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ISSA Clean Standard: Measuring the Effectiveness of Cleaning 12 7. Alternative Methodologies While the Clean Standard is based on the use of ATP measurement, there are a number of alternative methods that are capable of objectively validating the effectiveness of a facility's cleaning processes. These methods include direct practice observation, the use of fluorescent markers, and others. Such methods may be used in addition to or in lieu of ATP measurement, and are referenced in Options for Evaluating Environmental Cleaning, Centers for Disease Control (CDC), 2010, Appendix B, Objective Methods for Evaluating Environmental Hygiene. However, the use of these methods alone will not be construed as meeting the requirements of the Clean Standard. References and Related Documents Richard J. Shaughnessy, Eugene C. Cole, Demetrios Moschandreas, and Ulla Haverinen- Shaughnessy, (2013); "ATP as a Marker for Surface Contamination of Biological Origin in Schools and as a Potential Approach to the Measurement of Cleaning Effectiveness"; Journal of Occupational and Environmental Hygiene, 10:6, 336-346, June 2013. Carmen V. Sciortino, PhD, R. Allen Giles, BS, "Validation and Comparison of Three Adenosine Triphosphate Luminometers for Monitoring Hospital Surface Sanitization: A Rose a Stone for Adenosine Triphosphate Testing," American Journal of Infection Control, Volume 40, Issue 8, October 2012. 1. Richard J. Shaughnessy, Eugene C. Cole, Demetrios Moschandreas, and Ulla Haverinen-Shaughnessy, (2013): "ATP as a Marker for Surface Contamination of Biological Origin in Schools and as a Potential Approach to the Measurement of Cleaning Effectiveness." Journal of Occupational and Environmental Hygiene 10:6, 336-346 (2013). 2. Id. 3. Boone, S.A., and C.P. Germa: Significance of fomites in the spread of respiratory and enteric viral disease. Appl. Environ. Microbiol.73(6):1687–1696 (2007). 4. Franke, D.L., E.C. Cole, K.E. Leese, K.K. Foarde, and M.A. Berry: Cleaning for improved indoor air quality: An initial assessment of effectiveness. Indoor Air 7:41–54 (1997). 5. ISSA. (n.d.) The Value of Clean ® . Retrieved January 22, 2015, from h p://www.issa.com/member-benefits/value-of-clean#. VMFvsFrnfww

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