Dial Complete Foaming Antimicrobial Hand Soap
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1 Dial Complete Foaming Antimicrobial Hand Soap The Dial Corporation Healthcare Division
2 Table of Contents I. Background II. Dial Complete s Key Benefits Superior Germ Kill Superior Mildness Cost Effectiveness Environmentally-Compatible III. Dial Instant Hand Sanitizer IV. The Winning Equation: Dial Complete + Instant Hand Sanitizer = Unequaled Germ Kill V. Lurosoothe Lotion VI. Summary 2
3 I. Background 3
4 The Problem According to the Centers for Disease Control and Prevention, hospital-acquired infections are the #4 killer in the US. That s more than auto accidents and murders combined. 4
5 Clean Hands = Better Health America wants clean hands and healthy families Hand washing is the most effective way to help prevent the spread of germs. (APIC, Centers for Disease Control and Prevention, US Dept. of Health & Human Services, AORN) In addition to colds, some pretty serious diseases -- like hepatitis A, meningitis, and infectious diarrhea -- can easily be prevented if people make a habit of washing their hands. (Centers for Disease Control and Prevention) 71% of consumers are buying antibacterial products to keep families healthy. (Yankelovich Monitor 1/04) Antibacterial is the NUMBER ONE REASON for choosing a liquid hand soap. (Arbor 5/04) 5
6 Dial: 1 of America s Most Trusted Brands Dial is the leading brand with high user satisfaction! Dial products have been in the American marketplace for over 100 years Dial is the #1 antibacterial soap brand (IRI FDM+WM 52 wks ending 3/22/09) Dial is recognized as the antibacterial leader 2X more than the next competitor (1H08 Millward Brown Brand Equity Tracking Study) The Dial Corporation has over 80% household penetration. (There is a Dial product in 8 out of 10 households in the US) (2007 Nielson HH Panel data) 6
7 Dial: 1 of America s Most Trusted Brands Dial is the overwhelmingly preferred brand in public venues: 7x more than Ecolab and 9x more than GOJO* 8 out of 10 users feel antibacterial protection is more important when using restrooms away from home Dial ranks as the #1 most known brand Nearly half report having a more favorable opinion of an establishment when they recognize a trusted soap brand *Blinded web research study of public restroom users by Synovate (n = 1000), Dec
8 II. Dial Complete s Key Benefits Superior Germ Kill Superior Mildness Cost Effectiveness Environmentally-Compatible 8
9 Dial Complete s Proof of Effectiveness How do we know that Dial Complete offers superior germ kill? Time Kill Test Dial Complete vs. Competitive Handwashes Healthcare Personnel Handwash Tests Dial Complete vs. Hibiclens Surgical Scrub Dial Complete vs. Competitive Handwashes Activated Triclosan Study Dial Complete vs. other soap types 9
10 Dial Complete s Proof of Effectiveness Time Kill Test Healthcare Personnel Handwash Tests Activated Triclosan Study 10
11 Time Kill Test Organisms Dial Complete Antimicrobial Foaming Soap was tested against a broad range of organisms that have high relevancy in healthcare. Examples of the types of Bacteria used in testing: Bacteria Tested Description Staphylococcus aureus (MRSA) Enterococcus faecalis (VRE) Escherichia coli Pseudomonas aeruginosa A major source of nosocomial (hospital-acquired) infections in patients with weakened immune systems. Can also cause food poisoning by releasing enterotoxins into food. Normally found in feces. Resistant to the antibiotic Vancomycin, and like MRSA, attacks patients with weakened immune systems. Associated with food poisoning as well as blood, brain and heart infections. Normally found in feces. Known to be responsible for diarrhea outbreaks. Standard organism used in germ-kill testing. Another major source of nosocomial (hospitalacquired) infections in patients with weakened immune systems. A common cause of pneumonia. Infection sites include the lower respiratory tract, urinary tract, bloodstream, and surgical wounds. 11
12 Time Kill Test Measurements In order to fully understand this test, let s look at the standard method by which effectiveness at killing germs is measured. Ex. Start with 1,000,000 germs on your hand* Germ Reduction Germs killed Germs remaining on your hand % of germs killed 0.5 log , ,278 46% 1 log , ,000 90% 2 log ,000 10,000 99% 3 log ,000 1, % 4 log , % 5 log , % 6 log 10 1,000, % *Aly and Maibach (1988) showed subjects can have as many as 1,000,000 colony forming units recoverable from their hands. Note that germ reduction figures shown are based on theoretical calculations. 12
13 Time Kill Test Results Time Kill Test on Relevant Organisms (Log 10 Reduction at 15 secs) Organism Dial Complete Highest germ kill! Steris Kindest Kare Foaming Antimicrobial Handwash Ecolab Bacti-Foam Healthcare Personnel Handwash GOJO Luxury Foam Antibacterial Handwash MRSA Hospital-acquired MRSA Community-acquired Enterococcus faecalis (VRE) >6.15 No reduction Escherichia coli >5.61 >5.61 >5.61 No reduction Pseudomonas aeruginosa >5.32 >5.32 > Data on file. Time Kill Study used 75% soap concentration. MRSA (Hospital-acquired) Dial Complete reduced germs by 5.04 log 10 while Steris and GOJO reduced germs by 1.73 log 10. This represents over an 2,000 fold difference in the effectiveness of the soap in killing germs. Enterococcus faecalis (VRE) Dial Complete reduced germs by over 6.15 log 10 while GOJO reduced germs by 2.19 log 10. This represents over a 9,000 fold difference in the effectiveness of the soap in killing germs. 13
14 Time Kill Test Results Dial Complete demonstrated excellent broad spectrum antimicrobial activity against transient pathogenic organisms Dial Complete Antimicrobial Foaming Soap Time Kill Study % reduction ATCC# 15 sec 30 sec Acinetobacter baumannii > > Candida albicans Enterococcus faecalis (VRE) > > Escherichia coli > > Listeria monocytogenes > > Pseudomonas aeruginosa 9027 > > Serratia marcescens Staphylococcus aureus > Staphylococcus aureus (MRSA Hospital-acquired) Staphylococcus aureus (MRSA Community-acquired) > Streptococcus pneumoniae 6303 >99.90 >99.90 Streptococcus pyogenes > > Data on file. Time Kill Study used 75% soap concentration. 14
15 Dial Complete s Proof of Effectiveness Time Kill Test Healthcare Personnel Handwash Tests Activated Triclosan Study 15
16 HCPHW Dial Complete vs. Hibiclens In a standard Healthcare Personnel Handwash Test*, Dial Complete was found to be 8x more effective at killing germs than even the leading surgical scrub! Log 10 Reduction of bacteria An 0.92 log difference means Dial Complete is 8X more effective than Hibiclens *ASTM E Healthcare Personnel Handwash test conducted at independent research laboratory with Serratia marcescens ATCC
17 HCPHW Test Dial Complete vs. Others In a standard Healthcare Personnel Handwash Test*, Dial Complete was found to be 25x more effective at killing germs than the next closest antibacterial competitor! Log 10 Reduction of bacteria 3.75 A 1.4 log difference means Dial Complete is 25x more effective at killing germs Dial Steris Complete CV GOJO Provon CHG Ecolab Bacti-stat *ASTM E Healthcare Personnel Handwash test conducted at independent research laboratory. Competitive data obtained from manufacturer literature. 17
18 Dial Complete s Proof of Effectiveness Time Kill Test Healthcare Personnel Handwash Tests Activated Triclosan Study 18
19 Activated Triclosan Study Overview Goal: To determine how Dial Complete with Activated Triclosan Technology compares to a typical antibacterial and a non-antibacterial soap in reducing bacteria on the hands. Methodology Summary: 1. A hand was contaminated with bacteria and the quantity of bacteria was determined. 2. The hand was washed with either Dial Complete, a typical antibacterial soap, or a non-antibacterial soap. 3. The remaining bacteria on the hand was counted. 19
20 Activated Triclosan Study Results Dial Complete was found to be significantly more effective than both a typical antibacterial and a nonantibacterial soap in reducing the level of bacteria on the hands Before Wash Before Wash Before Wash After Wash 6.5 After Wash Log 10 Recovered Bacteria After Wash Reduced germ level by 195,000x! x germ level reduction Reduced germ level by only 31x Dial Complete Typical AB soap Non-AB soap Cup Scrub Modification of the ASTM E1174 Health Care Personnel Hand Wash Method, with 20 second hand washes and Serratia marcescens ATCC marker organism 20
21 A Visualization Dramatization Example: Start with a million germs on your hand 21
22 A Visualization Dramatization Washing with a nonantibacterial soap can reduce the level of germs by 31 times, leaving over 30 thousand germs 22
23 A Visualization Dramatization Washing with a typical antibacterial soap can reduce the level of germs by 40 times, leaving over 25 thousand germs 23
24 A Visualization Dramatization But washing with Dial Complete can reduce the level of germs by 195,000 times, leaving a dramatically cleaner hand! 24
25 II. Dial Complete s Key Benefits Superior Germ Kill Superior Mildness Cost Effectiveness Environmentally-Compatible 25
26 Dial Complete s Proof of Mildness How do we know that Dial Complete has superior mildness? Dose Response Patch Test Dial Complete vs. Competitive Handwashes In-Use Hospital Study Dial Complete vs. Steris BactoShield Dial Complete vs. Steris Soft N Sure In-Use Medical/Dental Office Study Dial Complete vs. Derma Scrub Professional Crème Soap 26
27 Dial Complete s Proof of Mildness Dose Response Patch Test In-Use Hospital Studies In-Use Medical/Dental Office Study 27
28 Dose Response Patch Test Results Dial Complete was found to have the LOWEST potential for skin irritation among healthcare hand soaps tested Dial Complete was the only soap shown to be statistically equivalent in its irritation score to saline Lowest soap irritation potential! GOJO AB Luxury Foam Kimberly- Clark AB Foam Kutol AB Foam Ecolab Bactifoam Steris KK AM Foam Dial Complete Saline *Study conducted at Dial Clinical Research Laboratory, Study TM&R TXC Dose Response Patch Test, April
29 Dial Complete s Proof of Mildness Dose Response Patch Test In-Use Hospital Studies In-Use Medical/Dental Office Study 29
30 In-Use Hospital Study 1 Results Dial Complete was significantly preferred over Steris BactoShield in overall liking, gentleness to hands, and leaving hands feeling soft and smooth 9 point liking scale Yale New Haven Hospital In-Use Study* Overall Liking Gentle on Hands Leaves Hands Soft & Smooth Dial Complete Steris BactoShield *Study conducted by independent research firm, March
31 In-Use Hospital Study 2 Results Dial Complete was significantly preferred over Steris Soft N Sure in overall liking, gentleness to hands, and leaving hands feeling soft and smooth Framingham MetroWest Medical Center In-Use Study* point liking scale Overall Liking Gentle on Hands Leaves Hands Soft & Smooth Dial Complete Steris Soft 'N Sure *Study conducted by independent research firm, March
32 Dial Complete s Proof of Mildness Dose Response Patch Test In-Use Hospital Studies In-Use Medical/Dental Office Study 32
33 In-Use Medical/Dental Office Study Results Dial Complete was significantly preferred over Derma Scrub Professional Crème Soap for gentleness, how hands felt after washing, and clean rinsing Preference Study in Healthcare Workers from Medical/Dental Offices How gentle it was on hands Clean-rinsing How hands felt after washing Dial Complete Derma Scrub Lotion Soap = significantly preferred *Study conducted by independent research firm, March
34 II. Dial Complete s Key Benefits Superior Germ Kill Superior Mildness Cost Effectiveness Environmentally-Compatible 34
35 Dial Complete s Proof of Cost Effectiveness How do we know that Dial Complete is cost-effective? Hand Washes per Refill Comparison Dial Complete vs. Traditional Bag-In-Box refills Cost Per Use Comparison Dial Complete vs. Traditional Bag-In-Box refill 35
36 Dial Complete s Proof of Cost Effectiveness Hand Washes per Refill Comparison Cost Per Use Comparison 36
37 Handwashes per Refill Comparison Dial Complete offers 2.8x the hand washes of traditional 800 ml bag-in-box refills! Hand Washes Per Refill X 746 Dial Complete Liter 2.2X 597 Dial Complete 800ml Base 267 Standard 800 ml Bag- In-Box 37
38 Dial Complete Proof of Cost Effectiveness Hand Washes per Refill Comparison Cost Per Use Comparison 38
39 Cost Per Use Comparison Dial Complete Foam Traditional 800ml Bag-In-Box mls per push Pushes per handwash 2 2 Total mls per handwash Case cost (200 column) $39.85 $42.01 mls per case 6,000 (6/1L) 9,600(12/800ml) Handwashes per case 4,478 3,200 Cost per Handwash 0.89 cents 1.31 cents % Savings 32% 39
40 II. Dial Complete s Key Benefits Superior Germ Kill Superior Mildness Cost Effectiveness Environmentally-Compatible 40
41 Dial Complete is Environmentally- Compatible Dial Complete meets the following criteria for environmental leadership throughout its life cycle: Effective cleaning Non-sensitizer, non-irritant Reduced packaging no bag-in-box Recyclable packaging Post consumer recycled content No NTA, EDTA, APEOs, halogenated compounds or butoxyethanol No carcinogens OECD tested biodegradable Non-toxic to aquatic life 41
42 III. Dial Instant Hand Sanitizer 42
43 Dial Hand Sanitizer Benefits Kills % of germs in as little as 15 seconds Dial Hand Sanitizer rapidly kills disease-causing germs. Fragrance and dye-free formula Fragrance can induce nausea in ill or sensitive people. Dyes can cause skin irritation in some individuals. Dial s unique formula makes it suitable even for sensitive individuals. Thick gel Stays on your hands instead of running off onto the rug, floor, or your clothes where it can cause discoloration. Contains moisturizers and skin conditioners Essential for maintaining a healthy skin barrier with repeated washing and sanitizing. Contains 62% ethyl alcohol Higher alcohol concentrations have not been shown to be more effective at killing germs, but rather can cause increased irritation to the hands. 43
44 IV. The Winning Equation: Dial Complete + Dial Instant Hand Sanitizer = Unequaled Germ Kill 44
45 Dial Complete and Hand Sanitizer Together Combining Dial Complete with Dial Instant Hand Sanitizer provides the highest level of germ protection for your hands In Vivo 15 Second Hand Washes With 2 ml of Product* Over 12X more effective than Dial Complete alone! Over 500X more effective than Hand Sanitizer alone! Log 10 Reduction of bacteria 4.0 Best Germ Protection! Dial Complete PLUS Hand Sanitizer Dial Complete Dial Instant Hand Sanitizer *Manufacturer study using in vivo 15 second handwashes, S. marcescens marker organism, 2 ml applied of each product 45
46 V. Lurosoothe Lotion 46
47 Lurosoothe Hand & Body Lotion With Vitamin E and Natural Aloe, Cucumber, and Chamomile Extracts to soothe and refresh your skin Hydrating formula helps lock in moisture Absorbs quickly, non-greasy Hypoallergenic with no added dyes or fragrance Latex and non-latex compatible 47
48 VI. Summary 48
49 Summary I. Dial Complete s Key Benefits Superior germ kill Superior mildness Cost effectiveness Environmentally-compatible II. III. IV. Dial Instant Hand Sanitizer Fragrance and dye free Thick gel helps to keep in on your hands Contains moisturizers and skin conditioners The Equation: Dial Complete + Instant Hand Sanitizer = Unequaled Germ Kill 500x times more effective germ-kill than hand sanitizer alone! Complete Hand Care Program Dial Complete Soap, Dial Hand Sanitizer, Lurosoothe Lotion 49
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