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operational field environment must also be readily available   reduction; 2 = 51%–75% contamination reduction; 3 = > 75%
          through established supply chains or portable to the field with   contamination reduction. No score discrepancies > 1 were ob-
          the handler’s standard canine gear. Therefore, the objective of   served between reviewers.
          this multiphase study was to test the effect of material type,
          cleanser, and method of cleaning on contaminant reduction of   Phase 2
          commonly used working canine equipment materials.  Phase 2 examined the efficacy of two materials (leather and
                                                             nylon) and two cleansers (Dawn Ultra Dishwashing Liquid
                                                             and Johnson’s Head-To-Toe Baby Wash) from phase 1 and

          Methods
                                                             two novel methods of cleaning. Cleaning methods were as fol-
          Phase 1                                            lows: soak = 2-minute agitation, 24-hour soak, followed by a
          Decontamination of three material types was studied using   30-second rinse; HPC = 2-minute soak followed by 3 minutes
          different cleansers and cleaning methods. Material types used   of HPC performed using a Chore Master  CV-2400-1MHC
                                                                                              ®
          were leather, nylon, and biothane, as they are the most com-  (Mi-T-M Corporation, Peosta, IA) at a distance of 5 feet and
          mon materials used in manufacturing of collars and leashes.   pressure of 2400 pounds per square inch (psi). Each possible
          The  cleansers  selected  for  testing  were  Dawn   Ultra  Dish-  combination of material type, cleanser, and cleaning method
                                               ®
          washing Liquid (Proctor & Gamble, Cincinnati, OH), Simple   was replicated 5 times (Figure 2). Topical application of the
          Green Original (Sunshine Makers Inc, Huntington Beach),   fluorescent marker, digital image collection, and scoring were
               ®
          and Johnson’s Head-To-Toe Baby Wash  (Proctor & Gam-  conducted in the same manner across phase 1 and phase 2.
                     ®
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          ble, Cincinnati, OH). Selection of cleansers was based on cur-
          rent availability to Federal Emergency Management Agency   FIGURE 2  Flow chart depicting materials (leather, nylon), cleansers,
          (FEMA) teams and prior use for canine decontamination. 1,2,8    and treatment methods assessed in phase 2. Each combination of
          Cleansers were mixed into solution (3mL cleanser to 1L wa-  material, cleanser, and treatment method was replicated 5 times.
          ter) and used for three different cleaning methods. Cleaning
          methods were as follows: A = 5-minute soak followed by a
          30-second rinse; B = 5-minute soak with a 30-second rinse
          followed by a second 5-minute soak and 30-second rinse; C =
          3-minute soak and a 2-minute agitation (continuous back and
          forth motion) followed by a 30-second rinse (Figure 1).

          FIGURE 1  Flow chart depicting materials, cleansers, and treatment
          methods assessed in phase 1. Each combination of material, cleanser
          and treatment method was repeated in triplicate.

                                                             Cleansers: Johnson’s Head-To-Toe Baby Wash and Dawn Ultra Dish-
                                                             washing Liquid.
                                                             Treatment method: high-pressure cleaner (HPC) = 2-minute soak, fol-
                                                             lowed by a 3-minute oscillating HPC; Soak = 2-minute agitation, 24-
                                                             hour soak, followed by a 30-second rinse.


                                                             Statistical Analysis
                                                             The primary outcome of interest for both phases was the re-
                                                             duction of fluorescence (as an indicator of contamination)
                                                             by material type, cleanser, and cleaning method. Categorical
          Materials: leather, nylon, and biothane.           data were compared using PROC FREQ of SAS (version 9.4).
          Cleansers: Johnson’s Head-To-Toe Baby Wash, Dawn Ultra Dishwash-  Prior work conducted related to decontamination effective-

          ing Liquid, and Simple Green Original.             ness has yielded reductions of 23%–85% depending on pro-
          Treatment method: A = 5-minute soak, and a 30-second rinse; B =   cedure used.  Therefore, effective contaminant reduction for
                                                                       12
          5-minute soak, 30-second rinse, a second 5-minute soak, and a 30-
          second rinse; C = 3-minute soak, additional 2-minute agitation, fol-  our study was assessed as success (≥ 50% reduction) or fail-
          lowed by a 30-second rinse.                        ure (< 50% reduction), which was compared using Pearson
                                                             χ  as previously described.  Examples of successful and failed
                                                                                  1
                                                              2
          An oil-based fluorescent marker (GloGerm , Moab, UT) used   reductions are shown in Figures 3 and 4. Significance for all
                                           ®
          as a surrogate for contamination was topically applied to   comparisons was established at P < .05. Results are depicted
          identical lengths (6 inches) of each of the three material types   using frequency of score.
          (Figure 1). Baseline fluorescence was documented via digital
          imaging using a Canon T5i DSLR (Canon Inc., Tokyo, Japan)   Results
          camera at a distance of 18 inches from the test material. Every
          combination of cleanser, cleaning method, and material type   Phase 1
          was repeated in triplicate (Figure 1). Following decontamina-  Data from cleansers compared for phase 1 indicate a higher
          tion, digital images were captured to assess predecontamina-  frequency of failure for Simple Green (P = .0075) (Table 1).
          tion and postdecontamination fluorescence using a method for   The use of Simple Green across all materials and cleaning
          categorical scoring adapted from previous work  and as pre-  methods was associated with an 85% rate of failure. There
                                                13
          viously published. 1,14  The scoring method was applied using   was no significant difference in the frequency of success or
          two blinded and independent reviewers. Scores were assigned   failure for Dawn or Johnson’s. Likewise, no difference in the
          as previously described  and are defined as follows: 0 = < 25%    frequency of success or failure was detected when comparing
                            1
          contamination reduction; 1 = 25%–50% contamination   cleaning methods or material types (Table 1). Overall, failure

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