Qualified Disinfectants for COVID-19

Posted on April 14, 2020 by AU Bankaitis

Many audiologists are asking which surface disinfectants are effective in killing COVID-19. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the specific coronavirus strain which causes COVID-19.1 In the absence of a current Environmental Protection Agency (EPA) test protocol to evaluate disinfectant efficacy for SARS-CoV-2, as of the date of this blog post, there is no EPA-registered disinfectant that bares a label claim against this coronavirus strain. On March 5, 2020, the EPA released a list of EPA-registered disinfectant products qualified for use against SARS-CoV-2.2 This list is referred to as List N: Disinfectants for use against SARS-CoV-2 or simply List N.

Per the EPA, a surface disinfectant is deemed qualified for use against COVID-19 if the surface disinfectant:

  1. bares an EPA-registration number AND appears on the EPA’s List N, OR
  2. bares an EPA-registration number AND lists “human coronavirus” as a target pathogen on the product label.3

Qualified Disinfectants on EPA List N:

The EPA registration number will appear on the label of a product, preceded by the phrase, “EPA Registration No.”, or “EPA Reg. No.”, and followed by two or more sets of numbers separated by hyphens (-). If the first two sets of a product’s EPA registration number appear on List N, the EPA considers the product qualified for use against COVID-19. For example, List N includes disinfectants with the EPA Reg. No. 1839-94. Since Audiologist’s Choice Ultrasonic Disinfectant Concentrate bares the EPA Reg. No. 1839-94-71111, it qualifies as effective against COVID-19.

Qualified Disinfectants NOT on EPA List N:

For EPA-registered products currently not appearing on List N, if the listed target pathogenkill on the product label or on a kill sheet on file with the manufacturer includes “human coronavirus”, the disinfectant qualifies as effective against COVID-19 (note: animal coronavirus claims do not qualify). If human coronavirus is not listed on the label or product kill sheet, the product does not qualify effective against COVID-19. For example, both Cavi-Wipes (EPA Reg. No. 4678-1) and Sani-Cloth Plus (EPA Reg No. 9480-6) disinfectant towelettes do not appear on List N. Cavi-Wipes (EPA Reg. No. 4678-1) kill sheet does list human coronavirus as a target pathogen and, per the EPA, qualifies as effective against COVID-19. In contrast, the Sani-Cloth Plus (EPA Reg. No. 9480-6) label does not list human coronavirus as a target pathogen and, therefore is not qualified effective against COVID-19.

Things to Keep in Mind:

  • Rely on EPA-registration numbers to determine product qualifications for COVID-19 as many products may be marketed and sold under different brand names
  • Do not make assumptions based on brand name only; for example, while the red-top Sani-Cloth Plus (EPA Reg. No. 9480-6) does not meet EPA qualifications for use against COVID-19, Super Sani-Cloth (EPA Reg. No. 9480-4), Sani-Cloth Prime (EPA Reg. No. 9480-12), and Sani-Cloth AF3 (canister and individual wipes, EPA Reg. No. 9480-9) are qualified and appear on List N.
  • EPA-registered disinfectants offer a wide spectrum of microbial kill; follow label directions for use, particularly dwell/contact times, to ensure safe and effective use

To view qualified disinfectants for use against COVID-19 specifically sold by Oaktree Products, view Oaktree’s Covid-19 Qualified Disinfectants resource page created to accompany this blog post.

NOTE: due to high demand from the COVID-19 pandemic, surface disinfectants are experiencing unanticipated shortages as manufactures have been instructed to direct supply to the most critical care facilities; Oaktree Products is working on acquiring inventory as quickly as possible.

References:

  1. EPA (2020). EPA expands COVID-19 disinfectant list. Available online: https://www.epa.gov/newsreleases/epa-expands-covid-19-disinfectant-list
  2. EPA (2020). EPA releases list of disinfectants to use against COVID-19. Available online: https://www.epa.gov/newsreleases/epa-releases-list-disinfectants-use-against-covid-19
  3. EPA (2020). List N: disinfectants for use against SARS-CoV-2. Available online: https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2
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Coronavirus Reminder

Posted on February 12, 2020 by AU Bankaitis

The novel (new) coronavirus (2019-nCoV), discovered in Wuhan City, Hubei Province, China in late 2019, has been in in the news and serves as yet another reminder as to the importance of infection control in the audiology clinic. For confirmed cases of 2019-nCoV, symptoms can include fever, cough and shortness of breath. Much is unknown about how the new 2019-nCoV spreads and current knowledge is based on previous forms of coronavirus outbreaks like MERS and SARS. The transmission is mainly person-to-person within close contact (within approximately 6 feet) mainly via respiratory droplets when an infected person coughs or sneezes and the droplets land in the mouths or noses of people who are nearby or possibly inhaled into the lungs. It’s remains unclear whether a person can get 2019-nCoV by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes (CDC, 2020a).

In the absence of a 2019-nCoV vaccine, the best way to prevent infection is to avoid close contact with people who are sick. However, as a reminder, CDC (2020b) always recommends everyday preventive actions to help prevent the spread of respiratory viruses, including:

  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Follow CDC’s recommendations for using facemask.
    • CDC does not recommend that people who are well wear facemask to protect themselves from respiratory viruses, including 2019-nCoV.
    • Facemask should be used by people who show symptoms of 2019-nCoV, in order to protect others from the risk of getting infected. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

As healthcare workers, audiologists must control the potential spread of disease in patient-care environments by adhering to standard precautions when caring for patients, regardless of their presumed diagnosis. For a quick refresher on infection control basics, check out my previous blog posts Five Key Points of Infection Control, Wash Your Hands!, and Get Your Audiology Practice Under Control. Also, click the image below for Infection Control Basics from the Oaktree Products infection control resource page.

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Academy Research Conference (ARC) in New Orleans on Auditory Neuropathy (AN)

Posted on January 30, 2020 by AU Bankaitis

The ARC Conference on April 1, 2020 in New Orleans will gather leaders in research to present the latest information on Auditory Neuropathy (AN) and Auditory Neuropathy Spectrum Disorder (ANSD). Patients with AN/ANSD present unique challenges to clinicians with regard to audiological evaluation and management. This full day event (lunch included) will present the latest information on topics of importance in understanding, evaluating, and managing patients of all ages with ANSD. See REGISTRATION RATES and note that early registration ends February 1.

Supported by the National Institute of Deafness and Other Communication Disorders and by the American Academy of Audiology (AAA), here is a quick listing of the line-up in case you want to REGISTER TODAY:

AN/ANSD: Current Status, Clinical Issues, Future Directions – Linda Hood, PhD (Vanderbilt University)

Sound Coding in the Auditory Nerve: Toward New Diagnostic Tools – Jean-Luc Puel, PhD (Institute for Neuroscience in Montpellier)

Cochlear Deafferentation in Noise- and Age-Related Hearing Loss: Basic Observations and Translation to Human – Sharon Kujawa, PhD ( Massachusetts Eye & Ear Infirmary)

AN/ANSD: Assessment in Infants and Toddlers – Yvonne Sininger, PhD (C&Y Consultants)

Electrophysiology in Patients with Gene Mutations Related to AN/ANSD – Rosamaria Santarelli, MD, PhD (University of Padova)

Psychophysics and Bimodal Hearing in AN/ANSD – Sterling Sheffield, AuD, PhD (University of Florida)

Speech Evoked Cortical Responses in Infants and Children With and Without Hearing Loss – Kristen Uhler, PhD (Children’s Hospital Colorado)

Gene Therapy for Genetic Hearing Loss – Lawrence Lustig, MD ( Columbia University Medical Center)

For a more detailed agenda, go to the Academy Research Conference section of the Academy’s website and click the individual presentation titles for summary and objectives. See you in New Orleans for #AAAConf20!

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Opportunity to Expand Your Clinical Reach

Posted on January 28, 2020 by AU Bankaitis

Even if your work setting does not have a cochlear implant (CI) program, every audiologist has a responsibility to make sure patients who can benefit from CI technology actually has access to the technology. It starts with an appreciation of how much CI technology has changed in recent years, recognizing who is a candidate, and appreciating how this solution offering can be integrated within your current practice. This year at AAA 2020 in New Orleans, attendees can learn what they need to know to feel more comfortable recommending CI to appropriate candidates and perhaps expand their practice to work directly with this technology in the following ways:

Featured Session – The Continuum of Care for Treating Hearing Loss: Incorporating Cochlear Implants Into Audiology Practice

This two-hour Featured Session (FS304) is not just for CI audiologists; it highlights what we all need to know to improve patient access to CI technology. A panel of audiologists who have successfully incorporated CI into their clinical practices will share practical tips, personal experiences, and logistical details to empower you to address CI with your patients. Mark your calendars for Friday, April 3 from 2:30 pm to 4:30 pm.

Hands-On Pavilion on Aided-Speech Recognition Testing

Learn the practical aspects of how to set up your booth for calibrated, accurate assessments, review best practices and standard batteries, and learn how to interpret and apply aided speech recognition testing to determine CI candidacy in children and adults with hands-on instruction. The Pavilion is located in HearTECH Expo (the exhibit hall) with dedicated activities scheduled during specific times on Thursday and Friday. Learn before you attend the Featured Session above. Check out the Hands-On Pavilion Schedule here. Visit BEFORE the Featured Session as this will perfectly compliment that session and get you totally ready for implementation when you return to work on Monday!

Learning Modules (LM)

One hour courses throughout the convention addressing cochlear implants and presented by our colleagues in the trenches:

LM 207 (Thursday, April 2, 2020 from 11:00 am – 12:15 pm) Demystifying the Speech-Perception Test Battery so ALL Dispensing Audiologists Can Conduct It.

LM 312 (Friday, April 3, 2020 from 8:45 am – 9:45 am) When Hearing Aids Are Not Enough: Identifying Non-Traditional Pediatric Cochlear Implant Candidates.

LM 324 (Friday, April 3, 2020 from 11:15 am – 12:15 pm) The Journey from Hearing Aids to Cochlear Implants: When to Consider Making the Switch

LM 223 (Friday, April 3 2020 from 4:45 pm – 5:45 pm) AAA Clinical Practiced Guidelines: New Guidance for 2020;

LM 404 (Saturday, April 4, 2020 from 8:00 am – 9:00 am) Adult Perceptions of Cochlear Implants: Helping Patients Understand Benefits (and Address Their Fears)

REGISTER BEFORE SUPER BOWL SUNDAY FOR EARLY BIRD RATES. CLICK IMAGE TO REGISTER
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Audiologists — You Gotta’ Watch These Films! Jerry Northern, PhD

Posted on January 14, 2020 by AU Bankaitis

I recently watched two powerful documentary films on HBO that should be required viewing by all audiologists.  Both films are directed and produced by Academy Award nominated documentary filmmaker, Irene Taylor Brodsky, who finds the story and content of these two films right in her own home.  Here and Now (2007) is the story of her 65-year-old deaf parents undergoing cochlear implantation, while Moonlight Sonata: Deafness in Three Movements (2019) follows her son, Jonas, who has progressive hearing loss and receives his first cochlear implant at age 4 and a second one at age 8.  These two 90-minute films present an extraordinary view of life in an inter-generation family who share the personal life problems of deafness.  

At this point, I should disclose that I was raised by my deaf grandparents and our main means of communicating was through American Sign Language (ASL).  Watching these two documentary films took me right back into my childhood with incredible realism. The scenes and narrative were enthralling and yet sometimes wrenching with emotional and personal family interactions.  The deaf speech patterns, facial expressions and signed communications observed in these films are amazingly similar to conversations held in my home by my grandparents many years ago. 

Irene Taylor Brodsky, Tahria Sheather, Jonas Brodsky, Paul Taylor and Sally Taylor from ‘Moonlight Sonata: Deafness in Three Movements’ pose for a portrait in the Pizza Hut Lounge in Park City, Utah on January 26, 2019 in Park City, Utah.

To be clear, these two movies are about much more than deafness.  They include themes of child development, Beethoven’s life and his music, and observations of aging parents.  However, as an audiologist I could not help but be especially attentive to the sequences on early deaf education, scenes of sound-room testing and cochlear implant tuning, as well as the many aspects of deafness represented in the stories. As a documentary film maker, Irene Taylor Brodsky handles the whole job as film director, producer, writer, cinematographer and editor. She recognizes that the films will help demystify deafness and show that deaf people can enjoy enriched lives full of love and promise.  She wants audiences to appreciate a newfound understanding of deafness and all that it encompasses.

Hear and Now, is a deeply personal memoir of filmmaker Brodsky’s congenitally deaf parents who, at age 65, decide to get cochlear implants.  As experience and research has shown, this cohort of long-term deafened adults are not generally good candidates for cochlear implants.  Nonetheless, parents Paul and Sally Taylor decide together that they have been without sound long enough and the opportunity to hear again is so enticing that they both undergo cochlear implant surgery. Director Brodsky is on hand with her cameras throughout to document the complex thought processes and intimate discussions between her parents that motivates them eagerly to the surgical implant. Their curiosity about sound and their observations about their living in total silence for so long, brings up personal revelations that will be of interest to all professionals who deal with deaf patients. As a side comment, it turns out that Paul Taylor is an engineer and the inventor-developer of the TTY system used successfully by the deaf for many years in place of telephone communication.  At the time of this writing in 2020, audiologists will recognize that the cochlear implant hardware shown in Hear and Now is dated from 2007, although the process itself is similar to what we do today.

I want to point out that Hear and Now is not just another surgery and turn-on demonstration for cochlear implants. Filmmaker Irene Taylor Brodsky shows how motivated her parents are for the opportunity to hear music, hear their children’s’ voices, talk on the phone and hear the sounds of the environment. Her film shows how the implant operation transforms her parents, affects their relationship with each other, and the deaf world they might leave behind.  Viewers will hear the traditional “deaf speech” from her parents that we seldom hear in today’s modern world. In Brodsky’s words, “…this is a story of two people taking a journey from silence to sound. The question is, what will they make of it, and what might they gain — or lose – forever?”  Hear and Now was recognized with the Audience Award at its 2007 Sundance Film Festival premiere.  The film also won a Peabody Award, debuted on HBO, and has since been shown around the world to wide spread audiences. 

When Jonas is the first child born to the Brodsky household in 2006, new mom Irene Taylor Brodsky takes to her cameras to document Jason’s development.  Archival family videos show the normal development in auditory response and speech and language of Jonas through about age 2.  However, the Brodsky’s begin to suspect hearing loss as Jonas’s speech and language suddenly begin to decrease. By the age of 4, Jonas is totally deaf, perhaps inherited from his grandmother, and receives his first cochlear implant.  By now, Brodsky is likely beginning to think of a new documentary as a follow-up to Hear and Now. 

Jonas is not only among the cutest of children, he is a gifted pediatric cochlear implant recipient with amazing vocabulary, speech and language abilities.  Jonas yearns to play the piano, and the new documentary follows his development and especially his obsession to master playing Beethoven’s “Moonlight Sonata.”  The film story also includes passages from Paul and Sally Taylor’s as they age and their continued experiences with their cochlear implants.  The film’s narrative manages to include (through animations) the story of Beethoven’s deafness.  Thus, the movie, intertwines the story of Jason, his deaf grandparents and Beethoven, hence the movie title, Moonlight Sonata: Deafness in Three Movements. It is abundantly clear that Jonas’s auditory fluency separates him from his deaf grandparents, reflecting the influence of technology and changes in deaf education over three generations. 

Again, viewers should be aware that this film is not just about cochlear implants.  Rather it is an intimate and deep reaching look at an intergeneration family with deafness.  While we watch Jonas struggle with playing “Moonlight Sonata,” we also watch Paul and Sally Taylor deal with their cochlear implants.  We see the relationship between Jonas and his grandparents and recognize the width of difference in their educational backgrounds.  Paul and Sally finally accept the fact that deafness is their fate even as they watch Jonas’s development with the help of his bilateral cochlear implants.   

Moonlight Sonata: Deafness in Three Movements premiered at the 2019 Sundance Film Festival and received the Audience Documentary Award.  It was released in the fall of 2019, initially shown in December on HBO and is currently “the buzz” in the area of documentary films.  Moonlight Sonata: Deafness in Three Movements is being shown in selected theaters around the country and can now also be found on Amazon Prime, iTunes, You Tube, and Google Play.  A captioned version is available for viewing by deaf and hearing-impaired audiences. Several interesting and revealing live interviews with Irene Taylor Brodsky can be found on You Tube. 

I’m certainly no movie critic but I have to give these two films ‘thumbs up’ and high ratings for their honesty and clarity of message. Each is well-worth viewing.  Too often, audiologists see patients in a clinical setting without fully understanding the day-to-day needs, frustrations, and successes experienced by deaf and hard-of-hearing persons.  Audiologists and students of audiology, as well as those persons involved with American Sign Language (ASL), and families with deaf children will benefit greatly from viewing real-life deaf persons interacting and conducting their daily lives.

So, if you’ve got a free night at home, or a class to teach in aural rehabilitation, teaching ASL, or to need give a talk to your local HLAA group, these films are for you!!  I guarantee that what you see in these two movies will stay with you and not be easily forgotten – and in fact, the images and stories will be ever useful to you in your professional and personal relationships with deaf people.  You gotta’ watch these films!

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New Scholarship Opportunity with Travel Expenses to AAA in New Orleans for Audiology Students

Posted on December 8, 2019 by AU Bankaitis

Dr. Jerry Northern has graciously donated to the AAA Foundation to award three students interested in pediatric audiology with $10,000 each in tuition funding and $500 each for travel expenses to #AAAConf20 and #HearTECH Expo.

The Jerry Northern Scholarship in Pediatric Audiology will be awarded to full-time graduate students enrolled in an audiology (AuD, PhD, AuD/PhD) program and in good standing at a U.S. university during the 2019–2020 academic year. Applicants must be in at least their second academic year in the graduate program and have completed at least one course in pediatric audiology. 

Applications for 2019–2020 (and AAA 2020) are due January 15, 2020 at midnight ET. The process involves: 1) filling out a short application, 2) submitting a resume/CV, 3) two letters of recommendation from faculty and a clinical preceptor (at least one letter from someone familiar with student’s clinical acumen in pediatrics), and 4) a personal statement. A committee of audiologists will review application materials, and award notification will be made by February 15, 2020. Any questions can be directed to Allyson Tanner, Foundation Coordinator at 703-226-1049. APPLY NOW!

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Contemporary Featured Sessions Line-up at AAA 2020 in New Orleans

Posted on December 4, 2019 by AU Bankaitis

Ten years from now, Audiology is going to look very different; it remains critical to position ourselves to play a key role in preparing for and shaping the Audiology future we want. “Creating the Future Together” is the theme for AAA 2020 and inspiration for program content. Ten different two-hour Featured Sessions will be presented in New Orleans by leaders in the field of audiology, hearing science, and related professional areas beginning on the afternoon of Wednesday, April 1 through the morning of Saturday, April 4. You will want to stay in New Orleans through Saturday morning for sure!

Wednesday, April 1, 2:30–4:30 pm

Pharma Audiology: Prescriptions Beyond Hearing Aids
O’Neil Guthrie, PhD; Thanos Tzounpoulos, PhD

Thursday, April 2, 10:00 am–2:00 pm

Coding Updates for 2020
Christine Brown, AuD; Jennifer Frank, AuD; Anna Jilla, AuD, PhD; Alyssa Needleman, PhD; and Brad Stach, PhD

Over-the-Counter Hearing Aids and PSAPs
Kristi Oeding, AuD; Nick Reed, PhD, Adam Voss, AuD

Thursday, April 2, 2:30–4:30 pm

Hidden Hearing Loss and Processing Speech in Noise: What Audiologists Need to Know and Practice Now
Bharath Chandrasekaran, PhD; Edward Lobarinas, PhD

Friday, April 3, 7:45–9:45 am

Hearing Aids in Review: 2019
Catherine Palmer, PhD; Gus Mueller, PhD; and Robert Turner, PhD

Friday, April 3, 10:15–11:45 am

Enhancing Auditory Experience in Children with Hearing Aids
Marion Downs Lecture in Pediatric Audiology
Ryan McCreery, PhD

Friday, April 3, 2:30–4:30 pm

The Continuum of Care for Treating Hearing Loss: Incorporating Cochlear Implants into Audiology Practice
Moderated by Sarah Sydlowski, AuD, PhD

Women in Audiology: Addressing Implicit Bias to Transform Your Work Culture
Laurel Gregory, MA; Kari Morgenstein, AuD; Erin Schafer, PhD; Hillary Snapp, AuD; Amy Badatubner, AuD; and Therese Walden, AuD

Saturday, April 4, 9:30–11:30 am

Ethics
Academy Ethical Practices Committee

From OTC to 3PA: Understanding the Pros and Cons of New Sources of Revenue For the Audiology Practice
Noel Crosby, AuD; Soriya Estes, AuD; Kelli House, MA; Gyl Kasewurm, AuD; Paul Pessis, AuD

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Cutting Edge Learning Labs at AAA 2020 in New Orleans

Posted on November 26, 2019 by AU Bankaitis

The Program Committee is excited to offer an awesome line-up of Learning Labs at AAA 2020 in New Orleans. Six interactive workshops scheduled the morning of Wednesday, April 1, 2020 (8:30 am – 12:00 pm) offer opportunities for attendees to acquire more in-depth knowledge and skills on the following relevant clinical and/or professional topics:

The Importance of Ethical Selling of Hearing Aid Solutions

Spend the morning with Oliver F. von Borstel, an expert in international business and non-manipulative, ethical selling. He has coached sales teams within and outside of the hearing industry on how to ethically sell solutions based on added value and improved quality of life to the patient and the patient’s family.

Benign Paroxysmal Positional Vertigo (BPPV): The Science and Protocols for Successful Treatment and Happy Patients

Fasten your seat belts as Dr. Richard Gans and Dr. Joseph Sakumura review, demonstrate, and provide hands-on training of evidenced-based protocols for the treatment of BPPV with the best outcomes and lowest rates of recurrence.

Musicians and In-Ear Monitors: An Opportunity to Demonstrate Your Doctoring Skills

Expand your clinical skill set and influence beyond ear mold impressions to learn how to offer and bill services catering to the musician’s specific needs. Dr. Michael Santucci, an audiologist who has dedicated his career to educate, protect, and conserve hearing for musicians, will share his knowledge while offering hands-on demonstrations of in-ear monitors and an in-ear sound level analyzer.

Gender Speak, Gender Science

Get a better appreciation on what drives gender-related communication problems from Tammy Hughes, president of one of the nation’s premier consulting firms for gender differences and communication in the workplace. This workshop will use humor to address the central factors that drive gender-related communication problems while emphasizing the importance of men and women valuing each other’s strengths.

Trust the Patients, Verify the Hearing Aids

Dr. Lindsey Jorgensen will help improve your skills and increase your comfort with verifying advanced hearing aid features and accompanying accessories. Move beyond “hitting the target” and verifying aided output during this practical, hands-on workshop.

Cerumen Management: Navigating Your Way Out of a Sticky Situation

This popular 2-part didactic and hands-on workshop offers the foundation and knowledge needed for efficient cerumen management in the clinical setting. Lead by Dr. Samuel Bittel , select vendors will demonstrate different removal techniques and equipment, and end with participants getting hands-on experience.

NOTE: Learning Labs are offered at an additional cost of $85 and are not included in the main AAA 2020 Conference registration and are typically limited to a certain number of participants. They take place on Wednesday only, April 1, 2020 from 8:30 am to 12:00 pm.

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