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ECTOPARASITE CONTROL F-130 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: ECTOPARASITE CONTROL NO: F-130 FILE: ECTOPARASITE CONTROL EFFECTIVE DATE: 07-16-20 REVISED: AUTHORITY: Sheriff J. Zanoni APPROVED BY: Assistant Sheriff T. Gattie REFERENCE: California Code of Regulations, Title 15, Sections 1212, 1262, 1271, 1272 and 1280. PURPOSE: The purpose of this policy is to establish a procedure to ensure safe and proper handling of contaminated clothing, bedding and linen, and to control contamination and/or spread of vermin in the jail. POLICY: It is the policy of the Fresno County Sheriffs Office Jail Division to launder all clothing, bedding and linen at least weekly, or as needed, to control contamination and/or spread of vermin. Contaminated items will be placed in red plastic bags. Bags containing contaminated articles will be sent to the laundry for cleaning, disinfecting, or disposal. PROCEDURES: I. DEFINITIONS ECTOPARASITE— a parasite that lives on or in the skin, but not within the body. Lice, fleas, ticks and mites are examples of ectoparasites. OUTBREAK - an outbreak, or epidemic, occurs when there are more cases of disease than would normally be expected in a specific time and place. VERMIN — the term "vermin" has a variety of definitions that includes a large array of pests and nuisance animals. For the purpose of this policy, any reference to vermin is specific to ectoparasites. Page 1 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: ECTOPARASITE CONTROL NO: F-130 FILE: ECTOPARASITE CONTROL II. GENERAL GUIDELINES A. At the time of initial intake, each inmate will be screened, by interview, for lice, scabies (caused by mites), or other parasites prior to entering the jail. B. If an infestation is found or suspected to be present upon the initial health care screening (or it is found or suspected on an inmate already in the general population), the inmate shall be isolated until treatment is provided. 1. Prescribed treatment shall consider all conditions (such as pregnancy, open sores, or rashes) and shall only be ordered by a physician, physician's assistant, or nurse practitioner. 2. Appropriate treatment and replacement of contaminated articles shall be provided as soon as possible. C. All persons handling contaminated clothing, blankets, sheets or towels shall wear disposable gloves. Anyone handling contaminated articles of a scabies case should also wear a disposable gown. D. The inmate's laundry bag containing all contaminated articles that can be washed (i.e., blankets, sheets, towels, jail-issued clothing and commissary purchases (e.g., gym shorts, underwear, washcloths, pillows)) shall be placed into a water-soluble bag, which shall then be placed inside a red plastic bag by the inmate at the time of treatment and clothing exchange. 1. The red bag may be delivered directly to the Laundry Room, or placed into a "contamination bin." 2. Notify the Inmate Supplies Coordinator (or in his/her absence, the Laundry Supervisor) via email. Indicate the location of the bag and type of contamination. E. Contaminated articles will be washed separately from other laundry. Contaminated laundry should be washed in hot water (at least 130°F) and dried on the hot cycle. Page 2 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: ECTOPARASITE CONTROL NO: F-130 FILE: ECTOPARASITE CONTROL III. MATTRESSES AND CELLS It is the responsibility of the housing floor officers to ensure the following is performed: A. The mattress and bunk shall be wiped down with a general disinfectant (e.g., the all-purpose cleaner found on the cleaning cart). B. Personal items belonging to infected inmates should be laundered or wiped down with disinfectant. 1. Personal property that may have touched the inmate's skin and cannot be laundered or disinfected shall be placed in a plastic bag. The bag shall be sealed and labeled with the inmate's name, Booking and JID numbers, and the date. Personal items can be returned to the inmate in seven (7) days. 2. Scabies patients should throw away any used lotions, creams, and ointments due to possible contamination. C. Cells should be thoroughly cleaned. Anyone cleaning the cell of a scabies case should wear gloves and a disposable gown. NOTE: Pesticide sprays and fumigation are not required for ectoparasite infestations. IV. OUTBREAK A. When multiple cases present, control measures should be enacted that include heightened surveillance for early detection of new cases. It may be necessary to conduct a mass screening, including interviews and visual inspection of large groups of potential inmate contacts, together with simultaneous treatment. B. In the event of an outbreak, the Fresno County Department of Public Health should be consulted to review the situation on a case-by-case basis. Page 3 of 3