BODY ARTISTS must also ensure that any prediluted ink is manufactured using STERILE processes and materials. In 2012, FDA reported an outbreak of nontuberculous mycobacterial (NTM) skin infections associated with the use of prediluted gray ink. NTM contamination of inks can occur during the manufacturing process as a result of using contaminated ingredients or poor manufacturing practices, or when inks are diluted with nonsterile water (CDC, 2012). 3. Inks must be placed into SINGLE-USE cups or caps immediately before a TATTOO is applied to minimize potential CONTAMINATION. All SINGLE-USE items must be properly disposed of after the BODY ART PROCEDURE. Requirements for SINGLE-USE items can be found in Section 10 of this Code. SINGLE-USE items and leftover ink that have direct blood contact must be disposed of safely in accordance with Section 11 of this Code. 4. For individuals performing microblading or a manual PROCEDURE, once the needle grouping or blade is attached to the handpiece, it cannot be removed and must be fully disposed of in the SHARPS CONTAINER regardless of whether it has been used. The disposal of manual devices must comply with OSHA’s Bloodborne Pathogens Standard section 1910.1030(d)(2)(vii), which states, “Contaminated needles or other contaminated sharps shall not be bent, recapped, or removed” (OSHA, 2012). In accordance with this interpretation and safety protocols based on scientific evidence, this Code requires that once a needle grouping is affixed to a handle, the needle grouping cannot be removed before disposal in an approved SHARPS CONTAINER. 4.3 Specific regulations for branding 1. The client must be 18 years of age. Parental consent release forms do not apply. Branding is an invasive and permanent PROCEDURE and should not be performed on people under the age of 18. 2. Studies have found human papillomavirus, HIV, infectious poliovirus, and hepatitis B in smoke plumes resulting from laser vaporization, cautery surgery, or similar procedures (Lui et al., 2019). To protect against the harmful smoke generated during a BRANDING PROCEDURE, the PROCEDURE AREA must be completely enclosed. 3. The PROCEDURE AREA must have an appropriately powerful ULTRAVIOLET AIR PURIFIER for the size of the room per the manufacturer’s recommendations. Studies have shown that C-wavelength ultraviolet (UV-C) disinfection is highly effective at inactivating pathogens (Vatansever et al., 2013). According to FDA (2021a), UV-C radiation has been used effectively for decades to reduce the spread of bacteria, including tuberculosis. 4. During the BRANDING PROCEDURE, the BODY ARTIST and CLIENT must wear protective face masks rated as N95 or higher, as the fumes produced when flesh burns can be toxic and spread disease and infection. NIOSH-approved particulate filtering facepiece respirators include N95, Surgical N95, N99, N100, R95, P95, P99, and P100 (NIOSH, 2020).
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