SEPA www.epa .gov/nhsrc technical BR Assessment of Liquid and Physical Methods for Decontamination of Surfaces Contaminated with Bacterial Spores: Evaluation and Refinement of the Procedural Steps Introduction The availability of decontamination methods for use in the recovery from the release of a biological agent is a critical need. A release over a wide area could result in the contamination of many residences, businesses, public facilities and outdoor areas. In 2001, following the mailing of letters containing Bacillus anthracis (anthrax) spores, contaminated facilities were fumigated with chlorine dioxide or hydrogen peroxide.1 Contamination following a wide-area release could overwhelm the nation's remediation capacity, dragging clean up out over many years and resulting in enormous economic impact. Quick, effective and economical decontamination methods that can be employed over wide areas are needed to increase preparedness for such a release. U.S. EPA's Homeland Security Research Program (HSRP) develops products based on scientific research and technology evaluations. Our products and expertise are widely used in preventing, preparing for, and recovering from public health and environmental emergencies that arise from terrorist attacks or natural disasters. Our research and products address biological, radiological, or chemical contaminants that could affect indoor areas, outdoor areas, or water infrastructure. HSRP provides these products, technical assistance, and expertise to support EPA's roles and responsibilities under the National Response Framework, statutory requirements, and Homeland Security Presidential Directives. In the document Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces Contaminated with Bacterial Spores: Development and Evaluation of the Decontamination Procedural Steps2, the U.S. Environmental Protection Agency's (EPA) Homeland Security Research Program reports on its evaluation of an 8-step, low technology approach to decontaminating anthrax-contaminated surfaces. This approach had been used previously by EPA in response to contamination incidents involving naturally occurring anthrax spores.3 The primary objective of this study was to determine through laboratory testing the effectiveness of individual and various combinations of steps of the procedure. A subsequent study, Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces Contaminated with Bacterial Spores: Evaluation of Spray Method Parameters and Impact of Surface Grime4, was conducted to further evaluate the decontamination approach. The results from these studies indicate that shorter, simpler decontamination procedures, can be almost as effective as the previously employed 8-step procedure. U.S. Environmental Protection Agency Office of Research and Development, Homeland Security Research Program EPA/600/S-13/064 April, 2013 ------- Overview In the first study, tests using various combinations of steps from the 8-step decontamination procedure were performed. The tests used 929 cm2 (196 in2) pieces (coupons) of common building materials. Since significant differences in decontamination efficacy have been reported for porous and non-porous materials, both types of materials were tested5'6. Porous building materials tested were carpet, pressure treated deck wood, and rough cut pine wood; non-porous building materials tested were painted 8-step Procedure Step 1: Vacuum Step 5: Wet vacuum Step 2: pAB mist Step 6: pAB spray (10 min contact) (30-60 min contact) Step 3: Detergent Scrub Step 7: Rinse Step 4: Rinse Step 8: Wet vacuum wallboard and concrete. The coupons were inoculated via aerosol deposition with Bacillus atrophaeus spores (a surrogate for anthrax spores) at approximately 1 x 107 colony forming units (CPU) per coupon. Testing included the various building materials oriented both vertically and horizontally, depending upon how they may be encountered in the field. Attempts were made to adapt the laboratory methods in a manner that more closely mimic field conditions than previous laboratory tests. This was accomplished by using larger coupons inoculated by an aerosol method and sampled using wipe and/or vacuum sock sampling methods. Tests were conducted to determine the comparability of results from this study to previous laboratory studies that had used smaller coupons, a liquid inoculation and extraction for spore recovery (i.e., sampling) from the coupons. A thorough description of the test methods, their development, and decontamination efficacy results is provided in the report. Surface decontamination effectiveness is a measure of viable spores remaining on a surface after decontamination. Decontamination efficacy was determined by comparing recoveries from positive controls to that of coupons subjected to the treatment. Surface decontamination effectiveness reflects both the inactivation of spores remaining on the surface and the physical removal of spores from the material surface. Surface decontamination can be achieved by physically transferring viable spores from the material surface to another media (e.g., rinse water). Therefore, overall decontamination effectiveness in this study was measured by analyzing material surfaces, rinsate, wet/dry vacuum filters and exhaust for the presence of viable spores following administration of the decontamination procedure. Transfer of viable spore to other such media may require additional treatment and handling. Figure 1 presents surface decontamination effectiveness (log reduction in viable spores) achieved using various combinations of steps from the 8-step procedure. The study demonstrated that the full procedure, with two chemical decontamination steps employing pH-adjusted bleach (pAB), achieved a surface decontamination effectiveness of greater than 6 log reduction (>99.9999%) for all material type and orientations (horizontal and vertical). For the application of pAB, surfaces were sprayed and allowed to remain wetted with the solution for the desired contact time (i.e., 10 min in Step 2 and 30-60 min in Step 6). Applying just the first five decontamination steps (four ------- steps for vertical surfaces) achieved a similar (> 6 log) reduction of spores on all surfaces, except concrete in the vertical position. Vacuuming alone, with a wet/dry shop vacuum, resulted in a less than one log reduction of spores on all surfaces. This step was determined to not be useful for this procedure on surfaces that are relatively free of loose debris and dust. Viable spores were found in the wet/dry vacuum exhaust (past the HEPA filter), wet/dry vacuum HEPA filters, and rinsate (Figure 2) from all surfaces in both the full 8-step procedure and in the 5- step procedure, indicating that surface decontamination was achieved by a combination of chemical inactivation and physical removal. Hence, the full or modified procedure was successful at surface decontamination, but both procedures resulted in contaminated rinsate and some breakthrough/bypass of spores through wet/dry vacuum HEPA filters. 9 T 7 - 6 c o T T it D 5 ~ -o CD A O) " o _l 3 2 1 - 0 - 1 - 1 ] j Ir -" - _ • Concrete-v • • Painted Wallboard-v • Concrete-h Painted Wallboard-h • Rough-cut Wood-v D Carpet-h • DeckWood-h | . Step 1: Vacuum Step 2: pAB mist (10 min contact) Step 3: Detergent Scrub Step 4: Rinse Step 5: Wet Vacuum Step 6: pAB spray (30-60 minute contact) Step 7: Rinse Step 8: Wet vacuum JiiA 1 f . rji h; 1 J i -L PI I Steps 1-8 Steps 1-5 step 1 Steps 3, 4, 5 Steps 4 &5 Steps 1, 3 & 6-8 Figure 1. Surface decontamination shown as the average surface log reduction on material surfaces per decontamination step or procedure (v = vertical, h = horizontal)2 Figure 2 illustrates the recovery of viable spores within rinse water collected following Steps 3-5. The presence of viable spores in the rinsate shows that, although the procedure is capable of achieving a greater than six log reduction of spores on the material surfaces, a significant number of viable spores are transferred to the rinsate. Overall spore inactivation using either the 5- or 8- ------- step procedure was in the order of two to four log reductions. Additional treatment of the rinsate would be required to achieve overall (complete) inactivation. O) -1—I ro to l.E+05 l.E+04 l.E+03 2 l.E+02 l.E+01 l.E+00 n FullS-Step 5-Step • Concrete-v • Concrete-h • Painted Wallboard-v • Painted Wallboard-h • Rough-cut Wood-v DCarpet-h • Deck Wood-h Step 1: Vacuum Step 2:10 min bleach mist Step 3: Detergent Scrub Step 4: Rinse Step 5: Wet Vacuum Step 6: 30-60 minute bleach Step 7: Rinse Step 8: Wet vacuum Figure 2: Viable spores (CPU, colony forming units) contained in rinsate from 8-step and 5-step surface decontamination procedures2 Tests on the effectiveness of both the original 8-step procedure and the abbreviated 5-step (4- step on vertical surfaces) procedures involved a pAB mist that maintained a wetted surface for 10 minutes. Tests T1 though T3, shown in Figure 3 below, show the effectiveness of various pAB spray application regimens. Each pAB spray regimen was followed (10 minutes later) by a de- ionized water rinse. Test T1 consisted of a single 4-sec pAB spray. T2 consisted of three sprays at t = 0, 5, and 10 minutes. T3 consisted of one 12-sec spray. All three spray regimens yielded similar results with greater than 6 log reductions on deck wood surfaces suggesting a short duration pAB spray can be as effective as the multiple spray regimens, and would generated less runoff. ------- o *j u I O> o w T2 T3 Figure 3: Log reductions in spores on deck wood following spray and rinse2 A subsequent study, Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces Contaminated with Bacterial Spores: Evaluation of Spray Method Parameters and Impact of Surface Grime, was conducted to further refine the decontamination approach. The study sought to determine if variations in the spraying approach could reduce the time required to conduct the decontamination procedure and minimize runoff while still effectively decontaminating the test materials. The second study continued the evaluation of spray parameters by varying duration and flow rate and evaluating decontamination efficacy, but without a rinse step that generates most of the runoff. Rough-cut pine wood, painted wallboard and concrete were chosen as test materials as they represent commonly occurring, yet challenging to decontaminate, surfaces likely to be encountered during an urban remediation. Consistent with the first study, the second study also used 929 cm2 coupons inoculated with approximately 1 x 107 CPU Bacillus atrophaeus spores. The procedures with no rinse step (Table 1) achieved comparable efficacies on non-porous material surfaces to those with a rinse step (Figure 1). With no rinse step, reductions of about 6 log were observed on non-porous surfaces. A 15 second spray, two 15 second sprays, and a 30 second spray, each without a rinse step, equally achieved the 6 log reduction. This result suggests that a single spray application of pAB with no vacuum, scrub or rinse steps may be sufficient for nonporous surfaces. Eliminating the rinse step would minimize runoff, reaerosolization and procedure duration. On a porous surface (rough cut pine) neither the 15 second spray, two 15 second sprays, nor single 30 second spray, without a rinse step, achieved a 6 log reduction. Approximately 3 log reductions were observed. Spray with pAB followed by rinse achieved a 6 log reduction on the rough pine surface suggesting that a combination of physical removal and inactivation accounted for the reduction. ------- The tests included in these studies, as well as previous field applications of the full 8-step procedure had been conducted with freshly prepared pAB. The procedure to date has required use of the pAB within 15 minutes of preparation. Experiments were conducted to evaluate the effectiveness of pAB over time (up to 32 hours after preparation). The study showed that aging of the pAB solution decreases its effectiveness on surfaces that are typically difficult to decontaminate, such as wood. In contrast, aging seems to have little or no effect (within the first four hours after preparation) on the ability of pAB to decontaminate the nonporous drywall coupons. Solutions of pAB older than 4 hours show a marked decline in efficacy for both types of material (i.e., porous and non-porous) tested. The results indicate that when decontaminating non porous surfaces, the preparation of pAB solution could possibly be done less frequently and perhaps in larger batches without compromising decontamination efficacy. Tests were also conducted to resolve the effect of contamination level on decontamination efficacy. With the lower inoculum, efficacies for nonporous surfaces ranged from 5 - 6 log reduction. Tests of the decontamination procedures conducted at a medium level contamination (1 x 104 to 1 x 10s CPU) on drywall and concrete coupon materials confirmed that full decontamination (meaning no viable spores detected following decontamination) can be obtained with a single application of pAB (5 sec/0.09 m2 or 5 sec/ft2). However, no single pAB application was found to be effective in inactivating/removing spores from low level (1 x 102 CPU) inoculated pine-wood coupons. Porous surfaces yielded only 0.13 - 3.5 log reduction (Table 2). Runoff from the spray parameter testing was collected and analyzed for the presence of viable spores. Runoff from all tests performed on non-porous surfaces contained viable spores indicating that log reduction on the material surface resulted from a combination of inactivation and physical removal. No viable spores were detected in the runoff from a 30-sec pAB spray on the pine wood coupons; whereas, viable spores were present in the runoff from tests utilizing 15- sec pAB applications. ------- Table 1: Surface Decontamination Parametric (high inoculation) Test Results3 Material Drywall Concrete Pine Wood Drywall Concrete Pine Wood Pine Wood Pine Wood Pine Wood Positive Controls (n=3) Avg. CPU/ Sample 1.72 x 107 1.02 x 107 1.95 x 106 2.05 x 107 8.16 x 106 3.93 x 106 2.31 xlO6 2.31 xlO6 2.31 xlO6 Mean of Logs 7.23 7.00 6.27 7.30 6.89 6.57 6.35 6.35 6.35 RSD (%) 22% 22% 41% 25% 38% 47% 30% 30% 30% Test Coupons (n=3) Avg. CPU/ Sample 351 7 3520 6 12 2236 1600 1984 1188 Mean of Logs 1.54 0.60 3.39 0.26 0.41 2.86 3.03 3.26 3.06 RSD (%) 170% 83% 95% 155% 163% 154% 105% 46% 27% LR 5.69 6.40 2.87 7.04 6.48 3.71 3.32 3.09 3.28 RSD (%) 23% 11% 16% 12% 15% 22% 14% 8% 4% pAB Decontamination Conditions Achieved Decontamination Steps 1 x 15 second spray, low flow, no reapplication, no rinse 1 x 15 second spray, high flow, no reapplication, no rinse 1 x 30 second spray, low flow, no reapplication, no rinse 2 x 15 second spray, low flow, sprayed at 0 and 5 min, no rinse 1 x 15 second spray, low flow, no reapplication, no rinse Flow Rate (ml/min) 1030 1030 1040 1340 1340 1360 1030 1060 1030 CPU, colony forming units; LR, log reduction; n, number of replicates; pAB, pH-adjusted bleach; RDS, relative standard deviation U.S. Environmental Protection Agency Office of Research and Development, Homeland Security Research Program EPA/600/S-13/064 April, 2013 ------- Table 2 Surface Decontamination Parametric (low inoculation) Test Results3 Material Drywall Concrete Pine Wood Pine Wood Pine Wood Pine Wood Pine Wood Positive Controls (n=3) Avg. CPU/ Sample 4.36 x105 6.42 x104 4.33 x104 3.23 x102 1.73x102 1.73x102 1.73x102 Mean of Logs 5.64 4.78 4.62 2.44 2.12 2.12 2.12 RSD (%) 16% 42% 34% 55% 93% 93% 93% Test Coupons (n=3) Avg. CPU/ Sample 0.5 0.5 45 47 107 160 40 Mean of Logs -0.20 -0.15 1.11 1.36 1.99 1.84 1.50 RSD (%) 3% 1% 143 % 136 % 47% 141 % 87% LR 5.84 4.93 3.51 1.09 0.13 0.28 0.62 RS D (%) 0.0 0 0.0 0 0.2 9 0.0 0 0.0 0 0.0 0 pAB Decontamination Conditions Achieved Decontamination Steps 1x15 second spray, no reapplication, no rinse 1 x 30 second spray, no reapplication, no rinse 1 x 30 second spray, no reapplication, no rinse 2x15 second spray, sprayed at 0 and 5 min, no rinse 2x15 second spray, sprayed at 0 and 15 min, no rinse Flow Rate (ml/min) 1000 1000 1000 1100 1100 1100 1000 CPU, colony forming units; LR, log reduction; pAB, pH-adjusted bleach; RDS, relative standard deviation Laboratory testing to date utilized clean coupons, whereas, real-world building urban materials will likely contain a layer of grime that could impact decontamination. Therefore, tests were conducted to evaluate the effect of grime (dirty surfaces) on decontamination effectiveness. The effects of grime on decontamination effectiveness were tested using rough cut pine wood and concrete coupons. Neat (no grime) and grimed coupons were subjected to spray-based decontamination procedures that evaluated the additive effects of physical cleaning procedures (scrubbing and vacuuming) on surface decontamination efficacy. The results of these studies indicate that the presence of grime does not significantly impact decontamination of these surfaces (Figure 4). Additionally, neither the use of a surfactant with the pAB solution, nor vacuum and scrub steps on grime covered surfaces resulted in an observable improvement to the surface decontamination efficacy. It is important to note that the level of grime used here (1 gram per coupon) may not represent heavily-soiled surfaces. Larger amounts of grime may indeed affect decontamination efficacy. U.S. Environmental Protection Agency Office of Research and Development, Homeland Security Research Program EPA/600/S-13/064 April, 2013 ------- I Concrete-Clean I Concrete-Grime Wood-Clean I Wood-Grime pAB spray pAB/TSP spray pAB/TSP spray, vacuum pAB/TSP scrub spray, scrub Figure 4: Effect of Grime on Surface Decontamination3 Summary The 8-step decontamination procedure using a pAB solution was tested to determine the effectiveness of individual and combinations of steps. The results from the study entitled Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces Contaminated with Bacterial Spores indicate that a shorter, simpler decontamination procedure can be as effective as the previously employed 8-step decontamination procedure. Results suggest that an abbreviated 4-step procedure, comprised of pAB mist (10 min contact time), detergent scrub, rinse, and wet vacuum steps, was almost as effective as the 8-step procedure in decontaminating all tested material surfaces (porous and non-porous). Further, longer (12-sec pAB spray) or repeated pAB misting (three 4-sec pAB sprays) as the initial step did not result in an increase in surface decontamination efficacy (total wetted tie kept to 10 min). Rinse water collected during testing with both the 8-step and abbreviated procedure showed that viable spores were transferred from the material surfaces to the rinsate. Hence, Four-Step Procedure Step 1:10 min bleach mist Step 2: Detergent Scrub Step 3: Rinse Step 4: Wet vacuum additional treatment of the rinsate is required to increase overall decontamination (spore inactivation). ------- Non-porous Surface One-Step Procedure For painted drywall, concrete, non-porous surfaces results pointed to the potential for even greater simplification of the decontamination procedure. Results from the second study, Step 1: 15 mm bleach mist durjng whjch sprgy method parameters were evaluated and no rinse steps were employed, achieved higher levels of spore inactivation on material surfaces than did the test involving a rinse step. Testing of decontamination effectiveness using a 15 second pAB spray alone, with no vacuum, scrubbing or rinse steps was effective for non-porous surfaces, achieving a 6 log reduction on these surfaces. Hence, for non-porous surfaces, a pAB spray approach could be used so as to minimize the duration of the procedure, worker exposure, potential for contaminated runoff, and the potential for reaerosolization of spores by vacuuming and scrubbing. Porous surfaces were more difficult to decontaminate, as approximately 3 log reductions was achieved for these materials. These results suggest that porous surfaces are not adequately decontaminated using the spray alone approach as tested. Finally, pAB solution was shown to retain its effectiveness up to four hours after its preparation, particularly for use on non-porous surfaces. Decontamination of porous surfaces with pAB may require smaller batches prepared more frequently, in order to retain effectiveness of the solution. Overall, this finding should reduce the frequency, and related personnel time, required to maintain fresh batches of the decontamination solution during a decontamination effort. 10 ------- Contact Information For more information, visit the EPA Web site at www.epa.gov/nhsrc. Technical Contacts: Shawn Ryan (ryan.shawn@epa.gov) Worth Calfee (Calfee.worth@epa.gov) General Feedback/Questions: Kathy Nickel (nickel.kathy@epa.gov) References: 1. Sharp RJ, Roberts AG. Anthrax: the challenges for decontamination. Journal of Chemical Technology and Biotechnology 2006;81:1612-1625. 2. U.S. EPA. Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces Contaminated with Bacterial Spores: Development and Evaluation of the Decontamination Procedural Steps . U.S. Environmental Protection Agency, Washington, DC, EPA/600/R-12/025, 2012. 3. Snook C, Cardarelli J, Mickelsen R, et al. Medical Toxicology and Public Health: National Decontamination Team, U.S. Environmental Protection Agency (EPA). Journal of Medical Toxicology 2008;4:289-291. 4. Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces Contaminated with Bacterial Spores: Evaluation of Spray Method Parameters and Impact of Surface Grime, U.S. Environmental Protection Agency, Washington, DC, EPA/600/R/12/591,2013. 5. Calfee, M.W., Choi, Y., Rogers, J., Kelly, T., Willenberg, Z., Riggs, K., 2011. Lab- Scale Assessment to Support Remediation of Outdoor Surfaces Contaminated with Bacillus anthracis Spores. Journal of Bioterrorism and Biodefense. 2, 1-8. 6. Wood, J.P., Choi, Y.W., Rogers, J.V., Kelly, T.J., Riggs, K.B., Willenberg, Z.J., 2011. Efficacy of liquid spray decontaminants for inactivation of Bacillus anthracis spores on building and outdoor materials. J. Appl. Microbiol. 110, 1262-1273. 11 ------- |