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Copper touch surfaces
Germs are a part of nature and we cannot beat
nature. So hospital-acquired infections cannot be
totally eradicated. But we can fight it more effectively
with copper touch surfaces. A new way to contain
hospital-acquired infections lies in copper.

The use of copper alloys for frequently touched
surfaces as a supplement to existing standard
infection prevention measures, such as, hand-
washing and disinfection regimens, has far-reaching
implications. Potential applications, which include
door and furniture hardware, bed rails, intravenous (IV)
stands, dispensers, faucets, sinks and work stations,
can help reduce the presence of disease-causing
bacteria in hospitals.
Copper is the Answer                                                    •	 Each year, 300,000
                                                                           nosocomial infection.
                                                                                                       patients   contract    a


In the 1850s, some 50 years before scientists                           In Asia
discovered microbes, Florence Nightingale, a
pioneer of modern nursing, discovered that her                          SARS outbreak: Between November 2002 and
patients fared much better when the hospital                            July 2003, Severe Acute Respiratory Syndrome
environment was kept clean. She instituted a laundry                    (SARS), which began in November 2002 in China’s
service, rigorously cleaned all medical and hospital                    Guangdong Province, caused 8,096 known infected
equipment, and had the floors scrubbed for the                          cases and 774 deaths worldwide. The SARS epidemic
first time. The results were unbelievable: The death                    sent shock waves around the world as it quickly
rates of patients suffering from cholera, typhus and                    spread to Hong Kong, Singapore and Canada.
dysentery came down from 42% to a mere 2%!
                                                                        World Health Organisation (WHO) warned the outbreak
More than 150 years later, however, despite                             highlighted how new deadly microbes could spread
enormous advances in the field of microbiology                          quickly around the world, and it was a wake-up call
and infection control, hospital-acquired infections                     to the real danger of emerging diseases.
still continue to plague the patients and hospitals at
alarming levels.                                                        Antimicrobial Copper

In the United States                                                    Scientific research and historic facts confirm that
                                                                        copper and its alloys, brass and bronze, are naturally
•	 More than 2 million hospital-acquired infections                     antimicrobial materials. These materials kill harmful
   such as MRSA per year (1)                                            bacteria and that has been recognised by the U.S.
•	 Nearly 90,000 deaths annually due to hospital-                       Environmental Protection Agency (EPA).
   acquired infections (1)
•	 Resistant infections cost health facilities about                    EPA registration
   USD 30 billion per year (1)
                                                                        275 copper alloys, including brass and bronze, have
In the United Kingdom                                                   been registered with the EPA as antimicrobial materials
                                                                        that kill bacteria. The registration acknowledges
•	 Each year, hospital-acquired infections cost the                     claims that copper, brass and bronze are capable
   National Health Service in the region of 1 billion                   of killing harmful, potentially deadly bacteria. Copper
   pounds (2)                                                           is the first solid surface material to receive this type
•	 Infections on average extend hospital stay by 11                     of EPA registration, which is supported by extensive
   days per patient (2)                                                 antimicrobial efficacy testing.
•	 At least 5,000 patients die of complications from
   infections they contracted in hospitals (2)                          The laboratory research performed under EPA-
                                                                        approved protocols demonstrated that copper alloy
                                                                        surfaces kill more than 99.9% of several bacteria
(1) A 2000 Centre for Disease Control and Prevention report estimate.
(2) Report by the National Audit Office.
                                                                        known to be human pathogens within two hours. The
Infectious Disease
                                      MRSA (Methicillin-Resistant Staphylococcus Aureus)                Society of America,
                                      VRE (Vancomycin-Resistant Enterococcus)                           as derived from
                                      FQRP (Fluoroquinolone-Resistant Pseudomonas Aeruginosa)           data collected
                                                                                                        by the Centres for
                   60                                                                                   Disease Control and
                                                                                                        Prevention
                   50

                   40
     % Incidence




                   30

                   20

                   10

                   0


                        1980   1985       1990                1995                     2000




organisms tested were:                                                                        Copper touch surfaces

•	      Staphylococcus aureus                                                                 Many of the commonly used materials in healthcare
•	      Enterobacter aerogenes                                                                facilities such as stainless steel have proven to have
•	      Escherichia coli O157:H7                                                              comparatively little or no adverse effect on harmful
•	      Pseudomonas aeruginosa and                                                            bacteria.
•	      Methicillin-resistant Staphylococcus                      aureus
        (MRSA)                                                                                Replacing frequently touched surfaces with copper
                                                                                              or high-copper alloys such as brass and bronze,
MRSA is one of the most virulent strains of antibiotic-                                       which are naturally antimicrobial, can be an effective
resistant bacteria and a common cause of hospital-                                            infection control measure. Such a measure can
acquired infections.                                                                          complement other infection control practices such
                                                                                              as frequent hand-washing, patient screening and
Historic evidence                                                                             isolation, and improved cleaning.

Before anyone recognised that microorganisms                                                  Frequently touched surfaces in hospitals that can be
existed, the Egyptians, Greeks, Romans and Aztecs                                             made from copper or copper alloys include:
used copper compounds for good hygiene and
to treat disease. Egyptians used copper to sterilise                                          •  door handles	       •  push plates
drinking water and wounds. Hippocrates treated                                                •  light switches	     •  bed rails
open wounds and skin irritations with copper. The                                             •  grab rails	         •  intravenous (IV) stands
Romans catalogued numerous medicinal uses of                                                  •  dressing trolleys	  •  faucets	
copper for various diseases. The Aztecs treated sore                                          •  sinks	              •  counter and table tops
throats with copper, while people in Persia and India                                         •  dispensers (alcohol gel, paper towel, soap)
applied copper to treat boils, eye infections and
venereal ulcers.                                                                              These touch surfaces are all potential reservoirs of
                                                                                              harmful microbes. Reducing the number of live
Touch surfaces: Source of infections                                                          germs on these surfaces can possibly control the
                                                                                              spread of MRSA and other sources of hospital-
In healthcare facilities, surfaces in proximity to patients                                   acquired infections.
are of the most concern. 80% of infectious diseases
are spread by touch. A hand contaminated with                                                 The use of a Copper Alloy surface is a supplement
the influenza A virus will contaminate the next seven                                         to and not a substitute for standard infection control
surfaces that are touched.                                                                    practices; users must continue to follow all current
                                                                                              infection control practices, including those practices
Not all hospital-acquired infections are preventable                                          related to cleaning and disinfection of environmental
but UK infection control teams recognise that                                                 surfaces. The Copper Alloy surface material has
a 15% reduction could be achieved through a                                                   been shown to reduce microbial contamination, but
series of infection control measures, including                                               it does not necessarily prevent cross contamination.
improved hygiene. This could also lead to savings of
approximately 150 million pounds a year.
International Copper Association Southeast Asia Ltd.
23 Middle Road, #06-01 Singapore 188933
Tel: (65) 6334 3828 Fax: (65) 6334 6221
                                                                   How do we control
www.copper.org.sg

Bangkok Office
                                                                   infection with
United Business Center II Building,
Suite 1208, 12th Floor, 591 Sukhumvit Road
(Soi 33), Wattana Bangkok 10110, Thailand	
                                                                   Copper?
Tel: (66) 2 662 3465 Fax: (66) 2 261 8615
                                                                   Easy. Replace touched surfaces in healthcare
Jakarta Office                                                     and other community facilities including public
Suite #35, 43rd Floor Wisma BNI 46 Jl. Jend.
Sudirman Kav 1. Jakarta 10220, Indonesia	                          and commercial buildings with copper.
Tel: (62) 21 574 8875 Fax: (62) 21 574 888

Kuala Lumpur Office
                                                                   Frequently-touched surfaces can become
1005, Block B, Level 10, Phileo Damansara 1,                       contaminated with bacteria. Using uncoated
9 Jalan 16/11, Off Jalan Damansara 46350                           copper alloys can be an effective way to kill the
Petaling Jaya, Selangor, Malaysia	
Tel: (60) 3 7662 3326 Fax: (60) 3 7662 3328                        bacteria on these surfaces because copper
                                                                   inhibits bacteria.
Copper Development Center, Australia
Suite 1, Level 7, Westfield Towers                                 The U.S. Environmental Protection Agency (EPA)
100 William Street, Sydney NSW 2011, Australia                     has approved the registration of antimicrobial
Tel: (61) 2 9380 2000 Fax: (61) 2 9380 2666
www.copper.com.au
                                                                   copper alloys, with public health claims. These
                                                                   public health claims acknowledge that copper,
                                                                   brass and bronze are capable of killing harmful,
International Copper Association Ltd., China
Shanghai Office                                                    potentially deadly bacteria. Copper is the first
Room 2814-2824, 28/F, Shanghai Central                             solid surface material to receive this type of EPA
Plaza 381 Huai Hai Zhong Road, Shanghai 200020,                    registration, which is supported by extensive
People’s Republic of China
Tel: (86) 21 6391 5816 Fax: (86) 21 6391 6331                      antimicrobial efficacy testing.
www.copper.org.cn

Beijing Office
                                                                   The EPA registration is based on independent
Rm. 501-504, 5/F, Canway Building,                                 laboratory testing using EPA-prescribed
66 Nan Li Shi Road Beijing 100045,                                 protocols that demonstrate the metals’ ability to
People’s Republic of China
Tel: (86) 10 6804 2450 Fax: (86) 10 6802 0990                      kill specific disease-causing bacteria, including
                                                                   Methicillin-resistant Staphylococcus aureus
Guangzhou Office                                                   (MRSA). MRSA is one of the most virulent strains
Unit 1908,West Tower, Fortune Plaza
116-118 Tiyu Dong Road                                             of antibiotic-resistant bacteria and a common
Guangzhou, 510620, People’s Republic of China                      cause of hospital- and community-acquired
Tel: (86) 20 3893 1699 Fax: (86) 20 3893 1308
                                                                   infections.

International Copper Promotion Council – India
602, Omega, Hiranandani Gardens,
Powai Mumbai 400 076, India
Tel: (91) 22 6693 7989 Fax: (91) 22 6693 9282
www.copperindia.org


Japan Copper Development Association
Usagiya Building, 5F, 10-10 1-Chome,
Ueno, Taitoh-ku, Tokyo 110-0005, Japan
Tel: (81) 3 3836 8821 Fax: (81) 3 3836 8828
www.jcda.or.jp




Affiliated with the International Copper Association, Ltd. (ICA)

© 2009 Edition |
Content courtesy of Copper Development Association, U.S.
& Copper Development Association (CDA), U.K.

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Copper Touch Surfaces

  • 1. Copper touch surfaces Germs are a part of nature and we cannot beat nature. So hospital-acquired infections cannot be totally eradicated. But we can fight it more effectively with copper touch surfaces. A new way to contain hospital-acquired infections lies in copper. The use of copper alloys for frequently touched surfaces as a supplement to existing standard infection prevention measures, such as, hand- washing and disinfection regimens, has far-reaching implications. Potential applications, which include door and furniture hardware, bed rails, intravenous (IV) stands, dispensers, faucets, sinks and work stations, can help reduce the presence of disease-causing bacteria in hospitals.
  • 2. Copper is the Answer • Each year, 300,000 nosocomial infection. patients contract a In the 1850s, some 50 years before scientists In Asia discovered microbes, Florence Nightingale, a pioneer of modern nursing, discovered that her SARS outbreak: Between November 2002 and patients fared much better when the hospital July 2003, Severe Acute Respiratory Syndrome environment was kept clean. She instituted a laundry (SARS), which began in November 2002 in China’s service, rigorously cleaned all medical and hospital Guangdong Province, caused 8,096 known infected equipment, and had the floors scrubbed for the cases and 774 deaths worldwide. The SARS epidemic first time. The results were unbelievable: The death sent shock waves around the world as it quickly rates of patients suffering from cholera, typhus and spread to Hong Kong, Singapore and Canada. dysentery came down from 42% to a mere 2%! World Health Organisation (WHO) warned the outbreak More than 150 years later, however, despite highlighted how new deadly microbes could spread enormous advances in the field of microbiology quickly around the world, and it was a wake-up call and infection control, hospital-acquired infections to the real danger of emerging diseases. still continue to plague the patients and hospitals at alarming levels. Antimicrobial Copper In the United States Scientific research and historic facts confirm that copper and its alloys, brass and bronze, are naturally • More than 2 million hospital-acquired infections antimicrobial materials. These materials kill harmful such as MRSA per year (1) bacteria and that has been recognised by the U.S. • Nearly 90,000 deaths annually due to hospital- Environmental Protection Agency (EPA). acquired infections (1) • Resistant infections cost health facilities about EPA registration USD 30 billion per year (1) 275 copper alloys, including brass and bronze, have In the United Kingdom been registered with the EPA as antimicrobial materials that kill bacteria. The registration acknowledges • Each year, hospital-acquired infections cost the claims that copper, brass and bronze are capable National Health Service in the region of 1 billion of killing harmful, potentially deadly bacteria. Copper pounds (2) is the first solid surface material to receive this type • Infections on average extend hospital stay by 11 of EPA registration, which is supported by extensive days per patient (2) antimicrobial efficacy testing. • At least 5,000 patients die of complications from infections they contracted in hospitals (2) The laboratory research performed under EPA- approved protocols demonstrated that copper alloy surfaces kill more than 99.9% of several bacteria (1) A 2000 Centre for Disease Control and Prevention report estimate. (2) Report by the National Audit Office. known to be human pathogens within two hours. The
  • 3. Infectious Disease MRSA (Methicillin-Resistant Staphylococcus Aureus) Society of America, VRE (Vancomycin-Resistant Enterococcus) as derived from FQRP (Fluoroquinolone-Resistant Pseudomonas Aeruginosa) data collected by the Centres for 60 Disease Control and Prevention 50 40 % Incidence 30 20 10 0 1980 1985 1990 1995 2000 organisms tested were: Copper touch surfaces • Staphylococcus aureus Many of the commonly used materials in healthcare • Enterobacter aerogenes facilities such as stainless steel have proven to have • Escherichia coli O157:H7 comparatively little or no adverse effect on harmful • Pseudomonas aeruginosa and bacteria. • Methicillin-resistant Staphylococcus aureus (MRSA) Replacing frequently touched surfaces with copper or high-copper alloys such as brass and bronze, MRSA is one of the most virulent strains of antibiotic- which are naturally antimicrobial, can be an effective resistant bacteria and a common cause of hospital- infection control measure. Such a measure can acquired infections. complement other infection control practices such as frequent hand-washing, patient screening and Historic evidence isolation, and improved cleaning. Before anyone recognised that microorganisms Frequently touched surfaces in hospitals that can be existed, the Egyptians, Greeks, Romans and Aztecs made from copper or copper alloys include: used copper compounds for good hygiene and to treat disease. Egyptians used copper to sterilise • door handles • push plates drinking water and wounds. Hippocrates treated • light switches • bed rails open wounds and skin irritations with copper. The • grab rails • intravenous (IV) stands Romans catalogued numerous medicinal uses of • dressing trolleys • faucets copper for various diseases. The Aztecs treated sore • sinks • counter and table tops throats with copper, while people in Persia and India • dispensers (alcohol gel, paper towel, soap) applied copper to treat boils, eye infections and venereal ulcers. These touch surfaces are all potential reservoirs of harmful microbes. Reducing the number of live Touch surfaces: Source of infections germs on these surfaces can possibly control the spread of MRSA and other sources of hospital- In healthcare facilities, surfaces in proximity to patients acquired infections. are of the most concern. 80% of infectious diseases are spread by touch. A hand contaminated with The use of a Copper Alloy surface is a supplement the influenza A virus will contaminate the next seven to and not a substitute for standard infection control surfaces that are touched. practices; users must continue to follow all current infection control practices, including those practices Not all hospital-acquired infections are preventable related to cleaning and disinfection of environmental but UK infection control teams recognise that surfaces. The Copper Alloy surface material has a 15% reduction could be achieved through a been shown to reduce microbial contamination, but series of infection control measures, including it does not necessarily prevent cross contamination. improved hygiene. This could also lead to savings of approximately 150 million pounds a year.
  • 4. International Copper Association Southeast Asia Ltd. 23 Middle Road, #06-01 Singapore 188933 Tel: (65) 6334 3828 Fax: (65) 6334 6221 How do we control www.copper.org.sg Bangkok Office infection with United Business Center II Building, Suite 1208, 12th Floor, 591 Sukhumvit Road (Soi 33), Wattana Bangkok 10110, Thailand Copper? Tel: (66) 2 662 3465 Fax: (66) 2 261 8615 Easy. Replace touched surfaces in healthcare Jakarta Office and other community facilities including public Suite #35, 43rd Floor Wisma BNI 46 Jl. Jend. Sudirman Kav 1. Jakarta 10220, Indonesia and commercial buildings with copper. Tel: (62) 21 574 8875 Fax: (62) 21 574 888 Kuala Lumpur Office Frequently-touched surfaces can become 1005, Block B, Level 10, Phileo Damansara 1, contaminated with bacteria. Using uncoated 9 Jalan 16/11, Off Jalan Damansara 46350 copper alloys can be an effective way to kill the Petaling Jaya, Selangor, Malaysia Tel: (60) 3 7662 3326 Fax: (60) 3 7662 3328 bacteria on these surfaces because copper inhibits bacteria. Copper Development Center, Australia Suite 1, Level 7, Westfield Towers The U.S. Environmental Protection Agency (EPA) 100 William Street, Sydney NSW 2011, Australia has approved the registration of antimicrobial Tel: (61) 2 9380 2000 Fax: (61) 2 9380 2666 www.copper.com.au copper alloys, with public health claims. These public health claims acknowledge that copper, brass and bronze are capable of killing harmful, International Copper Association Ltd., China Shanghai Office potentially deadly bacteria. Copper is the first Room 2814-2824, 28/F, Shanghai Central solid surface material to receive this type of EPA Plaza 381 Huai Hai Zhong Road, Shanghai 200020, registration, which is supported by extensive People’s Republic of China Tel: (86) 21 6391 5816 Fax: (86) 21 6391 6331 antimicrobial efficacy testing. www.copper.org.cn Beijing Office The EPA registration is based on independent Rm. 501-504, 5/F, Canway Building, laboratory testing using EPA-prescribed 66 Nan Li Shi Road Beijing 100045, protocols that demonstrate the metals’ ability to People’s Republic of China Tel: (86) 10 6804 2450 Fax: (86) 10 6802 0990 kill specific disease-causing bacteria, including Methicillin-resistant Staphylococcus aureus Guangzhou Office (MRSA). MRSA is one of the most virulent strains Unit 1908,West Tower, Fortune Plaza 116-118 Tiyu Dong Road of antibiotic-resistant bacteria and a common Guangzhou, 510620, People’s Republic of China cause of hospital- and community-acquired Tel: (86) 20 3893 1699 Fax: (86) 20 3893 1308 infections. International Copper Promotion Council – India 602, Omega, Hiranandani Gardens, Powai Mumbai 400 076, India Tel: (91) 22 6693 7989 Fax: (91) 22 6693 9282 www.copperindia.org Japan Copper Development Association Usagiya Building, 5F, 10-10 1-Chome, Ueno, Taitoh-ku, Tokyo 110-0005, Japan Tel: (81) 3 3836 8821 Fax: (81) 3 3836 8828 www.jcda.or.jp Affiliated with the International Copper Association, Ltd. (ICA) © 2009 Edition | Content courtesy of Copper Development Association, U.S. & Copper Development Association (CDA), U.K.