Swine Flu 2009


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Presentation given at New Jersey ASSE PDC on September 22, 2009 at Hoffman-LaRoche and NJCIC Meeting H&S Group on Nov 2009 at my plant.

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  • H1N1 is a Type A flu virus that causes regular outbreaks in pigs. H1N1 flu viruses do not normally infect humans. However, sporadic human infections with H1N1 flu have occurred. Most commonly, these cases occur in persons with direct exposure to pigs.
  • When flu viruses cross species, the viruses can swap genes and new strains of virus can emerge. http://www.museumofplay.org/about_us/press/nthof/presstoys/erector.jpg http://www.cartype.com/pics/347/small/truck_lego.jpg
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  • Pandemic Influenza - a regional or worldwide outbreak of flu among people when a new strain of virus emerges that has the ability to infect humans and spread from person-to-person e.g. H1N1 flu. During the early stages, people may not have any natural immunity to the new strain, so the virus can spread rapidly among the population. Pandemics can vary in severity from something that seems like a bad flu season to an especially severe pandemic that could led to high levels of illness, death, social disruption and economic loss. http://media.ksee24.com/images/H1N1-2.jpg
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  • It is impossible to predict when the next pandemic will occur or whether it will be mild or severe. Experts suggest that employers should plan for 30% to 50% absenteeism for up to six weeks in the event of pandemic flu. A pandemic is likely to be an extended event, with multiple waves of outbreaks in the same geographic area. Each outbreak could last for 6 – 8 weeks. Waves of outbreaks may occur over a year or more.
  • Seasonal Influenza – periodic outbreaks of respiratory illness during various months depending on location – caused by the strain of flu virus circulating at the time. Most people have some immunity to the circulating strain of virus. A vaccine is prepared in advance of seasonal ‘flu’ and designed to match the viruses most likely to be circulating in the community. The illness caused can be mild or severe and occasionally can lead to death. http://www.partialobserver.com/wallpaper/images/worldmap/worldmap1600.jpg
  • Spreads rapidly across the globe because people do not have a previous immunity to it.
  • Although the first cases of the disease were registered in the continental U.S, and the rest of Europe long before getting to Spain, the 1918 Flu received its nickname "Spanish flu" because Spain, a neutral country in WWI , had no special censorship for news against the disease and its consequences. Hence the most reliable news on the disease came from Spain, giving the false impression that Spain was the most—if not the only—affected zone. Among the conclusions of this research is that the virus kills via a cytokine storm (overreaction of the body's immune system ) which explains its unusually severe nature and the concentrated age profile of its victims. The strong immune systems of young adults ravaged the body, whereas the weaker immune systems of children and middle-aged adults caused fewer deaths.
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  • Some groups of people are more susceptible to flu complications than others, especially older people and people of any age with certain medical conditions.
  • Like seasonal flu, pandemic flu can worsen underlying medical conditions. Employees who have an underlying medical condition such as asthma, diabetes, emphysema, or who are pregnant should contact their health care provider to determine whether flu testing or treatment is needed. http://blogs.phillyburbs.com/news/bcct/wp-content/blogs.dir/2/files/2008/May/Wednesday/smoking.jpg http://www.deviantart.com/download/75993546/32_weeks_pregnant_by_MorbidRealityDesigns.jpg http://www.ra4food.org/wp-content/uploads/2008/07/brokenheart.jpg http://desmarwalkes.com/images/rev_jpg/Diabetic.jpg http://l.yimg.com/img.tv.yahoo.com/tv/us/img/site/07/55/0000000755_20060919024352.jpg http://michigan.gov/images/mdch/MDCH_CDE_Asthma_226551_7.jpg
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  • It is likely that the signs and symptoms of pandemic flu will be similar to those of seasonal flu but they may be more severe and cause more serious complications because of reduced immunity. The most significant symptoms are the sudden onset of: F ever Cough and shortness of breath Other symptoms may include: Headache, Fatigue, Chills, Aching muscles, Sore throat, Runny or stuffy nose Sneezing, Loss of Appetite, Diarrhea, Vomiting http://kidskatyfamilypop.files.wordpress.com/2009/04/p4300009.jpg
  • The incubation period between infection and appearance of symptoms can be up to 7 days, most likely 1-5 days. http://www.co.cowlitz.wa.us/health/environmentalhealth/PHEPR/sneeze.jpg
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  • An update on what is known about H1N1 flu can be found at www.pandemicflu.gov .
  • H1N1 virus is thought to spread in the same way that seasonal flu spreads. Flu viruses are spread from person-to-person in respiratory droplets of coughs and sneezes. They may also spread when a person touches respiratory droplets on another person (i.e., handshake) or a contaminated object and then touches their own mouth, nose, or eyes before washing their hands. Studies indicate that flu viruses can live on hard surfaces for up to 24 hours (i.e., keyboards, handrails, door knobs, light switches, telephone, radios, etc.).
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  • Wash your hands frequently, especially after coughing, sneezing, and using tissues. Soap and warm water are perfectly effective.
  • Wash hands for 20 sec – about the time it takes to sing Happy Birthday to you twice. Yeah my mom, told me that one too.
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  • Normal disinfectants should be used to clean surfaces frequently touched by hands or contaminated by coughs or sneezes. http://www.nukeworker.com/pictures/albums/userpics/20819/control_room~0.jpg
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  • Generally we all do this, but at home, not uncommon to have one glass in the bathroom for rinsing after brushing. http://www.eventsupplies.co.uk/blog/wp-content/uploads/2009/02/istock_000007632149medium.jpg
  • Avoid close contact with sick people. http://farm1.static.flickr.com/186/363550717_522ce857cc_o.jpg
  • Limit close contact with co-workers – try to maintain a minimum distance of 3 feet (1 meter) between yourself and fellow employees or other individuals. Avoid touching your mouth, eyes and / or nose unless you have recently washed your hands. Wash your hands as soon as you arrive at work and when you arrive home.
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  • Use a tissue to cover your nose and mouth when coughing or sneezing. Dispose of the tissue promptly and then wash your hands. Used tissues should be disposed in trash cans – they do not require any special treatment.
  • Do not use a cloth handkerchief or reuse tissues. This practice carries a risk of contaminating pockets or handbags which may then re-contaminate hands each time you reach into pockets or handbags. Stork Club owner Sherman Billingsley - one of his signals to nearby assistant which means “Bring a bottle of champagne,” while sitting w. patrons over his usual Coca Cola, in the Cub Room. (circa 1950s) http://acontinuouslean.files.wordpress.com/2009/03/c31.jpg
  • Cough or sneeze in to your upper sleeve if a tissue is not available.
  • Alcohol-based hand sanitizers can be used as an alternative to hand washing or if hand washing facilities are not available. http://www.flickr.com/photos/jkannenberg/3518419344/sizes/o/
  • You must rub your hands until they are dry. The alcohol in the rub is what kills the bugs.
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  • A vaccine may not be widely available until many months after an influenza pandemic begins. http://latimesblogs.latimes.com/photos/uncategorized/2009/03/02/i5natlkf.jpg
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  • To minimize the risk of an influenza (flu) pandemic to employees, contractors and visitors. Continue functions essential to company’s operations during a pandemic. Manage the impact on our Operations and our ability to supply customers during a drastic reduction in employee population due to sickness. http://www.adonishoffman.com/images/hand_puzzle_pieces_blowing_wind.jpg
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  • Closely monitor your health for flu symptoms. Notify your supervisor if you become ill at work. The affected employee and the person assisting them will follow all protocols as established by management. Employees are to notify their supervisor if they will not be able to report to work. At the time they call to report an absence, they should communicate if the absence is pandemic flu-related.
  • See a doctor if: Hard to breath, Pain or pressure in chest or abdomen, Sudden dizziness, Confusion, Severe or persistent vomiting http://www.macombcountymi.gov/publichealth/PanFlu/images/Medicine%20Feathered.jpg
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  • Sick employees should stay home until at least 24 hours after they are free of fever (100° F [37.8°C]), or signs of a fever without the use of fever-reducing medications. http://www.cmn-global.com/advocate/q4/images/contents/fever.jpg
  • Employees who do not have symptoms, but who have family members at home with the flu can go to work as usual. These employees should closely monitor their health for flu symptoms, notify their supervisor, and stay home if they are ill.
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  • Warning Signs: Fast or Trouble Breathing, Bluish skin color, Not enough drinking of liquids, Not waking up, Rash, Flu gets better and worse with a cough http://www.wesleymc.com/cpm/nurse%20with%20little%20girl%20in%20pink%20cropped%20small.jpg
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  • Swine Flu 2009

    1. 1. Swine Flu
    2. 2. AKA
    3. 3. Why called Swine Flu ? Actual Flu Virus
    4. 4. Pig (2), Bird (1) and Human (1)
    5. 5. Why variations ? DNA People RNA Flu Virus
    6. 6. It’s the flu you see, things you need to know
    7. 7. Before School Ended…. There had been a fair number of Swine flu cases
    8. 8. World Health Organization 6/11/09
    9. 9. School has started…. and Swine Flu is on the rise again
    10. 10. 11/13/09 503,000 cases 6260 deaths These numbers are way low
    11. 11. 11/12/09 22 Million cases 3900 deaths and these numbers are a guess
    12. 12. Seasonal Flu 6 – 12 months to work it’s way around the world
    13. 13. Pandemic Flu 1 – 3 months to show up everywhere in the world
    14. 14. 1918 (Spanish Flu) H1N1 Flu 1 billion infected 30-70 Million deaths
    15. 15. 1957 (Asian Flu) Bird Flu 100 million infected 2 Million deaths
    16. 16. 1968 (Hong Kong Flu) Swine Flu 50 million infected 1 Million deaths
    17. 17. Who at risk - Seasonal Very Young Elderly # of Deaths Seasonal
    18. 18. Who at risk - H1N1 Very Young Elderly Up to 25 year old # of Deaths H1N1 Seasonal
    19. 19. Underlining Issues
    20. 21. If you get both… Swine Flu Seasonal
    21. 22. Cold Sore Throat Fever Stuffy Nose Body Aches Sneezing Coughing Coughing Tired Gradual Sudden Vs. Flu
    22. 23. When Contagious <ul><li>0 to 4 days after sick </li></ul>
    23. 24. Symptoms <ul><li>1 - 4 days after infection </li></ul>You’ll feel, well … like this
    24. 25. Fever > 100.5 F see a doctor talk to
    25. 26. Testing for Swine Flu <ul><li>Within first 2 to 4 days of infection </li></ul>
    26. 27. Anti-Virals <ul><li>Tamiflu – Oral </li></ul><ul><li>Relenza – Inhalation </li></ul><ul><li>Need a prescription </li></ul><ul><li>Check with Doctor </li></ul>
    27. 28. Use within 1-3 days of being sick
    28. 29. Check about anti-virals Especially if you have kids
    29. 30. Keep Informed http://www.cdc.gov/h1n1flu/
    30. 31. But there are precautions, you see
    31. 32. <ul><li>Sneeze/Cough (20%) </li></ul><ul><li>Direct Contact (80%) </li></ul>
    32. 33. So Better to Wash Your Hands…
    33. 34. ...And Wash Them A lot
    34. 35. Sing Happy Birthday to You x2 How long to wash ? My Son 
    35. 36. Dispense Towel First Wash Hands Then Use Towel
    36. 37. Consider Auto Units <ul><li>Look Mom – No Hands </li></ul>
    37. 38. Wipe down Work Areas
    38. 39. Wipe down Phones
    39. 40. Wipe down Radios
    40. 41. Wipe down keyboards <ul><li>And your little mouse too! </li></ul>
    41. 42. Wipe down Doorknobs <ul><li>Virus can live </li></ul><ul><li>2 – 8 hrs </li></ul>
    42. 43. Avoid Handshakes
    43. 44. Avoid Sharing Pens
    44. 45. Avoid Crowds
    45. 46. Avoid Flying Check for issues in other countries
    46. 47. Avoid Touching
    47. 48. <ul><li>No point really </li></ul>Not effective against microorganisms
    48. 49. Washing Hands >> Wearing Mask
    49. 50. Of course, a suit like this might work But most of us don’t have one of these in the house
    50. 51. Use Separate Cups Including Bathrooms at home
    51. 52. Keep Tooth Brushes Apart
    52. 53. Minimize contact with sick people
    53. 54. Social Distancing
    54. 55. The Swan Way 3 to 6 feet
    55. 56. Dispose of Tissues
    56. 57. Don’t use handkerchiefs Sherman Billingsley 1900 – 1966
    57. 58. Cover Sneezes & Coughs Even if no one else around
    58. 59. Proper Sneezing
    59. 60. Washing vs. Rubs vs. Wipes
    60. 61. Min 60% Ethanol
    61. 62. Pools <ul><li>2-5 ppm Chloride enough </li></ul>
    62. 63. Use Sanitize <ul><li>Ok to wash together </li></ul>
    63. 64. Cooking <ul><li>Virus killed by heat at 167 F </li></ul>
    64. 65. Pork is ok to eat
    65. 66. Get Enough Sleep
    66. 67. Avoid Alcohol
    67. 68. Immune System for the Win <ul><li>Eat Fruits & Veggies </li></ul><ul><li>Take Vitamins </li></ul>
    68. 69. Be Active
    69. 70. But you got to take these shots, you see
    70. 71. For Pigs - Yes
    71. 72. Pick 3 strains Buy eggs Eggs inoculated with virus Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
    72. 73. Grows in eggs Inactivated Harvested Tested for purity, potency & safety Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
    73. 74. 3 vaccine strains blended Packaged Released Shipped Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
    74. 75. Immunization begins Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
    75. 76. Swine Flu Vaccine Timeline Mid-June – Start Mid-Oct – First Vaccines 4 vs. 10 months
    76. 77. For Humans FDA Approved 9/15/09 …and only 1 dose
    77. 78. CDC’s Strategic National Stockpile First Vaccines Shipped Oct 12
    78. 79. 37 Million shipped 11/12/09
    79. 80. Oct-Nov Seasonal Vaccines
    80. 81. Dec-Jan H1N1
    81. 82. Seasonal Flu Timing April # of Cases Oct Jan April Oct
    82. 83. Swine Flu Waves April # of Cases Oct Jan April Oct
    83. 84. New Shots Needed <ul><li>Past flu shots do not help </li></ul><ul><li>2 different shots needed </li></ul>
    84. 85. 30-35%
    85. 86. 65-70%
    86. 87. 40-45%
    87. 88. Immunization Goal 90%
    88. 89. We got procedures too, you see
    89. 90. Company Policy Allow flexibility if sick Provide vaccinations Get Rubs, Wipes and Auto Towel Dispensers
    90. 91. Locations of Anti-Bacterials <ul><li>Bathrooms </li></ul><ul><li>Lunchrooms </li></ul><ul><li>Control Rooms </li></ul><ul><li>Offices </li></ul><ul><li>Guard Houses </li></ul>
    91. 92. What to do ? If you get Sick
    92. 93. Stay Home Let Company Know
    93. 94. Eat Well
    94. 95. Drink Lots of Water
    95. 96. Wash Hands Alot
    96. 97. When OK to Return <ul><li>No fever for </li></ul><ul><li>24 hours </li></ul>
    97. 98. If Driver sick <ul><li>Have them stay in cab </li></ul>What to do ?
    98. 99. Guard House Main interface with the outside world
    99. 100. What to do ? If Child is sick
    100. 101. Keep Kids Home & Busy
    101. 102. See a Doctor
    102. 103. That’s all I’ve got, so go and fight the good fight.
    103. 104. Wash Your Hands
    104. 105. Talk to your Doctor
    105. 106. Get Flu Shots – all of them
    106. 107. Stay Home if Fever
    107. 108. So be Prepared…
    108. 109. … and don’t go to pieces….
    109. 110. … for him
    110. 111. WHY
    111. 112. BECAUSE
    112. 113. Prevention >> Cure
    113. 114. But let’s not forget - Patient Zero
    114. 115. The End