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Last Updated:
09/28/11 01:38:27 PM
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Additional Health Information -
Hantavirus Pulmonary Syndrome |
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Hantavirus Infection
(Reproduction of the Morbidity and Mortality Weekly Report
dated July 30, 1993) |
Hantavirus Infection - Southwestern
United States:
Interim Recommendations for
Risk ReductionINCLUDED ARE
SELECTED SECTIONS OF THIS CDC DOCUMENT - FOR THE COMPLETE
TEXT CONTACT CDC
US DEPARTMENT OF HEALTH AND HUMAN
SERVICES
Public Health Service
Centers for Disease Control
and Prevention (CDC)
Atlanta, Georgia 30333 |
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General household Precautions in
Affected Areas |
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Although epidemiologic studies are being
conducted to identify specific behaviors that may increase
the risk for hantavirus infection in humans in the United
States, rodent control in and around the home will continue
to be the primary prevention strategy (Box 1). CDC has
issued recommendations for rodent-proofing urban and
suburban dwellings and reducing rodent populations through
habitat modification and sanitation (19,20). |
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Box I. General precautions for
residents of affected areas
Eliminate rodents and reduce the availability of food
sources and nesting sites used by rodents inside the home. |
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Follow the recommendations in the
section on Eliminating Rodents
Inside the Home.
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Keep food (including pet food) and
water covered and stored in
rodent-proof metal or thick plastic
containers with tight-fitting lids.
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Store garbage inside homes in
rodent-proof metal or thick plastic
containers with tight-fitting lids.
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Wash dishes and cooking utensils
immediately after use and remove all
spilled food.
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Dispose of trash and clutter.
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Use spring-loaded rodent traps in
the home continuously.
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As an adjunct to traps, use
rodenticide with bait under a
plywood or plastic shelter (covered
bait station) on an ongoing basis
inside the house
Note: Environmental
Protection Agency (EPA)-approved rodenticides are
commercially available. Instructions on product use should
always be followed. Products that are used outdoors should
be specifically approved for exterior use. Any use of a
rodenticide should be preceded by use of an insecticide to
reduce the risk of plague transmission. Insecticide sprays
or powders can be used in place of aerosols if they are
appropriately labeled for flea control. |
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Box 1. General precautions for
residents of affected areas, cont'd
Prevent rodents from entering the home. Specific measures
should be adopted to local circumstances. |
- Use steel wool or cement to seal, screen, or otherwise
cover all openings into the home that have a diameter 2 1/4
inch.
- Place metal roof flashing as a rodent barrier around the
base of wooden, earthen, or adobe dwellings up to a height
of 12 inches and buried in the soil to a depth of 6 inches.
- Place 3 inches of gravel under the base of homes or
under mobile homes to discourage rodent burrowing.
Reduce rodent shelter and food
sources within I00 feet of the home.
- Use raised cement foundations in new construction of
sheds, barns, outbuildings, or woodpiles.
- When possible, place woodpiles 100 feet or more from the
house, and elevate wood at least 12 inches off the ground.
- Store grains and animal feed in rodent-proof containers.
- Near buildings, remove food sources that might attract
rodents, or store food and water in rodent-proof containers.
- Store hay on pallets, and use traps or rodenticide
continuously to keep hay free of rodents.
- Dispose of garbage and trash in rodent-proof containers
that are elevated at least 12 inches off the ground.
- Haul away trash, abandoned vehicles, discarded tires,
and other items that may serve as rodent nesting sites.
- Cut grass, brush, and dense shrubbery within 100 feet of
the home.
- Place spring-loaded rodent traps at likely spots for
rodent shelter within 100 feet around the home, and use
continuously.
- Use an EPA-registered rodenticide approved for outside
use in covered bait stations at places likely to shelter
rodents within 100 feet of the home.
NOTE: Follow the recommendations
specified in the section on Clean-Up of Rodent-Contaminated
Areas if rodent nests are encountered while these measures
are being carried out. |
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Eliminating Rodents Inside the Home
and Reducing Rodent Access to the Home |
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Rodent infestation can be determined by
direct observation of animals or inferred from the presence
of feces in closets or cabinets or on floors or from
evidence that rodents have been gnawing at food. If rodent
infestation is detected inside the home or outbuildings,
rodent abatement measures should be completed (Box 2). The
directions in the section on Special Precautions should be
followed if evidence of heavy rodent infestation (e.g, piles
of feces or numerous dead animals) is present or if a
structure is associated with a confirmed case of hantavirus
disease. |
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Box 2. Eliminating rodent
infestation: Guidance for residents of affected areas |
- Before rodent elimination work is begun, ventilate
closed buildings or areas inside buildings by opening doors
and windows for at least 30 minutes. Use an exhaust fan or
cross ventilation if possible. Leave the area until the
airing-out period is finished. This airing may help remove
any aerosolized virus inside the closed-in structure.
- Second, seal, screen, or otherwise cover all openings
into the home that have a diameter of 2 1/4 inch. Then set
rodent traps inside the house, using peanut butter as bait.
Use only spring loaded traps that kill rodents.
- Next, treat the interior of the structure with an
insecticide labeled for flea control; follow specific label
instructions. Insecticide sprays or powders can be used in
place of aerosols if they are appropriately labeled for flea
control. Rodenticides may also be used while the interior is
being, treated, as outlined below.
- Remove captured rodents from the traps. Wear rubber or
plastic gloves while handling rodents. Place the carcasses
in a plastic bag containing a sufficient amount of a
general-purpose household disinfectant to thoroughly wet the
carcasses. Seal the bag and then dispose of it by burying in
a 2- to 3-foot-deep hole or by burning. If burying or
burning are not feasible, contact your local or state health
department about other appropriate disposal methods. Rebait
and reset all sprung traps.
- Before removing the gloves, wash gloved hands in a
general household disinfectant and then in soap and water. A
hypochlorite solution prepared by mixing 3 tablespoons of
household bleach in 1 gallon of water may be used in place
of a commercial disinfectant. When using the chlorine
solution, avoid spilling the mixture on clothing or other
Items that may be damaged. Thoroughly wash hands with soap
and water after removing the gloves.
- Leave several baited, spring-loaded traps inside the
house at all times as a further precaution against rodent
re-infestation. Examine the traps regularly. Disinfect traps
no longer in use by washing in a general household
disinfectant or the hypochlodte solution. Disinfect and wash
gloves as described above, and wash hands thoroughly with
soap and water before beginning other activities.
NOTE: EPA-approved rodenticides are
commercially available. Instructions on product use should
always be followed. Products that are used outdoors should
be specifically approved for exterior use. Any use of a
rodenticide should be preceded by use of an insecticide to
reduce the risk of plague transmission. Insecticide sprays
or powders can be used in place of aerosols if they are
appropriately labeled for flea control. |
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Clean-Up of Rodent-Contaminated Areas |
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Areas with evidence of rodent activity
(e. g., dead rodents, rodent excreta) should be thoroughly
cleaned to reduce the likelihood of exposure to
hantavirus-infected materials. Clean-up procedures must be
performed in a manner that limits the potential for
aerosolization of dirt or dust from all potentially
contaminated surfaces and household goods (Box 3).
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Box 3. Clean-up of
rodent-contaminated areas: Guidance for residents of
affected areas |
- Persons involved in the clean-up should wear rubber or
plastic gloves.
- Spray dead rodents, rodent nests, droppings, or foods or
other items that have been tainted by rodents with a
general-purpose household disinfectant. Soak the material
thoroughly, and place in a plastic bag. When clean-up is
complete (or when the bag is full), seal the bag, then place
it into a second plastic bag and seal. Dispose of the bagged
material by burying in a 2- to 3 foot-deep hole or by
burning. If these alternatives are not feasible, contact the
local or state health department concerning other
appropriate disposal methods.
- After the above items have been removed, mop floors with
a solution of water, detergent, and disinfectant. Spray dirt
floors with a disinfectant solution. A second mopping or
spraying of floors with a general-purpose household
disinfectant is optional. Carpets can be effectively
disinfected with household disinfectants or by
commercial-grade steam cleaning or shampooing. To avoid
generating potentially Infectious aerosols, do not vacuum or
sweep dry surfaces before mopping.
- Disinfect countertops, cabinets, drawers, and other
durable surfaces by washing them with a solution of
detergent, water, and disinfectant, followed by an optional
wiping-down with a general-purpose household disinfectant.
- Rugs and upholstered furniture should be steam cleaned
or shampooed. If rodents have nested inside furniture and
the nests are not accessible for decontamination, the
furniture should be removed and burned.
- Launder potentially contaminated bedding and clothing
with hot water and detergent. (Use rubber or plastic gloves
when handling the dirty laundry; then wash and disinfect
gloves as described in the section on Eliminating Rodents
Inside the Home.) Machine-dry laundry on a high setting or
hang it to air dry in the sun.
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