Question: Are students allowed to use the same inhaler if it is cleaned?

Answer passage (source: CDC):
page_title: K-12 Schools and Child Care Programs
section_headers: Administrators
Planning and Responding to COVID-19
If each child has his or her own spacer, can a school’s metered dose inhaler be used by more than one student if the actuator is cleaned before use by another student?
section_content: CDC is not aware of data regarding practices to prevent transmission of the
virus that causes COVID-19 or other respiratory viruses, when multiple people
share one asthma inhaler.
Students should be permitted to use their personal inhaler, as needed, to the
extent permitted by state law and school policies. When students need to use
of the school’s stock inhaler, the inhaler should be used and cleaned
according to the manufacturer’s instructions. The American Lung Association’s
Model Policy for School Districts: Stock Bronchodilatorspdf iconexternal
icon recommends using inhalers with disposable
spacers/mouthpieces.
Additional strategies to further minimize cross-contamination include using
spacers with one-way valves and not allowing the student to touch the inhaler
(e.g., the student can touch the spacer, but only the school staff
administering the inhaler can touch the inhaler). Limited data from
healthcare settingspdf iconexternal
icon suggest
wiping all surfaces of an inhaler with an alcohol-based wipe containing at
least 70% alcohol after inhaler use, and then allowing these surfaces to air-
dry can prevent bacterial cross-contamination. CDC is not aware of data on
whether this has helped prevent viral infections or infections in the school
setting.
CDC is not aware of data regarding viral contamination of spacer devices. A
study evaluating the persistence of SARS-CoV-2external
icon (the virus that
causes COVID-19) on plastic, stainless steel, and cardboard surfaces showed
that the virus is able to remain viable for up to 72 hours. The American Lung
Association’s Model Policy for School Districts: Stock Bronchodilatorspdf
iconexternal
icon recommends using inhalers with disposable spacers
or disposable mouthpieces.
School staff who administer asthma medication to students should use good hand
hygiene, including washing hands
with soap and water for at least 20 seconds before and after administration.
If soap and water are not available and hands are not visibly dirty, staff
should use an alcohol-based hand sanitizer that contains at least 60% alcohol.
People with moderate to severe asthma may be at higher risk of getting very sick from
COVID-19. CDC has more information on COVID-19 for
schools and healthcare
providers
(including school nurses).
CDC has additional information about asthma (non-COVID related) for health
professionals and schools here: https://www.cdc.gov/asthma/info.html

Reviewer feedback on this answer:
The answer is directly addressed here.  There is a good amount of information.
This answer takes information form the CDC and suggest how they can maintain safety and cleaning procedures
This answers the question greatly and even laid emphasis on how people with asthma are at higher risk.

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