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Business Planning

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Title: Business Planning


1
Business Planning
  • Pandemic Influenza Preparedness

Susan Campbell, MS, RN Columbus Public Health
2
Pandemic Influenza Preparedness
3
Pandemic Influenza Preparedness
  • What is Pandemic Influenza?
  • Global or worldwide disease outbreak
  • Occurs when a new influenza A virus
  • emerges for which there is little or no
  • resistance in humans, begins to cause
  • serious illness, and then spreads easily
  • from person to person.

4
Pandemic Influenza Preparedness
  • How Likely is a Flu Pandemic?
  • According to the U.S. Centers for Disease
    Control and Prevention Pandemic Influenza is
    our biggest worldwide challenge.
  • Not a question of If, but When.

5
Pandemic Influenza Preparedness
6
Pandemic Influenza Preparedness
  • CORNFUSION
  • Avian Flu-Bird Bird
  • Influenza-Human Human
  • Pandemic can be either

Acchooo!
I dont feel so good
My nose wont stop running
I think I have a fever
7
Pandemic Influenza Preparedness
  • Characteristics and Challenges of a Pandemic
  • Rapid worldwide spread
  • Health Care Systems overloaded
  • Inadequate medical supplies
  • Economic and social disruption

8
Pandemic Flu in the 20th Century
Pandemic Influenza Preparedness
  • 1968-1969 Hong King Flu
  • At least 700,000 people died worldwide
  • 34,000 deaths in US
  • 1957-1958 Asian Flu
  • At least 1.5 million people died worldwide
  • 70,000 deaths in US
  • 1918 1919 Spanish Flu
  • Spread around the globe in 4-6 months
  • At least 40-50 million people died worldwide
  • 500,000 650,000 in US
  • Pandemic affected everyone not just young and
    elderly
  • Typical Influenza Season
  • 36,000 deaths in US

9
Pandemic Influenza Preparedness
  • General info
  • Avian Flu aka bird flu, H5N1
  • spreads among birds
  • Does not normally infect humans
  • Can be deadly
  • No confirmed human to human transmission

10
Avian Influenza (Bird Flu)
Pandemic Influenza Preparedness
  • Avian influenza is an infection caused by avian
    (bird) influenza (flu) viruses.
  • These influenza viruses occur naturally among
    birds. Wild birds worldwide carry the viruses in
    their intestines, but usually do not get sick
    from them.
  • However, avian influenza is very contagious among
    birds and can make some domesticated birds,
    including chickens, ducks, and turkeys, very sick
    and kill them.

11
Current Outbreak of Avian Flu
Pandemic Influenza Preparedness
  • Most cases of avian influenza infection in humans
    have resulted from direct or close contact with
    infected poultry (e.g., domesticated chicken,
    ducks, and turkeys).

12
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14
Pandemic Influenza Preparedness
  • Implications for Human Health
  • Infection with the virus results in very serious
    disease especially in young adults.
  • Concern that the virus will become highly
    infectious for humans and spread easily from
    person to person. That could mark the start of a
    global outbreak.

15
Current Outbreak of Avian Influenza (Bird Flu) in
the World
Pandemic Influenza Preparedness
  • As of October 19, there are 256 cases 151
    deaths in Azerbaijan, Cambodia, China, Djibouti,
    Egypt, Indonesia, Iraq, Thailand, Turkey and
    Vietnam

16
Pandemic Influenza Preparedness
  • MIGRATION
  • LEGAL TRANSPORT
  • ILLEGAL SMUGGLING

17
Routes of Nonpandemic H5N1 Introduction to the
U.S.
Pandemic Influenza Preparedness
  • High Likelihood
  • Smuggling of infected birds or eggs
  • Thai eagles hidden in suitcase confiscated in
    Belgiumpositive for H5N1 AI, Oct 2004

UNCLASSIFIED
18
Pandemic Influenza Preparedness
  • Food Safety
  • Eating properly handled and cooked poultry is
    safe.
  • Poultry products imported into the US must meet
    all safety standards.
  • No poultry from countries with confirmed bird flu
    (H5N1) can be imported into the US.

19
Pandemic Influenza Preparedness
WHO Phases of Pandemic Alert
20
Pandemic Influenza Preparedness
  • Transmission
  • Spread by droplets from coughing, sneezing,
    talking and contact with infected contaminated
    surfaces.
  • Typical incubation period 2 days.
  • Infected persons are contagious one day before
    symptoms, even more so in first several days of
    symptoms.

21
Pandemic Influenza Preparedness
  • Pandemic Influenza
  • Global outbreak
  • New flu virus
  • Vaccine not on hand at first
  • Serious human illness
  • Easily spread from person to person
  • Seasonal Flu
  • Seasonal
  • Viruses not new
  • Vaccine on hand
  • More than 200,000 hospitalizations per year
    (36,000 deaths)
  • Easily spread from person to person

22
FORMULA FOR WHY PHARMACEUTCAL COMPANIES ARE NOT
JUMPING ON THE VACCINE BANDWAGON
  • Sum of (Incentives-Disincentives) x Investor
    Perception
  • Time in Years

23
Pandemic Influenza Preparedness
  • Impact of a Pandemic Health Care Vaccine will
    probably not be available in the early stages of
    a pandemic, and the need for vaccine is likely to
    outstrip supply when it does become available.

24
Pandemic Influenza Preparedness
  • Medical Treatment During a Pandemic
  • Antiviral Agents
  • Can prevent complications if taken in time
  • May not be effective against a pandemic virus
  • Supplies at this time are extremely limited
  • Resources would be prioritized (based on national
    guidance)

25
Pandemic Influenza Preparedness
  • Avian Flu In Humans
  • What are the symptoms of avian flu in humans?
  • Typical flu-like symptoms (fever, sore throat,
    cough)
  • Rapidly progresses to serious lung disease
  • - Pneumonia
  • - Severe respiratory distress
  • Other severe and life threatening complications

26
Pandemic Influenza Preparedness
  • Pandemic Influenza
  • in U.S.
  • What if?

27
Pandemic Influenza Preparedness
  • Preparing for the Pandemic
  • Federal Response
  • Stockpiling anti-viral medications and vaccines
    while working with industry to expand capacity.
  • State Response
  • Strategic National Stockpile (SNS) may be used.

28
Preparing for the Pandemic
Pandemic Influenza Preparedness
  • Local Health Departments are the first
  • line of response in a flu pandemic

29
Pandemic Influenza Preparedness
  • Preparing for the Pandemic
  • Role of the local health
  • department
  • Declaration of Public Health Emergency
  • Surveillance and Tracking
  • Isolation and Quarantine as Appropriate
  • Vaccine and Pharmaceutical Delivery
  • Public Information and Communication

30
Pandemic Influenza Preparedness
  • Preparing for the Pandemic
  • Local response Whats in place
  • Early Warning Systems (Abstrac, RODS / OTC)
  • Communicable Disease Reporting System (CDRS)
  • Emergency Operations Plan and Departmental
    Operations Center Activated in an Emergency
  • DRAFT Influenza Pandemic Response Plan

31
Pandemic Influenza Preparedness
  • Mass Clinic Plans for Vaccine or Medication
    Distribution
  • PODS Point of Distribution
  • 20 Clinics in Columbus 10 clinics in Franklin
    County -geographically located
  • Wireless access needed for documentation
  • Personnel Needs public health/safety/ other
    staff/volunteers
  • POD hours and duration will be determined by
    nature of the emergency

32
Pandemic Influenza Preparedness
  • What Can You Do Now?
  • Create a pandemic plan, both for your family and
    business
  • Are you Ready in 3?

33
WHOS STRATEGY WORKED?
34
HOW WILL WE BE JUDGED?
Modeling indicates a minimum of 5 interventions
to achieve prepared
Unprepared
Prepared
35
Pandemic Influenza Preparedness
Prevention
In the event of a pandemic, practicing
containment activities to minimize risk of
further infection. Site Controls Social
Distancing Infection Control
36
Pandemic Influenza Preparedness
  • Site Controls
  • Plan to minimize the chance of infectious persons
    entering work site
  • Applies to staff visitors

37
Pandemic Influenza Preparedness
  • Site Controls
  • Set up prominent notices at all entry points to
    the facility, advising staff and visitors not to
    enter site if they have symptoms of influenza
  • Set up Key General Infection Control (basic
    hygiene hand hygiene) notices around workplace
  • Ensure the workplace have adequate supplies of
    tissues, hand hygiene products,
    cleaning/disinfectant supplies as well as masks
    for people who become ill at work
  • Consider implementing entry screening process and
    at what stage

38
Pandemic Influenza Preparedness
  • Educate employees employers on current criteria
    for returning to work
  • 5 days have passed since symptoms of illness
    began
  • Fever has resolved for 24 hours
  • Cough is improving
  • Recovery is 4-6 weeks even though may be back to
    work

39
Pandemic Influenza Preparedness
  • Social Distancing Definition
  • Is a plan to reduce your risk of catching the flu
  • It refers to a plan to reduce the frequency of
    contact between people.
  • Generally it refers to mass gatherings but the
    same plan can be used in the workplace

40
Pandemic Influenza Preparedness
Welcome to Pandemic Free
41
Pandemic Influenza Preparedness
  • Social Distancing Strategies
  • Avoid meeting people face to face
  • Use telephone, video conferencing and the
    Internet to conduct business as much as possible,
    even when participants are in the same building
  • If a face to face meeting is unavoidable
  • -Minimize meeting time, choose a large meeting
    room and sit at least 3 feet away from one
    another, avoid shaking hands

42
Pandemic Influenza Preparedness
  • Social Distancing Strategies
  • Bring lunch
  • Avoid the cafeteria and crowded restaurants
  • Do not congregate in lunchrooms or other areas
    where people socialize
  • Do what needs to be done then leave the area.
  • Avoid public transport
  • Walk, cycle, drive a car or go early or late to
    avoid rush hour crowding at the workplace.

43
Pandemic Influenza Preparedness
  • Prevent the Spread
  • Infection Control Strategies
  • Hand washing
  • Cover your cough

44
Pandemic Influenza Preparedness
  • Infection Control Strategies
  • During a pandemic period office sanitation should
    be increased.
  • Telephone sets in common areas should be cleaned
    prior to use, consider individual headsets,
    keyboard covers
  • Anti-bacteria solutions should be applied daily
    to all common areas (household sani-wipes work
    well against influenza)

45
Pandemic Influenza Preparedness
  • Coordinate with external organizations
  • Share best practices with other businesses in
    your community, chamber of commerce and
    associations

46
Pandemic Influenza Preparedness
  • Caring for Someone with Influenza
  • Recognize Pandemic Influenza Symptoms
  • Supply plenty liquids, medications to relieve
    symptoms
  • Know when to call Health Care Professional high
    fever, chills, coughing thick mucus, dehydration
  • Reduce fever (acetaminophen or ibuprofron)

47
Pandemic Influenza Preparedness
  • Why Businesses Need to Plan
  • No one knows for sure exactly how widespread or
    severe an impact will come from the next
    pandemic.
  • The large number of sick and incapacitated people
    will include a significant segment of your
    workforce - 25 to 40 percent.
  • Limitations on public gatherings and fear among
    healthy people could limit the number of
    customers who may be able to access your services.

48
Why Businesses Need to Plan
Pandemic Influenza Preparedness
  • Key supply and distribution networks could be
    significantly impacted.
  • Close quarters and large gatherings (such as
    tight office spaces or large meetings) may
    encourage person-to-person spread of the disease.
  • Ill children and family members may cause
    employees to miss work.

49
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Identify core business activities or essential
    services.
  • Identify employees and other critical elements
    required to maintain operations.
  • Cross train now to ensure uninterrupted service.
  • Clearly pre-establish delegation of authority and
    order of success. Illness effects everyone.
  • Plan for possible interruptions of governmental
    services such as water, power or transportation.
  • The private sector owns and maintains
    approximately 85 of the U.S. critical
    infrastructure.

50
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Determine which outside activities are critical
    to maintaining operations and develop
    alternatives in case they cannot function
    normally.
  • Example Just in time delivery.

51
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Allocate resources to protect your staff and your
    customers
  • Supplies for respiratory hygiene/cough etiquette.
  • Special assets to enable mission continuation.
  • Financial contingency reserves.
  • Establish ways to limit face-to face contact
    among employees and customers.

52
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Establish or expand policies and tools that
    enable employees to work from home (if possible).
  • Determine if you have the capability to transfer
    authority and responsibility for essential
    functions to another facility (regional or
    national)

53
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Maintain a healthy work environment.
  • Post tips on how to stop the spread of germs at
    work.
  • Encourage good hand hygiene and coughing/sneezing
    etiquette.
  • Ensure wide and easy availability of alcohol
    based hand sanitizer products, antibacterial
    soap, tissues and waste receptacles.
  • Communicate with employees about the importance
    of staying home if they are sick.
  • Develop procedures for cleaning facilities during
    an outbreak and for employees to follow.

54
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Tell your employees about the possibility of
    pandemic flu and the steps the company is taking
    to prepare for it.
  • Provide updated, accurate materials covering
    basic pandemic flu facts and personal protection
    and response strategies.
  • Provide information on at-home care of ill
    employees and family members.
  • Educate employees about your pandemic flu plan.
  • Develop ways to communicate status and actions to
    employees, vendors, suppliers and customers
    during a pandemic.

55
Pandemic Influenza Preparedness
56
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Establish an emergency communications plan and
    revise it periodically. Include
  • Key contacts (and back-ups)
  • Chain of communication (including suppliers and
    customers)
  • Process to resume normal operations as quickly as
    possible

57
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Set up pandemic policies as part of your
    emergency communications plan.
  • Non-penalized and mandatory leave
  • Flex-time/Work from Home?
  • Compensation?
  • Insurance Coverage
  • Modify practices that might spread virus
  • Screening facility entrants?
  • Plan for long-term absenteeism rates

58
10 Steps Your Business Can Take
Pandemic Influenza Preparedness
  • Develop a pandemic flu planning team to help you
    accomplish 1-9.
  • Impact on your business
  • Impact on your employees customers
  • Establish policies
  • Allocate resources
  • Communicate to educate employees
  • Coordinate with and help your community

59
Conclusion
Pandemic Influenza Preparedness
  • The only thing more difficult than planning for
    an emergency is having to explain why you didnt.

60
Pandemic Influenza Resources
  • U.S. Pandemic Influenza
  • www.pandemicflu.gov
  • Columbus Public Health
  • www.columbuspublichealth.gov
  • Centers for Disease Control and Prevention
  • www.cdc.gov/flu/pandemic/
  • Ohio Pandemic Influenza
  • www.ohiopandemicflu.gov
  • Franklin County Board of Health
  • www.franklincountyohio.gov/health
  • Homeland Security
  • www.ready.gov
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