• disposable gloves • medical mask • if available, a disposable full gown and disposable eye protection (e.g. face shield or goggles). PPE for health-care staff It is advised that the minimum level of PPE for health-care staff required when dealing with a suspected or confirmed COVID-19 case is: • medical mask • full gown • gloves • eye protection (e.g. single-use goggles or face shield) • clinical waste bags • hand hygiene supplies • general-purpose detergent and disinfectant solutions that are virucidal and have been approved for use by the prison authorities. Health-care staff should use respirators only for aerosol-generating procedures; for further details on use of respirators, see section 14 below and WHO guidance on PPE use.27 For all staff, PPE must be changed after each interaction with a suspected or confirmed case. Removal of PPE PPE should be removed in an order that minimizes the potential for cross-contamination. Before leaving the room where the patient is held, gloves, gown/apron, eye protection and mask should be removed (in that order, where worn) and disposed of as clinical waste. After leaving the area, the face mask can be removed and disposed of as clinical waste in a suitable receptacle. The correct procedure for removing PPE is as follows: (1) (2) (3) (4) (5) (6) peel off gloves and dispose of as clinical waste perform hand hygiene, by handwashing or using alcohol gel remove apron/gown by folding in on itself and place in clinical waste bin remove goggles/face shield only by the headband or sides and dispose of as clinical waste remove medical mask from behind and dispose of as clinical waste perform hand hygiene. Further WHO guidance, with illustrations, on putting on and taking off PPE is available online.41,42 All used PPE must be disposed of as clinical waste. 41 How to put on and take off personal protective equipment (PPE) [information sheet]. Geneva: World Health Organization; 2008 (https://www.who.int/csr/resources/publications/PPE_EN_A1sl.pdf). 42 Steps to put on personal protective equipment (PPE) [poster]. Geneva: World Health Organization (https://www.who.int/csr/disease/ebola/put_on_ppequipment.pdf). 25