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Carol Westinghouse, President
Informed Green Solutions
www.informedgreensolutions.org
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Vickie Leonard, RN, APN, PhD
Institute for Health & Aging School of Nursing
University of California, San Francisco
Asa Bradman, PhD
Center for Environmental Research andChildrens Health
School of Public Health University of California, Berkeley
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Provide a healthy environment
helps to control asthma and allergies.
Provide a comfortable environment workers are more productive andchildren learn better in clean, organizedenvironments.
Regulations
Control infectious diseases
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Infectious diseases are:
spread by germs (also called
microbes) from one person (oranimal) to another.
are very common in ECE.
Studies show that young children in ECE have
symptoms of illness one third to one half of the days
out of the year! This is normal.
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There are several kinds of germs we areconcerned about in the ECE environment:
Bacteria
Viruses Fungi
Parasites
What Types of Germs Are There?
6
These germs or microbes get into ourbodies in different ways.
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We have more microbial cells in our bodiesthan human cells, most are in our gut.
Exposure to common infectious diseases inearly childhood is important for immunesystem development.
The Importance of Microbes to
Our Health
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Only a very small percentage of microbescause disease.
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Bacteria and viruses are found
in body fluids, including: Blood
Mucus
Saliva Vomit
Stool (feces)
Discharges from the eyes and
from skin sores or wounds
A good rule to remember: if it's wet and comes fromsomeone's body, it can be infectious!
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Body fluids are directlytransferred from oneperson to another.
Examples of direct contactare touching and kissing.
Infectious Diseases Are Spread By:
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DirectContact
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When kids sneeze, cough, spit, drool,slobber or vomit into the air and it
lands on another person or a hardsurface. This is how flu is spread!
Infectious Diseases Are Spread By:
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Droplets
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Germs that float
suspended in the airattached to moisture,droplets, or dust
particles, and travel more
than 3 feet.
Infectious Diseases Are Spread By:
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AirborneTransmission
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Fecal oral transmission: Germs in the stool of oneinfected person make their way into the mouth ofanother person. These germs usually cause vomiting anddiarrhea.
Blood: Many of the germs that can be found inblood can cause life-threatening disease whenan infected persons blood enters anotherpersons body through a break in the skin.
Insects: can carry bacteria and viruses and can transmitthem when they bite humans.
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By our personal behaviors, when we:
wash our hands to remove germs so we
dont transfer them to others. stay home when we are ill.
cover our coughs and sneeze into oursleeves.
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Germs get caught in our clothing,where they dont live very long!
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By cleaning, sanitizing, anddisinfecting
Cleaning removes germs fromsurfaces.
Sanitizing and disinfecting with
chemicals or devices inactivatesgerms.
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Precautionary Principal a product shouldbe proven safe before it is allowed to be sold
to the public.
Safety of Cleaning, Sanitizing and
Disinfecting Products
Buyer Beware a product is allowed to besold until proven harmful.
OR
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The wordsnatural,
nontoxic, andgreen thatappear on
product labelsare largely
unregulated bythe government.
Products are notthoroughly
tested for healtheffects before
they are allowed
to be sold.Manufacturersare not
required to listall the
ingredients onthe label.
Some cleaning,sanitizing, anddisinfecting
chemicals cancause healthproblems inchildren and
staff.
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They breathe more air for their size, compared to
adults.
Their skin touches the ground (where harmful chemicals
collect).
They absorb harmful chemicals through their
skin, which is thinner than an adults.
They stick a lot of objects in their mouths.
Childrens Vulnerability
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Young children are more vulnerable to toxic chemicals
and allergens in the physical environment.
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Childhood exposures to chemicals in theenvironment are associated with:*
Asthma
Attention deficit hyperactivity disorder(ADHD)
Autism
Cancer
Learning disabilities
Mental retardation
* In Harms Way: Toxic Threats to Child Development, Greater Boston Physicians for Social
Responsibility, 2000
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Children exposedto the same doseof environmentaltoxins and/orchemicals haveproportionatelymuch greaterexposure
compared toadults.
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Personal protective equipment recommended gloves, respirator etc.
Increased ventilation needed open windows,
or use when children are not present.
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Staff should be familiar with the labelinstructions on the products they are using.
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Research tells us:
Professional cleaners have higher incidencesof work related asthma.
Their children may have a greater risk ofdeveloping asthma when exposed in utero.
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Pregnant women especially need toprotect themselves.
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Many cleaning, sanitizing, and disinfectingproducts can irritate the lungs, and trigger or evencause asthma.
Asthma is a chronic inflammatory disorder of the
airways in the lungs that results in: Wheezing
Coughing
Chest tightness
Trouble breathing
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Asthma Triggers:Once a person has asthma,exposure to triggerscan cause an episode ofasthma.
These triggers include:Household dust and dustmitesPetsCockroaches
MoldCigarettesCleaning, sanitizing anddisinfecting products
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The Environmental Working Grouptested 21 common products usedin California schools. They found:
457 chemicals were emitted intothe air
6 known asthmagens
11 known, probable or possible
cancer-causing agents andOthers endocrine disruptors
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Cleaning
Products
Air
Contaminants
Ingredients
Disclosed
Asthmagens
Detected
Carcinogens
Detected
Comet
Disinfectant
Powder
Cleaner
146 6 1 7
Febreeze Air
Effects89 3 0 1
Simple
Green
93 1 3 3
Pine-Sol
Cleaner18 3 1 1
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Endocrine Disruptorsare chemicals that
interrupt or imitatenatural hormonalmessages.
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Very small doses of EDCs can harm people in different ways,essentially tricking the body into responding to chemicals ashormones during key stages of development.
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Endocrine disruptors may cause:
-reduced fertility in women and men
-early puberty in girls
-increases in cancers of the breast, ovaries,and prostate.
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Since hormones work at very small doses,endocrine disrupting chemicals can also affect
health in very small amounts.
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Endocrine Disruptors are found in the following: Canned Foods - BPA
Cleaning Products triclosan, nonylphenol
ethoxylates Cosmetics/Personal Care Products - phthalates
Flame Retardants nap mats, chairs/couches
Pesticides
Plastics
recycling numbers #3,#6 and #7 Teflon - non-stick cookware, stain resistant fabrics
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Bleach: can cause asthma triggers asthma episodes can affect breathing can irritate the skin and eyes was the source of 35,000 poisonings in 2011
Children are at greater risk from breathing bleachvapors because their lungs are still developing.
Bleach has a short shelf life, so must be purchasedmonthly and solutions mixed daily.
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Mixing bleach with other chemicals containingammonia, quaternary ammonium compounds(found in other disinfectants), vinegar or otheracids can create a toxic gas.
Bleach is neutralized by dirt and other organicmaterial, so it isnt very effective when used ona surface that hasnt been cleaned first.
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A new, more concentrated form of bleachcontaining 8.25% sodium hypochlorite solution(higher than the formerly available bleachsolution of 5.25%-6%) is now sold in stores.
It requires different dilution rates It is more hazardous to staff who dilute it, because it is
more concentrated
If you are using bleach, it is very important toidentify the concentration of sodium hypochloritein the product so that you can mix the correctamount of bleach and water.
Follow label directions exactly.
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Many cleaners, sanitizers, disinfectants, and fragrances (eventhose marketed as green) pollute the air, water, and soil.
A clean ECE Center may cause damage to the environment
May cause
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Many cleaning, sanitizing and disinfecting productscontain the germ-killing chemicals triclosan and itsrelative, triclocarbon.
They are found in antibacterial soaps, deodorants,sponges and household cleaners and disinfectants.
Triclosan ends up in our drains, sewage systems and,eventually, our waterways and agricultural fields.Over 400,000 pounds.
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G Cl lk f l C d d
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Collects in human and animal tissue, including inthe umbilical cord blood of infants and in thebreast milk of nursing mothers.
Can interfere with thyroid function (endocrinedisruption) in animals.
Can cause skin irritation.
Is no better than plain soap
according to researchers.
G Cl i T lki f E l C d Ed i
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G Cl i T lkit f E l C d Ed ti
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Fragrances are found in most cleaning, sanitizing anddisinfecting products, and contain chemicals calledvolatile organic compounds (VOCs).
VOCs impact both indoor and outdoor air quality, as wellas the water supply.
VOCs are not filtered out by water treatment, whichresults in contamination of our lakes, rivers and bays. Infact, nearly all shellfish and fish in the United States nowhave measurable levels of fragrances in their tissues!
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G Cl i T lkit f E l C d Ed ti
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Fragranced products contain additionalchemicals that can cause health problems.These problems include:
-Lung irritation, including asthma-Skin irritation-Eye irritation
Just because a cleaning product smells good doesnot mean it is healthy or does its job.
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What You Can Do About It:
Choose unscented cleaning products.
Avoid scented candles, air fresheners, andother scented items.
If a scented item is used, open windows anddoors (if weather permits). This allows the
smell (fragrance) to escape, and lowers the riskof exposure to the chemicals in fragrances.
Fragrances and Human Health
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1. Safer cleaning products: Third-party certified all-purpose and
specialty cleaners Disinfectants/sanitizers
2. Improved equipment: Microfiber cloths
Microfiber mops with fillable handles HEPA filter vacuums.
3. Staff training on procedures.
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Before choosing any type of cleaning or antimicrobialproduct, you will first need to decide whether thesurface needs to be:
Cleaned
Sanitized
orDisinfected
What is the Difference Between Cleaning,Sanitizing and Disinfecting?
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Cleaning
uses a detergent and water tophysically remove dirt, grime andgerms from surfaces. This
process does not necessarily killgerms.
removes molds and allergens thatcan trigger asthma symptoms.
Has been found to remove as much as 99% of germswhen microfiber cleaning tools are used.
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Sanitizing
reduces the number of germs onhard surfaces or objects to a levelconsidered safe for public health.
For food contact surfaces the levelshould be a 99.999% reduction inmicroorganisms within 30 seconds.
Sanitizing products should state on
their label the surfaces they areintended to be used on.
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inactivates 99.999% of germs onsurfaces or objects if allowed to sitvisibly wet or dwell on the surface
for the recommended amount of
dwell time.For use on:-changing tables-bathroom sinks and toilets
-other areas as required by licensingregulations.
Disinfecting
A disinfectant must stay on the surface for at least therecommended dwell time or it will not destroy most of thegerms.
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Disinfectants dont necessarily clean surfaces. Germscan hide under dirt and grime and are not affected bythem.
The products used to disinfect are more toxic and canbe more expensive than products used to just clean.
Overusing antimicrobial products may also lead to thespread of "super bugs." Superbugs are germs that areresistant to disinfectants and/or antibiotics.
Why Should We Clean First, ThenDisinfect?
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Third-party certified cleaningproducts:
-Green Seal
-EcoLogo
-Design for the Environment
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Purchased from a cleaning productsdistributor.
Used by schools.
May be available as a concentrate.
Accompanied by safety data sheets (SDS)*.
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Generally less expensive.
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G ee C ea g oo t fo a y Ca e a d ducat o
Ask for third-party certified products:
Betco
Clorox
Diversey
Envirox
Fuller Brush
GoJo Spartan
and many more
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Purchased at a retail store like a grocery store.Available in ready-to-use containers.
Less likely to be certified as safer by a third-party (Green Seal, EcoLogo or Design for the
Environment).Do not come with OSHA-required Safety DataSheets.
Retail Products are often more expensive andnot labeled as completely as institutional
products.
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The following carry third-party certifiedproducts: Costco, Home Depot, Office Depot, Safeway
Staples, Target, WalMart, W.B. Mason
Examples: Office Depot Clorox Green Works products
Staples - Sustainable Earth Multi-PurposeCleaner concentrate and Seventh Generation
products
W.B. Mason Oxivir Tb RTU
WalMart Earth Friendly products
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Look for the Following:
Products that are third-party certified.
No signal word or Caution on the label.
Non-aerosol.
Fragrance-free and dye-free.
All ingredients listed on the label or awebsite.
Choosing Safer Cleaning Products
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Ingredients To Avoid: Asthmagens or AsthmaTriggers
Benzalkonium Chloride
Bisphenol A (BPA)
Bleach
Ethanolamines
monoethanolamine [MEA]diethanolamine [DEA]triethanolamine [TEA])
Fragrance Ingredients
Parabens and Phthalates
Quaternary ammonium compounds: alkyl dimethyl benzylammonium chloride (ADBAC), benzalkonium chloride, and didecyldimethyl benzyl ammonium.
Volatile Organic Compounds found in aerosol products etc.
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Look for the Following:1. EPA registration number (verifies that that the product
is registered by them to kill the germs claimed on thelabel).
2. Approval for food contact surfaces.
3. 0 rating on the Hazardous Materials IdentificationSystem (HMIS) health rating scale found on the SDS.
4. The signal words Caution or Warning rather thanDanger on the label.
5. Short dwell time (the time the sanitizer must be leftwet on the surface and in contact with the germs tokill them).
Choosing Safer Sanitizers
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Look for the Following:1. EPA registration number.
2. 0 rating on the Hazardous Materials IdentificationSystem (HMIS) health rating scale.
3. The signal word Caution or Warning rather thanDanger on the product label.
4. Hospital-grade classification (this is a requirementof child care licensing agencies in most states).
5. Short dwell time or the time the disinfectant mustbe left visibly wet on the surface.
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Examples of Safer Products
All-purpose Cleaners Concentrates Spartan Green Solutions Sustainable Earth by Staples Renown G-Force General Purpose Alpha HP Multi-surface Cleaner
SanitizersSaniDate Hard Surface Sanitizer
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Examples of Safer Products
DisinfectantsReady-To-Use (RTU)
Clorox Hydrogen Peroxide Disinfecting Cleaner - 30second 1 minute dwell time
OxivirTb - 1 minute dwell time
CleanCide Fragrance-free (DfE certified) - 5 minute dwelltime
Concentrates
Accel 5 minute dwell time
Alpha HP 5 minute dwell time
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Reviewing aSafety DataSheet
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Dry steam vapor technology:
Very effective for cleaning and
rapid sanitizing/disinfecting.
Approved for most surfaces,including food contact surfaces.
Unfortunately, still veryexpensive.
EquipmentDevices
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Microfiber Cloths and Mops
Remove organic matter (dirt, oils,grease) as well as germs (up to99%) from surfaces.
Washable 500-1,000 times.
Reduce landfill waste.
Work well with green cleaningproducts/need less cleaningdetergent to be effective.
GREAT alternative to normal
cotton rags or paper towels!
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Spray into a cloth instead of on the surface, when
possible.
Use a stream rather than a mist when you are spraying a
product. Train staff on using personal protective equipment (PPE)
like gloves and goggles.
Wear gloves, goggles, and other personal protective
equipment when it is listed on the product label or Safety
Data Sheet.
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Have written procedures for cleaning, sanitizing
and disinfecting.
Follow label directions.
Leave the disinfectant solution glistening wet on
the surface for the amount of time listed on the
product label (dwell time).
Clean from the top down.
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Resources
2013 Update: Bleach Free Disinfection and Sanitizing for Child Care
http://www.sfgov3.org/modules/showdocument.aspx?documentid=3822
Design for the Environment/Safer Choice list of products availableat: http://www.epa.gov/dfe/
EcoLogo - list of products available at:http://www.ecologo.org/en/certifiedgreenproducts/?category_id=21#21
Environmental Working Group information on whats in specificcleaning products. Available at:http://www.ewg.org/cleaners/hallofshame/?utm_source=201208cleanershosfull&utm_medium=email&utm_content=first-link&utm_campaign=toxics
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http://www.sfgov3.org/modules/showdocument.aspx?documentid=3822http://www.epa.gov/dfe/http://www.ecologo.org/en/certifiedgreenproducts/?category_id=21http://www.ewg.org/cleaners/hallofshame/?utm_source=201208cleanershosfull&utm_medium=email&utm_content=first-link&utm_campaign=toxicshttp://www.ewg.org/cleaners/hallofshame/?utm_source=201208cleanershosfull&utm_medium=email&utm_content=first-link&utm_campaign=toxicshttp://www.ewg.org/cleaners/hallofshame/?utm_source=201208cleanershosfull&utm_medium=email&utm_content=first-link&utm_campaign=toxicshttp://www.ewg.org/cleaners/hallofshame/?utm_source=201208cleanershosfull&utm_medium=email&utm_content=first-link&utm_campaign=toxicshttp://www.ecologo.org/en/certifiedgreenproducts/?category_id=21http://www.epa.gov/dfe/http://www.sfgov3.org/modules/showdocument.aspx?documentid=38227/24/2019 Green Cleaning, Sanitizing and Disinfecting for ECE Power Point
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ResourcesGreenGuard Environmental Institute Gold Certification
(formerly Children and Schools certified cleaningproducts). Available at:http://www.greenguard.org/en/SearchResults.aspx?CategoryID=30&pageNumber=1
Green Seal - list of products available at:http://www.greenseal.org/FindGreenSealProductsAndServices.aspx.
Womens Voices for the Earth Information on whats inspecific cleaning products. Available at:http://www.womensvoices.org/protect-your-health/cleaning-products/.
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Green Cleaning Toolkit forEarly Care and Education
http://www.greenguard.org/en/SearchResults.aspx?CategoryID=30&pageNumber=1http://www.greenguard.org/en/SearchResults.aspx?CategoryID=30&pageNumber=1http://www.greenseal.org/FindGreenSealProductsAndServices.aspxhttp://www.greenseal.org/FindGreenSealProductsAndServices.aspxhttp://www.greenseal.org/FindGreenSealProductsAndServices.aspxhttp://www.womensvoices.org/protect-your-health/cleaning-products/http://www.womensvoices.org/protect-your-health/cleaning-products/http://www.womensvoices.org/protect-your-health/cleaning-products/http://www.womensvoices.org/protect-your-health/cleaning-products/http://www.greenseal.org/FindGreenSealProductsAndServices.aspxhttp://www.greenguard.org/en/SearchResults.aspx?CategoryID=30&pageNumber=17/24/2019 Green Cleaning, Sanitizing and Disinfecting for ECE Power Point
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Green Cleaning, Sanitizing and Disinfecting:
A Toolkit for Early Care and Education
Available as a PDF at the following websites:Center for Environmental Research and Childrens Health -
http://cerch.org/greencleaningtoolkit/
EPAs Healthy Childcare Website -
http://www2.epa.gov/sites/production/files/documents/ece_cur
riculumfinal.pdf
Informed Green Solutions -http://www.informedgreensolutions.org/?q=publication/green-
cleaning-toolkit
Green Cleaning Toolkit forEarly Care and Education
http://cerch.org/greencleaningtoolkit/http://cerch.org/greencleaningtoolkit/http://www2.epa.gov/sites/production/files/documents/ece_curriculumfinal.pdfhttp://www2.epa.gov/sites/production/files/documents/ece_curriculumfinal.pdfhttp://www2.epa.gov/sites/production/files/documents/ece_curriculumfinal.pdfhttp://www.informedgreensolutions.org/?q=publication/green-cleaning-toolkithttp://www.informedgreensolutions.org/?q=publication/green-cleaning-toolkithttp://www.informedgreensolutions.org/?q=publication/green-cleaning-toolkithttp://www.informedgreensolutions.org/?q=publication/green-cleaning-toolkithttp://www2.epa.gov/sites/production/files/documents/ece_curriculumfinal.pdfhttp://cerch.org/greencleaningtoolkit/7/24/2019 Green Cleaning, Sanitizing and Disinfecting for ECE Power Point
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Thank you for attending.
Informed Green Solutions
www.informedgreensolutions.org