From the Sector

 Global Health Exhibition is Saudi’s first healthcare trade platform for the global market and takes place in Riyadh from 10 to 12 September. Saudi Arabia is considered a growing market particularly in the healthcare sector and this exhibition is the response to this development. Over three days visitors can discover the latest products and developments from more than 180 companies from 25 countries. Trevira GmbH is also exhibiting at this show in order to present innovative fabrics from 13 of its customers made from flame retardant fibres and yarns.

In terms of quality, functionality, colouring and hygiene, the requirements on modern furnishing concepts in the healthcare sector are becoming more and more demanding. Perfectly matched materials and colour concepts in the interior help to provide good orientation for the residents and create more attractive spaces. In addition, the use of appropriate textiles such as curtains, drapes, blinds and sliding panels, fabric-covered dividing panels, upholstery and bedding textiles, can improve the room acoustics, protect your privacy and let the room appear in a pleasant light. In healthcare environments where hygiene and cleanliness are of particular importance, antimicrobial textiles may be used.

Emphasis on Process, Third-party Validation and Outcome-based Testing

Healthcare laundry and linen provider Hospital Central Services (HCSC) has earned the Hygienically Clean Healthcare certification for its Baltimore plant, reflecting their commitment to best management practices (BMPs) in laundering as verified by on-site inspection and their capability to produce hygienically clean textiles as quantified by ongoing microbial testing.

The Hygienically Clean Healthcare certification confirms the organization’s continuing dedication to infection prevention, compliance with recognized industry standards and processing healthcare textiles using BMPs as described in its quality assurance documentation, a focal point for Hygienically Clean inspectors’ evaluation. The independent, third-party inspection must also confirm essential evidence that:

• Employees are properly trained and protected
• Managers understand regulatory requirements
• OSHA-compliant
• Physical plant operates effectively

To achieve certification initially, laundries pass three rounds of outcome-based microbial testing, indicating that their processes are producing Hygienically Clean Healthcare textiles and diminished presence of yeast, mold and harmful bacteria. They also must pass a facility inspection. To maintain their certification, they must pass quarterly testing to ensure that as laundry conditions change, such as water quality, textile fabric composition and wash chemistry, laundered product quality is consistently maintained. Re-inspection occurs every two to three years.

Emphasis on Process, Third-Party Validation and Outcome-Based Testing

Canadian Linen and two U.S. AmeriPride Services Inc.’s locations have recently earned have earned the Hygienically Clean Food Safety certification, reflecting their commitment to best management practices (BMPs) in laundering as verified by on-site inspection and their capability to produce hygienically clean textiles as quantified by ongoing microbial testing. The company’s Canadian Linen and Uniform Service facilities in these locations have earned the Hygienically Clean Food Safety certification:  

• Alberta: Edmonton and Lethbridge
• British Columbia: Victoria and Vancouver/Burnaby
• Manitoba: Winnipeg
• Nova Scotia: Halifax
• Ontario: Etobicoke, London, North York and Ottawa
• Quebec: Quebec City
• Saskatchewan: Regina and Saskatoon

The recently-certified U.S. AmeriPride laundries are located in Vernon, Calif. and Durant, Miss.  
The certification confirms the laundry’s dedication to compliance and processing garments and linens using BMPs as described in its quality assurance documentation, the focal point for inspectors’ evaluation of critical control points (CCPs) that minimize risk. The independent, third-party inspection must confirm essential evidence that:

• Employees are properly trained and protected
• Managers understand legal requirements
• OSHA-compliant
• Physical plant operates effectively

In addition, these facilities each passed three rounds of outcome-based microbial testing, indicating that their processes are producing Hygienically Clean garments and other reusable textiles with diminished presence of harmful bacteria. To maintain their certification, laundry plants must pass quarterly testing to ensure that as laundry conditions change, such as water quality, textile fabric composition and wash chemistry, laundered product quality is consistently maintained.
This process eliminates subjectivity by focusing on outcomes and results that verify textiles cleaned in these facilities meet appropriate hygienically clean standards and BMPs for animal processing, dairies, fruit/vegetable, bakeries, grain and other food and beverage industry segments.
These Vernon, Calif. and Durant, Miss. locations of the AmeriPride chain join these laundries who have previously received the Hygienically Clean Food Safety certification:

• Tuscumbia, Ala.
• Bakersfield and Fresno, Calif.
• Twin Falls, Idaho
• St. Cloud and Minneapolis, Minn.
• Amarillo Texas

Hazard Analysis and Critical Control Points (HACCP) practices are examined in the Hygienically Clean Food Safety inspection process, evaluating the plant’s techniques for:

• Conducting hazard analysis
• Determining CCPs, monitoring their control, correcting them if not under control
• Validating and verifying HACCP system effectiveness
• Documenting and record-keeping to show ongoing conformance

On-site inspections also evaluate practices relevant to handling and processing textile products used in food manufacturing/processing establishments for adherence to U.S. Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) directives. Introduced in 2014, Hygienically Clean Food Safety brought to North America the international cleanliness standards for laundering garments and other textile products for food manufacturing used worldwide by the Certification Association for Professional Textile Services and the European Committee for Standardization.
Twelve of the company’s U.S. locations have achieved the Hygienically Clean Healthcare certification:

• Little Rock, Ark.
• Phoenix and Watkinsville, Ga.
• Twin Falls, Idaho
• Topeka, Kan.
• Bemidji and Minneapolis, Minn.
• pringfield, Mo.
• Omaha, Neb.
• Roswell, N.M.
• Memphis, Tenn.
• Lubbock, Texas

The company’s Canadian Linen and Uniform Service facility in Lethbridge, Alberta, is also Hygienically Clean Healthcare-certified.
In January 2018, Philadelphia-based Aramark Corp. announced the completion of its acquisition of AmeriPride, making AmeriPride a wholly owned subsidiary. Aramark’s uniform rental and career apparel business is headquartered in Burbank, Calif.

TRSA recently held its Annual Membership Meeting for the nomination, election and swearing-in of new Officers and Directors.
Jim Buik, president of the Roscoe Co. in Chicago is TRSA’s new chairman. Buik served as vice chairman of TRSA in 2017-2018. The Roscoe Company is Chicago’s leading independent uniform service company.

Jim has been active in linen, uniform and facility services associations. He’s a graduate of TRSA’s Executive Management Institute (EMI). He served on various committees, task forces and boards and was chairman of UTSA, which blended with TRSA, from 2003 to 2005. He has been a pioneer of industry technologies and best practices. Through association programs he has shared Roscoe’s experience in developing these innovations, including marketing automation, wastewater treatment and employee skill certification.

Additional officers and directors sworn in at the meeting:
•    Noel Richardson, Officer-Vice Chair, Shasta Linen Supply, Sacramento, CA
•    Jim Kearns, Officer-Treasurer, Alsco Inc., Salt Lake City
•    Bob Dudley, Director, APPEARA, Norfolk, NE
•    Scott Finkelstein, Director, Ace Uniform Services Inc., Baltimore
•    Dan Sanchez, Director, Medline Industries Inc., Mundelein, IL

In addition, Directors Randy Bartsch, Ecotex Healthcare Linen Service and P.J. Dempsey, Dempsey Uniform & Linen Supply were re-elected for second terms and will be officers serving on the TRSA Executive Committee.

TRSA said today that a study published in Infection Control and Hospital Epidemiology painted an unnecessarily alarming picture regarding the risk of C. difficile contamination from hospital linens and potential infectious outbreaks.
The study, titled From ward to washer: The survival of Clostridium difficile spores on hospital bed sheets through a commercial UK NHS healthcare laundry process concludes that “processing infected linen in commercial washer/extractor cycles could disseminate low levels of C. difficile spores and may be contributing to sporadic outbreaks of C. difficile infection (CDI).”

“Therefore, even in the study’s assessment, the findings are conditional,” said TRSA President and CEO Joseph Ricci. Ricci said that additional facts mitigate them even more:
•    The conclusion is based on one wash formula’s inability to meet the British National Health Service (NHS) standard. This standard indicates that water temperature and the amount of time that linen is washed are the true indicators of wash quality.
•    Best-management practices dictate that the quality of the wash process is maximized by using a complete wash formula that includes temperature, chemistry and mechanical action, which are customized to address various soil levels and generate hygienically clean textiles. In addition, heat from drying, ironing and finishing these linens also contributes to the linens’ cleanliness. Perhaps the only valid conclusion that can be reached from this research is that the one wash formula tested in the study is inadequate to remove C. difficile.
•    Most outsourced, professionally laundered healthcare linens and uniforms are processed using a tunnel washer, not washer/extractors used in the research.
•    Most healthcare-related wash formulas are designed to account for time, temperature, chemistry and mechanical action that appropriately eliminate C. diff. For example, the FDA recently approved the use of a disinfectant specifically formulated to kill off C. difficile spores.
•    TRSA has been collecting microbiological testing data since 2014 on linen and uniform service laundries that have achieved and maintained the Hygienically Clean certification by eliminating bacteria on soiled linens to negligible levels; there have been no positive identifications of C. difficile.
•    difficile contamination linked to linens is extremely rare. The best way to protect your facility and patients is to partner with a Hygienically Clean certified laundry.

Bobingen - Trevira GmbH, Germany, is again participating as an exhibitor at this year’s Building Healthcare show in Dubai, from 2-4 October. The manufacturer of high-value polyester fibres will present a large variety of fabrics made by 12 partners from inherently flame retardant Trevira fibres and yarns.

Modern furnishing concepts for healthcare environments are making increasing demands in terms of quality, functionality, colouring and hygiene. Perfectly matched materials and colour concepts in the interior not only help to provide good orientation for the residents, but also create more attractive spaces. In addition, the use of appropriate textiles such as curtains, drapes, blinds and sliding panels, fabric-covered dividing panels, upholstery and bedding textiles, can improve the room acoustics, protect your privacy and let the room appear in a pleasant light. In healthcare environments where hygiene and cleanliness are of particular importance, antimicrobial textiles may be used.

Trevira CS® and Trevira CS Bioactive® create a safe, attractive and comfortable environment in hospitals, clinics, spas, care homes and all other sectors in the contract sector.

Trevira CS Bioactive® contract textiles combine flame retardant and antimicrobial functions, which makes them the ideal material for use in healthcare facilities. They inhibit the growth of bacteria, prevent the formation of odours in/on the fibre and keep the textiles fresh for a longer time. The permanent flame retardant and bioactive properties of their fibres is integrated at molecular level, meaning that they remain unaffected by repeated washing, abrasion and ageing. This gives them an advantage over textiles with only a supplementary surface finish.

Trevira CS® and Trevira CS Bioactive® fabrics for the healthcare sector presented at the show stand come from these suppliers: Delius, Dina Vanelli, Fidivi Tessitura Vergnano, Gebrüder Munzert, JAB, Mattes & Ammann, Pugi, Rubelli, Rudolf Breuer Mechanische Weberei, Schmitz Textiles/drapilux, Subrenat, Verotex.

Trevira CS® and Trevira CS Bioactive® fabrics meet the requirements of the relevant international fire safety standards and can be certified according to the IMO regulations for the maritime sector. All Trevira fibres and yarns carry the Oekotex Standard 100 certificate. They are manufactured in accordance with the highest standards for sustainable products. A broad variety of collections with thousands of designs are available in Trevira CS® worldwide.

Exhibiting at this week’s Association for Professionals in Infection Control and Epidemiology (APIC) Annual Conference, Hygienically Clean Healthcare certified laundries provided nearly 200 copies of a training video guiding caregivers in improving soiled linen handling performance.

Provided on a flash drive: the 13-minute video (The Six Cs: Handling Soiled Linen in a Healthcare Environment), a quiz to immediately assess viewers’ grasp of the video’s lessons and posters to reinforce these year-round. Distributed since 2016, the video has been hailed for its value in aiding compliance with OSHA universal precautions regarding items saturated with blood, bodily fluids, harmful residue from treatments and other potentially infectious material.

The flash drive offer intrigued infection preventionists (IPs) from a single facility or those responsible for this function throughout health systems, whether acute or outpatient care environments or both. The drive also attracted the attention of other professionals who visited the Hygienically Clean exhibit, such as federal and state health officials and suppliers of products and services to the IP profession.

Distributing the flash drive is a hallmark of the Hygienically Clean program’s philosophy of addressing healthcare providers’ operational needs outside the scope of outsourced laundries’ traditional functions. Certified operators’ certification fees provide funding for creating and distributing the video and other education tools for healthcare facilities.

Visitors to the Minneapolis display who previously received the video vouched for its effectiveness. Certified laundries have individually distributed the flash drive to customers and prospects in addition to  their collective effort to provide them at previous APIC and Association for the Healthcare Environment (AHE) expos.

The video’s easy-to-follow steps improve infection control and patient care and reduce costs by addressing OSHA-required universal precautions. Employees who handle soiled linen (usually nurses and environmental services staff) must assume all human blood and potentially infectious materials they touch are infected, because they can’t be sure which patients are infected or what infections are present.

Adhering to the six Cs (cover, collect, contain, consolidate, clean, cooperate) each day prevents injury and reduces the risk of spreading of infection to co-workers, patients and residents. These positive outcomes are only achieved when workers first protect themselves.

The flash drive is available to all healthcare providers at no cost. It also contains the Hygienically Clean standard and other guidance documents for infection preventionists related to linen and uniforms. Among these documents: Handling Clean Linen in a Healthcare Environment, an 8-page guide to safeguarding through effective transportation, storage and distribution.

Linen, uniform and facility services operators certified Hygienically Clean Healthcare presented evidence today to members of the Association for Professionals in Infection Control and Epidemiology (APIC) that medical care facilities should more carefully control public wearing of employee uniforms.

Engaging visitors to the Hygienically Clean exhibit at APIC’s 2018 expo, certification staff had a receptive audience for the data. Most attendees interviewed indicated they support preventing employees from wearing scrubs and other healthcare apparel outside medical facilities. Many said they have policies to this effect but find these difficult to enforce.

The 3-day APIC exhibit is building awareness of Hygienically Clean certified providers among infection preventionists: individuals who recommend what linen and uniform service their facilities should use. Discussing issues with them such as uniform hygiene positions certified operators as the foremost laundry science experts with an unprecedented commitment to educating healthcare professionals regarding linen and laundry.

Visitors to the Hygienically Clean exhibit received Curbing the Infection Risks of Healthcare Garments, a brief compendium of studies and journal articles that point to the risk-reduction value of professionally laundering employees’ garments, worth the additional cost to a healthcare facility that currently makes employees responsible for washing them.

Hygienically Clean staff noted that TRSA, the global association for the linen and uniform industry that administers the certification program, has begun planning to raise the issue’s profile with healthcare industry stakeholders. TRSA’s Healthcare Committee has formed a task force on the matter. Staff has contacted TRSA associate members (suppliers to the industry) who manufacture scrubs, lab coats and other healthcare employee garments to explore promoting a new voluntary standard that would urge medical providers to prevent wearing these in public.

An Association of Perioperative Registered Nurses (AORN) standard currently performs this role regarding garments worn in surgical suites. TRSA will weigh the possibility of supporting creation of a much broader measure, covering all clinical functions with discernible risk of pathogen transmission from healthcare garments to patients and the public.

As TRSA investigates courses of action, hoping to involve such stakeholder groups, Hygienically Clean certified providers will continue to point to the mounting evidence of the risks of garments carrying pathogens out of healthcare facilities and inadequate domestic laundering bringing them in.

In contrast, contracting with a Hygienically Clean provider, whose processes (laundry practices) are verified and outcomes (product cleanliness) are quantified by third parties, provides maximum confidence that all garments used in a healthcare setting have diminished presence of harmful bacteria. It’s a cost-effective way to essentially eliminate this single risk of infection transmission, unlike so many others that require preventionists to constantly guard against.

Attendees of the May 19-22 National Restaurant Show in Chicago learned that linen, uniform and facility services providers serving restaurants and other foodservice operations can be distinguished by earning third-party verification of their sustainability and cleanliness, as TRSA exhibited its Clean Green and Hygienically Clean Food Service certifications at the show.
More than 150 individuals viewed the exhibit, which screened a new animated video explaining the Clean Green designation. It’s now showing on TRSA’s YouTube page (https://www.youtube.com/watch?v=I-24iVCNRT0).

Depicting operations within a laundry, the video shows how contracting with a Clean Green certified provider delivers services restaurants need and gives them peace of mind from doing business with a sustainable provider. Clean Green operations comply with water and energy standards and demonstrate best management practices in supplying, laundering and maintaining textiles.

Visitors to the exhibit learned which providers serving these attendees’ home geographic areas are Clean Green certified and were encouraged to work with such a certified provider if not already doing so. Speaking with attendees also gave TRSA staff the opportunity to ask them about their experience with providers and, if currently under contract with one, its identity.

• 76 percent of those questioned indicate they currently use such a provider. Most could identify it by name
• 18 percent said they use an on-premises or home laundry for linen and uniform needs. Many of these respondents indicated they work for hotels, healthcare facilities, colleges or military bases with their own laundry equipment
• 6 percent said they use disposable products (napkins, wipers) instead of their reusable textile equivalents; most of these respondents are in quick-service restaurant operations

The TRSA display distributed copies of Sustainability: Finding the “New” Green in Your Restaurant Supply Chain, a 7-page guide to using a systematic approach to choose suppliers whose products/services are proven to be more sustainable than those of their competitors and whose own practices are more sustainable.

TRSA’s exhibit also kicked off a survey of restaurant management to determine their perceptions of table linen service as a plus for facility hygiene and service to diners. Results will help TRSA communicate to the restaurant industry the value of using Hygienically Clean Food Service certified providers in the hope that doing so becomes an industry standard.

Such certified laundries commit to cleanliness through third-party, quantified biological testing and inspection. This process eliminates subjectivity by focusing on outcomes and results that verify linens and uniforms cleaned in these facilities meet appropriate hygienically clean standards and best management practices for servicing full- and limited-service restaurants, hotels, hospitals, educational institutions and other locations where food is handled and served.

ABOUT CLEAN GREEN
Clean Green certification recognizes linen, uniform and facility services companies that demonstrate responsible leadership in sustainability and conservation by acknowledging commitment to improving water and energy efficiency and adoption of best management practices for reusing, reclaiming and recycling resources. Certified operations meet quality standards for effectiveness in conserving resources and minimizing environmental impact. Customers that use Clean Green certified companies to supply, launder and maintain linens, uniforms, mats and other reusable textiles can be assured that their provider maximizes sustainable practices.

ABOUT HYGIENICALLY CLEAN
Hygienically Clean certification demonstrates linen, uniform and facility services companies’ commitment to cleanliness through independent, third-party laundry plant inspection and quantified microbial testing. Inspection and re-inspection verify that items are maintained, washed, dried, ironed, packed, transported and delivered using best management practices to meet key disinfection criteria. Between scheduled and supplemental inspections, ongoing microbial testing quantifies cleanliness and indicates laundry process adjustments.

• Additives, pigments and masterbatches for transportation, packaging, textiles & fibers
• Support to “future-proof” medical applications
• Contributing towards more sustainable engineering plastics

Clariant, a world leader in specialty chemicals, turns the spotlight on its increasing on-the-ground support and innovation focus for North America’s four key plastics application segments at NPE 2018 Booth S18155.

Clariant is pushing forward with plans for growth in the region by advancing R&D competencies, and increasing its manufacturing footprint and technical capabilities across its 50+ sites, 3 R&D and 6 technical innovation centers. Clariant’s innovations for the plastics industry include advanced additives, masterbatches and pigments which support the packaging sector in engaging consumers via differentiated, convenient solutions. At NPE, it will also highlight solutions for enhancing and protecting healthcare products, as well as its contribution to stronger and colorful textiles and fibers for everything from e-mobility to industrial applications.

Deepak Parikh, president of region North America, Clariant comments: “Clariant’s product innovation for the US and wider North American plastics industry embraces the region’s fastest growing end-use areas of automotive and construction. It also addresses the impact of trends driven by changing consumer lifestyle preferences and market regulations on other important segments such as packaging and healthcare.”

Transportation
Clariant brings color and protection to support the increasing use of engineering plastics and high temperture resins in automotive interiors, exteriors and under-the-hood. Halogen-free Exolit® OP 1400 provides outstanding flame retardancy to polyamide parts, enhances safety with UL 94 V0 performance down to 0.4 mm and enables the molding of complex parts with no mold deposits and blooming. Exolit OP 1400 has been awarded the Clariant EcoTain®label for outstanding sustainability and performance. At the same time, Clariant offers low-halogen controlled high-performance PV Fast® pigmentswith excellent migration and weather fastness properties to meet the high requirements of today’s transportation and automotive industry. Easy processing Renol® compounds and masterbatches for engineering and high temperature resins provide heat and light stability, and flame retardancy, while maintaining critical flow properties in parts like SMT connectors. Importantly, they are available as small lots which enables customers to purchase only what they require and contribute to a reduction in their carbon footprint.

Packaging
As US packaging manufacturers explore more consumer-friendly, lighterweight and appealing solutions, Clariant is on hand to support their functionality, sustainability-related and color desires. Clariant Pigments has an innovative cooperation with Konica Minolta and matchmycolor to enable fast, precise and efficient color matching of HDPE products, using select organic PV Fast and Graphtol® pigments that comply with FDA regulations. The ColorWorks®center in Chicago is dedicated to US brand managers and designers with teams of color design experts to create color formulations faster than ever before for bottles, caps, closures and films.

According to market reports, plastic pouches are gaining share from traditional pack types in packaged food and are mainstream in home care. To support smoother and more environmentally-compatible processing especially for film applications, Clariant offers an FDA-compliant, vegetable-based powder amide wax, Licolub® FA 1, which acts as a slip and anti-block agent. It is suitable for polyolefins and PVC.

Textiles & Fiber
At NPE 2018, Clariant puts the focus on strong and colorful textiles, carpets and industrial fibers. New AddWorks® TFB 117 offers a number of benefits to help stabilize and smoothen fiber production processes, protect color, and improve heat stability and mechanical properties of fibers. AddWorks TFB 117 ensures smooth spinnability with less filaments breakage, even at low processing temperatures and at high speed spinning up to 5,500 m/min. Clariant also offers a broad range of colorants for polypropylene, polyester, polyamide and acrylic fibers, featuring migration fastness, chemical stability, light- and weather-fastness.

Healthcare
Clariant supports risk control and regulatory compliance for medical polymer and pharmaceutical packaging solutions. Its Mevopur® color and performance masterbatches and compounds include a USP Class 6 line of compliant products and multiple global ISO, 87, 88, and 661.1 certifications ahead of the market deadline. Clariant also offers selected FDA-compliant organic pigments and polymer soluble dyes that meet purity migration fastness as well as toxicological properties for medical devices and pharmaceutical packaging.