Tru-D’s Ebola Response

Dr. Jeffery Deal speaks at a TEDx Conference about Tru-D’s Support in the Fight Against Ebola

Tru-D Travels to New York to Participate in Panel Discussions for The Center for Global Health and Diplomacy

Tru-D SmartUVC’s mission to help in the fight against Ebola in Liberia was a topic of discussion at the Center for Global Health and Diplomacy‘s Conference on Creating a Post-2015 Infrastructure for Development: Challenges, Successes and Suggestions for the Future. Dr. Deal, inventor of Tru-D, served on the panel at a special session titled “Mobilizing a United Corporate and Communications Response to Contain Ebola.”

Chuck Dunn, CEO and President of Tru-D SmartUVC, provided a demonstration of our technology to a live panel audience and more than 200,000 LiveStream Viewers during the conference through The Center for Global Health and Diplomacy.

Immediately following the panel, the entire group joined The Center for Global Health and Diplomacy to Ring The Nasdaq Stock Market Closing Bell.

 

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Tru-D Deployed to Aid in the Fight Against Ebola in West Africa: A Travelogue

Two 5-foot-5 superbug-slaying machines have been deployed from the United States where they aid in the fight against the deadly Ebola virus outbreak at JFK Hospital and ELWA Hospital in Monrovia, Republic of Liberia.

The devices, known as Tru-D SmartUVC, help disinfect health care environments where Ebola patients are being treated. In an effort to eliminate Ebola at the source, the use of innovative disinfection technology, such as Tru-D, is crucial to guaranteeing a pathogen-free environment for patients and health care staff.

About Dr. Jeffery L. Deal

Dr. Jeffery L. Deal, Tru-D’s inventor and a Fellow in the Royal Society of Tropical Medicine and Hygiene, presented at Tedx Charleston’s Embrace Chaos event where he told the stories of his journey to Liberia with Tru-D during the Ebola crisis in August 2014.  While there, he led the deployment of two Tru-D units by training hospital staff to operate the devices in a number of hospital environments as well as to monitor progress for successful disinfection.

As part of his mission, Dr. Deal joined dozens of disease specialists dispatched by the Centers for Disease Control and Prevention to help stop the spread of the largest recorded outbreak of the Ebola virus in history. As a part of the Ebola Task Force, which also included teams from WHO, the CDC, Doctors Without Borders, UNICEF and the World Food Programme, he worked with many others involved in the international aid effort while in Liberia.

Dr. Deal currently serves as director of health studies for Water Missions International, a nonprofit Christian engineering organization providing sustainable safe water and sanitation solutions for people in developing countries and disaster areas. Deal holds an anthropology degree, medical degree, board certifications and three post-doctoral fellowships, and he has had a long and distinguished medical career including 30 years as a clinical instructor at the Medical University of South Carolina. His passion for tropical medicine led him to spend time establishing and working in medical facilities in locations around the world such as South Sudan, Darfur and Tanzania.

Tru-D Ebola UVC Dosage Validation

CDC references a study¹ specific to low-pressure mercury vapor UVC technology supported by U.S. Army Edgewood Chemical Biological Center that validates an effective UVC dose to completely deactivate the Ebola virus in both direct (line-of-sight) and indirect (shadowed areas) surfaces.

Tru-D SmartUVC incorporates low-pressure mercury vapor UVC lamps known to be three times as efficient as pulsed xenon lamps.   Unlike pulsed xenon machines that do not measure dosage, Tru-D’s patented Sensor360 UVC measurement capability ensures proper dose delivery to surfaces and is the only device for which effective dosage claims can be validated.

Additionally, Tru-D provides usage tracking verification to hospitals and healthcare facilities to confidently report total room disinfection in real time via the iTru-D portal.

¹Sensitivity to ultraviolet radiation of Lassa, vaccinia, and Ebola viruses dried on surfacesJose-Luis Sagripanti, C. David Lytle, Arch Virol (2011)156:489-494

TIMELINE

Thursday, August 14, 2014

Two Tru-D SmartUVC units left Memphis on an eight-day journey to Monrovia, Liberia.

Sunday, August 17, 2014

Tru-D SmartUVC President Chuck Dunn traveled to Charleston, S.C., to meet with Tru-D SmartUVC Inventor Dr. Jeffery Deal and provide support during local interviews.

Monday, August 18, 2014

Deal and Dunn held two interviews at Water Missions International and also led a walkthrough at UEC Electronics, owned by Arotech.

Tuesday, August 19, 2014

Deal traveled from Charleston, S.C., to Monrovia, Liberia, and Dunn traveled back to Memphis to complete multiple interviews including a TV segment on FOX 13 News.

Wednesday, August 20, 2014

The two Tru-D SmartUVC units arrived in Monrovia, Liberia.

Thursday, August 21, 2014

Deal met with the Ebola Task Force for the first time. He was also interviewed by Paul Tilsley with FOX News Radio. The segment aired that evening and repeated the next morning.

Friday, August 22, 2014

History was made, as the first automated room decontamination system to be used in Africa was activated at 2:30 p.m. Liberian time.

DR. DEAL’S TRAVELOGUE

Thursday, August 21, 2014

I am now sitting in the GAS office waiting for the customs clearing documents. This morning, I met with the Ebola Task force. Present were representatives from the World Health Organization, Centers for Disease Control and Prevention, Médecins Sans Frontières (Doctors Without Borders), UNICEF and the World Food Programme. We were cordially greeted and everyone was excited about the devices; most had already learned of them.

In moments, we head to the airport with a truck to pick them up. Right now, we are slated to install them at JFK Hospital and another facility in Monrovia. MSF piqued up when I mentioned that they will work in tents. The MOH asked that I report again tomorrow at the same 9 a.m. meeting. From there, we went to meet with the president’s chief of ftaff. He invited me to the president’s debriefing meeting tomorrow at 11 a.m., where he will introduce me to the Madam President herself. I am honored and glad Hart packed a tie for me.

The situation here is grim to say the least. A large slum of about 50,000 people is now quarantined. The security forces are struggling to get food and water to them before more armed riots break out.

I sat in on a report on some remote areas that sound pretty rough, especially among pregnant women. Some of the statements I recorded:

“Women are scared, very scared. I saw women dying from bleeding without help for fear of Ebola.”

“We send our people to the treatment centers, and we never see them again. When they die, they throw them away like garbage.”

“How do you give emotional support without touching?”

Very heartbreaking things.

As for Tru-D, the local TV station looks to run a story about how the hospital will be using the most advanced, automated decontamination system as is used in the U.S. with hopes that the staff will feel safer returning to work.

Three health care workers died yesterday of Ebola. On top of all of this, it is the rainy season and clinical cases of cholera have erupted. They are having a hard time differentiating cholera from malaria from Ebola as the labs are overwhelmed with specimens. No one shakes hands here anymore, and every building has chlorinated water-washing stations at the entrances. This is now, I think, the most hygienic country on earth. They could really use some LWTS from Water Missions.

Friday, August 22, 2014

Amazing day. The most sophisticated automatic room decontamination system on the planet was deployed at an Ebola Treatment Unit today. We ran through some short cycles. We delivered the second unit, but I did not have time to unpack and activate it. We will be doing that tomorrow. Things are a bit tense here as I am about 400 meters from West Point, an impoverished community of 50,000 people who are quarantined in an effort to stem the epidemic.

I sat through many meetings with the Liberian government officials, and they are very compassionate and working diligently to tend to the people’s needs. I am proud to work along with them. The Ebola units are a bit grim – patients packed close, no human contact, very ill and often entire families together and ill. WHO, CDC, UNICEF and MSF are all here in mass and working hard.

Likely, the best thing is that Water Missions International has mobilized to send five emergency water treatment systems here. Doctors are having a hard time differentiating Ebola from cholera, which is now also showing up. In the long run, this will save many more lives than will the Tru-D, but both have a role.

Sunday, August 24, 2014

Yesterday, things went well. I spent the afternoon in the Ebola Treatment Unit at Elwa Hospital. The doctor in charge, Dr. Atea, assigned a very sharp nurse to “be in charge of this machine, make sure it is not damaged and that other key people know how to use it.”

The ETU is composed of two large rooms – about 30-by-40 feet – that are partitioned off by tarps stretched across wooden frames, as well as three toilets and one side area that is screened from the outside, also by tarps. Patients sleep and rest on mattresses on the floor. A few are able to wander around inside, but most simply lay on the mat. Vomitus and diarrhea contents contaminate many of the rooms and are cleaned up each shift.

It takes about 30 minutes to get suited up in pairs and inspected and another 20 minutes to decontaminate and undress in layers, all the while being sprayed with bleach water and washing your gloved hands at each step. You are only allowed to be inside with the patients for two hours at a time.

The Tru-D’s are functioning perfectly and are the “work horses” that Chuck Dunn said they would be. We are treating EVERYTHING at EVERY opportunity — bathrooms, patient rooms, treatment rooms, etc. The most important thing being done is when a suspected patient is confirmed by labs, they are moved to the confirmed ward. Before the next suspected case moves in, we treat the space. Some of these patients actually had malaria or typhoid fever and not Ebola. We are using Tru-D to assure that at least the space could not transmit the disease.

We made the decision not to change the settings, even though we all know that Ebola is extremely sensitive to this wavelength. In the words of Dr. Atea, “It is so easy, why not? Ebola is not the only communicable disease our patients carry. We also like that it will make it a safer place for our workers.”

The automatic settings for the sensor have also been useful. There is one space, for instance, that was open to a long hallway. We simply positioned Tru-D at the entrance so it could “see” all the room and aimed sensor No. 1 down the hallway. We then ran it until all the sensors read “DONE,” ignoring sensor No. 1 as it looked down the hallway. It was easy and my worker got it.

Teaching the staff to use it is a breeze. I will continue with them. but I already feel redundant.

I am going to the task force meeting today to report as requested. Perhaps I will have a chance to meet Madam President today. I hope, but I only have until 1 p.m. because I will then report back to Elwa. They need extension cords to reach a few sites.

It is amazing using this device in this setting. Frankly, if U.S. hospitals are preparing for potential Ebola or other dangerous outbreaks they all need at least one Tru-D on site BEFORE the crisis hits, and that does not even account for how they should be using on the wards and OR’s.

Jeff from Liberia

Tuesday, August 26, 2014

I am back at the hotel and doing fine. Frankly, I am very tired. I have decided that I can only do a single shift in the ETU’s per day. The suits are so hot, and it is so hard to breathe that I was dragging a bit at the end of my shift at the ELWA Hospital ETU. I also struggled a little for a shift at JFK Hospital’s ETU. I don’t think I will try that again. Just too old and soft, I think.

The staff at ELWA Hospital is doing great, and we’ve got a good action plan for using the Tru-D. I trained the second and third shifts, so they know the process about as well as I do. The doctor in charge, Dr. Park, is very much onboard. All of them appreciate the donation of the Tru-D as the number of health care workers who have succumbed to the disease continues to rise. I fear that this epidemic is completely out of control.

My driver has been approached by people who want to talk about the epidemic and the Tru-D. I was approached today by a reporter from a Liberian TV station, and I gave an interview and a demonstration. I also agreed to a BBC interview tomorrow at JFK if they can be there before I go into the unit. I think that’s it for reporters for a while.

I’ll keep in touch.

Thursday, August 28, 2014

The ETU at JFK Hospital is completely overrun with ill patients covering all floor space. We are moving the Tru-D unit from that hospital to a new facility on Island Point Four. More will come later. All is well. Just keeping in touch.

Sunday, August 31, 2014

Friday, I had finished working and was walking to get something to eat when I got a call from the president’s office. Within an hour, Bobby, of the president’s security staff, showed up. In minutes, I was talking to President Sirleaf and one of her medical advisors. She is a very impressive person who is obviously quite weighted down over the Ebola epidemic that is ravaging her country’s people, its economy, and its fragile health care system.

The next morning, I went to check on the staff at ELWA Hospital, and Bobby came up to greet me. Quite by chance, I found myself lining up with the health care staff and applauding as two survivors walked out of the Ebola Treatment Unit alive and well. President Sirleaf herself met them and spoke to her country via a large press gathering. She then walked over to me and said, “So, Dr. Deal, this is your machine?” The staff had brought out the Tru-D, and we stood around it.

She then turned to the crowd and told them how this machine was sent to help them and “this man is a friend of Liberia.” I was moved, to say the least. We had spoken at length the evening before, and on this morning, I said only seven words to her, which she then turned and repeated in a near shout. I told her, “Madam President, you will win this war.”

I am writing this from the airport waiting to leave and having the usual feelings of guilt for not staying to fight with them.

A piece of great news is that Water Missions International has already started sending over the much needed water treatment systems. Perhaps that is why I was here all along.

  • Last year, our hospital had 81 cases of hospital-acquired C. diff. We’re on pace to have about one-third fewer hospital-acquired infections of all kinds this year, a decrease I attribute to the whole-room disinfection technologies we’ve added to our manual cleaning.

    Randy Barnes

    St. Charles Bend

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  • We are dedicated to providing the highest level of care for our patients and the safest healthcare environment possible for our staff and physicians. Investing in Tru-D technology is a testament to that dedication and also to our continued commitment to implement innovative, state-of-the-art technology.

    Amy Griffin

    Vice President of Patient Care — Archbold Medical Center

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  • Using an iPad outside the room, our staff turns on Tru-D remotely and begins a single disinfection cycle. The robot is able to compensate for room variables such as size, shape and contents to deliver the precise dose of UV energy needed throughout the entire room. The technology...

    Josh Moore

    Vice President of Operations — Archbold Medical Center

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  • Tru-D is the only UV disinfection system on the market that has been evaluated for effectiveness in a randomized clinical trial — conducted by Duke and funded by the CDC. We are pleased to now be able to offer this infection prevention technology to our patients and to...

    Gar Atchison

    CEO — Frye Regional Medical Center

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  • Pocono Medical Center is dedicated to providing the safest hospital environment possible through the adoption of cutting-edge technologies and protocols. Tru-D technology takes an extra step toward hospital-acquired infection prevention while providing confidence for both our patients and staff that we are committed to their safety.

    Dr. William Cors

    Vice President and Chief Medical Officer — Pocono Medical Center

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  • Our number one priority at Lehigh Valley is to keep our patients and staff safe. Tru-D provides us with the best strategy to enhance our environmental cleaning program.  The result is a clean and safe environment for our patients that may prevent and/or reduce infections.

    Terry Burger

    Director of Infection Prevention — Lehigh Valley Health Network — Allentown, Pennsylvania

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  • In my hospital, patient outcomes are of utmost importance. As Director of Surgical Services, the cleanliness of the operating environments lies on my shoulders. I care enough about my patients to visit each of them post-operation and educate them on our process so that they know I use...

    Ralph Taylor

    Director of Surgical Services — Oak Hill Hospital — Brooksville, Florida

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  • Tru-D is environmentally friendly — using no chemicals while killing germs in the hospital. This high-powered ultraviolet light has moved cleaning rooms and equipment to a higher level. We want our patients to have the safest health care we can provide.

    Sonya Ehrhardt

    Director of Infection Prevention and Control — Regional Medical Center (Orangeburg, South Carolina)

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  • Covenant Medical Center and Satori Medical Center are using Tru-D to combat hospital-acquired infections in patients rooms, operating rooms, labor and delivery units and the pediatrics unit. The robots are also very portable and can be deployed at our other faculties as needed.

    Randy Vorland

    Director of Environmental Services — Covenant Medical Center & Satori Medical Center

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  • The efforts of housekeeping in implementing several new processes and technologies, such as Tru-D, has really helped to reduce the incidence of health care-acquired infections.

    Anne Myron

    Infection Control Practitioner — Palos Community Hospital

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