As we emerge from the COVID-19 pandemic, terms like “disinfection” and “infection prevention” are now firmly lodged in our vocabularies. Along with this, the pandemic has also brought an explosion in new disinfectant products on the market, each claiming to offer unique benefits in the fight against infection. Electrolyzed water, also known as ECA Water or ECA Sanitizer (Electro-Chemical Activation) has been around for some time, but has caught a new wave of interest in light of our increased focus on infection prevention within cannabis-licensed producer facilities. Your best weapon to cut through the noise and properly evaluate these products is your ability to think critically and understand the basic criteria for choosing the right disinfectant to optimize your sanitation program.
Electrolyzed water uses electricity to convert salt water, sometimes with the addition of an acid, into a hypochlorous acid solution, which releases chlorine to destroy pathogens. The major difference between the chemistry of electrolyzed water and bleach is the pH; however, both use chlorine-based active ingredients, which have been used for dozens of years in disinfectants. Electrolyzed water often involves using a machine to prepare the disinfectant solution on demand from the base ingredients, but can also be sold as a ready-to-use product. With the resurgence of this technology in recent times, here are some questions you can ask to think critically:
IS IT DIN- OR EPA-REGISTERED?
All disinfectants must be registered with Health Canada or the EPA in the United States. Whenever researching a disinfectant, you can use Health Canada’s Drug Product Database or the EPA’s Pesticide Product Label System to ensure that the product is appropriately registered. If the product doesn’t appear, this is a red flag and can indicate that the product’s claims are not supported by the appropriate government agency.
WHAT IS THE SAFETY PROFILE?
Whatever disinfectant you choose should be non-toxic and non-irritating to the eyes and skin when used properly. Electrolyzed water products might be advertised as safe or as a “chemical-free” solution because the starting product is salt water, but this is misleading; the in-use solution has been changed chemically to make it effective against pathogens, in turn making the solution more toxic. Chlorine-based products, especially when used at higher concentrations, have been associated with eye, skin, and respiratory irritation, and often have a harsh chemical odour. Make sure to reference the product label and Safety Data Sheet (SDS) to understand any safety precautions associated with both the raw materials as well as the in-use solution.
IS IT A ONE-STEP DISINFECTANT?
Some disinfectants are formulated with detergents, which gives them cleaning capabilities. These types of products can be used as one-step disinfectants, meaning that surfaces do not need to be pre-cleaned with a separate detergent prior to disinfection. Electrolyzed water does not contain any detergents, and has been shown to be significantly less effective in the presence of dirt.1 The need for a separate pre-cleaning step with electrolyzed water can add a lot of time and effort to your protocols when compared to using a one-step product.
IS IT EFFECTIVE AGAINST RELEVANT PATHOGENS IN A REALISTIC CONTACT TIME?
When researching a new disinfectant, one of the most important things to consider is its efficacy profile. The disinfectant you choose should be effective against a broad spectrum of pathogens that are relevant to your facility, including harder-to-kill viruses, bacteria, and fungi, and should have label claims to support this. However, this isn’t enough – it also needs to work in a realistic contact time, which is the length of time that the liquid must stay wet on the surface to be fully effective. Some electrolyzed water products have contact times as long as 10 minutes, which is difficult to achieve in realistic conditions.
IS IT PRACTICAL FOR YOUR FACILITY?
Technologies such as electrolyzed water often involve a significant upfront investment in the equipment, along with regular maintenance, and involve complicated processes to produce the correct concentration. Furthermore, electrolyzed water is naturally unstable, with the concentration of available chlorine rapidly dropping when exposed to light or open air.2 This can result in solutions having a short shelf life, and needing to be replaced on a regular basis, driving up costs. Another aspect to consider is compatibility with the surfaces and equipment throughout your facility: chlorine-based products are known to corrode metals, which can lead to massive costs if expensive equipment needs to be replaced.
Electrolyzed water is just one example of the many new technologies that are likely to emerge as we make our way out of COVID-19. By asking a few key questions, we can equip ourselves with the knowledge to think critically about how we clean and disinfect.
REFERENCES: 1. Fertelli D, Cadmun JL, Nerandzic MM, et al. Effectiveness of an electrochemically activated saline solution for disinfection of hospital equipment. Infect Control Hosp Epidemiol 2013;34(5):543-4. 2. Xuan XT, Wang MM, Ahn J, et al . Storage and stability of slightly acidic electrolyzed water and circulating electrolyzed water and their property changes after application. J Food Sci  2016 Mar;81(3):E610-7.