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You will find the latest EVD information updated daily as it is made available by the CDC, DEP, DoH, DOT, and OSHA.

Ebola Virus Disease Overview Ebola Infection Prevention and Control Recommendations Ebola Containment/Packaging Medigreen Ebola Update

Ebola Virus Disease Overview

Ebola, previously known as Ebola hemorrhagic fever, is a rare and deadly disease caused by infection with one of the Ebola virus strains. Ebola is spread through direct contact (through broken skin or mucous membranes in, for example, the eyes, nose or mouth) with blood or body fluids (including but not limited to urine, saliva, sweat, feces, vomit, breast milk, and semen) of a person who is sick with Ebola.

Symptoms of Ebola include:

  • Severe headache
  • Muscle pain
  • Weakness
  • Diarrhea
  • Vomiting
  • Abdominal pain
  • Unexplained bleeding or bruising

It is usually not possible to determine whether a patient has seasonal influenze or Ebola infections based on symptoms alone. However, there are tests to detect seasonal influenza and Ebola infection.

For detailed information on symptoms of Ebola Virus Disease infection and modes of transmission, see the CDC Ebola Virus Disease website

Ebola Infection Prevention and Control Recommendations

On July 30, 2014 the CDC released its Infection Prevention and Control Recommendations for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals. These recommendations are continuously updated and include guidance on personal protective equipment and environmental infection control measures that are applicable to any healthcare setting. This website also includes Key Components of Standard, Contact, and Droplet Precautions Recommended for Prevention of EVD Transmission in U.S. Hospitals.

The CDC offers recommendations as to precautions to take to prevent Ebola Virus transmission in hospitals including:

OSHA has FactSheet 3756, Cleaning and Decontamination of Ebola on Surfaces. This offers guidance for non-healthcare and non-laboratory settings. Approved disinfectant should cover and saturate the infected area and soak into spills for at least 30 minutes before cleaning. For more detailed instructions, see the OSHA FactSheet 3756

Ebola Containment/Packaging

Ebola contaminated waste is classified as Category A infectious substance as opposed to the regulated biomedical waste Medigreen currently transports which is Category B. We have a team that is diligently working to meet all the necessary USDOT hazardous material requirements for transportation and disposal of Ebola contaminated waste.

Any item transported offsite for disposal that is contaminated or suspected of being contaminated with a Category A infectious substance must be packaged and transported in accordance with the U.S. DOT Hazardous Materials Regulations (HMR, 49 C.F.R., Parts 171-180). This includes medical equipment, sharps, linens, and used health care products (such as soiled absorbent pads or dressings, kidney-shaped emesis pans, portable toilets, used Personal Protection Equipment (gowns, masks, gloves, goggles, face shields, respirators, booties, etc.) or byproducts of cleaning) contaminated or suspected of being contaminated with a Category A infectious substance.

Medigreen is working to provide Category A infectious substance USDOT approved triple packaging which involves 3 layers per HMR, 49 C.F.R. 173.196:

  • Primary watertight receptacle
  • Secondary watertight packaging
  • Rigid outer packaging

The Department of Transportation has issued DOT Guidance for Preparing Packages of Ebola Contaminated Waste for Transportation and Disposal. These guidelines include:

  • Waste must first be placed in plastic film bags meeting certain regulations. Individual film bags may not weigh more than 22 lbs. (10 kg) when filled.
  • An outer packaging my contain more than one set of triple bagged waste.
  • Prior to closure, contaminated waste must be treated with an U.S. Enviromental Protection Agency (EPA)-registered hospital disinfectant with a label claim for a non-enveloped virus that is recommended by the CDC for use as a disinfectant for the Ebola virus.
  • Place sharps waste in an authorized sharps container, and close and seal in in accordance with the packaging instructions for that container.
  • Close the plastic film bag by tying the bag with a knot or other equally effective positive means of closure.
  • Disinfect the exterior surface of the plastic bag with and EPA-registered hospital disinfectant recommended by the CDC, as above.
  • Repeat these steps for a minimum secondary packaging in approved film bags.
  • Outer packaging must be either a rigid UN Standard or DOT Approved non-bulk packaging.
  • Place absorbent material sufficient to absorb all free liquid (if any) in the bottom of the outer packaging.
  • Securely close the outer packaging as specified by the manufacturer of the packaging.
  • Disinfect the exterior surface of the package with an EPA-registered hospital disinfectant recommended by the CDC for use as a disinfectant for the Ebola virus.
  • The outer packaging must be marked and labeled in accordance with HMR 49 C.F.R. 172.301
  • Before loading the package into a transport vehicle, the medical facility ust ensure that the package is not leaking and the package is closed and sealed according to the recommended closure instructions.

Employees who prepare hazardous materials at the customer site for transportation are hazardous materials employees and must be trained in accordance with HMR 49 C.F.R., Part 172, Subpart I on the packaging of such waste.

Medigreen Ebola Update

We are in the process of securing approved packaging and insuring our compliance with the DOT regulations. Once that is completed, we will update this site with documentation regarding our policy of managing the Ebola threat and information on how your facilities can prepare the supplies that we can offer.

Disclaimer: This information was gathered from a variety of sources including the Florida Department of Health, U.S. Department of Transportation, Center for Disease Control, and OSHA. Due to regulation changes, information listed on this webpage is subject to change without notice. Be advised that information contained herein is intended to serve as a useful reference for informational purposes only and is not complete clinical information. This information is intended for use only by competent healthcare professionals exercising judgment in providing care. Medigreen Waste Services disclaims all responsibility for its completeness and accuracy, whether or not the inaccuracy or incompleteness is due to fault or error by Medigreen Waste Services.