HERRAN FUMIGATIONS

PEST CONTROL PROTOCOL FOR HOSPITAL AND RELATED

CENTERS
1. General features

1.1 Aim

Guarantee the control and management of possible pests and vectors that could affect
healthcare, administrative and industrial areas, avoiding their proliferation.

1.2 Legal framework

• Law 09 of 1979 (National Health Code)

• Decree 1843 of 1991 (Use and management of pesticides)
• Resolution 2400 of 1979 (Industrial safety in workplaces)
• Resolution 4143 of 1993 (Regulations for pesticide companies)
• Resolution 4410 of 2009, Ministry of Social Protection. (Technical Regulations
containing the Manual of Good Manufacturing Practices for Medicinal Gases).

1.3 Scope

This procedure applies to all areas that are part of a hospital center, IPS, health post
including medical and administrative service centers, etc.

1.4 Glossary

• Pest Control: System to combat pests or especially a population of species that, in

large quantities, produce or cause local damage, in addition to causing damage to equipment
and human health through the transmission of bacteria.
• Pesticide: Any agent of a chemical, physical or biological nature that alone, in
mixtures or in combination, is used for the prevention, suppression, attraction or control of
insects, mites, pathogens, nematodes, weeds, rodents or other organisms harmful to
humans. animals, or plants, their derived products, health or beneficial fauna.
• Environmental sanitation activity: These are those actions that are carried out
to correct, prevent and/or improve the environmental conditions that surround,
or are influenced by, a project or activity.
• Baits: Very useful due to their attractive effect. The baits are designed to attract
and kill pests. They can also be used in dining rooms and kitchens, where
pests spread or search for olive oil.
• Deratization: Its objective is to control rodents (rats and mice) inside and
outside the facilities. It is based on prevention, preventing rodents from
entering, living or proliferating in premises or facilities.
• Infestation: It is the presence and multiplication of pests that can contaminate
or deteriorate olive oils and/or raw materials. It refers to the number of
individuals of a species considered harmful in a certain place.
 • Preventive measure: These are all those activities aimed at reducing the
probability of an unwanted event occurring.
• Vector: Arthropod or other invertebrate that transmits infections by inoculation
of the skin and/or mucous membranes or by seeding of microorganisms
transported from a source of contamination to a food or object. The vector may
be infected or simply a passive or mechanical carrier of the infectious agent.
• Arthropod: It is the most numerous in the animal kingdom, about 80% are
insects, they have a chitin exoskeleton and articulated legs (e.g. flies,
cockroaches, etc.)
• Aerosol: Suspension of solid or liquid particles in the air.
• Spraying: Method of applying substances.
• Fumigation: Method of chemical pest control.
• Fogging: Pesticide Application Method

2. INFORMATION GENERAL

Pests and Vectors to control. In the different habitats where human beings live, they
constantly encounter animal species of different natures, which constitute the fauna of the
ecosystem.
Although many of these species exert beneficial effects from the agronomic point of view
(food), from the point of view of health (predators of pathogenic species) or simply that of
well-being or leisure (pets), it is necessary to refer to others that trigger risk situations for the
population due to stings, bites or simple discomfort, without forgetting those that are vehicles
for the transmission of infectious diseases or vectors, such as certain types of insects or
mammals (rodents).

From the point of view of public health, the term vector can be defined as a vehicle for an
etiological agent (virus, bacteria, etc.) in the chain of transmission of a certain infectious
disease caused by a pathogenic microorganism and responsible for its spread among human
populations.

The problems generated by certain types of animals (rodents, weevils, mites, etc.) by
contaminating or destroying any type of surface or place where they are found are important.

Image 1.
Mechanical Vectors

Mites Rodents Weevil Cockroach Fly

Mechanical vectors, some cases that should be considered and that are controlled
in the hospital:

Insects: Cockroaches, Flies and Weevils.

Vertebrates: Rats, Mice.

Mites: Mites

A species is considered a pest when it is found in a proportion or density that can harm or
constitute a threat to humans or their well-being. The concept has only a quantitative meaning,
but a qualitative one; There are very abundant species that are not considered pests, and
species that in a low proportion cause clearly undesirable effects.

In particular, production areas such as kitchens, laundries, common areas such as hallways,
bathrooms, dining rooms, garbage chutes, storage areas and the surrounding areas of
hospital facilities; there is a higher risk of contamination by different pests and/or vectors;
Therefore, the Production Manager and the administrative part must verify the activities carried
out in the fumigation process and compliance with the frequency established in the pest
control schedule established by each center. Additionally, maintenance technicians will carry
out quarterly monitoring of the different areas that belong to the hospital center, verifying the
good condition of the different areas of the center and verifying the total absence of vectors.

Rodent Control (see general rodent control protocol)

1) Rodent control must be carried out using chemical agents (Baits) that are placed in feeders,
at strategic points previously established with those in charge of the maintenance part. A plan
of feedlots duly identified and numbered must be prepared (See consumption record table).
2) Active controls are also contemplated through improvements to infrastructure and physical
barriers such as sealing,

Insect Control

Insects are treated through chemical controls in the healthcare, administrative and industrial
areas of the hospital, common areas, hallways, bathrooms, and perimeter areas.

3. Techniques of fumigation (see rodent control protocol)

Deratization

Process by which rats and mice are controlled in the facilities or areas of the hospital.
Procedures may vary depending on the type of rodent and level of infestation. We use unique
techniques to control them, adapted to their usual behavior, we apply anticoagulant products
(Rodenticides), when the rodent consumes the poison it does not die immediately because
this would alert the other rodents and the rodent usually dies after days or weeks in its burrow.
and avoiding bad odors.
 The rodenticide applied is a bait in pellets that is removed when it is verified in the monitoring
of the feedlots that they have already been consumed, likewise, if they are removed, new
pellets are placed.

3.1 Nebulization

It is a spray system with liquid in very fine particles that form a cloud in the environment, which
confers great penetration power. This spray is carried out with special electrical equipment for
this type of techniques; ideal for the control of flying and crawling insects applied in
administrative areas and closed spaces.

3.2 Aspersion Motorized:

Method by which small drops of pesticide are spread, either in the form of an emulsion,
powder to reconstitute or microencapsulated. This method is the most effective and
sometimes combinations of powders and emulsions are used for greater effectiveness.
This technique is performed on large surfaces such as walls, floors, ceilings and general
property treatments and it is of great importance that this application is only allowed in areas
where food or products are NOT handled with controlled storage conditions. Authorized
products must be used for this purpose.
The characteristics of pesticides that should be used in healthcare and/or industrial
institutions are:

(See Technical Sheets as external documents)

 Insurance
 Effective
 Biodegradable
 Toilets
 Do not stain
 Non-toxic

4. Control Verification Pl agas

The Environmental Management area must verify the pest control activities carried out by the
contractor during visits and compliance with the frequency established in the Pest Control
Schedule.

If a new control is required, the service leader notifies the Environmental Management area
for timely management and execution.

It is important to note that due to the droplet size of the product, spatial treatment or
nebulization has no residual effect on the treated areas.

5. Procedure
5.1 Area Assistance
 Notification of the activity to the coordinator of the centers and to the internal areas
of the Hospital or health center by the environmental management area for prior
preparations in the areas to intervene, the notification of the activity will be led by the
Environmental Management area.
 The environmental management area makes a statement informing the schedule for
pest control, this statement contains date, time, center and recommendations.
 Information to healthcare services (hospitalization, emergencies, ICU, etc.) close to
the procedure to be performed to avoid possible poisoning of patients.
 Raising awareness among users of the center to avoid the risk of toxins and
implementing biosafety measures in the use of face masks and protection of
healthcare areas.
 At the time of intervention, preventive signage is carried out with tape alluding to
emergencies where the area to be operated is demarcated.
 A measurement of the focus to be intervened will be carried out mainly, identifying
the possible risks in the area.
 Control of the focus, application of the product by nebulization method or manual
spraying.
 Application of pellet baits inside active burrows, sinkholes or
 Completion of the process with the prohibition of officials entering the center for a
minimum of 12 hours. To this end, these controls are carried out on non-working
days such as Sundays and holidays to avoid possible poisoning.
 After controlling the outbreak the next day, a day of cleaning, cleaning and
disinfection of the areas controlled by personnel in charge of carrying out these
activities is carried out.

5.2 Area Administrative

 Notification of the activity to the coordinator of the centers and to the internal areas
of the hospital or health centers by the environmental management area for prior
preparations in the areas to intervene, the notification of the activity will be led by the
Environmental Management area.
 The environmental management area makes a statement informing the schedule for
pest control, this statement contains date, time, center and recommendations.
 Information to healthcare services (hospitalization, emergencies, ICU, etc.) close to
the procedure to be performed to avoid possible poisoning of patients.
 Raising awareness among users of the center to avoid the risk of toxins and
implementing biosafety measures in the use of face masks and protection of
healthcare areas.

 After controlling the outbreak the next day, a day of cleaning, cleaning and
disinfection of the areas controlled by personnel in charge of carrying out these
activities is carried out.
 At the time of intervention, preventive signage is carried out with tape alluding to
emergencies where the area to be operated is demarcated.
 A measurement of the focus to be intervened will be carried out mainly, identifying
the possible risks in the area.
 Operation of the focus, application of the product by Manual Nebulization method.
 Application of pellet baits inside active burrows, sinkholes or feedlots.
 Completion of the process with the prohibition of officials entering the center for a
minimum of 12 hours. To this end, these controls are carried out on non-working
days such as Sundays and holidays to avoid possible poisoning.

5.3 Area of services

 Notification of the activity to the leader of the general services by the environmental
management area for prior preparations in the areas to intervene, the notification of
the activity will be led by the Environmental Management area.

 The environmental management area makes a statement informing the schedule for
pest control, this statement contains date, time, center and recommendations.
 Information to healthcare services close to the procedure to be performed to avoid
possible poisoning of patients.
 Raising awareness among users of the center to avoid the risk of toxins and
implementing biosafety measures in the use of face masks and protection of
healthcare areas.
 At the time of intervention, preventive signage is carried out with tape alluding to
emergencies where the area to be operated is demarcated.
 A measurement of the focus to be intervened is carried out mainly, identifying the
possible risks in the area.
 Control of the focus, application of the product by manual spray method.
 Application of pellet baits inside active burrows, sinkholes or feedlots (If applicable).
 Completion of the process with the prohibition of entry of officials to the center for a
minimum of 12 hours. To this end, these controls are carried out during non-working
time, specifically on Sunday in the evening hours.
 After controlling the outbreak the next day, a day of cleaning, cleaning and
disinfection of the areas controlled by personnel in charge of carrying out these
activities is carried out.

5.4 Areas Exposed

 Notification of the activity to occupational health so that it is aware of which areas

are going to be intervened, the notification of the activity will be led by the
Environmental Management area.
 At the time of intervention, preventive signage is carried out with tape alluding to
emergencies where the area to be operated is demarcated.
 Control of the focus by applying the product by manual or motorized spraying
 method and placing feeders in strategic areas
 (See table 2).
 Completion of the process.
 Every 6 months, an inspection of the condition of the feedlots will be carried out,
with the aim of replacing those that are in poor condition, without baits and without
signage.
6. Areas to to intervene

Table 1. Areas intervened by Environmental Management for pest control.

AREAS
ASSISTANCE General Medicine, Dentistry and Vaccination offices.
ADMINISTRATIVE Offices, Billing, File.
SERVICES Kitchens, warehouse. Laundries, cafes
EXPOSED AREAS Parking, Green Areas, Basement.
COMMON AREAS Hallways, stairs,
OTHER AREAS Waste area, bathrooms, elevators.

Note: It is important that each of the feedlots is marked with the word
“Danger” and duly identified.
- Make feedlot plan
- Keep consumption records
- Schedule of visits or controls

Table 2. Strategic bait placement areas.

Outdoor parking lots

Exposed areas Basement parking
Parkland Front gardens
surroundings Administrative areas (When required)
External areas of the Medical Air System
External edge of the entire hospital

7. VECTOR CONTROL FORMAT

ESTABLISHMENT:
RESPONSIBLE:

NAME BAITS INSECTICIDE RECOMMENDATIONS

DATE OF THE AREA
SERVED
NAME No OF BAITS No OF BAITS Not FROM PRODUCT APPLIED
OF THE PLACED CONSUMED DEAD RATS AMOUNT
PRODUCT
SUPERVISED BY: __________________________

NAME AND SURNAME:_________________________