Bleach Disinfecting Chart
Bleach Disinfecting Chart
Bleach Disinfecting Chart
Sanitizing Chart
Companion Document
DOH 344-052 October 2014
Background: Sodium hypochlorite is the active ingredient in household bleach or chlorine bleach.
It is economical, and is an effective disinfectant with a broad spectrum of antimicrobial activity. It
has been the primary disinfectant used in early learning programs in Washington State for more
than 30 years. During this time, most household chlorine bleach was available at strengths of 5.25-
6.25%. The recommended concentration for disinfection has been 600-800 ppm of chlorine bleach
and 50 to 200 parts per million (ppm) for sanitizing.
In 2012, some manufacturers changed their chlorine bleach formulation to a strength of 8.25% with
a registered non-food contact surface disinfection level of 2400 ppm, the level often used in
hospitals. Their sanitizing level is 200 ppm, the upper end of the range allowed by the Food and
Drug Administration (FDA).
Problem: As of 2014, the most available household chlorine bleach used for disinfection in
children’s programs in many areas of Washington State is at a strength of 8.25%. Instructions for
use of these products and other strength bleaches indicate 2400 ppm of chlorine bleach is needed
for disinfection. This represents 3 to 4 times the levels previously recommended for Washington’s
child cares. This issue has raised the question of what guidance to give child care providers
regarding the concentration of disinfection and sanitizing solutions for use in their programs.
The U.S. Environmental Protection Agency (EPA) (2014) guidelines contain procedures for testing,
and test organisms that products must be able to destroy at 99.9% in order to be labeled as
disinfectants and receive EPA’s approval. The Disinfection Workgroup found several products that
received EPA approval for disinfection at a strength of 600 ppm. For example:
Prepared by: The Disinfection Workgroup led by the Washington State Department of Health. Workgroup members consist of staff from
the Local Hazardous Waste Management Program in King County, Snohomish Health District, the Coalition for Safety and Health in
Early Learning, Washington State Department of Early Learning, Washington State Department of Ecology, and the Washington State
Department of Health.
Based on the information contained herein, careful review of the literature and correspondence with
EPA, the Disinfection Workgroup recommends staying as close as possible to a 600 ppm
disinfection level for general non-food contact surface disinfection.
A thorough review of evidence-based literature has shown that 600 ppm to be an effective
disinfectant when used appropriately. The literature suggests that there are key advantages to
using lower strength chlorine bleach as a disinfectant (CDC, 2009). Chlorine bleach:
Does not leave a toxic residue that requires rinsing in children’s areas.
Is unaffected by water hardness.
Is inexpensive and fast acting.
The Disinfection Workgroup created a chart titled Disinfecting and Sanitizing with Bleach: Guidelines
for Mixing Bleach Solutions for Child Care and Similar Environments that lists recipes for creating
disinfection and sanitizing solutions for the most common concentrations of chlorine bleach
currently on the market. The chart uses a disinfection level of 600-800 ppm, and a sanitizing level
at approximately 100 ppm. The chart also reminds providers to check with their local health
department when disease or pathogenic organisms are present that require a higher level of
disinfection to kill. For example, a norovirus outbreak, or dealing with a child with Clostridium
difficile.
Active Ingredients
Sodium Hypochlorite…8.25%
Other ingredients……..91.75%
Total……………………..100%
References
Centers for Disease Control and Prevention (CDC). (2009, December 29). Guideline for Disinfection
http://www.cdc.gov/hicpac/disinfection_sterilization/6_0disinfection.html.
Environmental Protection Agency (EPA). (2014, June 12). Pesticides: Regulating Pesticides –
http://www.epa.gov/oppad001/regpolicy.htm.
For people with disabilities, this document is available on request in other formats.
To submit a request, please call 1-800-525-0127 (TDD/TTY call 711).
Prepared by: The Disinfection Workgroup led by the Washington State Department of Health. Workgroup members consist of staff from
the Local Hazardous Waste Management Program in King County, Snohomish Health District, the Coalition for Safety and Health in
Early Learning, Washington State Department of Early Learning, Washington State Department of Ecology, and the Washington State
Department of Health.