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CONFERENCE SUCCESS.CONTINUED FROM PAGE1UltronicsGerri Cevetillo-Tuccillo once again updatedthe delegates on exposure to bacteria, bloodand body fluids in the workplace and whatproper protocol is used for proper cleaningand disinfection. Each year her presentationprocedures are brought up to the currentrequirement standards that are required bythe EPA and State Boards. This information is important and beneficial to allboards.Myra Broadway“Mutual Recognition” was the title of the program presented by Myra Broadway, Executive Director, Maine Board of Nursing. Shespoke on how times had changed exceptregulation and how the progression of regulation got to where it is today. She explainedsome of the factors, such as technology, thatis used today and how they should allow allstates to enter into a interstate compact forlicenses.MiladySandra Bruce gave an update on the newestrevised Professional Barbering and NailTechnology Texts that have been completed.Also the future updates that will be available next year for the new esthetics seriesplus the new tools and resources, DVD, CDROM, and electronic formats needed for theclassroom.Breakout Sessions1. Infection Control2. Regulatory Rule Process3. Broadcasting Live Meetings4. The 10 Blockbusters of Persuasion5. Your Role as a Board Member and Ethical Issues6. Examiner TrainingOne of the most interesting and importantprograms planned for this conference wasthe “breakout sessions”. The education committee arranged for several sessions and selected the above topics on subjects of utmost importance to boards. The interestedboard members sat in large groups to listenand discuss those problems of concerns tothemselves and their boards.NIC Bulletin Page 4Pivot PointA short program was presented on “FastFacts About Writing Achievement Test Items”and “Fast Facts About Mindful Teaching.”Also, the delegates were brought up to dateon their revised publications and what theyare offering in the latest teaching tools intechnology. Also, AACS President TonyFragameni addressed the delegates.Norma EatonNorma Eaton, ICLO from Canada, SungYeo Lee and Jaemeo Johnny Gil of Korea,addressed the delegates on how they areworking on developing consistent curriculum and examination requirements at aninternational level by all owning licenseesto be eligible to practice in participatingcountries by endorsement.John RichardsonJohn Richardson, Speaker of the Housefrom Maine, spoke to the delegates on “Nationwide Mobility from the Legislative Perspective.” He quoted “With today’s technology,states must work from within state, get acommittee to listen, and become more professional by waviering programs that willhelp lead to national mobility.”J.C. Penney SalonEntertaining the delegates with a wonderful lunch, Shannon Broussard and BrendaMassey enlightened the group on the salonindustry.Cow IslandWhen boarding the 1922 and 1928 schooners for Cow Island, the group felt like being a part of Gilligan’s Island. At 6 knotsan hour, the 2 mile trip took the group tothe lost island. Upon leaving the boat, itwas like being a part of Survivor Island,when following the trail to get to the foodand entertainment, and with no electricityon the island. A wonderful lobster bake washeld and despite the rain an enjoyable andmemorable time was had by everyone. Laser Grade, PCS, SMT and DL Roope Administrations were the sponsors who helpedmake this great outing possible.Proctor & Gamble Clairol DivisionWith delegates still buzzing and excited overthe Island event, the Clairol Division presented the delegates with the newest andlatest happenings in the industry and howthey have implemented their program withthe schools.State HappeningsOregon–The Oregon board is assistingthe Oregon Board of Nursing in developing a policy for the nurses to clarify whattype of cosmetics or esthetic proceduresare within a nurse’s scope of practice.Technology and Inspections, CollaboratingWith the MediaA program was presented on how to updateand make the inspection process more sophisticated.Installation BanquetThe climax of the Conference was reachedwith a very impressive and well plannedevent. It included the newly elected officersbeing installed into office, a song by Mr.Lee from Korea and “The Aurie J. GosnellAward” awarded to a very surprised PastPresident, Lois Wiskur. After a short speechthanking the delegates, President RosanneKinley reluctantly brought down the gavelclosing the conference.Conclusions of ConferenceThe Conference would be sorely amiss if itwasn’t stated without reservations, that thiswas one of the most outstanding conferences. Each year we feel and state that theConference Committee does an outstanding job with its performance for hospitality, educational programs and collaborationsof members. Once again thank you to NICand the entire group of Committees for atruly inspiring Conference.Texas–All licensed cosmetologists are required to have 12 hours of continuingeducation every two years for license renewal. Four of those hours are in sanitation. Statistics reported that there are21,609 salons, 118,610 operators and32,244 independent contractors.

2006 ANNUAL CONFERENCE HIGHLIGHTSNIC Bulletin Page 5

2006 ANNUAL CONFERENCE HIGHLIGHTSNIC Bulletin Page 6

AUGUST 26-28, 2006 – PORTLAND, MAINENIC Bulletin Page 7

Additional Conference Highlights:COW ISLAND TRIPThank YouIwould like to express my sincere appreciation tothe NIC Executive Board and NIC members forthe wonderful momentous honor at the Conference in Portland, Maine. I am very honored,yet at the same time humbled, to be therecipient of such a prestigious award“The Aurie J. Gosnell Award.” As thetop-most honor from NIC, which isnamed in recognition of a great, outstanding leader, Aurie J. Gosnell. Shehas been a great mentor and friendwhom I have been blessed by knowing and working with. It is a privilegeto be a part of NIC and I will continue to work and dedicate my timeand service when needed.Thank you all so very much.Lois WiskurMathre Elected Honorary MemberBrenda Mathre, Wyoming, was electedby the delegates for NIC HonoraryMembership. Honorary members are apast board or associate member who hasmade major contributions to NIC. Before being eligible for this status, the candidates must meet certain criteria previously set by the Council.NIC Bulletin Page 8Brenda is a past officer of NIC and workswith the Practical Examiners Trainingprogram for the NIC Exams. She is currently the Salon Inspector for the stateof Wyoming.

NIC Health and Safety ReportBy Sue SansomSue Sansom, Administrator of the Arizona Board, presented a program on thefollowing article to the Board Administrators at the Annual Conference in Portland.Sue, along with her Committee, had donevery extensive research to provide NIC withan excellent report. Boards are dealing constantly with many health and safety issues,so they must always be on alert, to knowwhat the problems are and if “bad press”assumptions about the industry are reallyaccurate. Sue and her Committee continues to do the daily on-going research to keepahead of the demands and changes involving health and safety for cosmetology. NICwould like to commend Sue and her committee for the many hours of hard work thathas gone into this report.Anyone wishing for more information maycontact Sue at ssansom@azboc.gov. The information in this article is available toboards who find it useful for their state.1. Medical laboratory testing and diagnosisis in question because salons are beingblamed for infections associated with several community health initiatives when isolation of the disease is not clarified. Thenews media has mixed information about afew cases of differing causes of opportunistic bacteria sending a public message thatsalons and spas are responsible. In so doingSalons are accused and blamed for manyhealth issues that are difficult to controleven in health care settings such as hospitals, care centers, and locker rooms.Proper laboratory testing and the identification of the disease causing microorganism is necessary to prescribe treatment. After treatment by Antibiotics it is difficult toisolate the culprit that is responsible for theproblem.If a person is given an antibiotic for a generally accepted treatment of a minor skin infection, the infection worsens and the treatment is found to be ineffective then it isdifficult to isolate the bacteria causing theproblem. Due to recent bad press about salons and if a person has recently received aservice at a salon there may be an incorrectassumption that the salon is the problem.Often diseases or conditions remain undiagnosed with immediate treatment beinggiven. We've become a quick fix society. Labtesting is expensive and sometimes complex.We want results now when, in fact, withoutproper diagnosis, quick treatment may prevent a correct diagnosis later. Another factor is urgency to control the infection.Various types of testing are used to determine and isolate bacteria. Cultures isolatesome bacteria but others require a biopsyetc.If the disease causing bacteria is MRSA oris antibiotic resistant very strong antibiotics are required and best practice is thoughtto be IV administration.These and other issues make "inconclusivethe notion" that all are related to salon services or more specifically pedicuring.Following are types of bacteria associatedwith salon problems: Cellulitis - is a term broadly used to meana skin infection. It is an infection of the skincaused by various bacteria at times of unknown origin. Usually referred to as noncontagious but direct contact has proved totransfer infection to another person. Dentists often refer to it as an impaction whichcompounds the common use of the termto mean many things causing local infections. It is a classification of skin infectionoften used without specific laboratory conclusions therefore MERSA is often calledcellulitis. Mycobacterium Fortuitum Furunculosis is an opportunistic bacterium responsiblefor the original outbreak of infestation associated in Pedi Spas in California. It is because of this outbreak that many states began to require chlorination of Pedi Spas andPedicuring bins. Textbooks refer to this as aproblem requiring special attention inPedicuring. Mycobacterium chelonea - is anotheropportunistic bacteria in the same categoryas Mycobacterium Fortuitum Furunculosisbut often harder to treat. MRSA - Methicillin-resistant staphylococcus aureus - is a very serious infection inepidemic proportions in various communities. It is contracted in surgical settings, andvarious other health care settings as mentioned above. It is thought to be passed bylocal contact and often spread from handsto nose or other open membranes. It is ofserious consequences causing some deathsbecause of its nature of resistance to antibiotic treatment. It requires aggressive treatments that often result in discomfort anddifficulty in administration. The reportedand highly publicized case in Texas whichcaused the death of a woman after she received a pedicure was referred to as MRSA. Community Acquired MRSA is different from MRSA found in hospitals. It is acommon opportunistic bacteria found onthe skin. It causes infection by entrance tothe body often the nose. It produces a toxinthat can cause pneumonia. Hand washingprior to using the restroom is one precaution being recommended however over exposure to antimicrobial cleanser's is thoughtby some experts to be a cause in the rise ofantibiotic resistant infections.Committee Recommendations Be responsible providers Providers and clients MUST wash (scrubwith soap) hands and feet thoroughly priorto service. Continue to clean with surfactant or enzymatic effectiveness and chlorinate pedicure equipment and facilities as prescribedby state requirements. Some states requirea log be kept. It may be in your best interestlater. Require clients to avoid shaving prior totreatments because opportunistic bacteriaenter the body where even microscopic skinbreaks occur. Assure clients that disinfection procedures as prescribed by law are being met.Be sure they are. Post past inspection results. Do not allow unlicensed individuals oranyone who is untrained prior to receivinga license to provide services in the salon.Incompetency is not worth the risk.continued on next pageNIC Bulletin Page 9

HEALTH & SAFETY REPORT.CONTINUED FROM PAGE1 Do not service clients with any sign ofinfection. Redness, swelling, pus, or unusualtenderness is a signal to avoid service associated with the area. Do not believe that aclient signature approving the service willrelieve professional responsibility. Require clarification as to diagnosis, labtesting, and medical prognosis of cellulitisand skin infections. Inquire as to clear evidence that the salon is responsible. If priorinspection or a current investigation revealsthe salon is not in compliance with infection rules and procedures, "that fact" willbe used as evidence that an opportunity oftransmission may exist. Follow sate and proscribed procedures.2. MMA - Methacrylate Monomer whenused in cosmetic fingernail preparationscontinues to be a concern of the FDA because it is a poisonous and deleterious substance. Most states now prohibit the use ofproducts containing MMA.3. NIC Wet Disinfection and Dry StorageStandards remain unchanged. All disinfectant procedures require EPA registration forefficacy. Other sanitation devices and products are not acceptable according to thisstandard.Autoclaving of implements is not recommended in lieu of current standards; however, use of an autoclave is not prohibited.If Autoclaves are used, clarification of whichimplements can withstand the process mustbe identified; and the procedure for certification that the individual autoclave meetsOSHA requirements must be specified.Committee Recommendations All implements, equipment, countertops,floors, neck rests, and treatment tables, mustbe cleaned and all reusable implements ormaterials must be discarded or disinfectedas per prescribed by individual state standards. NIC standards are available for use byany state to use- and are the standards usedfor NIC examination development andadministration.4. Hand washing remains critical. Studiesshow rising costs of state medical fundingdue to failure for health and service work-NIC Bulletin Page 10ers to wash their hands. Importance is unprecedented; however, compliance is notpracticed in the cosmetology industry.Committee RecommendationsAccording to "Governing" magazine,who's readership is primarily public officials, hand washing is one of the greatest contributions the Industry (referringto health and service providers) couldpossibly make to health and safety. Also"Experts say we could eliminate onethird of all hospital acquired infectionsif health care workers washed theirhands before each patient contact. Wash hands thoroughly before servicing a client, after using the rest room, andafter eating or smoking. Require clients to wash (scrub with soap)their hands thoroughly before doing handand nail services. Cleanse feet prior to feet and toe nailservices.5. Disinfection of nail files continues to bea topic of interest. Results of a disinfectantkill ratio or viable organism reduction mustmeet the NIC disinfection standard andEPA registration guidelines for efficacy ofthose standards. If the tests do not includeproducts meeting the standard guidelines,the product being tested does not meet theNIC standard.6. Smokeless environments are cited as number one benefit against New York City causeof deaths recorded in the city. It rankedhigher than combating communicable diseases. "Public Officials of the Year 2005"cited Dr. Thomas Frieden, New York City'shealth crusader, for his leading efforts tostop smoking.Arizona study released fall of 2005 targetedheart disease, cancer, lung disease and strokeas the 4 leading disease-related causes ofdeath in Arizona. Smoking was identifiedas the number one detriment to health.If salons are not required to be smoke freein your state, evidence indicates it is timeto begin.7. Morgellons (MRF) also known as Neurocutaneous Syndrome (NCS) is yet anotherskin disease of unknown origin. Signs andsymptoms are: skin lesions, crawling sensations, fatigue, behavioral effects (DelusionalParasitosis), and fibers reported in and onthe lesions. A recent submission to the CDCfrom the Morgellons Research Foundationindicates there has been no formal laboratory or imaging studies done in this patientgroup. There are some reasonably consistent clinical findings, however, that needfurther examination, in controlled studies,to be corroborated or refuted. Evidence exists that it may have toxic origin rather thaninfectious.8. Recent publicity indicating nail polishshould not be used by pregnant women hasbeen proved to be unfounded as nail polish is safe for use by pregnant women according to the FDA.9. The July, 2006 issue of "Prevention Magazine" pg. 40 provides an interesting articlewhich references studies indicating thatbathroom luxury whirlpool baths are brimming with disease causing bacteria. Highpercentages of fecal bacteria, fungi, and lethal Staphylococcus bacteria were found inwater samples taken throughout the UnitedStates. The article stated that the problemsare the interior pipes which aren't filteredor chemically treated, and then are blowninto the bath each time the tub is turnedon. Study author Rita Moyes, PhD, recommends 1/2 gallon of vinegar for every 50gallons of water—the size of an average tub be circulated through the pipes after eachbath for personal use. This is yet anotherstudy supporting the necessity of being responsible regulators by the promulgationof rules requiring chlorination of all whirlpool spas as well as Pedi Spas in beauty salons and day spas.10. Forty-four tattoo customers in Ohio,Kentucky and Vermont developed skin infections caused by methicillin-resistant Staphylococcus aureus (MRSA), according tothe U.S. Centers for Disease Control andPrevention. The infections occurred in 2004and 2005, and were traced to 13 unlicensedtattoo artists, according to an article in theCDC's Morbidity and Mortality WeeklyReport.The skin infections can be transmitted fromperson to person by contact with drainingsores, or through contact with contaminateditems or surfaces. MRSA generally causesmild skin infections, but in some cases hasled to pneumonia, bloodstream infections,and a painful, flesh-destroying conditioncalled necrotizing fascitis.

2006-2007 CommitteeAppointmentsPublicity/BulletinLaFaye Austin, OK–ChairmanEddie Jones, SCEvelyn Reid, GAJudy Roubal, NEEducationSue Monge SD–ChairmanJackie Dahlquist, SD–Co-ChairmanMichael Bolek, DCSteve Colarusso, AZThomas Kelley, NVMelanie Thompson, SCLegislativeKay Kendrick, GA–ChairmanMyra Jowers, FLNelda Luckett, MSSusan Rineer, PABylawsKen Young, OK–ChairmanMike Evert, NEKevin Heupel, COPam Rowland, NEPoliciesSteve Colarusso, AZ–ChairmanEddie Jones, SCThomas Kelley, NVSue Sansom, AZProceduresJackie Dahlquist, SD–ChairmanDorothy Ennis, MSJudy Roubal, NENat'l EndorsementSteve Colarusso AZ–ChairmanBrenda Schwartzkopf, WYJan Roland, KYRegina Webb, KYHealth and SafetySue Sansom, AZ–ChairmanChris Chesser, WYBetty Leake, MOBrenda Mathre, WYEvelyn Reid, GAConference SiteMelanie Thompson, SC–ChairmanLaFaye Austin, OKDonna Osborne, FLEvelyn Reid, GABoard AdministratorsSue Monge, SD–Co- ChairKathy Wittum, AR–Co-ChairPeggy Foreit, DEAntoinette Griego, NMSusan Wil

Official Newsletter of the National-Interstate Council of State Boards of Cosmetology, Inc. www.nictesting.org September/ October 2006 Volume 62, No. 4 Collaboration and Break Out Sessions Marks Conference Success continued on page 4 2006-2007 NIC Officers: Seated - Jackie Dahlquist, SD, Sec./Treas.; Rosanne Kinley, SC,