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H1N1 Influenza Update (formerly known as Swine Flu)


H1N1 Influenza Update (formerly known as Swine Flu) 11/10/09 Stephen Motzko, CSP – PowerPoint PPT presentation

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Title: H1N1 Influenza Update (formerly known as Swine Flu)

H1N1 Influenza Update(formerly known as Swine
11/10/09 Stephen Motzko, CSP
H1N1 What Is The Big Deal?
  • Novel H1N1 (referred to as swine flu early
    on) is a new influenza virus that is spreading
    from person-to-person.

Media Attention Varies
Novel H1N1 Influenza
  • Influenza is always serious each year in the
    United States, seasonal influenza results, on
    average, in an estimated 36,000 deaths and more
    than 200,000 hospitalizations from flu-related
  • This outbreak certainly poses the potential to be
    at least as serious as seasonal flu, if not more
  • CDC expects that more cases, more
    hospitalizations, and more deaths (up to 90K)
    from this outbreak will occur this year.
  • While past diseases of SARS (2003) and Bird Flu
    H5N1 (2005) have had little impact on most of
    us, there can be significant impacts.

Lessons from SARS (2003)
  • Economic disruption led to loss of 2 of East
    Asian GDP in the second quarter of 2003
  • In the US, SARS blamed for losses of 15 of sales
    in tech sector
  • SARS outbreak in Toronto led to sharp drop in
    tourist visits, costing US 850 million in GDP
  • During SARS outbreak, Cathay Pacific carried only
    30 of its usual passengers stock price
    decreased nearly 20

Source/Footnote Maplecroft Website
H1N1 Pandemic Planning
Lets Talk H1N1
  • Issues, Issues, Issues Why We Care
  • Productivity
  • Human Resources Issues
  • Supply Chain
  • Travel
  • Background Information
  • Where To Find Information
  • Avoiding Information Overload

Business Issue - Employees
  • Employee Health Absence
  • Telecommuting Options/Feasibility
  • Business Travel
  • Exposure While Traveling
  • Contributing to Spread
  • Quarantines
  • Evacuation from Infected Areas
  • Visitor Exposures (incl. Vendors and Contractors)

Business Issue - Logistics
  • Transfer of Operations/Business
  • Avoid Restricted/Quarantined Areas
  • Avoid Bottlenecks
  • Leverage Existing Plans/Capabilities
  • Supply Chain Management
  • Outsourcing of Operations/Services
  • Integration with Existing Disaster Response
    Recovery Planning Procedures/Programs

H1N1 Influenza Travel Alerts
  • Due to the outbreak of novel H1N1 flu occurring
    in the United States and many other countries,
    airport staff in some countries may check the
    health of arriving passengers.
  • If you are sick with symptoms of influenza-like
    illness, you should not travel.

H1N1 Influenza Travel Alerts
  • Travel Alert China - H1N1 Quarantine Measures
  • Due to the outbreak of novel H1N1 flu occurring
    in the United States and many other countries,
    airport staff in some countries may check the
    health of arriving passengers. Many countries,
    including Japan and China, are screening arriving
    passengers for illness due to novel H1N1 flu.
    These health screenings are being used to reduce
    the spread of novel H1N1 flu.
  • If you are sick with symptoms of influenza-like
    illness, you should not travel. These symptoms
    include fever, cough, sore throat, runny or
    stuffy nose, body aches, headache, chills, and
    fatigue. A significant number of people who have
    been infected with this virus also have reported
    diarrhea and vomiting.
  • Since the novel H1N1 flu outbreak is occurring in
    the United States, flights from the United States
    arriving in other countries may be specifically
    targeted for screening. Travelers coming from the
    United States may be checked for fever and other
    symptoms of novel H1N1 flu, and their travel may
    be delayed.  
  • Consult the embassy of the country, or countries,
    in your travel itinerary for information about
    entry screening procedures (see Websites of U.S.
    Embassies, Consulates, and Diplomatic Missions
    for contact information).

Source / CDC Travelers Health (Updated 9/11/09)
H1N1 Influenza What Is Simpson Strong-Tie Doing?
  • We are following the precautions and guidelines
    set by the World Health Organization (WHO) and
    the U.S. Centers for Disease Control (CDC)
  • Recognized, credible sources for current
    information about the situation
  • Continuously updating the status of known facts
  • News headlines can sometimes be premature or
    misinterpreted, and although they can provide
    some highlights, we defer to the international
    health agencies for reference guidance

H1N1 Influenza Our Response
  • Information is kept current on our Intranet
    (Jobsite) in the form of a PowerPoint
    presentation, updated regularly
  • Resources (posters, flyers, etc.) are also
  • Flu vaccines are provided (Seasonal Flu)
  • Branches/locations have contingency plans
  • for absences especially smaller Branches with
    few employees
  • Branch/site plans include keeping soap and towels
    in bathrooms in adequate supply, available for
  • Encourage sick employees to stay home! Adjust

(No Transcript)
Jobsite PowerPoint Guidance
  • Hygiene precautions (hand washing, cough and
    sneeze etiquette
  • Guidance on staying home when sick
  • Current status and news about H1N1
  • Travel Precautions
  • Where to go for more information

H1N1 Influenza (Swine Flu) What Is It?
Sample from Presentation
  • Novel H1N1 (referred to a swine flu early on)
    is a new influenza virus that is spreading from
  • The United States government has declared a
    public health emergency in the U.S. in response
    to the H1N1 outbreak.
  • CDCs response goals are to
  • reduce transmission and illness severity
  • provide information to help health care
    providers, public health officials, and the
    public address the challenges posed by this

Source / CDC (5/11/09)
Novel H1N1 Influenza
Sample from Presentation
  • The first cases of human infection with novel
    H1N1 influenza virus were detected in April 2009
    in San Diego and Imperial County, California and
    in Guadalupe County, Texas.
  • The virus has spread rapidly.
  • The virus is widespread in the United States at
    this time and has been detected internationally
    as well.

Source / CDC (5/11/09)
Signs and symptoms
Sample from Presentation
  • Symptoms of novel H1N1 flu in people are
    similar to those associated with seasonal flu.
  • Fever
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Body aches
  • Headache
  • Chills
  • Fatigue
  • In addition, vomiting (25) and diarrhea (25)
    have been reported. (Higher rate than for
    seasonal flu.)

Source / CDC (5/11/09)
How does novel H1N1 Influenza spread?
Sample from Presentation
  • This virus is thought to spread the same way
    seasonal flu spreads
  • Primarily through respiratory droplets
  • Coughing
  • Sneezing
  • Touching respiratory droplets on yourself,
    another person, or an object, then touching mucus
    membranes (e.g., mouth, nose, eyes) without
    washing hands

Source / CDC (5/11/09)
Can you get H1N1 from eating pork?
Sample from Presentation
  • No. The novel H1N1 influenza virus (formerly
    referred to as swine flu) virus is not spread by
  • You cannot get novel H1N1 flu from eating pork
    or pork products. Eating properly handled and
    cooked pork products is safe.

Source / CDC (5/11/09)
Take these everyday steps to protect your health
Sample from Presentation
  • Wash your hands often with soap and
    warm water, especially after you cough
    or sneeze. Wash for 15 to 20 seconds.
  • Alcohol-based hand wipes or gel sanitizers are
    also effective.
  • Cover your nose and mouth with a tissue when you
    cough or sneeze. Throw the tissue in the trash
    after you use it.
  • Avoid touching your eyes, nose or mouth. Germs
    spread this way.
  • Avoid contact with sick people.

Source / CDC (5/11/09)
If you get sick
Sample from Presentation
  • Stay home if youre sick
  • for 7 days after your symptoms
  • begin or until youve been
  • symptom-free for 24 hours,
  • whichever is longer.
  • If you are sick, limit your contact
  • with other people as much as possible.

Source / CDC (5/11/09)
Watch for emergency warning signs
Sample from Presentation
  • Most people should be able to recover at
    home, but watch for emergency warning signs that
    mean you should seek immediate medical care.
  • In adults
  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting
  • Flu-like symptoms improve but then return with
    fever and worse cough

Source / CDC (5/11/09)
Emergency warning signs in children
Sample from Presentation
  • If a child gets sick and experiences any of
    these warning signs, seek emergency medical care.
  • In children
  • Fast breathing or trouble breathing
  • Bluish or gray skin color
  • Not drinking enough fluids
  • Severe or persistent vomiting
  • Not waking up or not interacting
  • Irritable, the child does not want to be held
  • Flu-like symptoms improve but then return
  • with fever and worse cough

Source / CDC (5/11/09)
International Travel
Sample from Presentation
  • If you travel internationally from the United
    States, you may be asked to
  • Pass through a scanning device that checks your
    temperature. (The device may look like an airport
    metal detector, a camera, or a handheld device.)
  • Have your temperature taken with an oral or ear
  • Fill out a sheet of questions about your health
  • Review information about the symptoms of novel
    H1N1 flu
  • Give your address, phone number, and other
    contact information
  • Be quarantined for a period of time if a
    passenger on your flight is found to have
    symptoms of novel H1N1 flu
  • Contact health authorities in the country you are
    visiting to let them know if you become ill
  • If you have a fever or respiratory symptoms or
    are suspected to have novel H1N1 flu based on
    screening, you may be asked to
  • Be isolated from other people until you are well
  • Have a medical examination
  • Take a rapid flu test (which consists of a nasal
    swab sample)
  • Be hospitalized and given medical treatment, if
    you test positive for novel H1N1 flu
  • Please note that the U.S. Department of State
    usually cannot interfere with the rights of other
    countries to screen airline passengers entering
    or exiting their countries, nor can it influence
    the number of days in quarantine.
  • Because these outbreak-related delays, which
    could include several days of quarantine, may
    affect planned activities and lead to unexpected
    costs, CDC strongly recommends that travelers
    consider purchasing travel insurance. To find a
    list of possible travel health and medical
    evacuation insurance companies, visit Medical
    Information for Americans Abroad (U.S. Department
    of State).

Source / CDC Travelers Health (Updated 9/11/09)
H1N1 Influenza Travel Precautions - Before
Sample from Presentation
  • Prepare for your trip before you leave
  • Visit CDC's Travelers Health Website to learn
    about any disease risks and CDC health
    recommendations for areas you plan to visit.
  • Be sure you are up-to-date with all your routine
    vaccinations, including seasonal influenza
    vaccine if available.
  • Identify the health-care resources in the area(s)
    you will be visiting.

Source / CDC Travelers Health (4/27/09)
H1N1 Influenza Travel Precautions - During
Sample from Presentation
  • Monitor the local situation
  • Pay attention to announcements from the local
  • Follow local public health guidelines, including
    any movement restrictions and prevention
  • Practice healthy habits to help stop the spread
    of influenza
  • Wash your hands often with soap and water.  This
    removes germs from your skin and helps prevent
    diseases from spreading.
  • Use waterless alcohol-based hand gels (containing
    at least 60 alcohol) when soap is not available
    and hands are not visibly dirty.
  • Cover your mouth and nose with a tissue when you
    cough or sneeze and put your used tissue in a
  • If you don't have a tissue, cough or sneeze into
    your upper sleeve, not your hands.
  • Wash your hands after coughing or sneezing, using
    soap and water or an alcohol-based hand gel.
  • Follow all local health recommendations.  For
    example, you may be asked to put on a surgical
    mask to protect others.
  • Seek medical care if you feel sick

Source / CDC Travelers Health (4/27/09)
H1N1 Influenza Travel Precautions - After
Sample from Presentation
  • Closely monitor your health for 7 days
  • If you become ill with fever and other symptoms
    of swine flu like cough and sore throat and
    possibly vomiting and diarrhea during this
    period, call your doctor or clinic for an
    appointment right away. Your doctor may test you
    for influenza and decide whether influenza
    antiviral treatment is indicated.
  • When you make the appointment, tell the doctor
    the following
  • Your symptoms,
  • Where you traveled, and
  • If you have had close contact with a person
    infected with swine flu.
  • Avoid leaving your home while sick except to get
    local medical care, or as instructed by your
    doctor. Do not go to work or school while ill. If
    you must leave your home (for example, to seek
    medical care) wear a surgical mask to keep from
    spreading your illness to others.
  • Always cover your nose and mouth with a tissue
    when you cough or sneeze. Throw away used tissues
    in a trash can.
  • Wash your hands with soap and water often and
    especially after you cough or sneeze. If soap and
    water are not available, use an alcohol-based
    hand gel containing at least 60 alcohol.
  • Avoid close contact with other people as much as
  • Wear a surgical mask if you are in contact with
    other people.

Source / CDC Travelers Health (4/27/09)
Weekly Updates of WHO CDC
Sample from Presentation
  • The following slides summarize the weekly
    updates from the World Health Organization (WHO)
    and the Center for Disease Control (CDC).
  • On the basis of available evidence and expert
    assessments of the evidence, the scientific
    criteria for an influenza pandemic have been met.
  • The Director-General of WHO raised the level of
    influenza pandemic alert from phase 5 to phase 6.
    "The world is now at the start of the 2009
    influenza pandemic," she said at a press
    conference 6/11.
  • On present evidence, the overwhelming majority of
    patients experience mild symptoms and make a
    rapid and full recovery, often in the absence of
    any form of medical treatment.
  • Worldwide, the number of deaths is small. Each
    and every one of these deaths is tragic, and we
    have to brace ourselves to see more. However, we
    do not expect to see a sudden and dramatic jump
    in the number of severe or fatal infections.

Source / WHO (6/11/09)
H1N1 Flu Present Situation - WHO
Sample from Presentation
  • Pandemic (H1N1) 2009 - update 73
  • As of 1 November 2009, worldwide more than 199
    countries and overseas territories/communities
    have reported laboratory confirmed cases of
    pandemic influenza H1N1 2009, including over 6000
  • As many countries have stopped counting
    individual cases, particularly of milder illness,
    the case count is likely to be significantly
    lower than the actual number of cases that have
    occurred. WHO is actively monitoring the progress
    of the pandemic through frequent consultations
    with the WHO Regional Offices and member states
    and through monitoring of multiple sources of
  • Intense and persistent influenza transmission
    continues to be reported in North America without
    evidence of a peak in activity. The proportion of
    sentinel physician visits due to
    influenza-like-illness (ILI)(8) has exceeded
    levels seen over the past 6 influenza seasons
    42 of respiratory samples tested were positive
    for influenza and 100 of subtyped influenza A
    viruses were pandemic H1N1 2009. Rates of ILI,
    proportions of respiratory samples testing
    positive for influenza, and numbers of outbreaks
    in educational settings continues to increase
    sharply in Canada as activity spreads eastward.
    Significantly more cases of pandemic H1N1 have
    been recorded in Mexico since September than were
    observed during the initial springtime epidemic.
  • In Europe and Central and Western Asia, pandemic
    influenza activity continues to increase across
    many countries, signaling an unusually early
    start to the winter influenza season. Active
    circulation of virus marked by high proportions
    of sentinel respiratory samples testing positive
    for influenza has been reported in Belgium (69),
    Ireland (55), Netherlands (51), Norway (66),
    Spain (46), Sweden (33), the United Kingdom
    (Northern Ireland81), and Germany (27). In
    addition, there is evidence of increasing and
    active transmission of pandemic influenza virus
    across Northern and Eastern Europe (including
    Ukraine and Belarus), and eastern Russia. For
    details on the situation in Ukraine please refer
    to the Disease Outbreak News update below. In
    Western Asia and the Eastern Mediterranean
    Region, increasing activity has been reported in
    Oman and Afghanistan.
  • Link to WHO Update 73 http//www.who.int/csr/don/2

Source / WHO (11/6/09)
Spread of Influenza A(H1N1)
Sample from Presentation
H1N1 Flu Key Flu Indicators 11/6/09
Sample from Presentation
  • During week 43 (October 25-31, 2009), influenza
    activity remained elevated in the U.S.
  • 5,258 (37.2) specimens tested by U.S. World
    Health Organization (WHO) and National
    Respiratory and Enteric Virus Surveillance System
    (NREVSS) collaborating laboratories and reported
    to CDC/Influenza Division were positive for
  • Over 99 of all sub typed influenza A viruses
    being reported to CDC were 2009 influenza A
    (H1N1) viruses.
  • The proportion of deaths attributed to pneumonia
    and influenza (PI) was above the epidemic
  • Eighteen influenza-associated pediatric deaths
    were reported. Fifteen of these deaths were
    associated with 2009 influenza A (H1N1) virus
    infection and three were associated with an
    influenza A virus for which the subtype was
  • The proportion of outpatient visits for
    influenza-like illness (ILI) was above the
    national baseline. All 10 regions reported ILI
    above region-specific baseline levels.
  • Forty-eight states reported geographically
    widespread influenza activity, two states
    reported regional influenza activity, the
    District of Columbia reported local influenza
    activity Puerto Rico and Guam reported sporadic
    influenza activity, and the U.S. Virgin Islands
    did not report.

Source / CDC (11/6/09)
H1N1 Flu Present Situation - CDC
Sample from Presentation
Source / CDC (11/6/09)
Who will be recommended to receive the 2009 H1N1
Sample from Presentation
  • CDCs Advisory Committee on Immunization
    Practices (ACIP) recommends that certain groups
    of the population receive the 2009 H1N1 vaccine
    first. These target groups include pregnant
    women, people who live with or care for children
    younger than 6 months of age, healthcare and
    emergency medical services personnel, persons
    between the ages of 6 months and 24 years old,
    and people ages of 25 through 64 years of age who
    are at higher risk for 2009 H1N1 because of
    chronic health disorders or compromised immune
  • Vaccine to protect against the 2009 H1N1 flu
    virus is available however, initial supplies are
    limited. The Advisory Committee on Immunization
    Practices (ACIP) has recommended that the
    following groups receive the vaccine before
    others pregnant women, people who live with or
    care for children younger than 6 months of age,
    health care and emergency medical services
    personnel with direct patient contact, children 6
    months through 4 years of age, and children,
    especially those younger than 5 years of age and
    those who have high risk medical conditions are
    at increased risk of influenza-related
    complications. For a more detailed description of
    children at highest risk, read Children with
    Developmental Disabilities and Chronic Medical
  • The committee recognized the need to assess
    supply and demand issues at the local level. The
    committee further recommended that once the
    demand for vaccine for these target groups has
    been met at the local level, programs and
    providers should begin vaccinating everyone from
    ages 25 through 64 years. Current studies
    indicate the risk for infection among persons age
    65 or older is less than the risk for younger age
    groups. Therefore, as vaccine supply and demand
    for vaccine among younger age groups is being
    met, programs and providers should offer
    vaccination to people over the age of 65.

Source / CDC (11/5/09)
Follow Reputable Information/Sources
  • What is CDCs recommendation regarding "swine flu
    parties"?"Swine flu parties" are gatherings
    during which people have close contact with a
    person who has 2009 H1N1 flu in order to become
    infected with the virus. The intent of these
    parties is for a person to become infected with
    what for many people has been a mild disease, in
    the hope of having natural immunity 2009 H1N1 flu
    virus that might circulate later and cause more
    severe disease.
  • CDC does not recommend "swine flu parties" as a
    way to protect against 2009 H1N1 flu in the
    future. While the disease seen in the current
    2009 H1N1 flu outbreak has been mild for many
    people, it has been severe and even fatal for
    others. There is no way to predict with certainty
    what the outcome will be for an individual or,
    equally important, for others to whom the
    intentionally infected person may spread the
  • CDC recommends that people with 2009 H1N1 flu
    avoid contact with others as much as possible. If
    you are sick with flu-like illness, CDC
    recommends that you stay home for at least 24
    hours after your fever is gone except to get
    medical care or for other necessities. (Your
    fever should be gone without the use of a
    fever-reducing medicine.) Stay away from others
    as much as possible to keep from making others

Commercial Tracking Available E.G. iJet
Source/Footnote CDC Website - http//www.ijet.com
CDC Business Pandemic Influenza Planning Checklist
Source/Footnote CDC Website - http//www.pandemic
H1N1 Influenza For additional Information
  • H1N1 Influenza resources
  • World Health Organization http//www.who.int/csr
  • Centers for Disease Control http//www.cdc.gov/
    1-800-CDC-INFO (1-800-232-4636)
  • CDC Travel Advisories Alerts
  • U.S. State Department Travel Alerts
  • U.S. state Department Travel Warnings

MOREH1N1 Influenza Information
  • More H1N1 Influenza resources
  • Flu.gov Communication Toolkit for Businesses and
    Employers http//www.pandemicflu.gov/professional
  • SHRM - Human Resources H1N1 Page
  • CNN H1N1 Fighting the Flu http//www.cnn.com/S
  • International SOS Pandemic Preparedness
  • Marsh Flu Pandemic Page http//global.marsh.com

H1N1 Influenza Update(Swine Flu)Thank You
11/10/09 Stephen Motzko, CSP
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