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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 Swine Flu Presentation Presentation Transcript

  • Swine Flu:
    Key Steps for Business Continuity
    Presented By
    Workplace Safety Awareness Council
  • Introduction
    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
    David A. Casavant
    CFM
    (863) 537-4053
    david@wpsac.org
    Larry D. Riley
    Compliance Consultant
    (561) 350-8913
    Larry@wpsac.org
    2
  • What We’ll Cover Today
    :: 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
    3
  • 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.
    4
  • 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
    5
  • Swine Flu Symptoms
    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
    6
  • 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)
    7
    Source: CDC
  • 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
    8
    Source: CDC
  • CDC Updates
    http://www.cdc.gov/h1n1flu/
    9
  • Hierarchy of Control
    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
    • Gloves
    Remember – PPE is a last line of defense!
    10
  • Types of Protective Masks
    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.
    11
  • Surface Survival of Influenza Virus
    • 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)
    12
    Source: Bean B, et al. JID 1982;146:47-51
  • Cleaning as a Defense
    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
    13
  • 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.pdf
    14
  • 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
    15
  • Restroom Cleaning
    • 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
    16
  • 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
    17
  • Elements of Your Preparedness Program
    • Risk Assessment
    • Business Impact Analysis (BIA)
    • Business Continuity Plan (BCP)
    • Employee Training
    • Testing the Plan
    • Revising the Plan (Lessons Learned)
    18
  • Sample Risk Assessment
    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.
    19
  • Critical Industries & Resources
    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
    20
  • Business Impact Analysis
    Consider how your business may be affected by a pandemic:
    • 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
    Declining
    Workforce Productivity
    100% Of Workforce Before An Outbreak
    30%-50% Of Workforce During An Outbreak
    21
  • Online Planning Checklist
    http://www.pandemicflu.gov/plan/pdf/businesschecklist.pdf
    http://www.pandemicflu.gov/plan/businesschecklist.html
    22
  • State & Federal Planning
    http://www.pandemicflu.gov/plan/states/index.html
    http://www.pandemicflu.gov/plan/states/stateplans.html
    23
  • Potential Services Impact
    • 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
    24
    Source: Department of Homeland Security
  • Potential Services Impact
    • 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
    25
    Source: Department of Homeland Security
  • 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
    27
  • 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
  • The Emergency Management Team
    [Add phone number, cell phone number, and work location]
    Title Name Phone Cell
    Emergency Director
    Business Continuity Manager
    Risk Management Manager
    Logistics Manager
    Procurement Manager
    Media Relations
    Human Resources
    Facilities Manager
    Legal Counsel
    Chain of Command
    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.
    29
  • Drills, Table Tops and Inspections
    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]
    30
  • Policies and Procedures
    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)
    31
  • Proactive Continuity Planning
    • 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
    32
  • H1N1 Resources
    http://www.cdc.gov/h1n1flu/
    Current counts of swine flu by State
    http://www.pandemicflu.gov/plan/pdf/businesschecklist.pdf
    http://www.pandemicflu.gov/plan/businesschecklist.html
    Helpful checklist (online or .pdf) for pandemic BIA and planning
    http://www.ifmafoundation.org/pandemic.pdf
    Great resource on pandemics – geared to facility managers
    http://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdf
    Excellent BIA resource for Critical Industry / Key Resources (CI / KR)
    http://osha.gov/Publications/OSHA3327pandemic.pdf
    Helpful resource from OSHA on pandemics (especially the respirator section)
    http://wpsac.org/
    Check the safety blog and newsletter for updates
    33
  • 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
    David A. Casavant,
    CFM
    (863) 537-4053
    david@wpsac.org
    Larry D. Riley
    Compliance Consultant
    (561) 350-8913
    Larry@wpsac.org
    34