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Swine Flu Presentation
The document provides guidance for businesses on continuity planning for an influenza pandemic. It discusses key aspects of pandemic preparedness including conducting a business impact analysis, developing an emergency response plan, and creating an effective response team. Recommendations are provided around reducing disease transmission through cleaning protocols, social distancing, and personal protective equipment. The document also reviews pandemic symptoms, treatment options, and resources for ongoing information.
Swine Flu Presentation
- 1. Swine Flu:Key Stepsfor Business ContinuityPresented ByWorkplace Safety Awareness Council
- 2. IntroductionThis material wasproduced 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.orgDavid A. CasavantCFM(863) [email protected] D. RileyCompliance Consultant(561) [email protected]
- 3. What We’ll CoverToday:: 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 bookmark3
- 4. Swine Flu (H1N1)SwineInfluenza (swine flu) is a respiratory disease of pigs caused by type A influenza virus that regularly causes outbreaks of influenza in pigs. 4
- 5. Swine Flu: Transmissionto HumansThrough contact with infected pigs or environments contaminated with swine flu virusesThrough 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 people5
- 6. Swine Flu SymptomsThesymptoms of swine flu inpeople 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 6
- 7. Swine Flu: TreatmentNovaccine 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 complicationsFor treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms)7Source: CDC
- 8. Guidelines for General PopulationCovering nose and mouth with a tissue when coughing or sneezingDispose the tissue in the trash after use. Hand washing with soap and waterEspecially after coughing or sneezing. Cleaning hands with alcohol-based hand cleaners Avoiding close contact with sick peopleAvoiding touching eyes, nose or mouth with unwashed handsIf sick with influenza, staying home from work or school and limit contact with others to keep from infecting them8Source: CDC
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- 10. Hierarchy of ControlEngineeringSolutions: Sneeze Guards
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- 13. Negative pressure ventilationAdministrativeSolutions: Employee training
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- 16. Stagger work schedulesPersonalProtective Equipment:N95 Respirators
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- 18. GlovesRemember – PPEis a last line of defense!10
- 19. Types of ProtectiveMasksDust 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.11
- 20. Surface Survival ofInfluenza VirusHard non-porous surfaces 24-48 hours
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- 22. Recoverable for >24 hours
- 23. Transferable to handsup to 24 hours
- 24. Cloth, paper &tissue
- 25. Recoverable for 8-12hours
- 26. Transferable to hands15 minutes*Humidity 35-40%, Temperature 28C (82F)12Source: Bean B, et al. JID 1982;146:47-51
- 27. Cleaning as aDefenseDiscourage 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 etcThink about areas not typically cleaned (or infrequently cleaned) during “normal” conditions. These areas might include: Hand rails
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- 30. Light switches/ thermostats
- 31. Controls (machinery/ equipment)
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- 33. Cabinets andfile drawers
- 34. Copier /printer / fax13
- 35. Dining & CafeteriaIssues Place a sanitation station at entrance to dining facility
- 36. Replace silverwarewith plastic wrapped disposable utensils
- 37. Suspend offering“buffet line” items or place such items behind a serving counter
- 38. Suspend itemsthat are not pre-cooked
- 39. Place trays,utensils, cups etc behind a serving counter
- 40. Assign cafeteriapersonnel to continuously sanitize hard surfaces common touched by patrons
- 41. Require rubbergloves, 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
- 42. Is eating porksafe 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 viruses15
- 43. Restroom Cleaning Considermotion sensor activated soap dispensers, faucets and hand towel dispensers
- 44. Increase frequencyat which waste paper is collected
- 45. Increase frequencyat which faucets and sinks are wiped down
- 46. Install signagewith hand washing remindersThese ideas are courtesy of: http://www.ifmafoundation.org/pandemic.pdf16
- 47. Building SystemsYour buildingsmechanical 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 necessaryAlso give thought to: Increase amount of outside air and decrease the re-circulated air
- 48. Open windowsif applicable
- 49. Use HEPAfilters (but understand the additional load this creates)
- 50. Increase frequencyof filter change outs
- 51. Insure preventativemaintenance is performed17
- 52. Elements of YourPreparedness Program Risk Assessment
- 53. Business ImpactAnalysis (BIA)
- 54. Business ContinuityPlan (BCP)
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- 56. Testing thePlan
- 57. Revising thePlan (Lessons Learned) 18
- 58. Sample Risk AssessmentRiskAssessment 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. 19
- 59. Critical Industries &ResourcesThe U.S. Government has placed special emphasis on pandemic influenza planning for Critical Industries / Key Resources (CI/KR). These include: Government Facilities
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- 62. Nuclear PowerPlants
- 63. Food andAgriculture
- 64. Public Healthcare
- 65. Banking andFinance
- 66. Chemical andHazardous Materials
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- 73. Postal andShipping
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- 75. National Monumentsand Iconshttp://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdf20
- 76. Business Impact AnalysisConsiderhow your business may be affected by a pandemic: Absenteeism
- 77. Lower workproductivity
- 78. Change inpatterns of commerce (web based, drive through, off-peak hours)
- 79. Interrupted supply/ delivery
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- 82. Quarantine / Curfews
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- 84. Security IssuesDecliningWorkforceProductivity100% Of Workforce Before An Outbreak30%-50% Of Workforce During An Outbreak21
- 85. Online PlanningChecklisthttp://www.pandemicflu.gov/plan/pdf/businesschecklist.pdfhttp://www.pandemicflu.gov/plan/businesschecklist.html22
- 86. State & FederalPlanninghttp://www.pandemicflu.gov/plan/states/index.htmlhttp://www.pandemicflu.gov/plan/states/stateplans.html23
- 87. Potential Services ImpactCommunityServices May Be Impacted
- 88. Refuse Collection MayBe Impacted
- 89. First Response TimesMay Be Impeded
- 90. Schools May CloseFor Extended Periods
- 91. Necessities And UtilitiesMay Become Intermittent
- 92. Groceries/Drugs May BecomeUnavailable As Supply Chain Slows
- 93. Rolling Brownouts AndBlackouts Are Possible
- 94. Water Supply MayBecome Limited
- 95. Telephone Service MayBecome Unavailable 24Source: Department of Homeland Security
- 96. Potential Services ImpactTypicalLarge City Has Only Enough Food To Sustain Itself For Less Than A Week
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- 98. Incoming Gasoline, Chlorine,Food Drug Deliveries Impacted
- 99. Small/Medium Manufacturing BusinessesCease/Cut-Back Operations; Lack Of Parts For Autos And Other Durable Goods Stops Production On Assembly Lines
- 100. America’s Economy Impacted25Source:Department of Homeland Security
- 101. Travel IssuesBorder Closureand 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 diseaseMost recently, the 2003 experience with SARS demonstrated the ineffectiveness of such measures
- 102. In China, 14million people were screened for fever at the airport, train stations, and roadside checkpoints, but only 12 were found to have probable SARS
- 103. Singapore reported thatafter screening nearly 500,000 air passengers, none were found to have SARS
- 104. Passive surveillance methods(in which symptomatic individuals report illness) can be important tools26
- 105. School ClosingsSchool Closures:Preemptiveschool 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 economyClosure after identification of a large cluster would be appropriate as the absenteeism rate among students and teachers would be high enough to justify this action27
- 106. Effective Response TeamsInvolve all business units - Executive - HR - FM / Security - Legal - Operations - IT - Risk Management / Safety Chain of command is critical
- 107. Roles andResponsibilities of each member is key
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- 110. The Emergency ManagementTeam[Add phone number, cell phone number, and work location]Title Name Phone Cell Emergency DirectorBusiness Continuity ManagerRisk Management ManagerLogistics ManagerProcurement ManagerMedia Relations Human Resources Facilities ManagerLegal CounselChain 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.29
- 111. Drills, Table Topsand InspectionsDate of last evacuation drill [Insert your answer here] Partial (Which areas) [Insert your answer here] FullScheduled 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]30
- 112. Policies and ProceduresCreatelists and procurement responsibilities for the following items: Vendors and suppliers (include alternates)
- 113. Supplies (handsanitizer, food & water, fuel for generators, etc)
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- 115. Generator maintenance schedules
- 116. Critical dataaccess (hard copy, off-site, digital etc)
- 117. Evacuation procedures(staging areas, evacuation captains)
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- 119. Key peoplein the organization (see next slide)31
- 120. Proactive Continuity PlanningAdvertise employee health resources
- 121. Rumor controlhotline (web based, Twitter, YouTube etc)
- 122. Promote proactive mitigation steps employer is taking
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- 124. Leave policies(without penalty)
- 125. Day careconcerns
- 126. Employee assistanceprograms (stressors)
- 127. Minimize face-to-facecontact and large gatherings
- 128. Web-based meetings/ conference calls32
- 129. H1N1 Resourceshttp://www.cdc.gov/h1n1flu/Current countsof swine flu by Statehttp://www.pandemicflu.gov/plan/pdf/businesschecklist.pdfhttp://www.pandemicflu.gov/plan/businesschecklist.htmlHelpful checklist (online or .pdf) for pandemic BIA and planninghttp://www.ifmafoundation.org/pandemic.pdfGreat resource on pandemics – geared to facility managershttp://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 updates33
- 130. In ConclusionThis materialwas 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.orgDavid A. Casavant, CFM(863) [email protected] D. RileyCompliance Consultant(561) [email protected]
Editor's Notes
- #11 1910 Subpart I Appendix B Controlling hazards. PPE devices alone should not be relied on to provide protection against hazards, but should be used in conjunction with guards, engineering controls, and sound manufacturing practices.