WHAT WE SHOULD KNOW ABOUT PANDEMIC FLU RISK Dont be scared be prepared

1
WHAT WE SHOULD KNOW ABOUTPANDEMIC FLU RISKDont
be scared be prepared!

• Shanaz Sharifpour
• Department Of Transportation (DOT)
• August 2, 2006

2

• Introduction
• What Is Pandemic Flu?
• What Is Avian Flu?
• The Need For Protection
• Control Measures
• Exposed Population
• Travel and Avian Influenza
• OSHA Standards
• Summary
• Where to get more Information

3
INTRODUCTION

• Definition- Pandemic influenza is an outbreak of
  an infectious disease that spreads world wide or
  at least across a large geographical region.
• This is not whats happening right now.
  Unfortunately the media coverage has tended to
  equate Avian influenza (bird Flu) with Pandemic
  influenza

4
INTRODUCTION Continued

• Pandemics Happen
• They are fact of biology
• They are a testament of history
• They are fact of viruses mutating
• attacking
• Do not know if the H5N1 virus, will
• be the virus that triggers the next
• pandemic

5

• INTRODUCTION Continued
• Do know there is reason for concern and reason to
  be prepared
• A number of countries have reported cases of
  Avian (Bird) Flu
• If outbreak, would have a significant impact on
  the workplace-could cause mass casualties
• As for any emergency, planning is required

6
INTRODUCTION Continued

• Develop a Plan for Prevention, Response and
  Treatment- Take charge of your Plans
• Get support and information from
• CDC, NIOSH, WHO, OSHA, DHHS, Plus Many Other
  Organizations and Professionals

7
What Is Pandemic?

• Pandemic A World wide Health Illness Outbreak,
  Could Spread from Human to Human due to the Lack
  of Human Antibodies
• 1918-1919, First outbreak Spanish Flu
• 500,000 USA
• 22 Million Worldwide
• Two Smaller Pandemics in 1957 (Asian Flu) and
  1968(The Hong Kong Flu)
• Tens of Thousands of Americans
• Millions across the world

8
What is Pandemic? Continued

• First line of defense is Early Detection/Recogniti
  on and Intervention/Control
• The Federal Government
• Is taking immediate steps for early warning
• Stocking Vaccine medication to protect American
  Population
• Working to ensure that communities are ready to
  respond to a Pandemic

9
What Is Avian Flu?

• Many Pandemics are Initiated By Animals/Birds
• Avian(H5N1/Bird) Flu
• Spreading Via Bird Population in Asia
• Domestic Birds (Ducks, Chickens, Turkeys)
  Migratory Birds
• 1997 Hong Kong First Human Outbreak

10
What Is Avian Flu? - Continued

• Avian Flu H5N1- Now is primarily an animal
  disease unless direct contact with infected bird
• Identified in late 2003
• Infected 120 people in Thailand, Cambodia,
  Vietnam, and Indonesia.

11

• Amoy Gardens Hong Kong Field Headquarters

• http//www.openscar.com/mediagallery.htmlpictures
  

12
Avian?
13
Guangzhou, China
14
What Is Avian Flu ?Continued

• Avian Flu (H5N1) Virus
• Can Survive at least 3 months in a Cool Moist
  Climate
• In water, the virus can survive up to 4 days at
  72F
• Infected Birds Can Shed Virus in Saliva, Nasal
  Secretions, and Feces
• In food handling/preparation-could be transmitted
  from uncooked birds or bird products

15
What Is Avian Flu? Continued

• Avian Flu (H5N1) Virus
• Transmission by Aerosolized, Virus Landing on
  Exposed Surfaces of the Mouth, Nose, or Eyes and
  Being Inhaled Into the Lungs
• Humans Can Transport Virus On Shoes and Feet
• Mutation Concern Human to Human

16
(No Transcript)
17
Need For Protection

• Awareness
• Early Detection
• Protection

18
Need For Protection Continued

• Control Measures
• Engineering Controls
• Ventilation Controls
• Isolation Areas
• Shielding

19
Control Measures

• Administrative Controls
• Vaccinations
• Isolation of Sick People
• Reduce Number of Workers Exposed
• Close Schools and Cancel Public Events
• Wash Hands and Face Frequently
• Educate Public and Workers
• Keep Hands Away from Face/Mouth/Nose/Eyes
• Do Not Share Food and Utensils

20
Control Measures Continued

• Protective Equipment
• Respiratory Protection
• Gowns
• Gloves
• Shielding

21
Population At Risk

• Poultry growers and their Employees
• Chick movers at egg production Facilities
• Hospital Workers
• Nursing Home Workers
• Hospices
• Correctional Facilities
• Homeless Shelters
• Transport and Ambulance Services

22
TRAVEL and Avian Influenza

• CDC travel information relating to avian
  influenza, including preventive measures, is
  available at http//www.cdc.gov/flu/avian/index.h
  tm.
• WHO guidance related to avian influenza is
  available at http//www.who.int/csr/disease/avian
  _influenza/en/.
• http//travel.state.gov/travel/tips
  /health/health_1181.html

23
Protection In Air Travel
24
What Will You Use?
25
Respiratory Protection Basics

• If Respirators are Necessary, or you Require
  Employees to Use a Respirator, You Need A Program
  
• Follow OSHAs Respiratory Protection Standard 29
  CFR 1910.134
• The Program Must be Written
  Be Site-Specific
• Administered by a Suitably Trained Safety
  Program Administrator

26
Elements of Written Program

• Procedures for Selecting Proper Respirators
• Medical Evaluations of Employees
• Fit Test Procedures
• Proper Use, Including Emergencies
• Cleaning, Storing, Inspecting, Discarding
• Air Quality, Air Flow (Supplied Air)
• Employee Training

27
Selecting the Proper Respirator

• Types of Contaminant
• Concentration of Contaminant
• PEL/TLV (for Bioaerosols ??)
• Exposure Potential
• Use Work Environment

28
OSHA Standards

• 29 CFR 1910.120, Hazardous Waste Operations
  Emergency Response.
• 29 CFR 1910.132, Personal Protective Equipment
  (PPE).
• 29 CFR 1910.134, Respiratory Protection.
• 29 CFR 1910.1030, Bloodborne Pathogens.

29
Where to get more Information/ References

• www.PandemicFlu.gov.
• http//www.osha.gov/dsg/guidance/avian-flu.html.)
• http//www.hhs.gov/pandemicflu/plan/
• www.SafeSupercisor.com
• http//travel.state.gov/travel/tips
  /health/health_1181.html
• http//www.who.int/csr/disease/avian_influenza/cou
  ntry/en/
• http//www.3.niaid.nih.gov/news/newsrelaeases/2005
  /H5N1
• http//www.cdc.gov/flu/avian/index.htm.
• http//www.cdc.gov/niosh/topics/youth.)
• Safety X change.org/kayknox.ips
• www.Fluinfo.in.gov
• www.hofmansafety.com

30
Summary

• Avian Flu, and Pandemic
• Potentially Tragic Consequences If Not Prepared
• Routes of Exposure
• The Need For Protection
• Basics of a Respiratory Protection
• Program
• Sources of information

31
Finally,

• The arrival of the first H5N1 Bird Should NOT
  cause alarm or Panic.
• It Does NOT mean that a Pandemic is on our
  doorstep,
• It should Motivate us for Preparedness
• If migrating wild birds were to bring the virus
  into Americas and if virus infected our poultry
  flocks,
• Major economic losses could occur,
• not only to the poultry industry but to
• the national economy
• Imagine Thanks giving without Turkey!

32
THE END!!