Pandemic Planning for Companies and People

1. Pandemic Planning for Companies and People Peggy Prinz Luebbert MS,MT(ASCP), CIC,CHSP pegsconcepts@hotmail.com

2. Pandemic Planning for Companies and People Mothr U wntBlev Evoluteclaschptrevol of bugs Cnt hid frmthmaniwear

3. Pandemic Planning for Companies and People EPIDEMIC AWARENESS Avian Influenza Anthrax Mad cow Smallpox Monkey pox

4. Pandemic Planning for Companies and People

5. Credit: US National Museum of Health and Medicine Pandemic Planning for Companies and People • Past flu pandemics….. 1918: “Spanish Flu” A(H1N1) 20-40M Deaths 675,000 US Deaths 1957: “Asian Flu” A(H2N2) 1-4M Deaths 70,000 US Deaths 1968: “Hong Kong Flu” A(H3N2) 1-4M Deaths 34,000 US Deaths

6. Germs: How do you get them? Airborne Droplet • Airborne precautions are required for patients known or suspected to be infected by airborne microorganisms. • The door is to remain closed and monitor on • Avoid transporting. If transporting is necessary, the patient must wear a surgical mask • Diagnosed or suspected infections/diseases requiring airborne precautions: • Tuberculosis – suspected or confirmed • Measles • Varicella (chickenpox) plus contact precautions • Herpes zoster* (disseminated disease or localized disease in an immunocompromized patient) plus contact precautions • Germs that cause infection when they land in a susceptible person’s eyes, nose or mouth. • Wear a mask when working within 3 feet of the patient. • Diagnosed or suspected infections/diseases requiring droplet precautions: • Pertussis • Adenovirus • Influenza • Meningitis • Mumps • Epiglottitis • Germs that come in contact with your skin or other part of your body. • Diagnosed or suspected infections/diseases requiring Contact Precautions: • Resistant Bacteria (MRSA,VRE) • C. difficile • RSV • Rotavirus, Shigella, Giardia other • gastroenteritis • Skin infections - Impetigo, Scabies, Lice, Varicella • Parainfluenza • Enterovirus • Hepatitis A Contact • Spread by oral-fecal route • Organisms include Norovirus, Hepatitis A • Protective Measures: • Use good hand hygiene after using the restroom • Keep hands "out of your face" • Clean environment regularly • Report any gastrointestinal symptoms to the sick line Ingestion

7. Pandemic Planning for Companies and People INFLUENZA TYPES • INFLUENZA A • Many animal reservoirs • Strains mutate • Associated with pandemics • Pandemics occur /20 years • INFLUENZA B • Human only reservoir • Less mortality than A • Associated with epidemics, not pandemics • INFLUENZA C • Not associated with epidemics • Mild illness

8. Pandemic Planning for Companies and People INFLUENZA A SURFACE PROTEINS Hemagglutinin (H) • Site of attachment to human cells • Antibody to H is protective • H1-H15 Neuraminadase (N) • Helps to release virions from cells • Antibody modifies disease severity • N1-N9

9. Pandemic Planning for Companies and People Avian Flu Human Infections 1918 H1N1 1957 H2N1 1968 H3N2 1997 H1N1 1999 H9N2 2003 H5N1 2003 H7N7 2004 H5N1

10. Pandemic Planning for Companies and People Survival of the Fittest Germ… Warmth Moisture Food Body Fluids

11. Pandemic Planning for Companies and People Germs Be Gone! • Clean……………..removes dirt, body fluids • Sanitizers…......remove some germs • Disinfectants….remove most germs • Sterilants……….remove allgerms

12. Pandemic Planning for Companies and People Antiseptics • Definition: Chemicals formulated to kill germs on skin. • Types • Soaps • Non-germicidal • Germicidal • Alcohol based Agents

13. Pandemic Planning for Companies and People The only thing more difficult than planning would be explaining why you did not do it! -- Marja Esveld Healthcare Inspectorate, The Netherlands

14. Pandemic Planning for Companies and People