Swine Flu Presentation

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  • 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.
  • Swine Flu Presentation

    1. 1. Swine Flu:<br />Key Steps for Business Continuity<br />Presented By<br />Workplace Safety Awareness Council<br />
    2. 2. Introduction<br />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<br />David A. Casavant<br />CFM<br />(863) 537-4053<br />david@wpsac.org<br />Larry D. Riley<br />Compliance Consultant<br />(561) 350-8913<br />Larry@wpsac.org<br />2<br />
    3. 3. What We’ll Cover Today<br />:: Pandemic history, triggers and actions<br />:: Hierarchy of Control as a method to reduce exposure<br />:: Building systems and the spread of influenza<br />:: Cleaning and maintenance protocols during an outbreak<br />:: Security considerations during a pandemic<br />:: Conducting the Business Impact Analysis (BIA)<br />:: Key components of an emergency response plan<br />:: The importance of local, state & federal health agencies<br />:: Steps to create an effective response team<br />:: List of important websites to bookmark<br />3<br />
    4. 4. Swine Flu (H1N1)<br />Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza virus that regularly causes outbreaks of influenza in pigs. <br />4<br />
    5. 5. Swine Flu: Transmission to Humans<br />Through contact with infected pigs or environments contaminated with swine flu viruses<br />Through contact with a person with swine flu <br />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<br />5<br />
    6. 6. Swine Flu Symptoms<br />The symptoms 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 <br />6<br />
    7. 7. Swine Flu: Treatment<br />No vaccine available (including seasonal flu vaccines)<br />Antivirals for the treatment and/or prevention of infection: <br />Oseltamivir (Tamiflu) or <br />Zanamivir (Relenza) <br />Use of anti-virals can make illness milder and recovery faster <br />They may also prevent serious flu complications<br />For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms)<br />7<br />Source: CDC<br />
    8. 8. Guidelines for General Population<br />Covering nose and mouth with a tissue when coughing or sneezing<br />Dispose the tissue in the trash after use. <br />Hand washing with soap and water<br />Especially after coughing or sneezing. <br />Cleaning hands with alcohol-based hand cleaners <br />Avoiding close contact with sick people<br />Avoiding touching eyes, nose or mouth with unwashed hands<br />If sick with influenza, staying home from work or school and limit contact with others to keep from infecting them<br />8<br />Source: CDC<br />
    9. 9. CDC Updates<br />http://www.cdc.gov/h1n1flu/<br />9<br />
    10. 10. Hierarchy of Control<br />Engineering Solutions: <br /><ul><li>Sneeze Guards
    11. 11. Drive through business
    12. 12. Foot-operated trash receptacles
    13. 13. Negative pressure ventilation</li></ul>Administrative Solutions:<br /><ul><li> Employee training
    14. 14. Social distancing
    15. 15. Hand washing procedures
    16. 16. Stagger work schedules</li></ul>Personal Protective Equipment:<br /><ul><li>N95 Respirators
    17. 17. Surgical mask
    18. 18. Gloves</li></ul>Remember – PPE is a last line of defense!<br />10<br />
    19. 19. Types of Protective Masks<br />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.<br />Surgical masks - Easily available and commonly used for routine surgical and examination procedures however not designed to prevent inhalation of small airborne contaminants.<br />High-filtration respiratory mask - Microstructure filter disc to flush out particles bigger than 0.3 micron. <br />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.<br />11<br />
    20. 20. Surface Survival of Influenza Virus<br /><ul><li>Hard non-porous surfaces 24-48 hours
    21. 21. Plastic, stainless steel
    22. 22. Recoverable for > 24 hours
    23. 23. Transferable to hands up to 24 hours
    24. 24. Cloth, paper & tissue
    25. 25. Recoverable for 8-12 hours
    26. 26. Transferable to hands 15 minutes</li></ul>*Humidity 35-40%, Temperature 28C (82F)<br />12<br />Source: Bean B, et al. JID 1982;146:47-51<br />
    27. 27. Cleaning as a Defense<br />Discourage employees from using other peoples phones, keyboards, desks, tools etc. Ask employees to daily clean their keyboards, phones desks etc.<br />Stockpile soap, tissue, hand cleaner etc<br />Think about areas not typically cleaned (or infrequently cleaned) during “normal” conditions. These areas might include:<br /><ul><li> Hand rails
    28. 28. Elevator buttons
    29. 29. Door knobs
    30. 30. Light switches / thermostats
    31. 31. Controls (machinery / equipment)
    32. 32. Vending machines
    33. 33. Cabinets and file drawers
    34. 34. Copier / printer / fax</li></ul>13<br />
    35. 35. Dining & Cafeteria Issues<br /><ul><li> Place a sanitation station at entrance to dining facility
    36. 36. Replace silverware with plastic wrapped disposable utensils
    37. 37. Suspend offering “buffet line” items or place such items behind a serving counter
    38. 38. Suspend items that are not pre-cooked
    39. 39. Place trays, utensils, cups etc behind a serving counter
    40. 40. Assign cafeteria personnel to continuously sanitize hard surfaces common touched by patrons
    41. 41. Require rubber gloves, head gear, food service </li></ul>masks be used by food preparers<br /><ul><li> Suspend use of ice storage bins (non-dispenser models)</li></ul>These ideas are courtesy of: http://www.ifmafoundation.org/pandemic.pdf<br />14<br />
    42. 42. Is eating pork safe during epidemics?<br />Swine influenza viruses are not spread by food. Eating properly handled and cooked pork products is safe. <br />Cooking pork to an internal temperature of 160 degrees F kills bacteria and viruses<br />15<br />
    43. 43. Restroom Cleaning<br /><ul><li> Consider motion sensor activated soap dispensers, faucets and hand towel dispensers
    44. 44. Increase frequency at which waste paper is collected
    45. 45. Increase frequency at which faucets and sinks are wiped down
    46. 46. Install signage with hand washing reminders</li></ul>These ideas are courtesy of: http://www.ifmafoundation.org/pandemic.pdf<br />16<br />
    47. 47. Building Systems<br />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<br />Also give thought to:<br /><ul><li> Increase amount of outside air and decrease the re-circulated air
    48. 48. Open windows if applicable
    49. 49. Use HEPA filters (but understand the additional load this creates)
    50. 50. Increase frequency of filter change outs
    51. 51. Insure preventative maintenance is performed</li></ul>17<br />
    52. 52. Elements of Your Preparedness Program<br /><ul><li> Risk Assessment
    53. 53. Business Impact Analysis (BIA)
    54. 54. Business Continuity Plan (BCP)
    55. 55. Employee Training
    56. 56. Testing the Plan
    57. 57. Revising the Plan (Lessons Learned) </li></ul>18<br />
    58. 58. Sample Risk Assessment<br />Risk Assessment <br />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. <br />19<br />
    59. 59. Critical Industries & Resources<br />The U.S. Government has placed special emphasis on pandemic influenza planning for Critical Industries / Key Resources (CI/KR). These include:<br /><ul><li> Government Facilities
    60. 60. Dams
    61. 61. Commercial Facilities
    62. 62. Nuclear Power Plants
    63. 63. Food and Agriculture
    64. 64. Public Healthcare
    65. 65. Banking and Finance
    66. 66. Chemical and Hazardous Materials
    67. 67. Defense Industrial Base
    68. 68. Water
    69. 69. Energy
    70. 70. Emergency Services
    71. 71. Information Technology
    72. 72. Telecommunications
    73. 73. Postal and Shipping
    74. 74. Transportation
    75. 75. National Monuments and Icons</li></ul>http://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdf<br />20<br />
    76. 76. Business Impact Analysis<br />Consider how your business may be affected by a pandemic:<br /><ul><li> Absenteeism
    77. 77. Lower work productivity
    78. 78. Change in patterns of commerce (web based, drive through, off-peak hours)
    79. 79. Interrupted supply / delivery
    80. 80. Work stressors
    81. 81. Negative PR
    82. 82. Quarantine / Curfews
    83. 83. Travel Issues
    84. 84. Security Issues</li></ul>Declining<br />Workforce Productivity<br />100% Of Workforce Before An Outbreak<br />30%-50% Of Workforce During An Outbreak<br />21<br />
    85. 85. Online Planning Checklist<br />http://www.pandemicflu.gov/plan/pdf/businesschecklist.pdf<br />http://www.pandemicflu.gov/plan/businesschecklist.html<br />22<br />
    86. 86. State & Federal Planning<br />http://www.pandemicflu.gov/plan/states/index.html<br />http://www.pandemicflu.gov/plan/states/stateplans.html<br />23<br />
    87. 87. Potential Services Impact<br /><ul><li>Community Services May Be Impacted
    88. 88. Refuse Collection May Be Impacted
    89. 89. First Response Times May Be Impeded
    90. 90. Schools May Close For Extended Periods
    91. 91. Necessities And Utilities May Become Intermittent
    92. 92. Groceries/Drugs May Become Unavailable As Supply Chain Slows
    93. 93. Rolling Brownouts And Blackouts Are Possible
    94. 94. Water Supply May Become Limited
    95. 95. Telephone Service May Become Unavailable </li></ul>24<br />Source: Department of Homeland Security<br />
    96. 96. Potential Services Impact<br /><ul><li>Typical Large City Has Only Enough Food To Sustain Itself For Less Than A Week
    97. 97. Outgoing/Incoming Mail/Parcel Services/Shipping Impeded
    98. 98. Incoming Gasoline, Chlorine, Food Drug Deliveries Impacted
    99. 99. Small/Medium Manufacturing Businesses Cease/Cut-Back Operations; Lack Of Parts For Autos And Other Durable Goods Stops Production On Assembly Lines
    100. 100. America’s Economy Impacted</li></ul>25<br />Source: Department of Homeland Security<br />
    101. 101. Travel Issues<br />Border Closure and Travel Restrictions:<br />The disease has already crossed borders and continents, thus, border closure or travel restrictions will not change the course of the spread of disease<br /><ul><li>Most recently, the 2003 experience with SARS demonstrated the ineffectiveness of such measures
    102. 102. 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
    103. 103. Singapore reported that after screening nearly 500,000 air passengers, none were found to have SARS
    104. 104. Passive surveillance methods (in which symptomatic individuals report illness) can be important tools</li></ul>26<br />
    105. 105. School Closings<br />School Closures:<br />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<br />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<br />27<br />
    106. 106. Effective Response Teams<br /><ul><li> Involve all business units</li></ul> - Executive<br /> - HR<br /> - FM / Security<br /> - Legal<br /> - Operations<br /> - IT<br /> - Risk Management / Safety<br /><ul><li> Chain of command is critical
    107. 107. Roles and Responsibilities of each member is key
    108. 108. External Communications
    109. 109. Internal Communications</li></ul>28<br />
    110. 110. The Emergency Management Team<br />[Add phone number, cell phone number, and work location]<br />Title Name Phone Cell <br />Emergency Director<br />Business Continuity Manager<br />Risk Management Manager<br />Logistics Manager<br />Procurement Manager<br />Media Relations <br />Human Resources <br />Facilities Manager<br />Legal Counsel<br />Chain of Command<br />In 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.<br />29<br />
    111. 111. Drills, Table Tops and Inspections<br />Date of last evacuation drill [Insert your answer here]<br /> Partial (Which areas) [Insert your answer here]<br />  Full<br />Scheduled frequency [Insert your answer here]<br />Next scheduled evacuation drill [Insert your answer here]<br />Date of last tabletop exercise [Insert your answer here]<br />Scheduled frequency [Insert your answer here]<br />Attended by [Insert your answer here]<br />Topics discussed [Insert your answer here]<br />Next scheduled table top exercise [Insert your answer here]<br />Date of last inspection by fire department [Insert your answer here]<br />Scheduled frequency [Insert your answer here]<br />Attended by [Insert your answer here]<br />Next scheduled fire department inspection [Insert your answer here]<br />30<br />
    112. 112. Policies and Procedures<br />Create lists and procurement responsibilities for the following items:<br /><ul><li> Vendors and suppliers (include alternates)
    113. 113. Supplies (hand sanitizer, food & water, fuel for generators, etc)
    114. 114. Insurance Coverage
    115. 115. Generator maintenance schedules
    116. 116. Critical data access (hard copy, off-site, digital etc)
    117. 117. Evacuation procedures (staging areas, evacuation captains)
    118. 118. Shelter-in-place procedures
    119. 119. Key people in the organization (see next slide)</li></ul>31<br />
    120. 120. Proactive Continuity Planning<br /><ul><li> Advertise employee health resources
    121. 121. Rumor control hotline (web based, Twitter, YouTube etc)
    122. 122. Promote proactive mitigation steps employer is taking
    123. 123. Work-from-home issues
    124. 124. Leave policies (without penalty)
    125. 125. Day care concerns
    126. 126. Employee assistance programs (stressors)
    127. 127. Minimize face-to-face contact and large gatherings
    128. 128. Web-based meetings / conference calls</li></ul>32<br />
    129. 129. H1N1 Resources<br />http://www.cdc.gov/h1n1flu/<br />Current counts of swine flu by State<br />http://www.pandemicflu.gov/plan/pdf/businesschecklist.pdf<br />http://www.pandemicflu.gov/plan/businesschecklist.html<br />Helpful checklist (online or .pdf) for pandemic BIA and planning<br />http://www.ifmafoundation.org/pandemic.pdf<br />Great resource on pandemics – geared to facility managers<br />http://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdf<br />Excellent BIA resource for Critical Industry / Key Resources (CI / KR)<br />http://osha.gov/Publications/OSHA3327pandemic.pdf<br />Helpful resource from OSHA on pandemics (especially the respirator section)<br />http://wpsac.org/<br />Check the safety blog and newsletter for updates<br />33<br />
    130. 130. In Conclusion<br />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 <br />www.wpsac.org<br />David A. Casavant, <br />CFM<br />(863) 537-4053<br />david@wpsac.org<br />Larry D. Riley<br />Compliance Consultant<br />(561) 350-8913<br />Larry@wpsac.org<br />34<br />

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