PersonalProtectiveEquipmentforCullingOperation1.PersonalProtectiveEquipment(PPE)zProtectiveclothing,preferablyimpermeablecoverallordisposableimpermeablegownswithlongcuffedsleeveszDisposablecapzEyeprotection(preferablyfullfaceshields)zN95respiratororsurgicalmaskzHeavydutyrubbergloves(surgicalglovesmaybeusedtogetherasinnergloves)zRubberbootsPersonnelProtectiveclothingOutsidethecullingarea1withphysicalseparationfromthecullingareaInsidethecullingarea,wherecullingoperationisconductedImpermeablecoverallordisposableimpermeablegownswithlongcuffedsleeves9Disposablecap9Eyeprotection29N95respirator3orsurgicalmaskSurgicalmasks9Surgicalglovesoptional4Heavydutyrubbergloves9Rubberboots91Riskofacquiredinfectionisrelativelowoutsidecullingarea.PutonsurgicalmaskasminimalPPE.Incaseofcontactwithcontaminatedenvironment/personnel;useotherPPE(e.g.glovesandgown)basedonriskassessment.2Faceshieldisrecommendedtoprovidefullfacialprotection.3N95respiratormasksarepreferred1.Standardwell-fittedsurgicalmasksshouldbeusedifN95respiratorsarenotavailable.(Appendix2a):-Performhandhygiene(AsAppendix1)-PutonN95respiratororsurgicalmask-Putonimpermeablecoverall-Putoneyeprotection-Putondisposablecap-Putonrubberboots-Performhandhygiene-Putonsurgicalgloves(optional)andheavydutyrubbergloves2.2Forthosewhoweardisposableimpermeablegownwithlongcuffedsleeves(Appendix2b):-Performhandhygiene(AsAppendix1)-PutonN95respiratororsurgicalmaskermeablegownswithlongcuffedsleeves-Putonsurgicalgloves(optional)andheavydutyrubberglovesalsobeconsideredforcontrollingtheriskofheatstressontheworkersconcerned.-Putoneyeprotection-Putondisposablecap-Putondisposableimp-Putonrubberboots-PerformhandhygieneAfterdonningontheabovementionedPPE,itisimportanttoensurethecullingworkersareprotectedagainstheatstressduringthefieldoperation.Therefore,inadditiontoasuitablework-restcyclewithadequatesupplyofdrinkablewater,otherappropriatemeans,forexample,puttingonthecoolingvest,should3.PostOperationDecontaminationAftercullingoperation,theoutersurfaceofthePPEandthesolesoftheboots(bodypartsthatmayhavebeencontaminatedshouldbedisinfectedtoo)shouldbeinitiallydecontaminated5byusing500ppmbleachspray*beforeenteringintotheenclosedde-gowningareafordonoffprocedures.*500ppmbleachsolutioncanbepreparedbyadding1partof5.25%householdbleachin99partsofwaterorusingproductcontainingchlorinesuchasPresepttabletdissolvedinwaterwithproperdilutionasindicatedintheproductinsert.Assprayingofhouseholdbleachmaycausedropletscarryingvirusestobeair-borne,itisadvisablethatworkersperformingthisprocedureshouldweargowns,gloves,N95respiratorsandeyeprotection.4.DoffingProceduresDoffingproceduresareinthefollowingorder–4.1Forthosewhowearimpermeablecoverall(Appendix3a):-Removeallgloves(heavydutyrubberandsurgicalgloves)-Performhandhygiene-Removedisposablecap,andremoveeyeprotection-Performhandhygiene-Removeimpermeablecoverallandrubberboots-Performhandhygieneorsurgicalmask-RemoveN95respirator-Performhandhygiene-Putonsurgicalmask4.2Forthosewhoweardisposableimpermeablegownwithlongcuffedsleeves(Appendix3b):-Removeallgloves(heavydutyrubberandsurgicalgloves)ermeablegownwithlongcuffedsleevesandeyeprotectionorsurgicalmaskthoroughshower,changeclothesandputonnewsurgicalmasksbeforeleavingthescene.-Performhandhygiene-Removedisposableimp-Performhandhygiene-Removedisposablecap-Performhandhygiene-RemoveN95respirator-Takeoffrubberboots-Performhandhygiene-PutonsurgicalmaskPuttheimpermeablecoveralls/disposableimpermeablegownswithlongcuffedsleeves,disposablecaps,surgicalmasks,N95respirators,surgicalglovesanddisposableeyeprotectionintorefusalbagsandspraywith1partof5.25%householdbleachin49partsofwater/treatthemwithchlorideoflime.Tieupthebagswithplasticstrapsandputthemproperlyintorefusalbins.Assprayingofhouseholdbleachmaycausedropletscarryingvirusestobeair-borne,itisadvisablethatworkersperformingthisprocedureshouldweargowns,gloves,N95respiratorsandeyeprotection.Usedrubberbootsandgogglesshouldbeimmersedin1partof5.25%householdbleachin49partsofwaterfor10minutesandrinsewithcleanwaterafterwards.Dryandstoreproperlyforfutureuse.Staff(includedthosewhoperformdecontaminationprocedure)shouldtakea5行1.(PPE):z()zz()zN95z()z1不行行行9929N95394991行若/23N95若N95:(錄2a)-行()-N95-----行-()(錄2b)-行()行-()切輪理行(降)-N95-----行不力行行行行行行行(錄3a)--行錄1--行--行--行-(錄3b)--行錄1--行--行---行-N955.25%/内5.25%内留(淋離5)Handwashingwithsoapandwater:1.Wethandsunderrunningwater.2.Applyliquidsoapandrubhandstogethertomakeasoapylather.3.Awayfromtherunningwater,rubthepalms,backofhands,betweenfinger