swine flu presentation
TRANSCRIPT
Swine Flu:Key Steps for Business Continuity
Presented ByWorkplace Safety Awareness Council
This material was produced by the Workplace Safety Awareness Council, a 501(c)(3) not-for-profit organization dedicated to safety in the workplace.
For further information about the council or upcoming safety related training, please visit our
website at www.wpsac.org
Introduction
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David A. Casavant CFM
(863) [email protected]
Larry D. RileyCompliance Consultant
(561) [email protected]
:: Pandemic history, triggers and actions:: Hierarchy of Control as a method to reduce exposure:: Building systems and the spread of influenza:: Cleaning and maintenance protocols during an outbreak:: Security considerations during a pandemic:: Conducting the Business Impact Analysis (BIA):: Key components of an emergency response plan:: The importance of local, state & federal health agencies:: Steps to create an effective response team:: List of important websites to bookmark
What We’ll Cover Today
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Swine Flu (H1N1)
Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza virus that regularly causes outbreaks of influenza in pigs.
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Swine Flu: Transmission to Humans
• Through contact with infected pigs or environments contaminated with swine flu viruses
• Through contact with a person with swine flu
• Human-to-human spread of swine flu has been documented also and is thought to occur in the same way as seasonal flu, through coughing or sneezing of infected people
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Swine Flu Symptoms
The symptoms of swine flu in people are expected to be similar to the symptoms of regular human seasonal influenza and include fever, lethargy, lack of appetite and coughing. Some people with swine flu also have reported runny nose, sore throat, nausea, vomiting and diarrhea
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Swine Flu: Treatment
• No vaccine available (including seasonal flu vaccines)
• Antivirals for the treatment and/or prevention of infection: – Oseltamivir (Tamiflu) or – Zanamivir (Relenza)
• Use of anti-virals can make illness milder and recovery faster
• They may also prevent serious flu complications
• For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms)
Source: CDC
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Guidelines for General Population
• Covering nose and mouth with a tissue when coughing or sneezing– Dispose the tissue in the trash after use.
• Hand washing with soap and water– Especially after coughing or sneezing.
• Cleaning hands with alcohol-based hand cleaners • Avoiding close contact with sick people• Avoiding touching eyes, nose or mouth with unwashed
hands• If sick with influenza, staying home from work or school
and limit contact with others to keep from infecting them
Source: CDC
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Engineering Solutions: • Sneeze Guards• Drive through business• Foot-operated trash receptacles• Negative pressure ventilation
Administrative Solutions:• Employee training• Social distancing• Hand washing procedures• Stagger work schedules
Personal Protective Equipment:• N95 Respirators• Surgical mask• GlovesRemember – PPE is a last line of defense!
Hierarchy of Control
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•Dust Masks – often called comfort masks. Will not be
NIOSH certified, not fitted to the users face and provide
very little protection against small airborne contaminants.
•Surgical masks - Easily available and commonly used for
routine surgical and examination procedures however not
designed to prevent inhalation of small airborne
contaminants.
•High-filtration respiratory mask - Microstructure filter disc
to flush out particles bigger than 0.3 micron.
– The mask numbers indicate their filtration
efficiency. For example, a N95 mask has 95%
efficiency in filtering out particles greater than 0.3
micron under normal rate of respiration.
Types of Protective Masks
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• Hard non-porous surfaces 24-48 hours– Plastic, stainless steel
• Recoverable for > 24 hours• Transferable to hands up to 24 hours
• Cloth, paper & tissue– Recoverable for 8-12 hours– Transferable to hands 15 minutes
*Humidity 35-40%, Temperature 28C (82F)
Surface Survival of Influenza Virus
Source: Bean B, et al. JID 1982;146:47-5112
Discourage employees from using other peoples phones, keyboards, desks, tools etc. Ask employees to daily clean their keyboards, phones desks etc.
Stockpile soap, tissue, hand cleaner etc
Think about areas not typically cleaned (or infrequently cleaned) during “normal” conditions. These areas might include:
• Hand rails• Elevator buttons• Door knobs• Light switches / thermostats• Controls (machinery / equipment)• Vending machines• Cabinets and file drawers• Copier / printer / fax
Cleaning as a Defense
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Dining & Cafeteria Issues
• Place a sanitation station at entrance to dining facility• Replace silverware with plastic wrapped disposable utensils• Suspend offering “buffet line” items or place such items behind a serving counter• Suspend items that are not pre-cooked• Place trays, utensils, cups etc behind a serving counter • Assign cafeteria personnel to continuously sanitize hard surfaces common touched by patrons• Require rubber gloves, head gear, food service masks be used by food preparers• Suspend use of ice storage bins (non-dispenser models)
These ideas are courtesy of: http://www.ifmafoundation.org/pandemic.pdf14
Is eating pork safe during epidemics?
Swine influenza viruses are not spread by food. Eating properly handled and cooked pork products is safe.
Cooking pork to an internal temperature of 160 degrees F kills bacteria and viruses
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• Consider motion sensor activated soap dispensers, faucets and hand towel dispensers
• Increase frequency at which waste paper is collected
• Increase frequency at which faucets and sinks are wiped down
• Install signage with hand washing reminders
These ideas are courtesy of: http://www.ifmafoundation.org/pandemic.pdf
Restroom Cleaning
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Building Systems
Your buildings mechanical system can play a role in limiting the spread of an epidemic. The maintenance technicians working on your system should be trained in proper influenza prevention methods and provided PPE as necessary
Also give thought to:
• Increase amount of outside air and decrease the re-circulated air• Open windows if applicable• Use HEPA filters (but understand the additional load this creates)• Increase frequency of filter change outs• Insure preventative maintenance is performed
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• Risk Assessment • Business Impact Analysis (BIA)• Business Continuity Plan (BCP)• Employee Training• Testing the Plan• Revising the Plan (Lessons Learned)
Elements of Your Preparedness Program
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Risk Assessment Influenza viruses have threatened the health of animal and human populations for centuries. Their genetic and antigenic diversity and their ability to mutate rapidly make it difficult to develop a universal vaccine or highly effective antiviral drugs. A pandemic occurs when a novel strain of influenza virus emerges with the ability to infect and efficiently spread among humans. Because humans lack immunity to the new virus, a worldwide epidemic, or pandemic, can result. Each of the three pandemics in the last century resulted in the infection of approximately 30% of the world’s population and the death of 0.2%-2% of infected individuals. Conversely, this indicates that 98%-99.8% survived the pandemics.
Sample Risk Assessment
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The U.S. Government has placed special emphasis on pandemic influenza planning for Critical Industries / Key Resources (CI/KR). These include:
• Government Facilities• Dams• Commercial Facilities• Nuclear Power Plants• Food and Agriculture• Public Healthcare• Banking and Finance• Chemical and Hazardous Materials• Defense Industrial Base
• Water• Energy• Emergency Services• Information Technology• Telecommunications• Postal and Shipping• Transportation• National Monuments and Icons
http://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdf
Critical Industries & Resources
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• Absenteeism• Lower work productivity• Change in patterns of commerce (web based, drive through, off-peak hours)• Interrupted supply / delivery• Work stressors• Negative PR• Quarantine / Curfews• Travel Issues• Security Issues
Business Impact Analysis
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100% Of Workforce Before An Outbreak
30%-50% Of Workforce During An Outbreak
DecliningWorkforce Productivity
Consider how your business may be affected by a pandemic:
http://www.pandemicflu.gov/plan/pdf/businesschecklist.pdfhttp://www.pandemicflu.gov/plan/businesschecklist.html
Online Planning Checklist
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http://www.pandemicflu.gov/plan/states/index.html
http://www.pandemicflu.gov/plan/states/stateplans.html
State & Federal Planning
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• Community Services May Be Impacted– Refuse Collection May Be Impacted
– First Response Times May Be Impeded
– Schools May Close For Extended Periods
• Necessities And Utilities May Become Intermittent– Groceries/Drugs May Become Unavailable As Supply Chain Slows
– Rolling Brownouts And Blackouts Are Possible
– Water Supply May Become Limited
– Telephone Service May Become Unavailable
Source: Department of Homeland Security
Potential Services Impact
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• Typical Large City Has Only Enough Food To Sustain Itself For Less Than A Week
• Outgoing/Incoming Mail/Parcel Services/Shipping Impeded• Incoming Gasoline, Chlorine, Food Drug Deliveries Impacted• Small/Medium Manufacturing Businesses Cease/Cut-Back
Operations; Lack Of Parts For Autos And Other Durable Goods Stops Production On Assembly Lines
• America’s Economy Impacted
Source: Department of Homeland Security
Potential Services Impact
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Travel Issues
Border Closure and Travel Restrictions:
– The disease has already crossed borders and continents, thus, border closure or travel restrictions will not change the course of the spread of disease• Most recently, the 2003 experience with SARS
demonstrated the ineffectiveness of such measures • In China, 14 million people were screened for fever
at the airport, train stations, and roadside checkpoints, but only 12 were found to have probable SARS • Singapore reported that after screening nearly
500,000 air passengers, none were found to have SARS • Passive surveillance methods (in which symptomatic
individuals report illness) can be important tools 26
School Closings
School Closures:– Preemptive school closures will just delay the spread of
disease, once they reopen (as they cannot be closed indefinitely), the disease will spread again. Furthermore, this would put unbearable pressure on single-working parents and would be devastating to the economy
– Closure after identification of a large cluster would be appropriate as the absenteeism rate among students and teachers would be high enough to justify this action
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Effective Response Teams
• Involve all business units- Executive- HR- FM / Security- Legal- Operations- IT- Risk Management / Safety
• Chain of command is critical• Roles and Responsibilities of each member is key• External Communications• Internal Communications 28
[Add phone number, cell phone number, and work location]
Title Name Phone CellEmergency DirectorBusiness Continuity ManagerRisk Management ManagerLogistics ManagerProcurement ManagerMedia Relations Human Resources Facilities ManagerLegal Counsel
Chain of CommandIn the event of an emergency [Insert your answer here] will be in command. In the event this person is unavailable, [Insert your answer here] will take command.
The Emergency Management Team
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Date of last evacuation drill [Insert your answer here] Partial (Which areas) [Insert your answer here] Full
Scheduled frequency [Insert your answer here]Next scheduled evacuation drill [Insert your answer here]
Date of last tabletop exercise [Insert your answer here]Scheduled frequency [Insert your answer here]Attended by [Insert your answer here]Topics discussed [Insert your answer here]Next scheduled table top exercise [Insert your answer here]
Date of last inspection by fire department [Insert your answer here]Scheduled frequency [Insert your answer here]Attended by [Insert your answer here]Next scheduled fire department inspection [Insert your answer here]
Drills, Table Tops and Inspections
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Create lists and procurement responsibilities for the following items:
• Vendors and suppliers (include alternates)• Supplies (hand sanitizer, food & water, fuel for generators, etc)• Insurance Coverage• Generator maintenance schedules• Critical data access (hard copy, off-site, digital etc)• Evacuation procedures (staging areas, evacuation captains)• Shelter-in-place procedures
• Key people in the organization (see next slide)
Policies and Procedures
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• Advertise employee health resources• Rumor control hotline (web based, Twitter, YouTube etc)• Promote proactive mitigation steps employer is taking• Work-from-home issues• Leave policies (without penalty)• Day care concerns• Employee assistance programs (stressors)• Minimize face-to-face contact and large gatherings
Web-based meetings / conference calls
Proactive Continuity Planning
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H1N1 Resources
http://www.cdc.gov/h1n1flu/Current counts of swine flu by State
http://www.pandemicflu.gov/plan/pdf/businesschecklist.pdfhttp://www.pandemicflu.gov/plan/businesschecklist.htmlHelpful checklist (online or .pdf) for pandemic BIA and planning
http://www.ifmafoundation.org/pandemic.pdfGreat resource on pandemics – geared to facility managers
http://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdfExcellent BIA resource for Critical Industry / Key Resources (CI / KR)
http://osha.gov/Publications/OSHA3327pandemic.pdfHelpful resource from OSHA on pandemics (especially the respirator section)
http://wpsac.org/Check the safety blog and newsletter for updates
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In Conclusion
This material was produced by the Workplace Safety Awareness Council, a 501(c)(3) not-for-profit organization dedicated to safety in the workplace.
For further information about the council or upcoming safety related training, please visit our website at
www.wpsac.org
34
David A. Casavant, CFM
(863) [email protected]
Larry D. RileyCompliance Consultant
(561) [email protected]