Launch of Version 1.0 of the Model Aquatic Health Code

Over the past five years a group of public health, academic, and industry experts have been working with CDC to develop a set of public health standards to improve health at aquatic venues. On Monday, July 8, 2013, CDC and its partners will launch the results of this effort with the first completed version of the Model Aquatic Health Code (MAHC) for a final round of public comment . This event will take place as a special pre-conference workshop at the National Environmental Health Association Annual Educational Conference & Exhibition (NEHA 2013 AEC) on July 9-11, 2013 at the Hyatt Regency Crystal City at Reagan National Airport in Arlington, VA. Experts from CDC, U.S. EPA, U.S. Consumer Product Safety Commission, National Conference of State Legislatures, and the MAHC committee will present and answer questions on this vital effort, which can help prevent outbreaks, drowning, and chemical injuries at aquatic facilities.

FDA Regulations on Sunscreen Products

FDA’s Final Regulations

The final regulations, which become effective by the summer of 2012, establish a standard test for over-the-counter (sold without a prescription) sunscreen products that will determine which products are allowed to be labeled as “Broad Spectrum.”

Products that pass this test will provide protection against both ultraviolet B radiation (UVB) and ultraviolet A radiation (UVA).  Sunburn is primarily caused by UVB.  Both UVB and UVA can cause sunburn, skin cancer, and premature skin aging.  A certain percentage of a broad spectrum product’s total protection is against UVA.

Under the new regulations, sunscreen products that protect against all types of sun-induced skin damage will be labeled “Broad Spectrum” and “SPF 15” (or higher) on the front.

The new labeling will also tell consumers on the back of the product that sunscreens labeled as both “Broad Spectrum” and “SPF 15” (or higher) not only protect against sunburn, but, if used as directed with other sun protection measures, can reduce the risk of skin cancer and early skin aging. For these broad spectrum products, higher SPF (Sun Protection Factor) values also indicate higher levels of overall protection.

By contrast, any sunscreen not labeled as “Broad Spectrum” or that has an SPF value between 2 and 14, has only been shown to help prevent sunburn.

Reynold Tan, a scientist in FDA’s Division of Nonprescription Regulation Development, notes that FDA has been developing testing and labeling requirements for sunscreen products for decades. However, only recently have the data become sufficient to establish an accurate and reliable test for broad spectrum UV protection, he says.

To help consumers select and use sunscreens appropriately, the final regulations include these additional labeling provisions:

  • Sunscreen products that are not broad spectrum or that are broad spectrum with SPF values from 2 to14 will be labeled with a warning that reads: “Skin Cancer/Skin Aging Alert:  Spending time in the sun increases your risk of skin cancer and early skin aging. This product has been shown only to help prevent sunburn, not skin cancer or early skin aging.”
  • Water resistance claims on the product’s front label must tell how much time a user can expect to get the declared SPF level of protection while swimming or sweating, based on standard testing. Two times will be permitted on labels: 40 minutes or 80 minutes.
  • Manufacturers cannot make claims that sunscreens are “waterproof” or “sweatproof, or identify their products as “sunblocks.”   Also, sunscreens cannot claim protection immediately on application (for example, “instant protection”) or protection for more than two hours without reapplication, unless they submit data and get approval from FDA.

FDA Proposed Regulations, Data Requests, and a Draft Guidance

In addition to the final regulations, FDA is proposing a regulation that would require sunscreen products that have SPF values higher than 50 to be labeled as “SPF 50+.” FDA does not have adequate data demonstrating that products with SPF values higher than 50 provide additional protection compared to products with SPF values of 50.

FDA is requesting data and information on different dosage forms of sunscreen products.  The agency currently considers sunscreens in the form of oils, creams, lotions, gels, butters, pastes, ointments, sticks, and sprays to be eligible for potential inclusion in the OTC sunscreen monograph – meaning that they can be marketed without individual product approvals.

The agency currently considers wipes, towelettes, powders, body washes, and shampoo not eligible for the monograph. Therefore, they cannot be marketed without an approved application.

For sunscreen spray products, the agency requests additional data to establish effectiveness and to determine whether they present a safety concern if inhaled unintentionally.  These requests arise because sprays are applied differently from other sunscreen dosage forms, such as lotions and sticks.

FDA is also issuing a draft guidance to help sunscreen manufacturers understand how to label and test their products in light of the final and proposed regulations and the data request on dosage forms. Tan says the FDA hopes that manufacturers will implement the new rules well before their effective date.

Sun Safety Tips

Spending time in the sun increases the risk of skin cancer and early skin aging.  To reduce this risk, consumers should regularly use sun protection measures including:

  • Use sunscreens with broad spectrum SPF values of 15 or higher regularly and as directed.
  • Limit time in the sun, especially between the hours of 10 a.m. and 2 p.m., when the sun’s rays are most intense.
  • Wear clothing to cover skin exposed to the sun; for example, long-sleeved shirts, pants, sunglasses, and broad-brimmed hats.
  • Reapply sunscreen at least every 2 hours, more often if you’re sweating or jumping in and out of the water.

Questions and Answers

 

National Swimming Pool Codes – Junction of Health and Building Officials

In recent years there has been a steady increase of reported disease outbreaks where an aquatic venue was found to be the common source. In addition, every year there are tragic injuries and deaths in swimming pools. CDC is creating a Model Aquatic Health Code (MAHC) to improve the health conditions in these venues. The International Code Council (ICC) has created the International Swimming Pool & Spa Code (ISP&SC) governing pool and spa construction for enforcement by Building Code Officials. Meetings have taken place between CDC and ICC officials to explore how these codes can be complimentary.  In an early meeting, Jay Peters from ICC stated that he thought an arrangement could be reached where a “baton transfer” could occur between the building code officials after the design and construction phase to the environmental health officials for the on-going operation and maintenance phase of the aquatic venue.  The collaboration between the CDC and ICC needs to continue to create joint pool code strategies and explore the possibility of a joint code in the second version of the ISP&SC which will come out in 2015…more

This abstract was reprinted with permission from Shelly Wallingford, REHS, Education Coordinator, National Environmental Health Association.

Federal Child Labor Provisions for Lifeguards

Fact Sheet #60: Application of the Federal Child Labor Provisions of the Fair Labor Standards Act (FLSA) to the Employment of Lifeguards

The Fair Labor Standards Act (FLSA), administered by the U.S. Department of Labor’s Wage and Hour Division (WHD), requires that most employees be paid at least the applicable federal minimum wage and overtime pay for all hours worked at time and one-half the regular rate of pay after 40 hours in a workweek. The FLSA also includes child labor and recordkeeping provisions. While some seasonal and recreational establishments such as outdoor swimming pools may be exempt from the minimum wage and overtime requirements of the FLSA if they meet certain tests, this exemption does not apply to the child labor or record keeping provisions of the FLSA.

Child labor Provisions of the FLSA
The federal child labor provisions were enacted to protect the educational opportunities of minors and prohibit their employment in jobs and under conditions detrimental to their health or well-being.

18 years of age
Once a minor reaches 18 years of age, the federal child labor provisions no longer apply to their employment.

16 and 17 years of age
Sixteen and 17-year-olds employed as lifeguards may perform any nonhazardous job, for unlimited hours. The Secretary of Labor has declared 17 Hazardous Occupations Orders (HOs) which restrict the types of jobs and/or industries in which youth under 18 years of age may be employed. Although not exhaustive, the following list represents some common tasks which occur at establishments that employ lifeguards. Under the federal child labor provisions, workers under 18 years of age generally may not:

  • Operate or assist to operate, clean, oil, set up, adjust, or repair certain power-driven woodworking, metalworking, bakery, meat processing, and paper products machinery – including meat slicers, compactors, balers, mixers, and saws.
  • Drive or serve as an outside-helper on a motor vehicle on a public road; but 17-year- olds who meet certain specific requirements may drive automobiles and trucks that do not exceed 6,000 pounds gross vehicle weight for limited amounts of time during daylight hours as part of their job (see Fact Sheet #34).
  • Operate power-driven hoists such as elevators, cranes, derricks, and high-lift trucks. However, 16- and 17-year-olds may operate and assist in the operation of most water amusement park and recreation establishment rides.
  • Load, operate, or unload power-driven balers and compactors used in the disposal of waste. A limited exemption exists that permits the loading, but not the operating or unloading, of certain scrap paper balers and paper box compactors under certain specific conditions (see Fact Sheet #57).

14 and 15 years of age
Fifteen-year-olds, but not youth less than 15 years of age, may be employed as lifeguards at traditional swimming pools and most facilities of water amusement parks. Such employment must meet the following conditions:

  • The 15-year-old must be trained and certified by the American Red Cross, or a similar certifying organization, in aquatics and water safety; and
  • The 15-year-old must be employed in compliance with all the other applicable provisions of the federal child labor rules contained in Child Labor Regulations No. 3 (see Subpart C of 29 CFR Part 570), including the restrictions on the hours and times of day that 15-year-olds may be employed as discussed below; and
  • The federal child labor rules require that 15-year-olds who are employed to teach or assist in teaching others how to swim must also be certified as swimming instructors by the American Red Cross or some other similar certifying agency.

The occupation of lifeguard, as per 29 C.F.R. § 570.34(l), encompasses the duties of rescuing swimmers in danger of drowning, the monitoring of activities at a swimming pool to prevent accidents, the teaching of water safety, and providing assistance to patrons. Lifeguards may also help to maintain order and cleanliness in the pool and pool areas, conduct or officiate at swimming meets, and administer first aid. Additional ancillary lifeguard duties may include checking in and out such items as towels, rings, watches and apparel. Properly certified 15-year-old lifeguards are also permitted to use a ladder to access and descend from the lifeguard chair; use hand tools to clean the pool and pool area; and test and record water quality for temperature and/or pH levels, using all of the tools of the testing process including adding chemicals to the test water sample. Such youth would, however, be prohibited from entering or working in any chemical storage areas, including any areas where the filtration and chlorinating systems are housed.

As mentioned, a core and defining duty of a lifeguard is the rescuing of swimmers in danger of drowning, often by entering the water and physically bringing the swimmer to safety. Under 29 C.F.R. § 570.34(l), any employee under the age of 16 whose duties include this core duty—such as a “junior lifeguard” or a “swim-teacher aide”—or whose employment could place him or her in a situation where the employer would reasonably expect him or her to perform such rescue duties, would be performing the duties of a lifeguard while working in such a position. For such employment to comply with these child labor provisions, the employee would have to be at least 15 years of age and possess the proper certification.

A traditional swimming pool means a water tight structure of concrete, masonry, or other approved materials located either indoors or outdoors, used for bathing or swimming and filled with a filtered and disinfected water supply, together with buildings, appurtenances and equipment used in connection therewith. A water amusement park means a facility that not only encompasses the features of a traditional swimming pool, but also includes such additional attractions as wave pools, lazy rivers, activities areas and elevated water sides.

Properly certified 15-year-olds may be employed as lifeguards at water amusement park wave pools, lazy rivers, and activities areas, but not at the top of elevated water slides. Generally, all youth under 16 years of age are prohibited from operating or tending power-driven equipment and may not assist the public as they enter, “ride,” and leave water-park or amusement-park-type rides. Thus, minors under 16, even if properly certified as lifeguards, may not be employed as dispatchers, attendants, or slide monitors at the top of elevated water slides. Fifteen-year-olds who are properly certified may be employed as lifeguards stationed at the splashdown pools located at the bottom of elevated water slides.

Youth under 16 years of age may not be employed as lifeguards at natural environment facilities such as rivers, steams, lakes, ponds, quarries, reservoirs, wharfs, piers, or ocean-side beaches.

Hours Limitations:
The employment of 14- and 15-year-olds, including those 15-year-olds employed as lifeguards, is generally limited to:

  • Outside of school hours;
  • 3 hours on a school day, including Fridays;
  • 8 hours on a nonschool day;
  • 18 hours in a week that school is in session;
  • 40 hours in a week that school is not in session.

Also, such youth may not work before 7 a.m. or after 7 p.m. (except from June 1 through Labor Day when the evening limit is extended to 9 p.m.).

Occupations Limitations:
Fourteen- and 15-year-olds, including properly certified 15-year-olds who are employed as lifeguards, may not be employed in the following occupations that are often found at establishments that have traditional swimming pools:

  • Work involving the operation or tending of any power-driven machinery and hoists (except office machinery). This prohibition includes work involving most amusement park and recreation establishment rides – including dispatchers on elevated water slides – and power-driven lawn mowers and trimmers.
  • All baking and most cooking. These minors may perform cooking with electric and gas grilles that does not involve cooking with open flames. They may also cook with deep fryers that are equipped with and utilize devices that automatically lower and raise the fryer baskets into and out of the hot oil or grease. They may not operate NEICO broilers, pressure cookers, ovens or rotisseries.
  • The cleaning of cooking equipment and the filtering, transporting, and disposing of hot oil and grease when the surfaces or hot oil or grease exceed 100° F.
  • All work in construction, including demolition and repair.
  • All work involving the use of ladders or scaffolding, except properly certified 15-year- old lifeguards may use a ladder to access and descend from the lifeguard chair.
  • All work in freezers, but they may enter freezers equipped with safety latches, for brief periods of time, to retrieve items.

13 years of age and younger
Youth under 14 years of age are generally not allowed to work in nonagricultural occupations. However, the FLSA does allow a parent who is the sole-owner of a business to employ his or her child in any occupations other than mining, manufacturing or those declared to be hazardous by the Secretary of Labor.

Where to Obtain Additional Information
For more information on the FLSA child labor provisions, including a complete list of all hazardous occupation orders, visit the YouthRules! Web site at www.youthrules.dol.gov.

For additional information on the Fair Labor Standards Act, visit the Wage and Hour Division Web site: http://www.dol.gov/whd and/or call our toll-free information and helpline, available 8 a.m. to 5 p.m. in your time zone, 1-866-4USWAGE (1-866-487-9243).

When state child labor laws differ from the federal provisions, an employer must comply with the higher standard. Links to your state labor department can be found at http://www.dol.gov/whd/contacts/state_of.htm.

New Jersey Health

New Jersey Public Health Sanitation & Safety Program

Local Environmental Health Divisions

P&SS Act Training

The U.S. Consumer Product Safety Commission (CPSC) contracted the National Swimming Pool Foundation (NSPF) to provide *FREE* compliance training on the Virginia Graeme Baker Pool & Spa Safety Act (P&SS Act) for health officials and regulators.

2011 Training Event Schedule

  • April 28, 2011: National Capital Area Environmental Health Association (NCAEHA) Spring Conference – Washington, DC
    Location: Clyde’s of Gallery Place, 707 7th Street, NW, Washington, DC
    Time: 1:30 pm – 4:30 pm
  • May 18, 2011: Utah Environmental Health Association Spring Conference – Bryce, UT
    Location: Ruby’s Inn, 26 S. Main Street, Bryce Canyon City, UT
    Time: 2:00 pm – 5:00 pm
  • May 24, 2011: Flagstaff, AZ
    Location: 2500 N. Fort Valley Rd. Bldg #1 Flagstaff, AZ 86001
    Time: 1:00 pm – 4:00 pm
  • June 2, 2011: Virginia Beach, VA
    Location: Pembroke Corporate Center III, 4452 Corporation Lane
    Time: 9:00 am –12:00 pm
  • June 9, 2011: Tumwater, WA
    Location: Washington Dept. of Health, Building 3, Room 224, 243 Israel Road, Tumwater, WA
    Time: 9:00 am – 12:00 pm
  • June 17, 2011: National Environmental Health Association Annual Education Conference – Columbus, OH
    Location: Hyatt Regency Columbus, 350 North High Street
    Time: 1:00 pm – 4:00 pm
  • June 27, 2011: Denver, CO
    Location: 6162 S. Willow Drive, Suite 100, Greenwood Village, CO
    Time: 12:30 pm – 3:30 pm
  • June 30, 2011: Indianapolis, IN
    Location: 2 N. Meridian St., Indianapolis, IN 46204
    Time: 9:30 am – 12:30 pm
  • July 19, 2011: Interstate Environmental Health Seminar – Daniels, WV
    Location: The Resort at Glade Springs, 255 Resort Drive
    Time: 1:00 pm – 4:00 pm
  • August 4, 2011: Florida Environmental Health Conference – Daytona, FL
    Location: The Oceans Center, 101 N. Atlantic Avenue, Daytona Beach, FL 32118
    Time: 8:30 am – 12:00 pm
  • August 10, 2011: Nevada Environmental Health Conference – Las Vegas, NV
    Location: Springs Preserve, 333 S Valley View Boulevard
    Time: 1:30 pm – 4:30 pm

Click here to register for a Training Event
If you have any questions about the training sessions, please contact: amanda.rogers@nspf.org

Accessibility Guidelines for Recreation Facilities

The Americans with Disabilities Act (ADA) is a comprehensive civil rights law that prohibits discrimination on the basis of disability. The ADA requires that newly constructed and altered state and local government facilities, places of public accommodation, and commercial facilities be readily accessible to, and usable by, individuals with disabilities. The ADA Accessibility Guidelines (ADAAG) is the standard applied to buildings and facilities. Recreational facilities, including swimming pools, wading pools, and spas, are among the facilities required to comply with the ADA. These standards, as adopted by the Department of Justice (DOJ) on July 26, 2010, will be triggered on March 15, 2012.

The publication of this final rule does not require that all existing facilities be modified to meet these guidelines. However, all recreation facilities have a separate obligation to provide program accessibility to the extent that is “readily achievable” (i.e., easily accomplishable and able to be carried out without much difficulty or expense) under title III of the ADA or to the extent that they achieve “program accessibility” (which may require the removal of architectural barriers in existing facilities) under title II.

Pool Safely Campaign

To improve pool and spa safety, the U.S. Consumer Product Safety Commission (CPSC) launched Pool Safely: Simple Steps to Save Lives, a national public education campaign to reduce childhood drownings, submersion injuries and entrapments. The campaign is a call-to-action for consumers and industry to adopt proven water safety steps and join a national conversation about pool and spa safety by sharing best practices and other life-saving information. The Pool Safely campaign carries out the provisions of the Virginia Graeme Baker Pool and Spa Safety Act (P&SS Act), federal legislation mandating new requirements for public pools and spas, including a public information campaign.

Model Aquatic Health Code

Centers for Disease Control and Prevention (CDC), through an initial grant from the National Swimming Pool Foundation (NSPF), is working with public health and industry representatives across the United States to build a Model Aquatic Health Code (MAHC). The MAHC will serve as a model and guide for local and state agencies needing guidance to update or implement standards governing the design, construction, operation, and maintenance of swimming pools and other treated recreational water venues.

Background: In the United States, there is no federal regulatory authority for disinfected recreational venues; all pool codes are developed, reviewed, and approved by state and/or local public health officials. As a result, there are no uniform, national standards governing the design, construction, operation, and maintenance of swimming pools and other treated recreational water venues. Thus, the code requirements for preventing and responding to recreational water illnesses (RWIs) can vary significantly among local and state agencies. The Model Aquatic Health Code (MAHC) is intended to transform the typical health department program into a data-driven, knowledge-based, risk reduction effort to prevent disease and injuries and promote healthy recreational water experiences. This MAHC should ensure that the best available standards and practices for protecting public health are available for adoption by state and local agencies.

Alabama Health

Alabama Bureau of Environmental Services

  • In Alabama, there are currently no statewide regulations for the construction, operation, filtration, or disinfection of public recreational water facilities. Some counties in Alabama establish and enforce local ordinances based on the following:
    • The Code of Alabama 1975, Section 22-2-2 (4): The State Board of Health shall have authority and jurisdiction…To inspect all schools, hospitals, asylums, jails, theatres, opera houses, courthouses, churches, public halls, prisons, stockades where convicts are kept, markets, dairies, milk depots, slaughter pens or houses, railroad depots, railroad cars, street railroad cars, lines of railroads and street railroads (including the territory contiguous to said lines), industrial and manufacturing establishments, offices, stores, banks, club houses, hotels, rooming
      houses, residences and other places of like character, and whenever insanitary
      conditions in any of these places, institutions or establishments or conditions prejudicial to health, or likely to become so, are found, proper steps shall be taken by the proper authorities to have such conditions corrected or abated.
    • The Code of Alabama 1975, Section 22-3-2 (4): It shall be the duty of the county boards of health in their respective counties and subject to the supervision and control of the State Board of Health…To exercise, through county health officers or quarantine officers, special supervision over the sanitary conditions of schools,
      hospitals, asylums, jails, theatres, opera houses, courthouses, churches, public
      halls, prisons, markets, dairies, milk depots, slaughter pens or houses, railroad depots, railroad cars, dining cars, street railroad cars, lines of railroads and street railroads (including the territory contiguous to said lines), airports, industrial and manufacturing establishments, offices, stores, banks, club houses, hotels, rooming houses, residences and the sources of supply, tanks, reservoirs, pumping stations and avenues of conveyance of drinking water and other institutions and places of
      like character and, whenever insanitary conditions are found, to use all legal means to have the same abated.
    • County Health Department Directory

Local Health Departments