after each use. If using reusable
gloves, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and should not be used
for other household purposes. Clean hands immediately after gloves are removed.
If no gloves are used when handling dirty laundry, be sure to wash hands afterwards.
If possible, do not shake dirty laundry. This will minimize the possibility of dispersing virus through the air.
Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using
the warmest appropriate water setting for the items and dry items completely. Dirty laundry from an ill person can
be washed with other people’s items
Ensure adequate ventilation
Use no more than the amount recommended on the label
Use water at room temperature for dilution (unless stated otherwise on the label)
Avoid mixing chemical products
Label diluted cleaning solutions
Store and use chemicals out of the reach of children and pets
You should never eat, drink, breathe or inject these products into your body or apply directly to your skin as they can
cause serious harm. Do not wipe or bathe pets with these products or any other products that are not approved for
animal use.
See EPA’s 6 steps for Safe and E×ective Disinfectant Use
Special considerations should be made for people with asthma and they should not be present when cleaning and
disinfecting is happening as this can trigger asthma exacerbations. To learn more about reducing asthma triggers:
https://www.cdc.gov/asthma/reduce_triggers.html

rd


7/29/2020
Cleaning and Disinfection for Households | CDC
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html
4/4
be washed with other people s items.
Clean and disinfect clothes hampers according to guidance above for surfaces. If possible, consider placing a bag
liner that is either disposable (can be thrown away) or can be laundered.
Hand hygiene and other preventive measures
Household members should clean hands often, including immediately after removing gloves and after contact with an ill
person, by washing hands with soap and water for 20 seconds. If soap and water are not available and hands are not
visibly dirty, an alcohol-based hand sanitizer that contains at least 60% alcohol may be used. However, if hands are
visibly dirty, always wash hands with soap and water.
Household members should follow normal preventive actions while at work and home including recommended hand
hygiene and avoiding touching eyes, nose, or mouth with unwashed hands.
Additional key times to clean hands include:
After blowing one’s nose, coughing, or sneezing
After using the restroom
Before eating or preparing food
After contact with animals or pets
Before and after providing routine care for another person who needs assistance (e.g. a child)
Other considerations
The ill person should eat/be fed in their room if possible. Non-disposable food service items used should be handled
with gloves and washed with hot water or in a dishwasher. Clean hands after handling used food service items.
If possible, dedicate a lined trash can for the ill person. Use gloves when removing garbage bags, handling, and disposing
of trash. Wash hands after handling or disposing of trash.
Consider consulting with your local health department about trash disposal guidance if available.
Always read and follow the directions on the label to ensure safe and e×ective use.
Keep hand sanitizers away from Òre or Óame
For children under six years of age, hand sanitizer should be used with adult supervision
Always store hand sanitizer out of reach of children and pets
See FDA’s Tips for Safe Sanitizer Use
 and CDC’s Hand Sanitizer Use Considerations

More Information
OSHA COVID-19 Website
CDC Home Care Guidance
CDC Home Care Guidance for People with Pets

Last Updated July 10, 2020

File and source

File

gov.uscourts.nyed.454069.12.7.pdf

Size

464,918 bytes

SHA-256

c671de12d554ed8653204f75ee58f3897be4bb86fa164274f52fa08bac9b878a

Our copy

gov.uscourts.nyed.454069.12.7.pdf

Original

archive.org