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Keeping Green and Clean in
the Workplace

Josh Radoff - Tork Green Hygiene Council, Principal at
YGR sustainability

Dr. Allison Aiello - Tork Green Hygiene Council,
Assistant Professor of Epidemiology at the University of
Michigan
YRG sustainability
consulting - education - analysis
                                        Buildings
                                      Companies
                                     Communities

     Josh Radoff, Principal
                                       Education
     jradoff@yrgsustainability.com     Marketing
     www.yrgsustainability.com
     Twitter: @YRGreen
     Facebook: YRG sustainability
Agenda
 What is sustainability?
 How does sustainability relate to
 wellness?
 Opportunities to encourage wellness
What is Sustainability in the Office
Environment?
Definitions of Sustainability




                     +            +

    People               Planet       Profits



Triple Bottom Line
Better facility to teach
                    sustainability
More money for
resources




                              Green               Greener homes
                                                  to go back to
Happier employees
                              Office


                                               Reduced
                                               absenteeism,
                                               healthier
                         Better performance    occupants
How Does Sustainability Influence
Wellness?
RETAIL             SCHOOLS            HOSPITALS




      INCREASE         BETTER TEST         EARLIER
    IN SALES PER      PERFORMANCE         DISCHARGE
    SQUARE FOOT




FACTORIES          OFFICES



                                            Good
      INCREASED        PRODUCTIVITY          for
     PRODUCTION          INCREASE
                                           People

                                            Source: usgbc.org
河顎温鉛庄岳霞油
                                               Lighting


                                                          Daylight
                    Controls


                                               LowVOC
                                               products       Interior
    Openwork                                                greenery
    areas                      Stairwellto
                               encourage
                               interaction

                                 Exterior
                                 landscaping                    Restaurantsand
Accesstoalt                                                  grocerywithlocal
trans                                                           foods

  Whatdoessustainabilitylooklikefortheworkplace?
  Perkins+Will
赫艶岳岳庄稼乙油岳看油温稼糸油温姻看顎稼糸油岳鞄艶油敬看姻一油沿鉛温界艶
GreatPlacestoWork
Windrush School:ElCerrito,CA   額2掘2油京顎庄鉛糸庄稼乙油:油皆岳温稼韓看姻糸油雨稼庄厩艶姻壊庄岳霞
Accesstodaylighting ...
StanfordY2E2Building:Boora Architects   ClackamasHighSchool:Boora Architects
Accesstodaylighting ...
.油.油.油温稼糸油韓姻艶壊鞄油温庄姻
遺看馨韓看姻岳温恢鉛艶油皆沿温界艶壊
晦庄乙鞄岳庄稼乙油河顎温鉛庄岳霞
Texture
酷鉛艶恰庄恢鉛艶,油或沿艶稼油安看姻一庄稼乙油皆沿温界艶壊
BuildingIntegratedLandscape Interior
鴛稼界姻艶温壊艶油遺看鉛鉛温恢看姻温岳庄看稼油/油檎艶糸顎界庄稼乙油意姻温稼壊沿看姻岳温岳庄看稼
Feedback for Smarter Buildings and Engaged Occupants
Source: Lucid Designs
掘恰岳艶姻庄看姻油晦温稼糸壊界温沿庄稼乙油温稼糸油或沿艶稼油皆沿温界艶
檎看看韓岳看沿油赫温姻糸艶稼壊
粥界界艶壊壊油岳看油酷姻艶壊鞄油堰艶温鉛岳鞄霞油酷看看糸
                               雨油看韓油或油雨姻恢温稼油酷温姻馨
Low/Non-Toxic Cleaning
晦看敬油閣或遺油沿姻看糸顎界岳壊
Ventilation
Opportunities to Encourage Wellness
Tapping into Loss Aversion will Only Get You So Far
Embracing Occupants
The Power of the Sticker
Remind People What You Want
Feedback for Smarter Buildings and Occupants
Source:TheFunTheory www.thefuntheory.com
Make it Fun
Feedback for Smarter Buildings and Occupants
 Source: Lucid Designs
Using Occupant Feedback for a Smarter Building
 Source: Center for the Built Environment  Occupant Survey
Start a green team to lead the efforts
Transmission of Infection and
Prevention in the Workplace



  Allison E. Aiello, PhD, MS

  Email: aielloa@umich.edu




                               38
Prevention in Public Health
     The promotion of health by application of multiple
     strategies before there is detriment to health and
     manifestation of disease
        Vaccination
        Healthy behaviors
        Education




39
Sustainability as a Preventive
Measure

     Prevents harm to the environment
     Ultimately improves public health




40
How Does Illness Impact Your
Business?
One billion colds occur annually in U.S.

Adults average 2-4 colds/year, children 6-10

Common cold causes an average 8.7 lost work
hours

75 million days are expected to be missed during flu
season




                                                       41
How Does Illness Impact Your
Business?
 1996 survey from NCHS for viral respiratory illness

             62 million cases of colds needing Rx
             45 million bed ridden days
             20 million days of missed work
             22 million days of missed school

 Likely a vast underestimate




 Fendrick, A.M (2003) American Journal of Therapeutics 10, 193-202
42
How Might Your Bottom Line Be
Impacted by Illness?

     Absenteeism costs businesses $660
     per employee per year

     Colds cost $16.8 billion annually

     Costs associated with seasonal
     influenza

         $37.5 billion in economic costs
              Influenza & pneumonia

         More than $10 billion in lost productivity

 Fendrick, A.M (2003) American Journal of Therapeutics 10, 193-202, CDC
43
Flu Facts

     Seasonal Influenza

       Every year 5-20% of the U.S. population

       More than 200,000 are hospitalized

       36,000 die from flu-related illnesses

       At risk: elderly, children, pregnant women,
       chronic underlying conditions


44
Influenza and other Respiratory
Infection

     Transmission occurs through coughing or
     sneezing

        Direct contact
        Large droplets
        Aerosol small droplet (nuclei) particles




45
How Contagious are Infected
Individuals?

     Influenza as an example- from one day before
     symptoms develop to up to 7 days after onset of
     illness

     Young children might potentially be contagious for
     longer periods




46
Gastrointestinal Illnesses

     Fecal  oral transmission
     Easily spread on fomites
        Desks
        Keyboards
        Door handles
        Toilet levers
     Short incubation period and can cause major
     outbreaks




47
What Can You Do to Prepare For
Infectious Disease Outbreaks?

 Flexible in response
     Not predictable
     Varying levels of severity

 Reduce transmission among staff

 Protect those at increased risk

 Maintain business operations



48
Key Indicators of Response
 Disease severity in community
     State and local health departments

 Extent of cases/prevalence

 Amount of worker absenteeism

 Impact of disease on vulnerable

 School dismissals or closures



49
What Can Businesses Do?
 Understand normal seasonal absenteeism rates
     Monitor for changes

 What is the threshold at which essential business is
 affected?

 Practice good prevention efforts




50
Good Hygiene Practices Can Keep
  Your Employees Safe

      Does it reduce infectious illnesses

          Prevents direct contact transmission




Aiello, AE, Coulborn, R, Perez, V, Larson, EL. American Journal of Public Health. In Press
 51
Efficacy of Hand Hygiene?

Overall hand hygiene resulted in:


 21% reduction in respiratory illness
 (95% CI, 5% to 34%)


 31% reduction in gastrointestinal illness



Aiello, AE, et al. (2008) Effect of hand hygiene on infectious disease risk in the community
setting: a meta-analysis. Am J Public Health. 98(8):1372-81
52
Top 9 Reasons Why Students
Dont Wash
     1.   Unnecessary
     2.   Too busy
     3.   Forget
     4.   Product not conveniently located
     5.   No sink/facilities available
     6.   Out of product
     7.   Product irritates my skin
     8.   Do not like the available products
     9.   Other reasons...




53
What About the Workplace?


 Approximately 58% of
 employers do nothing to
 encourage hand hygiene in the
 workplace




54
When Is it Critical For Employees
to Perform Hand Hygiene?
 Before

     Preparing food
     Eating food
     Dressing wounds
     Caring for at risk person




55
When Is it Critical For Employees to Perform
Hand Hygiene in Work Environment?
 After

     Using the bathroom
     Handling certain foods
     Contact with contaminated surfaces
     Wiping/blowing nose, coughing
     Body fluids, wounds
     Caring for an ill person




56
Other Methods of Prevention for
Employees
 Prevent aerosol and droplet spread

     Cover mouth/nose when coughing/sneezing

     Avoid touching your eyes, nose and mouth

     Provide tissues, paper towels and no-touch
     disposal receptacles for use by employees

     Consider masks



57
Other Methods of Prevention
 Reduce contacts

     Instruct employees to stay home for at least 24 hours after
                                             US National Archives, 2008
     symptoms are gone
        Out 3-5 days on average

     Plan to operate during significant levels of absenteeism




58
Other Methods of Prevention
 Explore ways of improving accessibility of
 vaccination

 Work with insurers to explore if they can cover the
 costs of influenza vaccination




59
Shift to Environmentally Friendly
Products

     Popularity of household and personal hygiene
     products that are biodegradable, phosphate-free,
     and natural

     Green Cleaning laws for schools in New York

     NYS law requires all public and nonpublic
     elementary and secondary schools use
     environmentally sensitive cleaning products
       Protect human health and the environment without
       sacrificing product effectiveness

60           http://www.emsc.nysed.gov/facplan/greenclean.htm
Engineering and Infrastructure
 Changes




              Automated
              delivery             Ventilation and
                                  Directional Airflow

Benefit: Reduces need for intensive compliance
 61
Summary

     Infectious illnesses are unpredictable
       Vaccines and treatments uncertain
       Absenteeism profound impact on business

     Prevention is key
       Multi-prong approach
          Hand hygiene: direct contact
          Cough etiquette: aerosol/droplets
          Social distancing (staying home while ill): reduce
           contact
          Vaccination: reduce transmission


62
Conclusions

     Make it a priority to promote these measures and
     worker compliance will help reduce the impact of
     infectious illnesses on your business




63
Please visit the TGHC website at www.torkgreenhygienecouncil.com and
click on the Environmental Resource tab to download this presentation
and access the links.
Also be sure to like and follow our TGHC Facebook and Twitter
handles to gain valuable insights and time-relevant information from the
council members.
Visit the Tork Website




   www.torkusa.com

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