Business Planning for Influenza Season 2009-10


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What businesses can do to prepare for flu outbreaks — both seasonal and H1N1. Delivered by Patrick Gannon, RPh, Vice President of Quality & Safety at Southcoast Hospitals, Fall River, Mass.

Slides were presented at the South Coast Business Expo on October 21, 2009.

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  • Public health clinics that rely on state-supplied seasonal flu vaccine should schedule seasonal flu clinics in early October because we expect seasonal flu vaccine to arrive in multiple shipments from August through October. The first doses of state-supplied seasonal flu vaccine will go to pediatric care providers so they can start vaccinating the youngest kids, who may need 2 doses of seasonal flu vaccine.
  • Pregnant women and their newborns at risk for complications from seasonal and H1n1 influenza. Pregnant women, in any trimester, and their household contacts should be vaccinated as soon as vaccine is available. Infants <6 months of age cannot be vaccinated and so need a cocoon of vaccinated household ( HH ) contacts around them. Emergency medcial services ( EMS ) = certified EMTs and paramedics. Discussions on-going regarding non-certified fire and police. HR = high risk for complications from influenza. Same for seasonal and H1N1, except for people > 65 (only for seasonal flu) and healthy people 19 – 24 years old (only or H1N1 Flu) . HR conditions H1N1 flu include: Chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, cognitive, neurologic/neuromuscular, hematological or metabolic disorders (including diabetes mellitus); Immunosuppression (including immunosuppression caused by medications or by human immunodeficiency virus); Children < 18 are receiving long-term aspirin therapy and therefore might be at risk for experiencing Reye syndrome after influenza virus infection; Pregnancy
  • Remember – Goal is to vaccinate as many people as quickly as possible. Give vaccinees H1N1 vaccine card (comes with vaccine) to remind them about 2 nd dose. CDC and MDPH public information campaigns will stress importance of 2 nd dose . H1N1 vaccine supply expect to increase quickly over time and there will be vaccine available for 2 nd doses No need to verify target groups – CDC and state public information campaigns will stress rationale for target groups. After making sure folks know what the target groups are for your clinic, it will be much more efficient to vaccinate everyone who stays and claims a HR condition, then to argue with them. No doctor’s notes – PLEASE. Provider offices will not have time to be taking calls and writing notes. Seasonal, H1N1 and pneumococcal vaccine can all be given at the same time. It’s up to the provider. (Stress this is what we expect – info could change after clinical trials.
  • Business Planning for Influenza Season 2009-10

    1. 1. Business Planning for Influenza Season 2009-2010 Patrick Gannon, RPh, MS, FABC Vice President of Quality & Safety Southcoast Hospitals Group
    2. 2. Outline <ul><li>“ Flu” </li></ul><ul><li>Vaccine updates: </li></ul><ul><ul><ul><li>Seasonal flu update </li></ul></ul></ul><ul><ul><ul><li>H1N1 vaccine update / “swine flu” </li></ul></ul></ul><ul><ul><ul><li>Pneumococcal vaccine in 2009-2010 </li></ul></ul></ul><ul><li>Business preparation </li></ul><ul><li>Flu facts </li></ul>
    3. 3. What is the “flu?” <ul><li>Respiratory / not “stomach flu” </li></ul><ul><ul><li>Cough, congestion, sore throat, fever around 100.4°F, body aches </li></ul></ul><ul><li>Virus / not bacteria </li></ul><ul><ul><li>Antibiotics do not kill viruses </li></ul></ul><ul><li>Pneumonia is the common complication </li></ul><ul><ul><li>Bacterial pneumonia -> use antibiotics </li></ul></ul>
    4. 4. Pandemic? <ul><li>A human infectious disease across a large region, such as a continent or worldwide </li></ul><ul><ul><li>Declared on June 11, 2009, by WHO </li></ul></ul><ul><ul><li>Due to spread, not severity </li></ul></ul>
    5. 6. 2009 – 2010 Seasonal Flu Vaccine <ul><li>Unexpected national shortage </li></ul><ul><li>10 million dose shortfall due to one manufacturer </li></ul><ul><li>But ... current flu viruses appear to be H1N1 </li></ul><ul><li>May have more vaccine later in the flu season </li></ul>
    6. 7. Target Groups for H1N1 Vaccine <ul><ul><li>Pregnant women </li></ul></ul><ul><ul><li>Household contacts/caregivers of infants < 6 months old </li></ul></ul><ul><ul><li>Healthcare workers </li></ul></ul><ul><ul><li>Persons 6 mos – 24 yrs/old </li></ul></ul><ul><ul><li>High risk persons 25 - 64 yrs/old </li></ul></ul><ul><ul><li>Estimated 3.4 million persons in Mass. </li></ul></ul>
    7. 8. H1N1 Vaccine <ul><li>Dosing: </li></ul><ul><ul><li>Persons 10 years and older: 1 dose </li></ul></ul><ul><ul><li>Children between 6 months and 9 years old: </li></ul></ul><ul><ul><ul><li>2 doses, 1 month apart </li></ul></ul></ul><ul><li>Temporary delay in H1N1 vaccine deliveries from the government </li></ul><ul><li>H1N1 vaccine itself is free to all persons living or working in the U.S. No one is denied for reasons of payment. </li></ul><ul><li>*** Vaccination is NOT mandatory *** </li></ul>
    8. 9. People 65 years old and above <ul><li>Have some immunity to H1N1 </li></ul><ul><li>Risk for infection less </li></ul><ul><li>Offer H1N1 vaccine when demand among target groups met </li></ul><ul><li>Still target this group for: </li></ul><ul><ul><li>Seasonal flu vaccine </li></ul></ul><ul><ul><li>Pneumococcal vaccine </li></ul></ul>
    9. 10. Pneumococcal Vaccine <ul><li>Pneumococcal disease </li></ul><ul><ul><li>Complication of flu </li></ul></ul><ul><li>Vaccinate high risk groups now </li></ul><ul><ul><li>> 65 years of age </li></ul></ul><ul><ul><li>Chronic medical conditions </li></ul></ul><ul><ul><li>Asthmatics, smokers </li></ul></ul>Vaccinating those at risk for pneumococcal disease protects them now, and during the next pandemic! New!
    10. 11. The need for business planning <ul><li>An estimated 25 percent of businesses do not reopen following a major disaster, according to the Institute for Business & Home Safety. </li></ul><ul><li>Planning can offset losses. </li></ul><ul><li>Benefits of planning: </li></ul><ul><ul><li>Minimize business disruption </li></ul></ul><ul><ul><li>Protect employees’ health & safety </li></ul></ul><ul><ul><li>Limit negative impact to the community </li></ul></ul>
    11. 12. In your business … Implement infection prevention <ul><li>Encourage vaccination: </li></ul><ul><ul><li>Seasonal </li></ul></ul><ul><ul><li>H1N1 </li></ul></ul><ul><ul><li>Pneumonia if applicable </li></ul></ul><ul><li>Give staff time to attend an H1N1 vaccine clinic </li></ul><ul><li>Easy hand washing accessibility </li></ul><ul><ul><li>No-touch trash cans </li></ul></ul><ul><ul><li>Provide disinfectant wipes for frequent work surface cleaning </li></ul></ul>
    12. 13. In your business … Do pandemic planning <ul><li>Communicate the plans to your staff </li></ul><ul><li>Pandemic peak / absenteeism rate ??? % </li></ul><ul><ul><li>Identify critical job functions </li></ul></ul><ul><ul><li>Suspend non-critical activities if necessary </li></ul></ul><ul><ul><li>Cross-train for coverage </li></ul></ul><ul><ul><li>Work from home when caring for sick family members </li></ul></ul><ul><ul><li>Plan for school closures / staffing impact </li></ul></ul><ul><li>Provide flu booklets: </li></ul><ul><ul><li>Caring for People at Home booklet – free! </li></ul></ul>
    13. 14. In your business … Focus on employee relations <ul><li>Clearly communicate the sick time policy </li></ul><ul><li>Check with staff daily: </li></ul><ul><ul><li>ILI? -> Send them home </li></ul></ul><ul><li>ILI? -> Stay home for 24 hours after fever subsides without medication </li></ul><ul><li>No doctor’s note to return </li></ul><ul><li>Flexible sick time policy </li></ul><ul><li>Plan for staff needs when no sick time left </li></ul>
    14. 15. In your business … Have a communications process <ul><li>Who is the workplace coordinator for flu issues? </li></ul><ul><li>Emergency communications plans: </li></ul><ul><ul><li>For staff </li></ul></ul><ul><ul><li>Suppliers </li></ul></ul><ul><ul><li>Customers/clients </li></ul></ul><ul><li>Voice mail / signage / website / off-hours telephone numbers </li></ul>
    15. 16. What is Southcoast doing? <ul><li>Serve as H1N1 vaccine depot </li></ul><ul><li>Provide vaccines to patients, staff, physicians & volunteers </li></ul><ul><li>Plan for hospital volume surge </li></ul><ul><li>Mid-November: H1N1 public vaccination clinics </li></ul><ul><li>Weekly video podcast on iTunes </li></ul><ul><li>Public education: </li></ul>
    16. 17. Important! <ul><li>You cannot get the flu from the flu shot </li></ul><ul><li>According to government officials, the H1N1 vaccine is safe — it’s made the same way as the seasonal flu shot. </li></ul><ul><li>Don’t like shots? Nasal spray flu vaccines are suitable for some persons (based on age and medical condition) </li></ul><ul><ul><li>NOTE: The nasal spray vaccines are processed, live virus vaccines and pose minimal risk of exposure to the flu. Spray vaccines are therefore not suitable for all people. </li></ul></ul>
    17. 18. What can you do? <ul><li>Get vaccinated! </li></ul><ul><li>Stay home if you are sick with the flu </li></ul><ul><li>Wash hands frequently </li></ul><ul><li>Cough into your sleeve </li></ul>Read:
    18. 20.