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AMERICAN SAFE SIGHT
FOUNDATION
Enhancing Best Practices
Nili N. Alai, M.D., FAAD
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
PRE-TEST:
TRUE OR FALSE
IT IS BEST PRACTICES TO SHARE A TOOTH BRUSH-AFTER
DISINFECTING IT.
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
PRE-TEST:
TRUE OR FALSE
IT IS BEST PRACTICES TO SHARE A FLOSS AFTER CLEANING IT
OFF.
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
PRE-TEST:
TRUE OR FALSE
IT IS BEST PRACTICES TO SHARE YOUR EYEDROPS.
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
PRE-TEST:
TRUE OR FALSE
IT IS BEST PRACTICES TO SHARE YOUR CONTACT LENSES.
US POPULATION 11/21/15 AT
12:16 AM PACIFIC TIME
322,198, 324
WORLD POPULATION 11/21/15 12:01 AM
7,287,150,005
REFERENCE SOURCE http://www.census.gov/popclock/
Trivia courtesy Dr. Javed Qureshi
US POPULATION 11/21/15 AT 12:16 AM
322,198, 324
One birth every 8 seconds
One death every 12 seconds
One international migrant (net) every 32 seconds
=NET GAIN OF 1 EVERY 14 SECONDS
Trivia Courtesy of Dr. Javed Qureshi
REFERENCE SOURCE http://www.census.gov/popclock/
MOST POPULOUS US STATES
California
38,802,500
249.1
Texas
26,956,958
103.2
Florida
19,893,297
370.9
New York
19,746,227
419
Highest Density US STATES: #1 District of Columbia #2 New Jersey
2013 CDC MMWR Report addresses major EKC cluster eye care facility
outbreaks in several states Florida, New Jersey, & Illinois (411 EKC
Infections).
An estimated 75,000-100,000 people in the United States die each
year from a healthcare-associated infection (HAI).1 At any given
time, about 1 in 20 patients have an infection while receiving
healthcare treatment in U.S. hospitals. HAI in hospitals alone result in
up to $33 billion in excess medical costs every year.2
CIRCLE OF CARE:
ESTIMATED 10 TO 15 MILLION PEOPLE A
YEAR IN THE US CONTRACT EKC

Epidemic keratoconjunctivitis (EKC) is a highly contagious, severe
form of conjunctivitis (1). During 2008–2010, six unrelated EKC
outbreaks associated with human adenovirus (HAdV) in four
states were reported to CDC. In total, 411 EKC cases were
identified in Florida, Illinois, Minnesota, and New Jersey. In each
outbreak, health-care–associated transmission appeared to
occur via ophthalmologic examination
CDC MMWR 2013
411 EKC INFECTIONS
EKC IS ENDEMIC IN JAPAN
Occurrence rates are in the millions per year in Japan
Japan population is 126, 919,659
U.S. Population is TRIPLE Japan’s.
U.S. EKC rates are estimated at 10 to 15 million cases per year
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
BEST PRACTICES:
“In each outbreak, health-care–associated
transmission appeared to occur via ophthalmologic
examination; however, community transmission was
also documented.”
( Reference CDC MMWR Aug 2013)
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
BEST PRACTICES: UNIVERSAL
PRECAUTIONS
AMERICAN SAFE SIGHT
FOUNDATION
Mission: Enhance Best Practices in Eye Care
Circle of Care
Circle of Trust
Promote Goal Zero HAI’s
Encourage Safe Sight Exams
Mitigate blindness & preventable
Infectious Eye disease

In view of the potential for transmission of viruses (e.g., herpes
simplex virus [HSV], adenovirus 8, or HIV) 184 by tonometer tips,
CDC recommended that the tonometer tips be wiped clean and
disinfected for 5-10 minutes with either 3% hydrogen peroxide,
5000 ppm chlorine, 70% ethyl alcohol, or 70% isopropyl
alcohol 95. However, more recent data suggest that 3%
hydrogen peroxide and 70% isopropyl alcohol are not effective
against adenovirus capable of causing epidemic
keratoconjunctivitis and similar viruses and should not be used for
disinfecting applanation tonometers 49, 185, 186.
BEST PRACTICES : DISINFECTION
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
POST-TEST:
IS IT BEST PRACTICES TO USE MULTI DOSE EYEDROPS In
CLINICS?
NO
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
POST-TEST:
IS IT BEST PRACTICES TO SHARE YOUR TONOMETER TIPS AFTER
AN ALCOHOL WIPE? NO
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
POST-TEST:
IS IT BEST PRACTICES TO KEEP YOUR TONGUE OFF OF
EYEBALLS?
YES
AMERICAN SAFE SIGHT FOUNDATION
MISSION STATEMENT
"THE AMERICAN SAFE SIGHT FOUNDATION'S (ASF) MISSION IS TO PROMOTE
PUBLIC AWARENESS AND STRIVE FOR ERADICATION OF PREVENTABLE
INFECTIOUS AND INFLAMMATORY EYE DISEASES THROUGH RESEARCH AND
EDUCATION. "
Our focus (goal) is to optimize practice guidelines which enhance safer
eye examination for children and adults in professional eye care setting
and limit outbreaks of office based eye infections
WITH MUCH GRATITUDE AND
APPRECIATION TO YOU FOR YOUR
SUPPORT!
WE APPLAUD YOU FOR
WEARING YOUR GOLD ASF PINS
We immensely appreciate your interest and commitment to enhancing
best practices in eye care. Thank you for your support of ASF’s Inaugural
gala and our grass roots efforts in
AMERICAN SAFE SIGHT
FOUNDATION
safesight.org
BEST PRACTICES
IN HONOR OF REZVAN & JAMAL