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With This Year's Rise Of Seasonal Influenza In Schools
With this year’s rise of seasonal influenza in schools accompanied by Swine Flu scares, it is clear that infection prevention is no longer an issue restricted to the healthcare environment, and educational institutions are taking issues of surface cleanliness increasingly seriously.
The Health Protection Agency offers guidance on how to slow the spread of infection, urging frequent hand washing and the regular cleaning of touch surfaces such as door handles. In a school, however, with perhaps hundreds of hands touching handles, light switches, taps and work surfaces every day, it is simply not practical to clean all these surfaces every time they are recontaminated. An effective, additional measure is required to help break the chain of infection: antimicrobial copper.
Well before microorganisms were discovered, the Egyptians, Greeks, Romans and Aztecs used copper-based preparations to treat sore throats and skin rashes. The Greeks used shavings from their copper-containing bronze weapons to treat their wounds. In the 19th century, Louis Pasteur developed his germ theory of disease, and the scientific investigation of copper’s antimicrobial properties began.
In the last two decades, a multitude of studies have been published in scientific journals looking at the antimicrobial efficacy of copper against bacteria, viruses and fungi that threaten public health. Much of this work has been done at the Environmental Health Unit at Southampton University under Professor Bill Keevil and has been verified by workers across the globe.
Copper’s natural antimicrobial properties are already exploited in antiseptics, anti-fungal products and medical devices. Perhaps most importantly, results from clinical trials now support a role for copper in reducing contamination on hard surfaces, and thus lowering the risk of infection.
Copper is an essential nutrient for bacteria as well as humans, but in high doses, copper ions can cause a cascade of negative events in bacterial cells. The exact kill mechanism is still uncertain, however, several theories exist and are being studied. Put simply, excess copper ions disrupt the biochemistry of bacteria, overwhelming them.
Copper has broad-spectrum antimicrobial efficacy, capable of killing dangerous bacteria and viruses such as MRSA, Influenza A (H1N1), E. coli, and C. difficile. A clinical trial of antimicrobial copper touch surfaces at Selly Oak Hospital in Birmingham found a 90-100% reduction in contamination on these surfaces compared to standard materials (such as plastic or stainless steel). This has been backed up by trials in the United States (funded by their Department of Defense), Chile, Finland and Japan.
In each of these trials, many copper alloy items (such as brasses, bronzes and copper-nickels) were tested. Copper shares its antimicrobial efficacy with its alloys, meaning that those wishing to take advantage of it have a broad choice of material properties and colours to choose from. Alloys can offer strength and durability to provide excellent lifetime service (vital in challenging environments such as schools, hospitals and other busy public spaces), and colours range from familiar ‘copper’ orange and the bright gold of brasses through to subtler, silver-gold tones of phosphor bronzes and the pure silver, stainless-steel-look of copper-nickels.
Healthcare facilities around the world have begun installing antimicrobial copper touch surfaces in a bid to reduce reservoirs of infection, such as the newly-built Cystic Fibrosis Unit at Sheffield’s Northern General Hospital, designed with the goal of ‘setting the gold standard for infection prevention’. Copper door furniture was specified throughout to help reduce the risk of healthcare associated infections in particularly vulnerable patients.
Dr Frank Edenborough, Consultant at the Sheffield Adult Cystic Fibrosis Centre, explains the role copper will play: “In a bid to set the gold standard for infection prevention in CF, we felt that copper could make an important contribution towards minimising surface contamination from hands or coughing, killing potentially dangerous pathogens in between cleans and augmenting rigorous hygiene protocols. It is our hope that, in this way, copper will help reduce the risk of infections.”
The architectural practise tasked with realising this vision were also excited. Rebecca Haverty of Race Cottam Associates says: “Common materials such as plastics may look clean, but they have no inherent antimicrobial efficacy. Antimicrobial copper can help to fight infection, so we were very keen to use it. It seems almost too good to be true, and yet it’s proven to work. The range of alloys available means any project can gain from the benefits of copper. We chose to use an almost pure copper to make a statement, but a nickel-silver finish would look good too.”
Of course, it is not only healthcare facilities that can benefit from copper’s antimicrobial properties. A kindergarten in Tokyo, Japan, has already implemented antimicrobial copper touch surfaces in a bid to meet parents’ demands for a safer environment for their children.
Mejiro Daycare Center for Children has installed brass hand basins, taps, door furniture, food serving tables and trolleys to improve hygiene and reduce contamination on these surfaces.
Director Shoji Hiiragizawa explains his decision:
“We had already implemented infection control by introducing air purification units and ensuring children wash their hands properly, but were still searching for better measures. The introduction of copper has given us a great opportunity to educate children and parents about infection prevention. We explain to the children ‘copper defeats bacteria for us’, and then talk to them about what they can do to avoid infection.”
And it is not just touch surfaces that are being considered for a copper upgrade: air conditioning giant Chigo in China has launched an antimicrobial copper system aiming to offer “the healthiest and quietest air conditioner, adopting the most energy-saving air conditioning technology.” This product pre-empts results from Department of Defense research currently underway in the USA which is investigating the copper effect on airborne contamination and illness.
So, what has already been learned from research focused on the health sector is directly, and possibly urgently, applicable in the wider indoor environment: schools, public transport, offices and perhaps even on the home front. Copper and its alloys offer durable products with a long lifespan, at the end of which they are 100% recyclable, thus making a significant contribution to sustainable design.
It is, perhaps surprisingly, a very affordable measure. For any new build or refurbishment project, the cost of procuring and installing copper alloy fittings and equipment will be comparable, or close to standard items. The key consideration may be aesthetics – whether to opt for silver-coloured alloys (such as copper-nickels) which resemble materials currently in use, or choose a markedly-different, red/gold look as a highly-visible indication that you take your accountability seriously.
For more information, visit: www.antimicrobialcopper.com.
http://www.copperinfo.co.uk/education/competitions/copper-is-competition.shtml
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