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**Crosby Kemper:** Good afternoon, everybody
or good morning, depending on where you are.

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This is Crosby Kemper, the director of The
Institute of Museum and Library Services,

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the IMLS.

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Welcome.

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We've had an overwhelming response to today's
webinar.

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0:22

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So I want to get right into it, but I'll mention
now and I mean mention later, we are recording

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this if colleagues, friends, the members of
your communities didn't have a chance to get

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in or if you need to leave at some point,
this will be available on our website.

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LogMeIn is doing this for us and we'll be
linking to them from IMLS.gov.

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I think the Department of Education may also
link to it.

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And eventually we will actually have this
up on our website as well.

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The IMLS is an independent Federal agency
located in Washington, D.C.

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We're best known for our grants to museums
and libraries, but part of our mission is

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to support innovation and ideas to do research
and policy development.

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This of course fits in all of that, as well
as the Institute has been requested by the

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White House and Congress to be a part of the
all-hands-on-deck emergency response to our

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national crisis.

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We know that information is a key to what
all of you do and it's a key to what we do

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and we're pleased today, in association with
our partners in presenting this webinar, the

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Department of Education represented by Phil
Rosenthal, the National Archives represented

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by Gary Stern, the Smithsonian Institution
by Judith Leonard and the Library of Congress

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by Elizabeth Pew, so I want to shout out to
our own general counsel Nancy Weis at the

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end of the call.

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I'm going to introduce in one second David
Berendes and Catherine Rasberry.

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Dr. David Berendes and Dr. Catherine Rasberry
from the CDC.

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But first of all before we do that, I want
to thank all of you for what you're doing.

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The virtual world that you inhabit now, that
we're all inhabiting now, is still providing

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education, enlightenment and entertainment
to a world desperately in need of it, and

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a lifeline to the rest of the world.

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And so what you're doing is enormously important,
and if we can help you with information today

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about your collections, about your materials,
about your future activities, we want to continue

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to do that.

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So look for us to develop not only the link
to this webinar and to further information,

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but the CDC has promised us that they'll continue
to let us mediate for them to the library,

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museum and archive worlds.

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So today we've got Dr. David Berendes who
is a an epidemiologist in the waterborne disease

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prevention branch of the CDC who focuses on
global sanitation and hygiene issues, and

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Dr. Catherine Rasberry who is a health scientist
in the CDC's division of Adolescent and School

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Health.

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I'm going to turn it over to Dr. Rasberry
to start and then Dr. Berendes.

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And as I say, we'll be taking questions and
we have a list of questions that I'll refer

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to after their presentations, but we're taking
your questions online.

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3:55

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If you look at the question box, you can send
your question that way and we'll try and get

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to as many as we can.

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So Dr. Rasberry, take it away.

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**Dr. Rasberry:** All right.

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Thank you so much.

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So as he mentioned, my name is Catherine Rasberry
and my usual job is in CDC's division of Adolescent

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and School Health.

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But right now I'm helping with our community
guidance development team, which is part of

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a community interventions task force in our
response efforts, and I've been really focused

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on some of the guidance for a variety of settings
across the community, and certainly our museums

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and our libraries are critical setting.

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So I want to first mention where you can find
guidance that I think you will find most relevant

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for your organizations.

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Right now we have guidance documents.

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I think three specific ones that will be of
interest to you.

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So if you have a pen in your hand, you may
want to jot these down.

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We have some guidance that's developed for
community and faith-based organizations.

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5:03

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We have some guidance around large community
events and mass gatherings.

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And we have some guidance around business
and employers.

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I think you're sort of crossing all those
different areas in the work that you do, most

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likely.

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And so those are key places where you'll find
information from CDC on recommendations for

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addressing COVID-19 in your facility and in
your work.

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So that's a sort of a starting point for you.

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I want you know where you can find the information
that I'm about to talk about.

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So everything we're discussing is sitting
in those documents on our website.

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So you'll be able to look there for more information.

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So today, I want to really focus on a few
key things.

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We're going to start by talking about the
importance of looking at any existing Emergency

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Operations plans.

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Then we're going to move into talking about
preventive actions and how you can help promote

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those in your facility with your staff and
with your guests.

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And we'll talk about social distancing as
well.

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So we'll get into some specifics around social
distancing and what you can do to help with

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that.

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We'll also talk briefly about the importance
of thinking about groups at high risk for

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complications from COVID-19 across all those
different pieces.

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6:21

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And then my colleague David is going to be
able to speak to you more about some of the

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cleaning and disinfection related guidance.

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I know folks had a lot of specific questions
in that area, so it'll be super helpful to

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hear from him.

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All right, so let me start at the beginning
of things.

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I think one of the most important things for
you to do at this stage, if you haven't already,

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and you may have, is to think about looking
at your Emergency Operations plans.

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If you have these plans pull them out, dust
them off.

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I'm guessing many of you have done that already
and keep in mind that your primary point of

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contact and your first stop always is going
to be the local Health officials in your own

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community.

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We really think it's critical that you make
sure you have ways to communicate effectively

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with the health department in your area.

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So that's local Health Department, potentially
State Health Department as well.

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You may be doing that through a library system
leadership team or through your local government

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or other folks within your structure organization.

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They're going to be critical for you to help
you understand what types of strategies are

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most appropriate given the level of community
transmission where you are.

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Another thing that's important and maybe covered
in your Emergency Operations plans is thinking

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about your sick leave policies.

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Not only do you serve a community; you also
serve as an employer in many cases, and you

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want to look at your sick leave policies so
that you can be in encouraging telework when

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it's possible.

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I certainly understand that not every staff
member has a job that's appropriate for teleworking,

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but some may.

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Encourage that when you can.

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Think about special considerations for your
staff at high risk.

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So we know that some individuals, specifically
older adults and individuals with underlying

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conditions, are at higher risk for severe
complications of COVID-19, and so it's particularly

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important that you think about these staff
and you think about ways you may be able to

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accommodate them to help protect them.

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And finally in your sick leave policies, one
of the things you want to look for is to make

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sure that you have some flexibility to allow
your staff to stay home when they're sick

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or if they're caring for sick family members.

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One of the most important things that we want
all people doing right now is to **stay home

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when they're sick.** That includes your guests,
that includes your employees, right?

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We don't want people coming out into the community
when they're sick.

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As you're looking at your Emergency Operations
plans, I would also encourage you to make

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any updates that you need to.

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So make sure that you have contact information
for all your employees.

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Make sure you have plans in place to think
about how you're going to communicate both

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with your employees as well as your community
members at large.

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So if you decide to implement changes to your
services or to your hours, or if you're closing

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your facility -- all those things you need
to be able to communicate effectively and

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efficiently with the people that you serve.

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We also want you to think about multiple ways
to disseminate information.

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You likely do this already and you can likely
use systems that you currently have in place

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for communicating with your community.

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So you may use website information, you might
have phone trees or call numbers that you

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can use, or mailings that you can use as well.

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And one of the other really important pieces
in your Emergency Operations plan is going

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to be some of the pieces that you have around
cleaning and disinfection.

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Now, I'm going to pause and not talk about
that here, because David's going to be telling

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us more about that in just a few minutes.

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So those are some kind of overarching principles
to think about in your Emergency Operations

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plan.

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Make sure you have a contact with your health
department, you know who you'll reach out

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to and how.

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Make sure you have appropriate sick leave
policies that really allow your employees

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to not be at work when they're sick or if
they have to care for people who are sick,

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and make sure that you have updated ways to
communicate effectively with both your employees

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and the people you serve.

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Now another really important thing that you
can do is to help promote preventive actions.

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So this can happen in a couple of ways.

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I think one broad way is that you can share
information with people about important preventive

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actions.

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So when we say that, in general we're talking
about things like hand hygiene.

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So for example, we want everyone to be washing
their hands with soap and water for at least

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20 seconds, especially at these key times
like after going to the bathroom or before

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they eat or after they blow their nose or
cough or sneeze.

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We want people to know that if they can't
access soap and water and as long as their

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hands are not visibly dirty, they should be
using an alcohol-based hand sanitizer with

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at least 60 percent alcohol.

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So you can help communicate some of this just
basic information to help people take care

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of themselves.

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You can promote that through your communication
channels.

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You can also display it in your facility.

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So in your restrooms, maybe you put up signs
to remind people to wash their hands and to

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do it for 20 seconds, right?

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CDC has a variety of resources that you can
use for this.

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We have some printable signs and posters,
and we have the links to those sitting in

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the guidance that I mentioned a few minutes
ago.

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We also want people to be using cough etiquette.

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So covering their coughs or sneezes with the
tissue and then immediately throwing that

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into the trash.

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We want to remind people not to touch their
eyes, nose and mouth.

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Generally speaking, again, we want them, as
I mentioned a minute ago, staying home when

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they're sick, keeping physical distance from
people -- we'll talk more about that in just

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a minute.

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But again, reminding your staff, reminding
your visitors, through both written communications

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that you provide as well as prompts and signs
things like that in your facility to help

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people remember in the moment to participate
in those preventive actions.

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It's also critical that you think about what
they're going to need to be able to do that.

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So for example, they can't wash their hands
if there's not soap in the bathrooms, right?

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So you may want to more clearly point people
to the restroom facilities and certainly make

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sure that you're stocked up on the supplies
that you need to support these preventive

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actions.

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Soap, drying materials, tissues where guests
can find them, trash cans nearby, that sort

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of thing.

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Alright, let's talk a little bit briefly here
about social distancing.

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So that's certainly one of the things that
we're recommending people do to protect themselves

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and others.

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As a museum or a library, you'll find yourself
needing to think about the types of activities

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that you typically offer and really thinking
critically about which of those activities

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or services put people in close proximity
to one another.

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As you think about that, you'll then think
about how to alter or reduce or suspend services

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or activities so that you can help ensure
that everyone in your facility has appropriate

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physical distance between each other.

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And what we're going for here is six feet:
the goal is to put **six feet between all

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people**, in particular people from different
households, right?

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So, for example, we've seen some folks in
library communities as an example do this

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already.

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I know that some of my local libraries have
had virtual storytimes for children, particularly

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since so many of them are out of school right
now -- well, learning from home right now.

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It may be that you typically have classes
or speakers in your facility and some of those

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activities could be potentially transitioned
to online settings.

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Remember that at times when your facility
is open, you may want to think about what

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you can do in your physical space to help
encourage that distancing.

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So for example, you might think about moving
out some of the chairs at reading tables so

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that chairs are six feet apart, or move tables
so that they're six feet apart.

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So really what we want you to do is think
about the guidance that we have right now

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about these key principles such as social
distancing, and then think critically and

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creatively about how you can make those things
work in your own facility and how you can

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make it easier for your staff and your guests
to be implementing those key principles.

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We also know that as part of social distancing,
it may be that you see additional interest

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in some of your online services.

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So for example, electronic lending or some
of these virtual storytimes or virtual book

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clubs or speakers, and so you'll also want
to plan for that potential increase in that

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online traffic and the interest in some of
these online support services.

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15:23

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In terms of gatherings, I think most of you
are probably aware that the president recently

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issued some guidance to help slow the spread.

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It was originally 15 days to slow the spread;
that has now been extended through April 30th.

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In that guidance, they're recommending avoiding
all social gatherings of less than 10 people.

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*(Ed. note: probably meant "more than".)*
I think that's a good thing to keep in mind

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as you think about activities within your
own facility.

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Always remember that your local health officials
are going to be the people who are best positioned

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to offer guidance on what you should do in
terms of gatherings.

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So when to postpone, when to restart, when
to cancel or again when to resume that if

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you've had those canceled for a while.

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Your local health officials are really going
to be key partners in all of your decision-making.

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16:14

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I think another thing to keep in mind is particularly
as people are in your facility, you will want

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to think about having a plan for what to do
if someone is symptomatic or becomes symptomatic.

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We have some more specific guidance about
this that you'll find on our website, our

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guidance materials, but you will want to have
a way to isolate them.

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16:39

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You may need a designated space to make sure
that they can be separate from other individuals

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in your facility until they can go home.

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And ideally you don't want them going home
using public transportation, right?

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So you have to think about that as well.

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That should be an important part of your planning
process and thinking about how you may be

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able to physically remove someone who may
have -- well that sounded a little harsh -- but

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separate someone who may have symptoms or
become symptomatic when they're in your facility.

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17:11

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I think the other piece I want to mention
related to social distancing is that a lot

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of what I've mentioned so far is about your
guests, right?

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The people that you serve in your community.

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But you can also think about this from the
perspective of being an employer.

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17:26

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So for example, think about how offices are
set up and is there a way to increase the

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space between employees if they are having
to come into the facility -- again, certainly

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encouraging telework where that's possible.

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Even if folks are in your facility, you may
think about having meetings via phone or video

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conferences.

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Just because they're all in the same building
does not mean they need to gather in the same

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room.

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So there are a lot of things, smaller things
like this, that you can do to help make sure

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that even if your employees are at work that
they are able to keep appropriate physical

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distance between each other.

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You may even think about the physical configuration
of different locations within your facility.

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18:07

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I'm thinking like a check in or check out
center, and think about if there are ways

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to put not only more space between your employees
but more physical space between your employees

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and your visitors.

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All right.

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So those are really some key principles there.

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I think the idea of looking at your Emergency
Operations plans, promoting preventive actions

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and thinking about social distancing across
all the settings and across all three of those

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things.

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We want you to always be thinking about any
extra accommodations you might need to make

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for people who are in that high risk group.

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Again, that's older adults and individuals
who may have some other underlying medical

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conditions.

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Across everything you're doing think about
those folks and what you could do to further

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protect them if appropriate.

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18:58

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All right.

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So I think that sums up what I wanted to cover
in some of the key principles in our guidance

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and I want to turn it over now to my colleague
David who is going to speak more about some

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of the cleaning and disinfection questions
that I know folks have had.

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19:20

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**Dr. Berendes:** Thanks Catherine.

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So my name is David Berendes.

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In my home office, I work in the waterborne
disease prevention branch as an epidemiologist

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in global low-income settings, as well as
I serve as both domestically and globally

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as the hand hygiene reference point for community
settings within the agency.

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Within the response, I'm actually working
as the team lead of the Water Sanitation hygiene

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team within the same task force as Catherine
-- that's the community interventions task

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force.

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And so a lot of the work that we have been
doing is around both hand hygiene as well

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as environmental cleaning and disinfection.

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I really want to touch on the main points
of the environmental cleaning and disinfection

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work that we've been doing.

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If I give you any point today, the main point
is: **clean and disinfect your high touch

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surfaces**.

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That's the main takeaway I want everyone to
get.

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That's the main focus that a lot of our guidance
is built around and that's the principle you'll

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hear me come back to a lot as I talk you through
some of the guidance.

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Now similar to Catherine, our guidance is
on the website in a few places and primarily

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you're going to want to look for guidance
that we've developed for community Non-Health

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Care Organizations.

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We've basically separated out our guidance
for environmental cleaning and disinfection

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into households, and then community non-healthcare
organizations.

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The community non-healthcare organizations
are divided into those that house and those

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that don't house people overnight, but a lot
of that guidance still applies and so I will

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00:21:05.799 --> 00:21:11.960
be able to send out those links as well, but
I'll walk you through some of that guidance.

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Certainly just to get a couple definitions
down: when I'm talking about "cleaning", I'm

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talking about cleaning with a detergent or
soap or something that's going to remove visible

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dirt, soil, things like that.

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00:21:24.000 --> 00:21:29.190
"Disinfecting" is going to be me talking about
use of an actual disinfectant: something that

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will kill the residual virus or germs that
are present.

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So just to be clear on those definitions as
well.

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21:38

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In terms of your routine day-to-day activities
we're suggesting continuing to and in some

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cases, if you feel necessary, increasing the
frequency of routine cleaning of hard non-porous

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surfaces that are frequently touched.

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So the hard surfaces like your railings, your
doorknobs, faucets, light switches -- things

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like that.

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Those are going to be the surfaces that people
touch the most, and they're also the surfaces

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that the virus could survive on longest.

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22:11

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So we'd like you to clean and disinfect those
regularly.

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Again, the good news is that this virus is
extremely susceptible to many of the typical

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disinfectants that your staff are already
probably using.

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So while I'm going to give you a reference
for a list as well of products that are approved

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by the EPA for use against coronaviruses,
you'll find that that list is essentially

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many of the common household and commercial
disinfectants you're already using.

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This is not a super-virus that survives for
extremely long periods and is very resistant

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disinfectants.

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Quite the opposite.

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It's actually quite susceptible to most of
our common disinfectants like bleach and alcohols

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and other things that you're used to using
in your own household.

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So I want to put everyone at ease there as
well.

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23:01

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In preparatory settings we're suggesting that
you know, do this sort of routine cleaning

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and disinfection at least once a day if you
can, and perhaps more often if you're able

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to based on the feasibility.

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We're then also dividing out our guidance
and saying if you have a case, what should

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you do?

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So if someone shows up and is symptomatic
or if you're concerned and you find out you

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have a case of COVID-19 in your facility,
what should you do at that point?

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We suggest closing off the area the individual
was most using.

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So if it was one of your staff, perhaps, and
they have an office, the area where they were

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mainly working that day, close that off for
as long as is practical.

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Ideally up to 24 hours, if you can.

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That 24 hours is not to scare anyone at all.

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23:58

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It's primarily to allow for any respiratory
droplets that would be in the air to settle

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out.

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The reason why it's so long -- and that may
seem very long -- is because when we were

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developing this guidance, we were developing
it for very generally all community settings.

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We had to be sort of overly cautious.

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In most library settings your air exchanges
and the rate at which you have ventilation

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is going to be much quicker than, say, a stagnant
car, which is kind of our worst case example

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where the air is just sitting there.

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And so, you know, it will be much probably
be much shorter than 24 hours.

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But if possible close off the area where that
individual was for up to 24 hours.

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You can open doors and windows to help ventilation,
just to help the air move throughout and get

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air exchange going.

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Then after that period your janitorial staff
can go in and clean and disinfect the frequently

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touch surfaces especially, but if you can,
all surfaces.

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In terms of the surfaces or hard non-porous
surfaces clean them with any bit of detergent

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or soap and water, then use a EPA-registered
household disinfectant that are available

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on the EPA website under List N. Those are
their disinfectants that are effective against

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the virus that causes COVID-19.

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25:29

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However, again, this is a virus that is very
susceptible to typical EPA-registered household

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00:25:35.489 --> 00:25:40.710
disinfectants, so we also include guidance
on our website and as to how to make diluted

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00:25:40.710 --> 00:25:48.799
bleach solutions, as well as guidance on use
of other solutions like at least 70 percent

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alcohol solutions for electronics.

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00:25:51.129 --> 00:25:52.289
25:53

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For soft or porous surfaces, like carpeted
floors or rugs or drapes, if there's any visible

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contamination there you can clean those off
and then you can launder them if possible,

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or try to find an appropriate product for
that particular surface.

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00:26:11.690 --> 00:26:17.789
For softer porous surfaces, we are not as
concerned about those in terms of their transmission,

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just because the virus doesn't survive for
as long and it's really hard to get the virus

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out of that surface.

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Once it's in a fabric, It's probably going
to die off there.

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00:26:32.330 --> 00:26:36.479
It's not going to re-aerosolize and get into
individual's lungs at that point.

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26:36

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So we're really not concerned about that.

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For similar reasons -- I know a question many
of you are concerned about -- we are not concerned

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at all about paper based materials like books
being a transmission route.

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00:26:49.359 --> 00:26:56.330
In fact in our conversations with election
officials we encourage mail-in voting, and

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00:26:56.330 --> 00:27:00.659
we're not concerned about mail or letters
at all as a source of transmission at this

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00:27:00.659 --> 00:27:01.659
point.

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00:27:01.659 --> 00:27:06.369
So again for paper based products, we're really
not concerned and you don't have to really

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00:27:06.369 --> 00:27:09.330
worry about finding ways to disinfect those
materials.

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00:27:09.330 --> 00:27:14.309
The virus, if it's present, would be present
in very low quantities and would die off pretty

401
00:27:14.309 --> 00:27:15.309
quickly.

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00:27:15.309 --> 00:27:21.119
For electronics, we are suggesting definitely
to think about disinfecting those because

403
00:27:21.119 --> 00:27:22.840
they tend to be high touch.

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00:27:22.840 --> 00:27:23.840
27:23

405
00:27:23.840 --> 00:27:28.549
Those should be disinfected with either a
product approved by the manufacturer or if

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00:27:28.549 --> 00:27:34.950
there is no product available, no manufacturer's
guidance, consider the use of alcohol-based

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00:27:34.950 --> 00:27:38.830
wipes or sprays that contain at least 70%
alcohol.

408
00:27:38.830 --> 00:27:39.830
27:39

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00:27:39.830 --> 00:27:44.010
In terms of my final point will be around
personal protective equipment that your janitorial

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00:27:44.010 --> 00:27:49.250
staff would need: because of the fact that
we're asking people to sort of wait in some

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00:27:49.250 --> 00:27:55.599
of these in these areas before they enter
a facility, that means that the only personal

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00:27:55.599 --> 00:28:01.330
protective equipment that's required for janitorial
staff is going to be that which is required

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00:28:01.330 --> 00:28:02.969
by the disinfectant itself.

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00:28:02.969 --> 00:28:03.969
28:03

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00:28:03.969 --> 00:28:10.989
So your normal cover-all or other sort of
gowns or Abram, whatever else you use; your

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00:28:10.989 --> 00:28:14.940
daily cleaning equipment, as well as gloves.

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00:28:14.940 --> 00:28:20.929
Disposable gloves if possible, but reusable
gloves otherwise.

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00:28:20.929 --> 00:28:27.299
We're not suggesting any COVID-specific PPE
cleaners because of the fact that with our

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00:28:27.299 --> 00:28:31.080
guidance we're allowing for this time period
for the virus to get out of the air so the

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00:28:31.080 --> 00:28:35.740
janitorial staff do not need to be worried
about coming into the virus through their

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00:28:35.740 --> 00:28:37.149
nose or mouth.

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00:28:37.149 --> 00:28:38.210
28:38

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Again, after all of this cleaning, as Catherine
mentioned, please emphasize also hand hygiene

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00:28:45.089 --> 00:28:48.539
throughout this, especially after finishing
cleaning.

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00:28:48.539 --> 00:28:55.009
Then after that cleaning process, we feel
like the area should be safe to reopen to

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00:28:55.009 --> 00:28:56.009
everyone.

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00:28:56.009 --> 00:29:04.779
That's the main guidance we want to communicate
and across to you as staff and managers of

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00:29:04.779 --> 00:29:07.929
these libraries and of these community facilities
in terms of

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00:29:07.929 --> 00:29:09.700
cleaning and disinfection.

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00:29:09.700 --> 00:29:18.979
**Crosby Kemper:** Craig, so shall we move
to questions now?

431
00:29:18.979 --> 00:29:19.979
29:22

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00:29:19.979 --> 00:29:23.519
**Craig** That sounds good Crosby.

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00:29:23.519 --> 00:29:29.869
**Crosby Kemper:** Okay, so, Dr. Berendes,
one question that occurs to me and I imagine

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00:29:29.869 --> 00:29:36.279
has occurred to a lot of librarians as you
were speaking there towards the end is that

435
00:29:36.279 --> 00:29:40.710
you're not being worried about paper-based
products.

436
00:29:40.710 --> 00:29:46.960
Some of us have read it's, been published
in various locations, because I've seen it

437
00:29:46.960 --> 00:29:55.849
more than one, that the virus could exist
for as long as 24 hours on paper on or in

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00:29:55.849 --> 00:29:56.849
a book.

439
00:29:56.849 --> 00:30:04.070
I read you; I hear what you have to say as
being counter to that.

440
00:30:04.070 --> 00:30:11.700
Can you talk a little bit more about how long
the virus lasts or if it's just so weak on

441
00:30:11.700 --> 00:30:13.919
paper that we shouldn't be concerned about
it?

442
00:30:13.919 --> 00:30:14.919
30:16

443
00:30:14.919 --> 00:30:15.950
**Dr. Berendes:** Sure.

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00:30:15.950 --> 00:30:21.049
Yeah, so the survival is -- so there has been
a study that was published that showed that

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00:30:21.049 --> 00:30:28.010
survival of the virus on porous surfaces like
cardboard lasted for up to 24 hours.

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00:30:28.010 --> 00:30:33.879
However, that was under sort of ideal lab
conditions is one point to emphasize, and

447
00:30:33.879 --> 00:30:40.499
also we don't know anything about then the
virus's ability to then get back out of that

448
00:30:40.499 --> 00:30:46.830
surface and onto your hands or on to ... for
you to come into contact with it in some way.

449
00:30:46.830 --> 00:30:53.799
So we're much more concerned about the hard
non-porous surfaces that are high touch, because

450
00:30:53.799 --> 00:31:00.859
the virus survives longer on them, but also
because it's much easier for your hands to

451
00:31:00.859 --> 00:31:04.239
become contaminated with it after touching
one of those surfaces.

452
00:31:04.239 --> 00:31:05.239
31:05

453
00:31:05.239 --> 00:31:10.200
So additionally, the only additional point
I'll make also is that just in terms of the

454
00:31:10.200 --> 00:31:18.739
amount of virus that an infected person is
shedding, we really believe that that would

455
00:31:18.739 --> 00:31:24.209
be ... that that shedding is going to be highest
if an individual is symptomatic and coughing.

456
00:31:24.209 --> 00:31:31.369
So really for us to have been concerned about
transmission from any paper-based material,

457
00:31:31.369 --> 00:31:37.889
the individual would have really had to cough
or sneeze directly on the object, and, you

458
00:31:37.889 --> 00:31:40.299
know, really have contaminated it.

459
00:31:40.299 --> 00:31:46.690
The sort of regular use by individuals -- and
hopefully no one is really sneezing into your

460
00:31:46.690 --> 00:31:50.809
books and things like that -- does not really
concern us from that standpoint.

461
00:31:50.809 --> 00:31:55.220
**Crosby Kemper:** So I think you know, I
think I'm sure I speak for a Librarians and

462
00:31:55.220 --> 00:32:00.649
probably for Museum folks too, who have some
paper based materials, we're pretty sure that

463
00:32:00.649 --> 00:32:06.729
with some regularity the people are sneezing
on to our books.

464
00:32:06.729 --> 00:32:10.309
Of course the question would be how *recently*
they've sneezed on it.

465
00:32:10.309 --> 00:32:18.799
Do they sneeze on it right before they return
it in the dropbox, or to the desk?

466
00:32:18.799 --> 00:32:25.690
If there is concern among librarians, which
there is, about that particular circumstance,

467
00:32:25.690 --> 00:32:34.450
that an infected person can have discharged
in one way or another onto a material, onto

468
00:32:34.450 --> 00:32:43.359
a book or a DVD or whatever it might be, what
would you recommend if that is the concern?

469
00:32:43.359 --> 00:32:47.179
What is safe handling of that?

470
00:32:47.179 --> 00:32:55.370
If there is a 24-hour -- under ideal conditions
-- possibility of the virus sustaining, should

471
00:32:55.370 --> 00:33:02.820
the books be quarantined for a day before
they're brought into human contact?

472
00:33:02.820 --> 00:33:10.019
**Dr: Berendes:** So I would say that one
part of this would be on the front end educating

473
00:33:10.019 --> 00:33:18.419
your consumers, reminding them, as Catherine
said, about good hand hygiene, about symptom

474
00:33:18.419 --> 00:33:23.479
monitoring, trying to make sure that people
are not are not going out when they're sick

475
00:33:23.479 --> 00:33:24.879
and they're staying home.

476
00:33:24.879 --> 00:33:32.989
But also then if you are concerned you could
-- if you're very concerned about books in

477
00:33:32.989 --> 00:33:37.940
particular, you could leave them for a 24-hour
period.

478
00:33:37.940 --> 00:33:44.639
Again only if you're really concerned that
someone was symptomatic with them during that

479
00:33:44.639 --> 00:33:46.049
during the period that they had the book.

480
00:33:46.049 --> 00:33:47.049
33:47

481
00:33:47.049 --> 00:33:53.489
I would also say that for DVDs or other materials
that are more easily cleaned -- DVDs may have

482
00:33:53.489 --> 00:33:58.999
those sort of plastic covers, things like
that -- those are pretty easily wipeable with

483
00:33:58.999 --> 00:34:00.029
alcohol wipes.

484
00:34:00.029 --> 00:34:01.029
34:00

485
00:34:01.029 --> 00:34:05.679
So if there is something appropriate for it,
or I know in a previous conversation, we also

486
00:34:05.679 --> 00:34:12.560
had questions around books that had plastic
or books that had Braille and had plastic

487
00:34:12.560 --> 00:34:14.769
sort of Coatings or so.

488
00:34:14.769 --> 00:34:19.909
Those types of services are going to be easy
to disinfect and clean using for example an

489
00:34:19.909 --> 00:34:21.520
alcohol wipe of some sort.

490
00:34:21.520 --> 00:34:26.379
So that would be another way to deal with
those other types of materials.

491
00:34:26.379 --> 00:34:33.029
**Crosby Kemper:** Right, and then in terms
of disinfectants, you've mainly been talking

492
00:34:33.029 --> 00:34:41.980
about alcohol-based disinfectants and there
are a lot of materials, particularly some

493
00:34:41.980 --> 00:34:48.839
paper materials, that don't react well to
alcohol base disinfectants.

494
00:34:48.839 --> 00:34:56.609
On the CDC website or in other places are
there list of disinfectants that are not alcohol-based

495
00:34:56.609 --> 00:34:59.960
and that would be more appropriate for paper-based
materials.

496
00:34:59.960 --> 00:35:00.960
35:02

497
00:35:00.960 --> 00:35:07.480
**Dr. Berendes:** So our website links to
the EPA who it's really the EPA's purview

498
00:35:07.480 --> 00:35:15.599
to list out the cleaners and disinfectants
that have met the criteria for effectiveness

499
00:35:15.599 --> 00:35:16.599
against this virus.

500
00:35:16.599 --> 00:35:17.599
35:17

501
00:35:17.599 --> 00:35:20.430
So that's the EPA List N that I was referring
to.

502
00:35:20.430 --> 00:35:21.670
**Crosby Kemper:** Okay, great.

503
00:35:21.670 --> 00:35:25.132
**Dr. Berendes:** Cleaners and disinfectants
are primarily -- and the majority of them

504
00:35:25.132 --> 00:35:33.799
are meant for hard non-porous surfaces again,
so that's part of why ... that's also because

505
00:35:33.799 --> 00:35:34.920
that's what they're designed for.

506
00:35:34.920 --> 00:35:37.900
That's where most of the disinfection concerns
are.

507
00:35:37.900 --> 00:35:42.589
There are some I believe that are appropriate
for some porous soft materials, but it's more

508
00:35:42.589 --> 00:35:45.019
like fabrics and less like paper.

509
00:35:45.019 --> 00:35:50.970
So again, you know, main principle being we're
not very concerned about the virus getting

510
00:35:50.970 --> 00:35:54.520
out of the book or out of any sort of paper
materials or things like that.

511
00:35:54.520 --> 00:35:55.520
35:55

512
00:35:55.520 --> 00:36:01.500
If you were really concerned you could wait
for a 24-hour period in between lendings if

513
00:36:01.500 --> 00:36:06.039
you are particularly in an area of very high
transmission, for example.

514
00:36:06.039 --> 00:36:07.910
**Crosby Kemper:** Right.

515
00:36:07.910 --> 00:36:13.490
So the safest thing would simply be to wait
for a day.

516
00:36:13.490 --> 00:36:23.230
So another question that has been asked, a
lot of libraries have sensitive air handling,

517
00:36:23.230 --> 00:36:25.940
which you referred to before.

518
00:36:25.940 --> 00:36:31.580
Ozone systems -- does the CDC have a view
of ozone systems?

519
00:36:31.580 --> 00:36:32.580
36:32

520
00:36:32.580 --> 00:36:40.730
Air purifying systems, on top of the normal
HVAC kind of air handling systems, as to whether

521
00:36:40.730 --> 00:36:45.930
or not they offer some form of environmental
protection?

522
00:36:45.930 --> 00:36:46.930
36:48

523
00:36:46.930 --> 00:36:49.569
**Dr. Berendes:** We don't at this point.

524
00:36:49.569 --> 00:36:55.529
Again, the EPA are the folks who sort of it's
their purview to regulate make a decision

525
00:36:55.529 --> 00:36:57.950
on what's effective and what's not effective.

526
00:36:57.950 --> 00:37:04.540
I do know that some of the ozonators have
been used, I believe, but I would have to

527
00:37:04.540 --> 00:37:09.520
check the EPA list to ensure that they're
on that list.

528
00:37:09.520 --> 00:37:17.690
We have been asked about that a few times,
and the main kind of caveat I would add is

529
00:37:17.690 --> 00:37:20.039
that we want to make sure that people are
going to use those systems.

530
00:37:20.039 --> 00:37:22.369
They're using them properly and they know
how to use them.

531
00:37:22.369 --> 00:37:26.470
So that's not what it also be a reason why
you may not see it appear on our community

532
00:37:26.470 --> 00:37:32.460
page because we might not suggest something
super complex for the general public.

533
00:37:32.460 --> 00:37:33.560
37:34

534
00:37:33.560 --> 00:37:36.880
**Crosby Kemper:** Right.

535
00:37:36.880 --> 00:37:50.490
Um, yeah generally speaking, the time period
for the crisis -- I think this is probably

536
00:37:50.490 --> 00:37:56.099
a question you can't very specifically answer,
but we're getting guidance over

537
00:37:56.099 --> 00:38:04.859
this is for the I guess the length of time
people need to prepare for the emergency response,

538
00:38:04.859 --> 00:38:14.670
we're being told now that we've got another
30 days until the possible end of the crisis.

539
00:38:14.670 --> 00:38:23.480
From a material point of view from rural public
health point of view, the guidance around

540
00:38:23.480 --> 00:38:29.690
six feet of distance, et cetera., does that
extend to the this 30-day period or will it

541
00:38:29.690 --> 00:38:31.289
extend beyond?

542
00:38:31.289 --> 00:38:32.289
38:34

543
00:38:32.289 --> 00:38:40.990
**Dr. Rasberry:** So I think it's reasonable
to expect that even as places open up and

544
00:38:40.990 --> 00:38:46.930
people get out into their community more,
that there's going to be need for continued

545
00:38:46.930 --> 00:38:50.180
social distancing for some period of time.

546
00:38:50.180 --> 00:38:57.200
Now what that period of time is, is going
to be a question that is probably best answered

547
00:38:57.200 --> 00:39:00.329
by some of the local health officials in your
own community.

548
00:39:00.329 --> 00:39:01.329
39:01

549
00:39:01.329 --> 00:39:07.430
We know that different communities currently
are in different stages or levels of community

550
00:39:07.430 --> 00:39:10.470
spread, and that will likely continue to be
the case.

551
00:39:10.470 --> 00:39:15.150
So, it will be really important to work with
your local health officials to think about

552
00:39:15.150 --> 00:39:19.809
the strategies that are best used in your
own facility and community.

553
00:39:19.809 --> 00:39:28.420
I do think it's appropriate to plan for social
distancing for a more extended period of time,

554
00:39:28.420 --> 00:39:32.690
just to make sure that we're protecting staff
and employees as best as we can.

555
00:39:32.690 --> 00:39:33.690
39:33

556
00:39:33.690 --> 00:39:37.480
How extended it is -- that's going to be a
question that your health officials can help

557
00:39:37.480 --> 00:39:38.480
you with.

558
00:39:38.480 --> 00:39:41.299
**Crosby Kemper:** Okay, great.

559
00:39:41.299 --> 00:39:51.290
A very specific question that we've been asked
is about electrostatic spray as opposed to

560
00:39:51.290 --> 00:39:52.890
the normal disinfectants.

561
00:39:52.890 --> 00:39:58.400
Is that another question where we should go
to the EPA or do you have a view of that?

562
00:39:58.400 --> 00:40:02.190
Is that something that could be used by museums
and libraries?

563
00:40:02.190 --> 00:40:03.190
40:04

564
00:40:03.190 --> 00:40:06.829
**Dr. Berendes:** I know that there are some
sprayers on the EPA list done because we have

565
00:40:06.829 --> 00:40:09.019
had a few questions on that.

566
00:40:09.019 --> 00:40:11.890
So they were listed as effective disinfectants.

567
00:40:11.890 --> 00:40:15.680
I don't know if those particular brands or
products are, but there certainly are some

568
00:40:15.680 --> 00:40:20.579
spray-based materials that are on that list
and I want to say there are about 250 or maybe

569
00:40:20.579 --> 00:40:23.030
even three hundred products on that list by
now.

570
00:40:23.030 --> 00:40:24.030
40:24

571
00:40:24.030 --> 00:40:30.190
**Crosby Kemper:** Okay great, but we'll certainly
link to the EPA on our site once we get that

572
00:40:30.190 --> 00:40:32.990
up and running.

573
00:40:32.990 --> 00:40:36.360
This is a fairly specific question as well.

574
00:40:36.360 --> 00:40:41.660
I think I know the answer but it's been asked
and it'd be great to get an answer from you.

575
00:40:41.660 --> 00:40:48.750
Are there anything any particular things we
should be looking for from materials that

576
00:40:48.750 --> 00:40:57.869
might come from outside the United States
-- either things we might pick up from vendors,

577
00:40:57.869 --> 00:41:02.190
or materials that through international lending?

578
00:41:02.190 --> 00:41:03.359
41:03

579
00:41:03.359 --> 00:41:13.900
**Dr. Berendes:** Again, in terms of any materials
that are coming in, best practices are practicing

580
00:41:13.900 --> 00:41:21.140
good hand hygiene if you're the person receiving
the materials, and then if you're very concerned,

581
00:41:21.140 --> 00:41:28.970
you know, you could let it sit for 24 hour
period or so, but that's again not in our

582
00:41:28.970 --> 00:41:29.970
concern.

583
00:41:29.970 --> 00:41:33.971
We haven't been concerned at all about people
shipping packages internationally, things

584
00:41:33.971 --> 00:41:38.680
like that, just because the virus is going
to be very unlikely to survive for that long

585
00:41:38.680 --> 00:41:43.230
of a period through shipment and everything
else and get to you in an infectious state

586
00:41:43.230 --> 00:41:44.230
of being.

587
00:41:44.230 --> 00:41:49.339
But if you're very concerned, again, practice
good hand hygiene in those settings.

588
00:41:49.339 --> 00:41:53.400
Have alcohol-based hand sanitizers with at
least 60 percent alcohol and hand washing

589
00:41:53.400 --> 00:41:57.509
with soap and water available to the employees
that are doing the receiving so they can practice

590
00:41:57.509 --> 00:42:02.450
it while they're doing that receiving and
also have them avoid touching their nose and

591
00:42:02.450 --> 00:42:04.470
mouth during that time.

592
00:42:04.470 --> 00:42:07.100
**Crosby Kemper:** Great, thank you.

593
00:42:07.100 --> 00:42:14.940
And then one other fairly specific question:
a lot of museums and libraries have restaurants

594
00:42:14.940 --> 00:42:16.560
or cafes inside.

595
00:42:16.560 --> 00:42:23.170
Is there any more specific guidance than the
general guidance you have given us that one

596
00:42:23.170 --> 00:42:36.460
would need closing down or re-establishing
the activities of any food service in a museum

597
00:42:36.460 --> 00:42:37.520
or Library?

598
00:42:37.520 --> 00:42:38.520
42:38

599
00:42:38.520 --> 00:42:44.680
**Dr. Berendes:** Yeah, no, there's nothing
essentially COVID-19 specific but we would

600
00:42:44.680 --> 00:42:51.190
refer those food services to local food code
and sort of best practices for management

601
00:42:51.190 --> 00:42:57.470
in terms of shutting down, normal shutdown
procedures, flushing of water based systems

602
00:42:57.470 --> 00:43:02.740
and pipes, things like that and then following
their proper procedures for coming online

603
00:43:02.740 --> 00:43:10.180
just to avoid any other potential, you know,
risks that come from leaving your pipes and

604
00:43:10.180 --> 00:43:15.359
other materials unattended for you know a
few weeks on end.

605
00:43:15.359 --> 00:43:20.970
It also wouldn't be a bad idea to you know,
just do another cleaning and disinfection

606
00:43:20.970 --> 00:43:23.740
of surfaces before you start and reopen.

607
00:43:23.740 --> 00:43:24.740
43:25

608
00:43:24.740 --> 00:43:29.700
**Crosby Kemper:** Right, and then I've got
one other question that you've probably in

609
00:43:29.700 --> 00:43:39.109
a way already answered but it's fairly specific,
So I'll ask it and I'll ask it in to two parts.

610
00:43:39.109 --> 00:43:45.540
Wi-Fi is available outside of many libraries,
and even to some extent museums.

611
00:43:45.540 --> 00:43:54.080
And also libraries and museums encounter various
groups who hang out in the library or even

612
00:43:54.080 --> 00:44:05.750
hang out outside of the library -- sometimes
homeless or shelter populations etc.

613
00:44:05.750 --> 00:44:12.600
Is there any specific guidance you might have
if that is the case for a library or museum?

614
00:44:12.600 --> 00:44:21.730
I.e. groups that might have a higher level
of encountering the infection?

615
00:44:21.730 --> 00:44:27.559
**Dr. Rasberry:** So I would say in general
you want to think about the same things for

616
00:44:27.559 --> 00:44:31.869
the outside of -- *some* of the same things
for the outside of your space as the inside.

617
00:44:31.869 --> 00:44:37.869
I mentioned earlier the idea of posting some
reminders and sort of visual prompts to help

618
00:44:37.869 --> 00:44:43.309
people remember those preventive actions and
things like keeping a six feet away from people

619
00:44:43.309 --> 00:44:45.359
who aren't in their same household.

620
00:44:45.359 --> 00:44:48.520
You could put stuff like that outside of your
facility as well.

621
00:44:48.520 --> 00:44:49.520
44:48

622
00:44:49.520 --> 00:44:54.630
We've seen examples in other settings where
if -- let's say there's an area where you

623
00:44:54.630 --> 00:44:59.589
have tables or benches or something like that,
you could go ahead and space those out potentially

624
00:44:59.589 --> 00:45:02.740
so that they are more appropriate distance
from each other.

625
00:45:02.740 --> 00:45:04.700
Have those visual reminders.

626
00:45:04.700 --> 00:45:07.700
All those things are appropriate to try.

627
00:45:07.700 --> 00:45:13.420
If there are specific populations, like you
just mentioned specifically homeless individuals,

628
00:45:13.420 --> 00:45:18.020
you may find some more of our guidance documents
helpful for thinking about those groups.

629
00:45:18.020 --> 00:45:19.020
45:18

630
00:45:19.020 --> 00:45:22.300
So for example, we do have some guidance related
specifically to homeless individuals.

631
00:45:22.300 --> 00:45:26.440
But again, I would encourage you to reach
out to your local health officials and talk

632
00:45:26.440 --> 00:45:32.750
through any specific situation that you're
dealing with at your facility or in your community

633
00:45:32.750 --> 00:45:36.349
so that you can plan together on how to best
respond.

634
00:45:36.349 --> 00:45:37.349
45:37

635
00:45:37.349 --> 00:45:39.869
**Crosby Kemper:** Okay, great.

636
00:45:39.869 --> 00:45:44.950
I've run through the questions that we got
before the webinar.

637
00:45:44.950 --> 00:45:50.230
Scott or Nancy, do you have some questions
that have come in during?

638
00:45:50.230 --> 00:45:51.829
**Scott:** Yes indeed, Crosby.

639
00:45:51.829 --> 00:45:56.910
Everyone is quite anxious to have some questions
answered.

640
00:45:56.910 --> 00:46:02.200
One of them is how about a UV light as a disinfectant?

641
00:46:02.200 --> 00:46:03.200
46:05

642
00:46:03.200 --> 00:46:06.890
**Dr. Berendes:** Yeah, so that's a great
question.

643
00:46:06.890 --> 00:46:15.240
I had again refer to EPA's list for guidance
for disinfectants.

644
00:46:15.240 --> 00:46:23.950
And we do know that UV isn't -- the device
may not be on there, but we have seen UV disinfection

645
00:46:23.950 --> 00:46:27.930
used in a couple different places and believe
that it should be effective.

646
00:46:27.930 --> 00:46:34.109
But again EPA and others may have more guidance
on that, but make sure that you're using it

647
00:46:34.109 --> 00:46:38.960
with the proper materials that it's appropriate
for.

648
00:46:38.960 --> 00:46:42.799
**Scott:** Okay, thank you.

649
00:46:42.799 --> 00:46:46.980
Another question comes regarding the volume
of materials.

650
00:46:46.980 --> 00:46:54.349
The question is that "My library is unable
to wipe down all DVDs and other mylar book

651
00:46:54.349 --> 00:46:58.180
covers it with hard services for these items.

652
00:46:58.180 --> 00:47:03.680
Would a 24-hour quarantine be enough time
to make these materials safe or should we

653
00:47:03.680 --> 00:47:09.720
wait longer to make it safe for staff or patrons
to touch it with their hands?"

654
00:47:09.720 --> 00:47:10.720
47:12

655
00:47:10.720 --> 00:47:18.240
**Dr. Berendes:** So again, I want to reiterate
that, you know, under these ... even under

656
00:47:18.240 --> 00:47:22.289
sort of the current time period of transmission.

657
00:47:22.289 --> 00:47:28.490
unless you know someone was very visibly ill
with a product or so paper is product we're

658
00:47:28.490 --> 00:47:34.869
not really concerned about that paper-based
book or so being a transmission route.

659
00:47:34.869 --> 00:47:35.869
47:35

660
00:47:35.869 --> 00:47:41.960
However, if you were concerned about the book
having something the virus on it, you could

661
00:47:41.960 --> 00:47:50.499
leave it aside for an up to 24 hour period
which should be sufficient for that.

662
00:47:50.499 --> 00:47:58.309
For the DVDs or other products, if you're
not wiping them down, again a 24 hour period

663
00:47:58.309 --> 00:48:00.460
should be fine.

664
00:48:00.460 --> 00:48:05.869
If you're a very concerned you can leave it
for up to 48 hours, but 24 hours should be

665
00:48:05.869 --> 00:48:12.249
more than sufficient just based on the fact
that, again, for a lot of these surfaces an

666
00:48:12.249 --> 00:48:16.730
incidental contact from someone is not going
to be a very high transmission risk.

667
00:48:16.730 --> 00:48:23.440
It's going to be if someone was very sick
on the material and had shed a lot of virus

668
00:48:23.440 --> 00:48:25.519
on it that would be of concern.

669
00:48:25.519 --> 00:48:26.519
48:27

670
00:48:26.519 --> 00:48:28.740
**Scott:** Thank you, David.

671
00:48:28.740 --> 00:48:39.609
Another question comes in asking about a disinfectant
other than alcohol based, being benzalkonium

672
00:48:39.609 --> 00:48:43.130
chloride, or BAK.

673
00:48:43.130 --> 00:48:45.349
Is something like that except acceptable?

674
00:48:45.349 --> 00:48:46.349
48:48

675
00:48:46.349 --> 00:48:52.910
**Dr. Berendes:** Yeah, so the EPA ... so
benzalkonium chloride as a surface disinfectant

676
00:48:52.910 --> 00:48:57.569
is one of the quaternary ammonium compounds,
and there are several quaternary ammonium

677
00:48:57.569 --> 00:49:01.279
compounds that are listed on that EPA list.

678
00:49:01.279 --> 00:49:05.519
So you'd have to refer to that list in terms
of the different formulations and what's effective

679
00:49:05.519 --> 00:49:06.519
there.

680
00:49:06.519 --> 00:49:07.519
49:09

681
00:49:07.519 --> 00:49:11.079
**Scott:** Okay, thank you.

682
00:49:11.079 --> 00:49:15.869
This one is a result is one of the practical
matters for libraries.

683
00:49:15.869 --> 00:49:22.559
Quite often their book drops either are full
or are locked, and so people end up leaving

684
00:49:22.559 --> 00:49:31.130
them sitting outside, and so in order to avoid
an unsightly situation staff will bring them

685
00:49:31.130 --> 00:49:32.599
into the building.

686
00:49:32.599 --> 00:49:37.309
Is there a recommendation as to how staff
may do that in a safe manner?

687
00:49:37.309 --> 00:49:38.309
49:40

688
00:49:38.309 --> 00:49:43.579
**Dr. Berendes** Again, I think we would just
emphasize that the staff practice good hand

689
00:49:43.579 --> 00:49:49.309
hygiene after touching the books if they're
concerned at all.

690
00:49:49.309 --> 00:49:52.910
So make sure they wash their hands with soap
and water for at least 20 seconds or use an

691
00:49:52.910 --> 00:49:57.170
alcohol-based sanitizer with at least 60 percent
alcohol.

692
00:49:57.170 --> 00:49:58.770
**Scott:** Okay.

693
00:49:58.770 --> 00:50:04.599
Thank you ... scrolling through the large
number of questions here ... bear with me

694
00:50:04.599 --> 00:50:08.160
one moment.

695
00:50:08.160 --> 00:50:11.369
50:14

696
00:50:11.369 --> 00:50:21.079
**Scott:** Validating that you did include
cardboard with the paper-based products in

697
00:50:21.079 --> 00:50:24.220
your recommendation, correct?

698
00:50:24.220 --> 00:50:25.390
50:24

699
00:50:25.390 --> 00:50:28.900
**Dr. Berendes:** Yes.

700
00:50:28.900 --> 00:50:30.069
50:26

701
00:50:30.069 --> 00:50:32.410
**Scott:** Okay.

702
00:50:32.410 --> 00:50:37.809
It appears that the vast majority of the questions
are similar.

703
00:50:37.809 --> 00:50:38.809
Let's see.

704
00:50:38.809 --> 00:50:43.650
It says "If there is a shelter-in-place order
in our state, would it be advisable to promote

705
00:50:43.650 --> 00:50:50.089
being outside to use Wi-Fi as long as we are
posted at the 6-foot distance and other guidelines?"

706
00:50:50.089 --> 00:50:53.410
Similar question to what Crosby asked.

707
00:50:53.410 --> 00:50:55.099
50:58

708
00:50:55.099 --> 00:51:01.480
**Dr. Rasberry** So I'm not totally sure about
that.

709
00:51:01.480 --> 00:51:11.759
I've seen shelter in place guidance or orders
I should say in different places that will

710
00:51:11.759 --> 00:51:17.319
often outline sort of what are essential services,
and I don't know that that would fall under

711
00:51:17.319 --> 00:51:19.980
an essential service for every place.

712
00:51:19.980 --> 00:51:26.279
So I think looking at your specific language
in the order for your community, again talking

713
00:51:26.279 --> 00:51:31.030
with your local health officials would be
pretty important.

714
00:51:31.030 --> 00:51:35.970
I would say that would supersede the 6-foot
thing.

715
00:51:35.970 --> 00:51:39.619
I would *really* talk with your local health
officials to make sure that you have a clear

716
00:51:39.619 --> 00:51:44.960
understanding of what is and isn't allowed
under a shelter in place order.

717
00:51:44.960 --> 00:51:46.609
**Scott:** Thank you, Catherine.

718
00:51:46.609 --> 00:51:53.589
**Dr. Berendes:** I'd also add that Catherine's
point earlier about getting in touch with

719
00:51:53.589 --> 00:51:59.100
your local officials *early* can help with
getting on their radar.

720
00:51:59.100 --> 00:52:03.160
And if you feel like you're going to place
where you want to be an essential service

721
00:52:03.160 --> 00:52:09.400
because there's so many people who rely on
your Wi-Fi for things, or any other public

722
00:52:09.400 --> 00:52:13.039
services, then the earlier you can open those
lines of communication the better off you're

723
00:52:13.039 --> 00:52:14.039
going to be.

724
00:52:14.039 --> 00:52:15.240
**Dr. Rasberry:** Absolutely.

725
00:52:15.240 --> 00:52:16.259
**Scott:** Okay.

726
00:52:16.259 --> 00:52:17.269
Thank you.

727
00:52:17.269 --> 00:52:25.279
I've got a question says "Some libraries have
warming tents that deal with bed bugs.

728
00:52:25.279 --> 00:52:29.880
As a way to eliminate bed bugs, they heat
things up pretty high.

729
00:52:29.880 --> 00:52:35.450
So would that potentially be good use for
materials that have been exposed?"

730
00:52:35.450 --> 00:52:36.650
52:39

731
00:52:36.650 --> 00:52:42.630
**Dr. Berendes:** Without knowing the specifics
-- I'm not familiar with those -- that sounds

732
00:52:42.630 --> 00:52:48.130
like an ingenious technique and I don't know
that I could comment on the specifics of it.

733
00:52:48.130 --> 00:52:55.359
But we do know that the virus doesn't tend
to like being a hotter environments.

734
00:52:55.359 --> 00:53:00.599
But again without looking the specifics I
couldn't comment on that specific equipment.

735
00:53:00.599 --> 00:53:02.380
53:04

736
00:53:02.380 --> 00:53:06.890
**Scott:** Thank you.

737
00:53:06.890 --> 00:53:15.410
I think people are quite anxious about the
24-hour quarantine if it's enough for a safe

738
00:53:15.410 --> 00:53:19.250
circulation of Library materials.

739
00:53:19.250 --> 00:53:22.460
Is there a potential to perhaps restate that
sir?

740
00:53:22.460 --> 00:53:23.460
53:25

741
00:53:23.460 --> 00:53:24.740
**Dr. Berendes:** Yes.

742
00:53:24.740 --> 00:53:32.630
So again, yeah the 24 hours -- and I want
to emphasize -- is if you're very concerned

743
00:53:32.630 --> 00:53:37.290
about someone having gotten a lot of virus
on a material.

744
00:53:37.290 --> 00:53:44.309
I'm talking about someone having coughed to
physical mucus, large amounts of gross material

745
00:53:44.309 --> 00:53:45.359
on it.

746
00:53:45.359 --> 00:53:47.970
That would be of concern.

747
00:53:47.970 --> 00:53:58.819
We're more concerned about transmission through
people being in close contact with each other,

748
00:53:58.819 --> 00:53:59.819
number one.

749
00:53:59.819 --> 00:54:03.890
So being within six feet of each other, which
is why we have the physical distancing.

750
00:54:03.890 --> 00:54:12.859
And then after that, contact with frequently
touch surfaces, like doorknobs and railings

751
00:54:12.859 --> 00:54:16.740
and light switches and faucets and things
like that.

752
00:54:16.740 --> 00:54:22.579
After all of those come other materials that
people touch, but not as frequently, or the

753
00:54:22.579 --> 00:54:24.099
porous materials.

754
00:54:24.099 --> 00:54:25.099
54:25

755
00:54:25.099 --> 00:54:29.810
Again, the bad news is that those are harder
to disinfect.

756
00:54:29.810 --> 00:54:32.640
So your only options, maybe if you're very
concerned, is to leave them.

757
00:54:32.640 --> 00:54:37.140
But the good news is that those materials
don't tend to retain as much virus, and if

758
00:54:37.140 --> 00:54:40.849
they do retain virus, it's very hard to get
them out of out of there and so they're not

759
00:54:40.849 --> 00:54:42.489
really going to be a transmission risk.

760
00:54:42.489 --> 00:54:47.630
Again, we're not concerned about, you know,
people doing mail-in ballots in States like

761
00:54:47.630 --> 00:54:52.231
Washington State when they were under high
transmission orders or high transmission magnitude,

762
00:54:52.231 --> 00:54:56.279
and we aren't concerned about cardboard materials
as well

763
00:54:56.279 --> 00:55:05.390
So I want to just emphasize that you know,
the 24 hours is only if you are exceedingly

764
00:55:05.390 --> 00:55:09.029
concerned under the most certain conditions,
you can undertake that.

765
00:55:09.029 --> 00:55:15.299
I totally hear everyone's concern, but I do
want to make sure that we reprioritize what

766
00:55:15.299 --> 00:55:19.579
we know is the most important transmission
pathways, which is respiratory close contact

767
00:55:19.579 --> 00:55:24.430
with people, followed by touching frequently-touched
surfaces.

768
00:55:24.430 --> 00:55:26.509
And then after that come the porous materials.

769
00:55:26.509 --> 00:55:29.019
**Scott:** All right, thank you David.

770
00:55:29.019 --> 00:55:33.359
There's some general concern -- I guess in
the media there's been a lot about the virus's

771
00:55:33.359 --> 00:55:40.210
ability to become airborne from clothes when
shaken and moved around, and it may be a concern

772
00:55:40.210 --> 00:55:42.539
with Library materials as well.

773
00:55:42.539 --> 00:55:53.180
And so do you recommend personnel wearing
masks during the disinfectant process?

774
00:55:53.180 --> 00:55:54.180
55:55

775
00:55:54.180 --> 00:56:04.759
**Dr. Berendes:** So if this is after contact
or after you've had some sort of case in the

776
00:56:04.759 --> 00:56:13.859
area, that 24-hour period is going to get
the virus out of the air so that you can walk

777
00:56:13.859 --> 00:56:17.930
around that space and clean it safely.

778
00:56:17.930 --> 00:56:22.789
Then of course when you're doing the laundry,
we do recommend not to shake it so as not

779
00:56:22.789 --> 00:56:26.309
to have the potential to aerosolize the virus
any more.

780
00:56:26.309 --> 00:56:34.049
But no, there's no sort of recommendation
around masks as PPE during laundry, we would

781
00:56:34.049 --> 00:56:40.239
only say that you make sure that you clean
your hands well after handling any laundry

782
00:56:40.239 --> 00:56:43.510
that had contact with someone with COVID-19.

783
00:56:43.510 --> 00:56:44.510
56:46

784
00:56:44.510 --> 00:56:46.609
**Scott:** Okay, thank you.

785
00:56:46.609 --> 00:56:48.569
And then what about shoes?

786
00:56:48.569 --> 00:56:55.210
There's concern that the virus can be transported
into a space on someone's shoes.

787
00:56:55.210 --> 00:56:56.380
56:58

788
00:56:56.380 --> 00:57:02.930
**Dr. Berendes:** Again, we're thinking about
high-touch surfaces.

789
00:57:02.930 --> 00:57:11.239
And so we're not thinking about or concerned
at this point about even if a virus was on

790
00:57:11.239 --> 00:57:15.140
shoes and got into an area.

791
00:57:15.140 --> 00:57:20.349
It wouldn't probably last very long in that
area and there wouldn't be enough of it to

792
00:57:20.349 --> 00:57:26.839
get people sick, and there would be very few
people who are coming into contact with the

793
00:57:26.839 --> 00:57:28.059
floor in that area.

794
00:57:28.059 --> 00:57:34.150
So that doesn't occur to us as a very high
likelihood of transmission.

795
00:57:34.150 --> 00:57:39.980
And in other settings, for example in public
spaces we're not suggesting disinfecting of

796
00:57:39.980 --> 00:57:41.410
sidewalks, things like that.

797
00:57:41.410 --> 00:57:47.670
I know everyone's seen the pictures of everyone
wearing all sorts of crazy PPE and spraying

798
00:57:47.670 --> 00:57:48.670
chlorine on sidewalks.

799
00:57:48.670 --> 00:57:52.410
We are not recommending that by any means
we're just saying in public spaces clean your

800
00:57:52.410 --> 00:57:55.670
high-touch surfaces, your railings, your metal
tables.

801
00:57:55.670 --> 00:57:56.670
Things like that.

802
00:57:56.670 --> 00:57:57.670
57:57

803
00:57:57.670 --> 00:58:00.660
But don't worry about the floor or the sidewalks
themselves.

804
00:58:00.660 --> 00:58:01.789
58:04

805
00:58:01.789 --> 00:58:04.540
**Scott:** Well, thank you David.

806
00:58:04.540 --> 00:58:06.920
I appreciate that very much.

807
00:58:06.920 --> 00:58:12.509
We're very close on to the end of time and
I simply want to let everyone know that all

808
00:58:12.509 --> 00:58:18.020
of the questions that have come in we will
be following up with our CDC panelists to

809
00:58:18.020 --> 00:58:20.970
provide answers on the imls.gov website.

810
00:58:20.970 --> 00:58:23.890
Crosby, do you have any parting thoughts?

811
00:58:23.890 --> 00:58:28.920
**Crosby Kemper:** Yeah, I want to re-emphasize
that this will be an ongoing interaction we've

812
00:58:28.920 --> 00:58:31.010
got with the CDC.

813
00:58:31.010 --> 00:58:37.630
Obviously we need to generate some information
from the EPA on disinfectants for the special

814
00:58:37.630 --> 00:58:42.000
material needs in libraries and museums.

815
00:58:42.000 --> 00:58:43.160
So we'll keep that up.

816
00:58:43.160 --> 00:58:46.800
You can come to our website, I know we'll
be sharing information with the Department

817
00:58:46.800 --> 00:58:50.850
of Education and others on their websites
as well.

818
00:58:50.850 --> 00:58:54.230
So I'd urge you to continue to look for that
information.

819
00:58:54.230 --> 00:58:55.230
58:55

820
00:58:55.230 --> 00:59:00.390
Also, I think one of the messages is good
communication to and from your community and

821
00:59:00.390 --> 00:59:05.450
particularly with your local health officials
is one of the most important takeaways from

822
00:59:05.450 --> 00:59:07.789
today's webinar.

823
00:59:07.789 --> 00:59:17.349
And I want to say a big thank you to Dr. David
Berendes and to Dr. Catherine Rasberry for

824
00:59:17.349 --> 00:59:20.460
their participation today.

825
00:59:20.460 --> 00:59:24.109
We're really grateful that you would spend
the time with us and give us this important

826
00:59:24.109 --> 00:59:25.170
information.

827
00:59:25.170 --> 00:59:26.230
59:26

828
00:59:26.230 --> 00:59:31.130
And thank you all out there for the work that
you're doing.

829
00:59:31.130 --> 00:59:32.289
59:33

830
00:59:32.289 --> 00:59:34.730
And I think we're done.

831
00:59:34.730 --> 00:59:36.059
**Nancy:** Thank you.

832
00:59:36.059 --> 00:59:37.849
That concludes our webinar.

833
00:59:37.849 --> 00:59:38.720
Thank you everybody.