&EPA
 www. e pa. gov/n h s re
technical   BR
         SURFACE DECONTAMINATION METHODOLOGIES FOR A WIDE-AREA B. ANTHRACIS INCIDENT

        PURPOSE:

        To provide decision makers practical information on surface decontaminations options for consideration
        during a B. anthracis response. This brief will review a wide range of technologies (e.g., liquids, foams,
        gels, wipes, etc.) that have been shown to decontaminate surfaces contaminated with B. anthracis spores.

        INTRODUCTION:

        EPA has comprehensively evaluated numerous decontaminants for their efficacy against of B. anthracis
        spores on a variety of indoor and outdoor surfaces. The tactical procedures for decontaminating a wide-
        area contaminated with B.  anthracis  spores are limited and  knowledge  gaps exist.   However,
        recommendations can be made by extrapolating experimental findings from the lab to the field. In many
        cases, technologies used for indoor decontamination (e.g., fumigants, liquid or foam sporicides), may be
        employed for outdoor areas contaminated with B. anthracis. The decontamination approach chosen for
        a particular surface may need to be evaluated in the field (at pilot scale or within a small zone) and refined
        as  necessary during the course of the response until the desired effectiveness and process-knowledge is
        established for wide-scale applications.

        This brief is designed to deliver an overview of the surface decontamination technologies evaluated by
        EPA, provide potential  surface decontamination options  based on surface material type, and discuss
        current research that may be considered for the decontamination of outdoor surfaces such as building
        materials and soil.

        PRODUCTS AND APPLICATION PROCEDURES:

        Liquid based sporicides with hydrogen peroxide/peracetic acid (H2O2/PAA) or hypochlorous acid (HOCI) as
        active ingredients have generally been shown to be the  most effective for surface decontamination.
        Although, it is important to note that no one sporicidal decontaminant is effective for all material types
        and all  environmental conditions. Therefore, technical support from decontamination  subject matter
        experts should be sought during decontaminant selection. Additionally, in the event of wide-area
        contamination, resources are likely to  be  overwhelmed  and depleted rapidly. Not all chemicals and
        equipment may be readily available and economical. Many surface decontamination  approaches  will
        require extensive manpower and will generate large volumes of waste. Decision makers will need to
        consider the available resources, cost, waste production, and the available waste management options
        before selecting a method.

        Although numerous surface decontaminants have been comprehensively evaluated by EPA's Homeland
        Security Research Program (HSRP), only two liquids and one fumigant are currently registered as sporicidal
        decontaminants for inactivation of B.  anthracis spores  on pre-cleaned,  hard, non-porous surfaces:
        PERIDOX® with Electrostatic Decontamination System (EDS), Steriplex Ultra™, and DIKLOR G Chlorine
        Dioxide Sterilant Precursor. (These three registered sporicidal decontaminants have been tested by the
        U.S. Environmental Protection Agency
        Office of Research and Development, Homeland Security Research Program
                                                            July, 2015

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vendors themselves and have not been evaluated by HSRP; the vendor supplied data have been approved
by EPA's Office of Chemical Safety and Pollution  Prevention (OCSPP). The liquid decontaminant, pH-
adjusted bleach  (pAB), was previously granted a  Federal  Insecticide,  Fungicide,  and Rodenticide Act
(FIFRA) crisis exemption for use against 6. anthracis spores. Additionally,  EPA recently issued a quarantine
exemption for the use of multiple liquid products against 6. anthracis including: Oxonia Active, Vortexx,
Spor-klenz Ready to Use,  and bleach.  In addition, several fumigation products  were exempted and
include: ethylene oxide, paraformaldehyde, and hydrogen  peroxide vapor. The products listed in the
quarantine exemption are  supported by available safety and efficacy data, including data from EPA cited
in this brief.

Table 1 lists a summary of surface decontamination technologies evaluated  by  EPA and found to be
effective against spores of 6. anthracis (and/or simulant) contamination on a variety of surface types. The
table reviews the application procedures and the  decontamination  efficacy associated  with each
researched technology. As a note on the measure of efficacy, products demonstrating a > 6 Log Reduction
(LR) on relevant surfaces are considered effective in accordance with the FIFRA sporicidal decontaminant
testing1. This does not suggest that a product is thereby registered or exempted under FIFRA.

Figure 1 provides a flow chart with options for surface decontamination  based on surface material type.
The table and flow chart  can be used together to guide  decision makers in determining a  practical
decontamination approach for several of the surface materials that will be required to be decontaminated
in a wide-area incident.
1 For information visit the U.S. EPA Scientific Advisory Panel website at
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                       Table 1. Surface Decontamination Technologies evaluated by EPA and found to be effective against B. anthracis (and/or simulant) contamination.
 g
-c
           Surface Decontaminant: Product;
           Manufacturer; Active Ingredients; EPA
           Registration #; Product Label
PERIDOX® with EDS; Biomed Protect,
LLC; hydrogen peroxide (24.0%),
peroxyacetic acid (1.2%); 88089-3
(Sporicidal - B. anthracis)
http://www3.epa.gov/pesticides/che
m search/ppls/081073-00002-
20110316.pdf
                                      Application Procedures/Conditions
                                                    Efficacy (Spore and Material Type Tested)
The product label includes an instruction manual
detailing the procedures and techniques for the use of
a fully assembled EDS containing PERIDOX® solution
mixed per label instructions. The application process
entails wetting the surface with PERIDOX®, allowing
for a 3 minute contact time, then illuminating the
wetted surface with UV light from the EDS light wand.
                                                                                                    Vendor supplied Data obtained by EPA
                                                                                                    Office of Pesticide Programs.
                                          Registered sporicidal
                                          decontaminant for inactivation of
                                          Bacillus anthracis spores on dry,
                                          pre-cleaned, hard, non-porous
                                          surface.

                                          Not tested by NHSRC. Application
                                          procedures may need to be
                                          modified for wide area field use.
<
o.
           STERIPLEX Ultra™; sBioMed; Silver
           (0.03%), hydrogen peroxide (22.0%),
           peracetic acid (15.0%); 84545-8
           (sporicidal - B. anthracis);
           http://www. eoa. aov/pesticides/chem
            search/ppls/084545-00008-
           20111220.pdf
                                      The product label includes a training manual detailing
                                      the procedures and techniques for preparing and
                                      using the two-part decontaminant system. The
                                      application process entails wetting the surface with a
                                      thin film of product at room temperature, allowing for
                                      a 30 minute contact time, and then rinsing the
                                      surfaces with a clean cloth or sponge several times
                                      with running water.
                                                    Vendor supplied Data obtained by EPA
                                                    Office of Pesticide Programs.
                                          Registered sporicidal
                                          decontaminant for inactivation of
                                          Bacillus anthracis spores on dry,
                                          pre-cleaned, hard, non-porous
                                          surface.

                                          Not tested by NHSRC. Application
                                          procedures may need to be
                                          modified for wide area field use.
           Minncare® Cold Sterilant; Minntech
           Corp.; Hydrogen Peroxide (22%),
           Peracetic Acid (4.5%); 52252-4
           (sterilant, disinfectant, sanitizer);
           http://www3.epa.gov/pesticides/che
           m search/ppls/052252-00004-
           20130924.pdf
                                      Prepare according to manufacturer's instructions on
                                      the day of application. Apply the solution to the
                                      surface using a handheld spray bottle (or chemical
                                      resistant liquid pump sprayer), from a distance of 12
                                      inches until the surfaces is fully wetted. Allow solution
                                      to remain in contact with the surface 10 minutes for
                                      decorative laminate, glass, wallboard paper, and metal
                                      ductwork; 30 minutes for carpet, and cinder block.
                                                    Quantitative efficacy for both B. anthracis
                                                    and B. subtilis was >7.5 LR on industrial-
                                                    grade carpet, decorative laminate,
                                                    galvanized metal ductwork, painted
                                                    wallboard paper, painted cinder block, and
                                                    glass.
                                          Lower efficacy values were found
                                          on bare pine wood, for which
                                          efficacy results for B. anthracis and
                                          B. subtilis were 5.40 and 6.00 LR,
                                          respectively.
                                          Evaluated in laboratory testing.
                                          Application procedures may need to
                                          be modified for wide area field use.
 01
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Oxonia Active®; Ecolab, Inc.; Hydrogen
Peroxide (27.5%), Peracetic Acid
(5.8%); 1677-129 (sterilant,
disinfectant, sanitizer)
http://www.kellvsolutions.com/erene
wals/documentsubmit/KellvData%5CV
A%5Cpesticide%5CProduct%20Label%
5C1677%5C1677-129%5C1677-
129 OXONIA ACTIVE  10 31 2005 1
1 00  14 AMSecured.Pdf
On day of application, prepare according to the
vendor's instructions. Apply the diluted Oxonia
Active® using a chemical resistant liquid pump sprayer
from a distance of about 12 inches until the surface is
fully wetted, and then reapplied every 10 minutes
after the initial application for a total contact time of
60 minutes.
Quantitative efficacy for B. anthracis was
>7.0 LR on industrial-grade carpet,
decorative laminate, galvanized metal
ductwork, painted wallboard paper,
painted cinder block, and glass.
No visible damage observed on any
of the test materials after 60
minutes contact time.
Lower efficacy values were found
on bare pine wood (4.64 LR.)
Evaluated in laboratory testing.
Application procedures may need to
be modified for wide area field use.

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    Item   Surface Decontaminant: Product;
           Manufacturer; Active Ingredients; EP
           Registration #; Product Label
           Peridox® RTU, Biomed Protect, LLC;
           Hydrogen peroxide (4.4%), peracetic
           acid (0.22%); 88089-4 (sterilant,
           disinfectant, sanitizer);
           http://www3.epa.gov/pesticides/che
           m  search/ppls/088089-00004-
           20150508.pdf
                                      Application Procedures/Conditions
                                      Follow vendor specifications for contact time, spray
                                      pressure, application and reapplication procedures,
                                      etc. Apply to surface until fully wetted, and then
                                      reapplied as necessary to keep the coupons wetted
                                      throughout the contact time. With non-porous
                                      materials, the contact time is 30 minutes with
                                      reapplication at 10 and 25 minutes after the first
                                      application. With porous materials, the contact time
                                      was 60 minutes, with reapplication at 10, 20, 30, 40,
                                      and 50 minutes after the first application.
                                                       icacy (Spore and Material Type Tested)
                                                     Quantitative efficacy for B. anthracis was >
                                                     6.65 log reduction on stainless steel, glass,
                                                     aluminum, porcelain (glazed), granite
                                                     (sealed surface), treated wood, and butyl
                                                     rubber with no viable spores found on any
                                                     of these seven test materials after
                                                     decontamination. Efficacy was high (7.22
                                                     LR) on asphalt paving, but a small number
                                                     of viable spores were found on one of the
                                                     replicate asphalt test coupons after
                                                     decontamination.
                                           No visible damage was observed on
                                           any of the test materials after the
                                           30 or 60 minute contact times in
                                           the quantitative efficacy testing or
                                           seven days later after completion of
                                           the qualitative assessment of
                                           residual spores.

                                           Evaluated in laboratory testing.
                                           Application procedures may need to
                                           be modified for wide area field use.
           Spor-Klenz" RTU; STERIS Corp.;
           Hydrogen peroxide (1.0%), Peracetic
           acid (0.08%); 1043-119
           (sterilant/sporicidal, bactericidal,
           sanitizer), 1043-120 (concentrate);
           http://www.gru.edu/research/animal/
           resources/SporKleanz%20label.pdf
                                      Apply Spor-Klenz® RTU from a distance of 30.5 cm
                                      using the handheld spray bottle (or chemical resistant
                                      liquid pump sprayer), until all test coupon surfaces are
                                      fully wetted by the solution. Reapply as needed to
                                      keep surfaces wet for a 30 minute contact time for
                                      nonporous surfaces, 60 minutes for porous materials
                                      (reapplication at 30 minutes after the initial
                                      application regardless of the wetness of the  coupons).
                                      Allow surface to  air dry.
                                                     Quantitative efficacy for B. anthracis was >
                                                     7 LR on stainless steel, glass, aluminum,
                                                     porcelain (glazed), granite (sealed surface)
                                                     and >7.27 LR on brick and butyl rubber.
                                                     Efficacy on unpainted concrete, asphalt
                                                     paving, and treated wood was
                                                     approximately 1.02, 2.56, and 6.16 LR,
                                                     respectively.
                                           No visible damage was observed on
                                           the test materials after the 30 min
                                           contact time for non-porous
                                           materials or the 60 min contact
                                           time for the porous materials.
                                           Corrosive damage to a gas-powered
                                           sprayer was observed [16].
                                           Evaluated in laboratory testing.
                                           Application procedures may need to
                                           be modified for wide area field use.
01
T3
           Decon Green; Developed by the U.S,
           Army; Hydrogen Peroxide (35%);
           1043-121 (sterilant, disinfectant,
           virucide, fungicide);
           http://www3.epa.gov/pesticides/che
           m  search/ppls/001043-00121-
           20071206.pdf
                                      Follow vendor specifications for contact time, spray
                                      pressure, application and reapplication procedures,
                                      etc. For most surfaces, apply to surface until fully
                                      wetted, and then reapply 30 minutes after the initial
                                      application for a total contact time of 30 minutes.
                                                     The quantitative efficacy for B. anthracis
                                                     was > 7.32 LR on stainless steel, glass,
                                                     aluminum, porcelain (glazed), granite
                                                     (sealed surface) materials, and > 7.25 and >
                                                     6.94 LR on brick and butyl rubber,
                                                     respectively with no viable spores were
                                                     found after decontamination. Efficacy on
                                                     concrete, asphalt, and treated wood was
                                                     4.00, 2.97, and 1.91 LR, respectively.
                                           No visible damage was observed on
                                           any of the test materials after the
                                           60 minute contact time with Decon
                                           Green in the quantitative efficacy
                                           testing, or seven days later after
                                           completion of the qualitative
                                           assessment of residual spores.
                                           Evaluated in laboratory testing.
                                           Application procedures may need to
                                           be modified for wide area field use.
01
BO
o
EasyDECON ® 200;  EFT Holdings, Inc.;
Hydrogen peroxide <8%; 74436-1 (Part
1), 74436-2 (Part 2) (disinfectant,
mildewstat, virucide);
http://www3.epa.gov/pesticides/che
m search/ppls/074436-00001-
20110401.pdf:
Follow vendor specifications for contact time, spray
pressure, application and reapplication procedures,
etc. Apply to glass, aluminum, and porcelain until fully
wetted, and then reapply 10 and 20 minutes after the
initial application, with a total contact time of 30
minutes. Apply to stainless steel and granite until fully
wetted, and then reapplied 5,10,15, 20, and 25
The quantitative efficacy for B. anthracis
was > 7.51 LR on stainless steel, glass,
aluminum, porcelain (glazed), granite
(sealed surface) materials, and
approximately > 7.14, > 7.28 and > 6.99 LR
on the porous materials unpainted
concrete, brick, and butyl rubber,
No visible damage was observed on
any of the test materials after the
30 or 60 minute contact times in
the quantitative efficacy testing, or
seven days  later after completion of
the qualitative assessment of
residual spores.

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   Item   Surface Decontaminant: Product;
4          Manufacturer; Active Ingredients; EPA
          Registration #; Product Label
          http://www3.epa.gov/pesticides/che
          m search/ppls/074436-00002-
          20141007.pdf
                                      Application Procedures/Conditions
                                      minutes after the initial application, with a total
                                      contact time of 30 minutes. Apply to porous materials
                                      until they were fully wetted, and then reapplied 10,
                                      20, 30, 40, and 50 minutes after the initial application,
                                      with a total contact time of 60 minutes.
                                                      icacy (Spore and Material Type Tested)
                                                    respectively. Efficacy on asphalt and
                                                    treated wood was 1.63 and 0.82 LR,
                                                    respectively.
E
ro
o
          CASCAD™ Surface Decontamination
          Foam (SDF); Allen-Vanguard Corp.;
          Hypochlorite, hypochlorous acid; none
                                      A specialized sprayer is required to generate the foam.
                                      Cover contaminated area with foam according to label
                                      for a 30 minute contact time, 60 minutes for porous
                                      materials (reapplication at 30 minutes after the initial
                                      application, for a total of two applications).
                                                    Quantitative efficacy was > 7.0 LR for both
                                                    B. anthmcis and B. subtilis on industrial-
                                                    grade carpet, decorative laminate,
                                                    galvanized metal ductwork, painted (latex,
                                                    semi-gloss) cinder block, and glass. Lower
                                                    efficacy values were found only on painted
                                                    wallboard paper and bare pine wood.
                                                    Another study (Ref. 3) showed quantitative
                                                    efficacy for B. anthmcis was > 6.80 LR on
                                                    stainless steel, glass, aluminum, porcelain
                                                    (glazed), granite (sealed surface), concrete,
                                                    brick, asphalt paving, treated wood, and
                                                    butyl rubber.
                                          Paint peeled away from the primer
                                          coat on painted cinder block
                                          coupons. No visible damage was
                                          observed on any of the test
                                          materials after either the 30 min or
                                          the 60 min contact
    10
o
o
o
Q.
pH-adjusted Bleach (pAB) EPA
developed - no single vendor exists;
Sodium Hypochlorite, Hypochlorous
acid; 67619-8 (CPPC Ultra Bleach 2 is
registered as a disinfectant, but pAB is
not). The solution has been granted
several FIFRA crisis exemptions for use
against B. anthracis spores on pre-
cleaned hard non-porous surfaces.
The pAB solution is made by combining 1 part bleach
(containing 5.25% to 6.0% sodium hypochlorite), 8
parts water, and 1 part white vinegar. The bleach
(Ultra Clorox" or store brand non-scented bleach) and
white vinegar (store brand) are not combined directly
together. Bag and remove porous materials (i.e.,
ceiling tile, mattresses, couches, etc.) and then
decontaminate the remaining items and surfaces by
spraying them with the pAB solution using gas-
powered chemical sprayers. Allow for a 5-minute
contact time.  Then, reapply the decontaminant to the
same surfaces for another 5 minutes. Repeat this
process until every surface in the entire area has had a
10-minute contact time accomplished by spraying with
decontaminant two consecutive times. Allow surfaces
to air dry. If necessary squeegee and wet HEPA
vacuum all standing decontaminant liquids from the
horizontal non-porous surfaces.
The decontamination efficacy for B.
anthracis was >7.62 LR on stainless steel,
glass, aluminum, porcelain (glazed), granite
(sealed surface) materials, and was > 6.94
LR on the porous materials brick and butyl
rubber. Concrete, asphalt, and treated
wood exhibited lower efficacy values, at
6.27, 3.60 and  1.90 LR, respectively.
Another Study (Ref. 4) showed that pAB
was highly effective for Bacillus atrophaeus
(approximately 6 LR) on wood and concrete
when used with a thirty-minute contact
time and two applications.
No visible damage was observed on
the test materials after the 60 min
contact time with pH-amended
bleach.
While this is a readily available and
efficacious approach, its
shortcomings include the need for
extensive manpower, the potential
for PPE upgrades due to chlorine
gas generation), and the generation
of large volumes of waste.

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    Item   Surface Decontaminant: Product;
          Manufacturer; Active Ingredients; EP
          Registration #; Product Label
                                     Application Procedures/Conditions
    11
    12
01
Q
Chlorine Dioxide (CIC>2) Gas (non-
registered products are available and
have been tested).
EPA registered against B. anthracis:
DIKLOR G CI02 Sterilant Precursor;
Sabre Oxidation Technologies, Inc.;
sodium chlorite (25%); 73139-3;
http://www.epa.gov/pesticides/chem
 search/ppls/073139-00003-
        8.pdf).
Klozur®; FMC Corporation; Sodium
Persulfate, activated with hydrogen
peroxide; none
Fumigation: Target concentration of 3,000 ppmv, 2
hour contact time, with minimum 75% RH and 22 °C.
Since CI02 is unstable as a compressed gas, it must be
produced on site. For the laboratory study, aqueous
solutions of CI02 were first prepared, and then
pumped into a sparging column to transfer the CI02
from the liquid to gas phase. Air from the test
chamber was used in the sparging process and
recirculated to establish the desired gaseous CI02
concentration of 3,000 ppmv.
Prepare according to vendor's instructions. The
procedure involves application of Klozur®, followed by
application of the hydrogen peroxide (H202) activating
solution, consistent with the recommended approach
for soil remediation. Klozur® is injected into
contaminated soil or groundwater, and activated by
mixing in appropriate proportions with H202 solutions
of up to 8% H202 by weight, according to instructions
published by FMC Corporation at
http://www.peroxychem.com/media/128552/peroxyc
hem-klozur-h2o2-activation-april-2015.pdf
                                                      icacy (Spore and Material Type Tested)
Fumigation tests conducted at a target
concentration of 3,000 ppmv, with an  RH of
either 75% or 85% and indoor ambient
temperature (~ 22 °C) provided > 6 LR  of B.
anthmcis spores on the AZTD samples at a
2 cm depth (2-4 hr contact time). Topsoil
proved to be more difficult to
decontaminate.
Quantitative efficacy was 3.5 LR on topsoil
containing B. anthracis spores was
substantially greater with the 48-hour
contact time (3.5 LR) than with the 24-
hour contact time (1.65 LR). (Ref. 9)
Additional studies showed > 7 LR for B.
anthracis spores in garden topsoil and
Arizona Test Dust (AZTD) when using three
applications (all applied within the first two
hours) and a one week contact time.
Increasing contact time did
significantly improve efficacy for
topsoil.
Changing the RH level did not
significantly affect the LR results.
Evaluated in laboratory testing.
Application procedures and
fumigation parameters will need to
be modified for wide area field use.
Highly effective in killing B.
anthracis spores in soil. Can
overcome organic loading in soil.
Soils tested include: Earthgro"
Topsoil, Agvise" Topsoil, and AZTD.
Preliminary unpublished data shows
a > 6 LR on outdoor material
including bare pine wood, brick,
concrete, and asphalt. (Ref. 11)
    13
Metam Sodium; Buckman
Laboratories, Inc.; Sodium N-
methyldithiocarbamate (42.5%),
methyl isothiocyanate (MITC); 1448-
107 (pesticide);
http://www3.epa.gov/pesticides/che
m search/ppls/001448-00107-
20140820.pdf
For optimum performance, it is recommended that
the soil be free of clods and soil moisture be between
50-80% of field capacity. Metam sodium is applied as a
liquid and converts to gas when it reacts with soil
moisture. It can be applied with tillers, sprinklers, or
other means of distribution to mix into the soil. Once
the metam sodium is added to the soil,  it is common
practice to place a tarp or cap over the soil to prevent
the loss of MITC.
For all but one of the eight tests with AZTD,
B. anthracis was completely inactivated,
whereas just one test with B. anthracis-
contaminated topsoil resulted in complete
inactivation. Metam sodium was effective
(> 6 LR)  against B. anthracis on topsoil with
a 7  day contact time.
This decontaminant was
significantly more effective on the
AZTD compared to the topsoil for
the majority of the tests.
The effect of moisture content on
decontamination efficacy of the
metam sodium is readily apparent
in the results for B.  anthracis  on
topsoil, which shows that efficacy
increases with increasing levels of
moisture.
    14
Methyl Bromide; Matheson Tri-Gas;
99.5% methyl bromide gas with 0.5%
chloropicrin added as a warning
irritant; none	
Fumigation: 212 mg/L methyl bromide, 36 hour
contact time, no drying of soil.
212 mg/L methyl bromide and 36 hour
contact time (no drying of soil) resulted in
complete inactivation of B. anthracis
spores on AZTD and > 7.0 LR on topsoil.
Evaluated in laboratory testing.
Application procedures and
fumigation parameters may need to
be modified for wide area field use.
    15
pAB; Sodium Hypochlorite,
Hypochlorous acid (see item number
10)
See item number 10 for preparation instructions.
Application for laboratory testing consisted of
injecting pH-amended bleach into each sample every
Successful in decontaminating AZTD with >
7.0 LR obtained for both B. anthracis and B.
Not efficacious for B. anthracis
contaminated topsoil.

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    Item   Surface Decontaminant: Product;
           Manufacturer; Active Ingredients; Ec
           Registration #; Product Label
                                             Application Procedures/Conditions
                                                 30 minutes for 2 hours (4 total applications) and
                                                 mixing the soil and pAB solution thoroughly in the
                                                 sample jar using a glass stirring rod.	
                                                                                                  subtilis with four applications and a two-
                                                                                                  hour contact time.
                                                                                                                                      Evaluated in laboratory testing.
                                                                                                                                      Application procedures will need to
                                                                                                                                      be modified for wide area field use.
    16
       Clorox" Healthcare™ Bleach Germicidal
       Wipe; Clorox Professional Products
       Co.; Sodium hypochlorite (0-1-1-0%);
       67619-12 (O. difficile)
                                      Wipe the area using overlapping S-strokes. 3 min
                                      contact time (for sporicidal wipes, contact time
                                      reflects the prescribed time the surface is to be wet).
                                                     All commercially available sodium
                                                     hypochlorite-based wipes completely
                                                     inactivated all B. atrophaeus spores (>7
                                                     logio) on glass, stainless steel, composite
                                                     epoxy and low-density polyethylene
                                                     materials.
                                           Application procedures may need to
                                           be modified for wide area field use.
                                                                                                                                                                                    12
    17
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o
Q.
T3
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       Sani-Cloth" Bleach Germicidal
       Disposable Wipe; Professional
       Disposables Internationals, Inc.;
       Sodium hypochlorite (<1.0%); 9480-8
       (Cl. Difficile);
       http://www3.epa.gov/pesticides/che
       m search/ppls/009480-00008-
       20130716.pdf
                                      Wipe the area using overlapping S-strokes. 4 min
                                      contact time (for sporicidal wipes, contact time
                                      reflects the prescribed time the surface is to be wet).
                                                     All commercially available sodium
                                                     hypochlorite-based wipes completely
                                                     inactivated all B. atrophaeus spores (>7
                                                     logio) on glass, stainless steel, composite
                                                     epoxy and low-density polyethylene
                                                     materials.
                                           Application procedures may need to
                                           be modified for wide area field use.
                                                                                                                                                                                    12
01
E
E
o
u
18
Dispatch" Hospital Cleaner
Disinfectant Towel with Bleach; Clorox
Professional Products Co.; Sodium
hypochlorite (<1-0%); 56392-8
(Cl. Difficile);
http://www3.epa.gov/pesticides/che
m search/ppls/056392-00008-
20130814.pdf	
Wipe the area using overlapping S-strokes. 5 min
contact time (for sporicidal wipes, contact time
reflects the prescribed time the surface is to be wet).
All commercially available sodium
hypochlorite-based wipes completely
inactivated all B. atrophaeus spores (>7
logio) on glass, stainless steel, composite
epoxy and low-density polyethylene
materials.
Application procedures may need to
be modified for wide area field use.
                                                                                                                                                                                12
19
Hype-Wipe" Disinfecting Towel with
Bleach; Current Technologies, Inc.;
Sodium hypochlorite (0-525%), 70590-
1 (Cl. Difficile);
http://www3.epa.gov/pesticides/che
m search/ppls/070590-00001-
20131030.pdf	
Wipe the area using overlapping S-strokes. 4 min
contact time (for sporicidal wipes, contact time
reflects the prescribed time the surface is to be wet).
All commercially available sodium
hypochlorite-based wipes completely
inactivated all B. atrophaeus spores (>7
logio) on glass, stainless steel, composite
epoxy and low-density polyethylene
materials.
Application procedures may need to
be modified for wide area field use.
                                                                                                                                                                                12
           *Requires crisis exemption by the EPA - has not been specifically registered under FIFRA for use against B. anthracis spores.
           Notes:
               Use of all products will be in accordance with all applicable precautions and directions specified on the registered labels (or by the vendor) and the requirements listed in
               the crisis exemption.
               During indoor material removal and decontaminant application procedures, negative air machines (NAMs) can used to maintain negative pressure inside the building
               relative to the outside to reduce spore exfiltration. NAMs can also be utilized after decontamination to increase airflow through the facility and to aid in drying the surfaces.

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Decontamination
    Options*
                                    Effective Surface Decontamination Options According to Surface Type - Reference
                                     Item Number on Table 1 for the Specific Technology and Application Procedures.
                                                                             Non-Porous Materia
                             H2O2/PAA

                            Line items 1-2

                             H2O2/PAA

                            Line items 3-6
                          „    H202

                            Line items 7-8

                               HOCI

                            Lineitems9-10
                            NaCIOWipes
Line items 16-19
                          „  H202/PAA

                             Line items 6

                          ,    H202

                            Line items 7-8

                               HOCI

                            Line items 9-10
                                            Stainless
                                             Steel
                Line items 1-2

                 H2O2/PAA

                Line items 5-6
               „    H202

                Line items 7-8

                   HOCI

                Line items 9-10
                NaCIOWipes

                Line items 16-19
                                            Concrete
                                           (Unpainted)
                   H202

                 Line item 8
               ^^^^^^H
                   HOCI

                Lineitems9-10


               „   Klozur®

                 Line item 12
                               Linoleum/
                               Decorative
 H2O2/PAA

Line items 1-2

 H2O2/PAA

Line items 3-4
              Low-density
              Polyethelene
^ H2O2/PAA

  Line items 1-2

  NaCIOWipes

 Line items 16-19
 H2O2/PAA

Line items 1-2

 H2O2/PAA

Line items 5-6
                                 H202

                               Line items_7-8

                                 HOCI

                              Line items 9-10
                                Porcelain
                                 (Glazed)
Line items 1-2

 H2O2/PAA

Line items 5-6
                                   H202

                                 Line items 7-8

                                   HOCI

                                Line items 9-10
 H2O2/PAA

Line items 1-2

 H2O2/PAA

Line items 5-6 I
                                             Galvanized
                                               Metal
                                              Ductwork
 H2O2/PAA

Line items 3-4

   HOCI

 Lineitem9
3-4




.
                                 H202

                               Line items 7-8
                                 HOCI

                              Line items 9-10
                                Asphal
                                (Paving
                               Aggregate)
                                H2O2/PAA
   HOCI

 Line item 9
   H2O2/PAA

  Line items 5-6

     H202

  Line items 7-8
                              Industrial
                                grade
                                Carpet
                                                Bare Wood
                                                  (Pine
                                                 Lumbar)
                                                                Klozur8
                                                               Line item 12
                                                                             H2O2/PAA
                                                                             Line items 3-4
                                         -H
                              Liquid/         Liquid/
                            Fumigants   [^ Fumigants
                           Line items 11-15
                                           Line items 12-14
                      *Some of the decontamination options presented here have been proven successful during real-world responses. In contrast, other approaches
                      have demonstrated to be effective during laboratory testing and have not been fully evaluated at the field-scale level and are recommended
                      based upon a combination of best professional judgmentand experience of both scientists and emergency responders.
                                 Figure 1. Surface Decontamination Options According to Surface Type

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OUTDOOR SURFACE APPROACHES:
Before employing decontamination technologies outdoors, several outdoor elements need to be
considered, including the following:

    •   Potential effect of natural attenuation
    •   Ability to maintain decontaminant concentrations, temperature and RH requirements, and
       contact time on surfaces
    •   Effects of organic loading in soil
    •   Complexity (porosity, irregularity in shape, etc.) of materials
    •   Collection and containment of liquid runoff
    •   Management of waste in an outdoor setting
    •   Surface corrosion or degradation caused by decontaminants
    •   Potential impacts on the environment

The primary difference to be expected with decontamination of outdoor materials is that outdoor
materials may be more heavily grimed, most likely diminishing the efficacy of liquid sporicides such as
bleach due to organic loading. In general, most liquid sporicides are more effective when there is less
organic matter present, therefore the pre-cleaning to remove dirt/grime may be necessary in order to
effectively decontaminate the surface. Transport of viable B. anthracis spores in liquid media (e.g., in
runoff) or as aerosols during pre-cleaning step should be considered; containment may be necessary to
avoid  spreading contamination or increasing risk of exposure.

If outdoor decontamination is determined necessary, some of the evaluated technologies could  be
suitable for outdoor decontamination. The sections below discuss current research that may be
considered for the decontamination of outdoor surfaces, including building materials and soil. Potential
decontamination approaches such as gross wash down, use of liquid, fumigation, and germination-
based decontamination are discussed.

Gross Wash Down
A large-scale spraying or wash down using water hoses, fire trucks, or similar truck-mounted water
spraying systems can distribute water or surfactants in large quantities to help provide immediate but
low level  reduction of spores. If performed properly with appropriate containment actions, spraying and
wash down methods may limit the spread of contamination, reduce agent reaerosolization and
therefore reduce exposure risk. However, it will be critical to evaluate the wash down method in the
field to ensure that it will improve the  situation, rather than spread contamination.

In an EPA study, pAB spray-based decontamination procedures were evaluated parametrically with
respect to the physical removal, inactivation, and overall fate of spores on "medium-sized" coupons
(35.6 cm x 35.6 cm or 14 in by 14 in) of indoor and outdoor materials [13]. Samples were collected from
the runoff/rinsate and analyzed quantitatively to determine the disposition of viable spores in this
medium.  Efficacy results for 15-second pAB applications (no rinse) on outdoor materials showed low LR
values on the surface and viable spores in the rinsate indicating physical removal of the spores. This
study  supports the need for containment actions during a wash down. Prior to large-scale wash down,
appropriate methods for runoff collection, containment, and subsequent decontamination of the

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contained liquid would need to be identified. The Publicly Owned Treatment Works (POTW) would need
to be included early in any remediation planing involving large-scale wash down and/or
decontamination approaches.

Germination-Based Decontamination
Some research has focused on the possibility of using germinants to convert spores to vegetative cells,
facilitating inactivation of the cells through natural attenuation or other decontamination processes. The
EPA conducted an investigation of the persistence of vegetative cells of 6. anthracis both with and
without exposure to UV-A/B radiation (representing sunlight) on several surfaces including glass, bare
pine wood, unpainted concrete, and topsoil [14].  The results show that natural attenuation may also be
a viable option for the decontamination of non-soil materials, provided that germination is effective in
converting spores to vegetative cells. (As of the writing of this brief, no germinants have been
demonstrated to be 100% effective in converting all spores to vegetative cells.) For soils, natural
attenuation may also be a viable decontamination option provided that longer attenuation times (e.g.,
approximately a week) are acceptable, and the soil can be kept relatively dry.

Application of Liquid Sporicide or Foam
Numerous liquid and foam decontaminants have been comprehensively evaluated for their efficacy
against spores of B. anthracis on  non-porous and porous building materials and soil. Several studies [6,
14-17] have shown that the most effective sporicidal liquids (spray-applied to the test coupons and
remained in contact for exposure times ranging from 10 to 70 min) for outdoor materials are  H2O2/PAA,
and HOCI chemistry. Examples of H2O2/PAA technologies include Minncare* Cold Sterilant and Oxonia
Active* (see Table 1, items 3 and  4). Both of these are  EPA registered sterilants. Examples of HOCI-based
decontaminants are CASCAD™ SDF, pAB (see Table 1, items 9 and 10), and the electrochemical
generation of anolyte solution (generated using the EcaFlo® system [18]).

However, due to organic loading, pAB is not effective at decontaminating B. anthracis in soil [10], and
this will likely be the case with other decontaminants utilizing HOCI  chemistry. Although, the use of pAB
with a surfactant such as trisodium phosphate (TSP) may be useful in decontaminating heavily grimed
surfaces that are found  in urban areas [13]. Another evaluated chemical, sodium persulfate (see Table 1,
item #12), which is made commercially for soil remediation, may be the best liquid sporicidal  option for
decontamination of soil or other high organic material, such as grime. An EPA study showed that sodium
persulfate activated with hydrogen peroxide can overcome organic  loading in soil  [10].

An EPA study that evaluated pAB, CASCAD™ SDF, Oxonia Active", and Klozur" (sodium persulfate) for
decontaminating test coupons of topsoil containing B. anthracis spores found that efficacy was slightly
better with the 120-minute contact time than with the 60-minute contact time for pAB, CASCAD™ SDF,
Oxonia Active". However, efficacy with these three decontaminants never exceeded about 1 LR, even
with several applications onto the topsoil coupons. With Klozur", efficacy was substantially greater with
the 48-hour contact time than with the 24- hour contact time, and both Klozur" efficacy results were
significantly higher than any efficacy result with the other three decontaminants. [9]

EPA is currently completing a study evaluating the efficacy of sodium persulfate against spores of 6.
anthracis on outdoor materials. Preliminary unpublished data shows a > 6 LR on outdoor material such
as wood, brick, concrete, and asphalt under certain parameters. [11]
                                              10

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Use of Fumigants
Gaseous or vaporized products (often applied in the same manner as fumigants used in the agricultural
industry) may be used to decontaminate soil and outdoor building materials. Methyl bromide has been
shown to decontaminate B. anthracis on outdoor building material [19]. Test data also support the
notion that CIO2 (see Table 1, item #11) may be an effective decontaminant for soil [8] and surfaces
covered with dirt or grime [20].

Additionally, metam sodium and methyl bromide have shown effectiveness against spores of 6.
anthracis in soil (see Table 1, item # 13 and 14). Metam sodium is the most widely used soil fumigant in
the United States. It is applied as a liquid and converts to gas when it reacts with soil moisture. A study
showed that metam sodium was effective (> 6 LR) against 6. anthracis on topsoil. In the same study,
methyl bromide was effective (> 6 LR achieved) against B. anthracis on topsoil at 25 °C when using a
concentration of at least 180 mg/L and contact time of 36 hours [10].

CONCLUSION:
Many surface decontamination technologies exist.  Some of the decontamination approaches presented
in this brief have proven successful during real-world responses. In contrast, other approaches have
been demonstrated to be effective during laboratory testing and have not been fully evaluated at the
field-scale level. Therefore, many of the recommended techniques are based upon a combination of
best professional judgment and experience of both scientists and emergency responders. During the
response, users of this brief may need to evaluate and modify the  decontamination techniques
presented here to help establish the process-knowledge required for the environmental- and site-
specific conditions.

DISCLAIMER:

The U.S. Environmental Protection Agency through its Office of Research and Development funded and
managed the research described herein under several contractual agreements listed in the references.
Compilation of this technical information was conducted by Booz Allen Hamilton under EP-G13C-00404.
This summary has been subjected to the Agency's review and has been approved for publication. Note
that approval does not signify that the contents reflect the views of the Agency. Mention of trade
names, products, or services does not convey official EPA approval, endorsement, or recommendation.

REFERENCES:

1. U.S. EPA. Evaluation of Liquid and Foam Technologies for the Decontamination of B. anthracis and 6.
   subtilis Spores on Building and Outdoor Materials. Washington, D.C.: US Environmental Protection
   Agency, EPA/600/R-09/150, 2009.

2. U.S. EPA. Systematic Investigation of Liquid and Fumigant Decontamination  Efficacy against
   Biological Agents Deposited on Test Coupons of Common Indoor Materials. Washington, D.C.: U.S.
   Environmental Protection Agency, EPA/600/R-11/076, 2011.

3. U.S. EPA. Biological Agent Decontamination Technology Testing. Technology Evaluation Report.
   Washington, D.C.: U.S. Environmental  Protection Agency.  EPA/600/R-10/087, 2010.
                                             11

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4.   U.S. EPA. Effectiveness of Physical and Chemical Cleaning and Disinfection Methods for Removing,
    Reducing or Inactivating Agricultural Biological Threat Agents. Washington, D.C.: U.S. Environmental
    Protection Agency, EPA/600/R-11/092, 2011.

5.   U.S. EPA. Bio-Response Operational Testing And Evaluation (BOTE) Project, Phase 1:
    Decontamination Assessment. Washington, D.C.: U.S. Environmental Protection Agency, EPA/600/R-
    13/168, 2013.

6.   Wood, J.P., Choi, Y.W., Rogers, J.V., Kelly, T.J., Riggs, K.B. and Willenberg, Z.J. Efficacy of Liquid Spray
    Decontaminants for Inactivation of B. anthracis Spores on Building and Outdoor Materials. J Appl
    Microbiol 110, 1262-1273, 2011.

7.   Wood, J.P., Calfee, M.W., Clayton, M., Griffin-Gatchalian, N.,  and Touati A. Optimizing Acidified
    Bleach Solutions to Improve Sporicidal Efficacy on Building Materials. Article first published online:
    DOI: 10.1111/J.1472-765X.2011.03162.X, 27 OCT 2011.  |

8.   U.S. EPA. Inactivation of 6. anthracis Spores in Soil Matrices with Chlorine Dioxide Gas. Washington,
    D.C.: US  Environmental Protection Agency, EPA/600/R-12/517,  2012.

9.   U.S. EPA. Evaluation of Liquid and Foam Technologies for the Inactivation of 6. anthracis Spores on
    Topsoil. Washington, D.C.: US Environmental Protection Agency, EPA/600/R-10/080, 2010.

10. U.S. EPA. Decontamination of Soil Contaminated with B. anthracis Spores. Washington, D.C.: US
    Environmental Protection Agency, EPA/600/R-13/110, 2013.

11. U.S. EPA. Decontamination of Outdoor Materials Contaminated with Anthrax using Sodium
    Persulfate  or Chloropicrin. Washington, D.C.: US Environmental Protection Agency, DRAFT Report,
    May 2015.

12. Meyer, K.,  J. Tufts, W. Calfee, AND L. Oudejans. Efficacy of Sporicidal Wipes for Inactivation of a
    Bacillus anthracis Surrogate. Journal of Applied Microbiology. Blackwell Publishing, Maiden, MA,
    (117):1634-1644, 2014.

13. U.S. EPA. Assessment of Liquid and Physical Decontamination Methods for Environmental Surfaces
    Contaminated with Bacterial Spores: Evaluation of Spray Method Parameters and Impact of Surface
    Grime. Washington, D.C.: US Environmental Protection Agency, EPA/600/R/12/591, 2012.

14. US EPA. Environmental Persistence of Vegetative B. anthracis and Yersinia pestis. Washington, D.C.:
    US Environmental Protection Agency, EPA/600/R-14/150, 2014.

15. Calfee, M.W., Choi, Y., Rogers, J., Kelly, T., Willenberg, Z. and  Riggs, K. Lab-Scale Assessment to
    Support  Remediation of Outdoor Surfaces Contaminated with B. anthracis Spores. Journal of
    Bioterrorism and Biodefense 2, 1-8, 2011.

16. Calfee, M.W., Ryan, S.P., Wood, J.P., Mickelsen, L., Kempter, C., Miller,  L., Colby, M., Touati, A.,
    Clayton,  M., Griffin-Gatchalian, N., McDonald, S. and  Delafield,  R. Laboratory Evaluation of Large-
    Scale Decontamination Approaches. J Appl Microbiol 112, 874-882, 2012.

17. 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. Washington, D.C.: US  Environmental Protection Agency, EPA/600/R-12/025, 2012.
                                              12

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18. U.S. EPA. Evaluating a Decontamination Technology Based on the Electrochemical Generation of
    Anolyte Solution against 6. anthracis Spores. Washington, D.C.: US Environmental Protection
    Agency, EPA/600/R-11/124, 2011.

19. U.S. EPA. Methyl Bromide Decontamination of Indoor and Outdoor Materials Contaminated with 6.
    anthracis Spores, EPA/ 600/R-14/170, 2014.

20. U.S. EPA. Interactions of CIO2 and H2O2 Fumigants with Dirt and Grime on Subway Concrete.
    Washington, D.C.: US Environmental Protection Agency, EPA/600/R-14/226, 2014.

CONTACT INFORMATION:

For more information, visit the NHSRC Web site at

Technical Contact:            (ryan.shawn@epa.gov)

General Feedback/Questions:            (nickel.kathy@epa.gov)
                                            13

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