Pandemic influenza Preparedness

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Staying in the business during the time of
pandemic..
Pandemic influenza Preparedness
PTT Public Company Limited
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Predicted spread and virulence

• Illness rates in population 20-50
• Death rate 70
• Global deaths 2-50 Millions
• Global Spread 3 months
• Vaccines availability 6 months after
  initial outbreak and up to 2 Yrs
• Anti-viral treatment Likely to be in short
  supply and may be not effective

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1. New influenza virus in animals low risk for
human
5. Significant increase in man-to-man Tx,
extended outbreak
Close Tracking
Influenza Situation and Pandemic Trend
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PTT Business Impact Analysison Pandemic Crisis

• Workforce ( 30)
• Supply chain and Production
• Business and Finance
• Communication Computer Network
• Customers, Suppliers and Other stakeholders

Are we ready?
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PTT Pandemic Management Plan

• Purpose
• Workforce Safety and Health
• Risk Mitigation
• Business Continuity and Recovery
• Co-operation and collaboration with stakeholders
  and government agencies

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PTT Pandemic Management Plan
Main Aspects
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PTT Pandemic Management Plan
4 Phases of Management Plan
4 Alert Levels

• 1.Prevention
• 2.Preparedness
• 3.Response
• 4.Recovery

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PTT Pandemic Management Plan
Pandemic Management Committee
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1. Employee
Yellow Alert (Significant Condition)
Yellow Alert (Significant Condition)

• Preparedness
• HR Policies on
• Overseas travel
• Absenteeism etc.
• Consider succession planning for key staff
• Medical Plan
• Appoint the Flu Manager
• Stock up on TAMIFLU, thermometers, disposable
  gloves and N-95 face masks

• Hosted by
• HR
• Medical Division
• Supported by
• Influenza foundation (Thailand)
• Deliverables
• HR Policies
• Medical Plan

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2. Business Process
Yellow Alert (Significant Condition)

• Preparedness
• Identify critical functions that may be affected
  due to absence of staff, e.g. production, sales
  etc
• Plan for an absenteeism rate of up to 30 during
  Alerts Orange and Red.
• Consider cross-training of staff in critical
  functions
• Identify functions that can be done off-site or
  from home

• Hosted by
• Business Groups
• All Units
• Supported by
• QSHE
• Risk Mgt. Committee
• Consultant
• Deliverables
• Critical Functions and Staffs List
• Pandemic Business Continuity Plan

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3. Infrastructure
Yellow Alert (Significant Condition)

• Preparedness
• Prepare the IT equipment and communications
  access for employees working from home /
  off-site, e.g. telephones, fax machines, servers,
  laptops, etc
• Disinfect common areas within your workplace,
  including the air-conditioning
• Prepare the alternative workplace with equipments
• Prevent visitors with flu-like symptoms from
  entering workplace

• Hosted by
• ICT
• Facility
• Supported by
• Deliverables
• ICT Business Continuity Plan
• Facility Business Continuity Plan

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4. Stakeholders
Yellow Alert (Significant Condition)

• Preparedness
• Update contact information of key suppliers and
  customers
• Prevent visitors with flu-like symptoms from
  entering workplace
• Co-ordinate business continuity plan with
  suppliers and customers

• Hosted by
• Business Groups
• Supported by
• Deliverables
• Emergency and Crisis Management Plan
• Pandemic Business Continuity Plan

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5. Communication
Yellow Alert (Significant Condition)

• Preparedness
• Create general awareness of flu and preventive
  measures among staff. Consider various
  communications channels such as briefings,
  newsletters, intranet or email
• Develop an external communications plan for
  various alert levels aimed at customers,
  suppliers and shareholders

• Hosted by
• Medical
• HR
• PR
• IR
• Supported by
• Deliverables
• Information Sharing
• Emergency and Crisis Communication Plan

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Implementation
3) Develop Plans by each functions 1.
Employee 1.1 HR 1.2 Medical 2. Business and
Process 2.1 Define Critical Functions and
Staffs 2.2 Develop Business/Process Continuity
Plan (BCP) 3. Infrastructures 3.1 ICT System 3.2
Facilities and Utilities 4. Communication 4.1
Internal HR/PR/Med 4.2 External IR/PR 5.
Stakeholders 2.2 Key Suppliers and Customers
Coordination
1) Self Assessment
2) Responsible Persons and Strategies
4) Consolidate to PTT Corporate Plan 4.1 PTT
Corporate Pandemic Plan 4.2 Emergency and
Crisis Management Plan
5) Table Top Exercise 6) Review and Corrective
Actions 7) Approve and Maintain the system
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Private Sector Strategies

• Establishing a process for infection control in
  the workplace, including options for working
  offsite while ill, systems to reduce infection
  transmission, and worker education
• Establishing internal surveillance protocols to
  monitor the health of workers and business
  stakeholders and to keep State and local public
  health officials informed
• Developing pandemic specific continuity of
  operations plans to maintain delivery of
  essential goods and services despite significant
  and sustained worker absenteeism
• Monitoring regional/national/international
  pandemic threat levels for trigger-point changes
  that will affect the business
• Coordinating with government officials and
  community stakeholders to share planning,
  preparedness, response, and recovery information
  and
• Establishing partnerships with other members of
  the sector to provide mutual support and
  maintenance of essential services during a
  pandemic

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Avian Infuenza 2008
Influenza Inter-Pandemic Preparedness Plan
Episode III - Epidemiologic
status - Mutation -
Mode of Transmission - Drug
Treatment - Prevention
- PTT Strategic Action Plan
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Epidemiologic Status
14 Countries, 382 Cases, 241 Deaths ( 30 April
2008 ) average mortality rate 63
Mutation
- Antigenic drift (gradually change) reported by
Prof. Y. Puworawan, Virologist Chulalongkorn
U., - Antigenic shift (reassortment) close
observation due to high risk of Pandemic spread

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Present situation
Pandemic Flu
Bird-Flu
Mode of Transmission
1. Droplet Pcle gt5 µm, 3 ft,
coughing/sneezing/
talking, mucosa 2. Contact Direct and
indirect 3. Airborne Pcle 5 µm, dust
containing microorganism,
air current
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Drug Treatment
1. Amantadanes gr.- 93 resistant 2.
Neuraminidase inhibitor gr.- Oseltamivir (Tamiflu)
Prevention
Pre-exposure - Personal precaution - hand
hygiene, mask, gloves - Respiratory
hygiene/Cough Etiquette waste management
Post-exposure - Antiviral drug (Tamiflu)
prophylactic dose
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Ten Things to Know about Pandemic Influenza

• - Pandemic influenza is different from Avian
  influenza
• Influenza pandemics are recurring events
• - The world may be on the brink of another
  pandemic
• - All countries will be affected
• - Widespread illness will occur
• - Medical supplies will be inadequate
• - Large number of deaths will occur
• - Economic and social disruption will be great
• - Every country must be prepared
• - WHO will alert the world when the pandemic
  threat increases
• These are the key reasons why PTT needs to create
  own
• Business Contingency Plan

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PTT Business Contingency Plan
- Head office workers HO , PK - GSPs LPG
Plants and Pipeline - Depots - Mobile workers -
Frequent business travellers
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PTT Strategic Action Plan
1. Render health education to PTT employees
e-mail, brochure 2. Set up medical conference
Avian Influenza 2008 by expert from
Medical Department, MOPH on April 10, 2008
to target participants medical personnels,
QSHE-Co , PTT employees

3. Provide and distribute masks to all PTT
employees 4. Encourage PTT employees to put on
their masks whenever they get RT infection
such as a cold, etc. and keep on hand hygeine
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5. Prepare travel kit for frequent business
travellers, mobile workers 6. Provide
Influenza vaccination for PTT staff (on a
voluntary basis and the potential of rare
complications existed should be informed
before receiving vaccination) 7. Stockpile
of antiviral drug (Tamiflu) for approximately
15 of PTT staff 8. Expanded Action to PTT
Group PTTEP by - Stockpile of antiviral
drug (Tamiflu) for PTTEP high risk
employees (cost sharing) - Sharing the data
of Avian Influenza situation
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• Pandemic Preparedness National Plan
• Guide for critical infrastructure and key
  resources
• Flu Pandemic Business Continuity Guide for SME
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Thank you for your attention
Dr. Panya ArtchariyavivitPTT Medical
divisionJuly 21, 2008