Pandemic Planning for Companies and People

Peggy Prinz LuebbertMS,MT(ASCP), CIC,CHSP

pegsconcepts@hotmail.com

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Pandemic Planning for Companies and People

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Pandemic Planning for Companies and People

Monkey poxSmall pox

Avian InfluenzaAnthrax

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EPIDEMIC AWARENESS

Pandemic Planning for Companies and People

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Pandemic Planning for Companies and People• Past flu pandemics…..Past flu pandemics…..

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Credit: US National Museum of Health and Medicine

1918: “Spanish Flu”A(H1N1)

20-40M Deaths675,000 US Deaths

1957: “Asian Flu”A(H2N2)

1-4M Deaths70,000 US Deaths

1968: “Hong Kong Flu”A(H3N2)

1-4M Deaths34,000 US Deaths

Germs: How do you get them?

Contact

Airborne

Ingestion

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

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

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

Pandemic Planning for Companies and People

INFLUENZA TYPES

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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

Pandemic Planning for Companies and People

INFLUENZA ASURFACE PROTEINS 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

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Pandemic Planning for Companies and People

Avian Flu Human Infections

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1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010

1918H1N1

1957H2N1

1968H3N2

1997H1N1

1999H9N2

2003H5N1

2003H7N7

2004H5N1

Pandemic Planning for Companies and People

Survival of the Fittest Germ…

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Body Fluids

Warmth Moisture Food

Pandemic Planning for Companies and People

Germs Be Gone!

• Clean……………..removes dirt, body fluids• Sanitizers…......remove some germs• Disinfectants….remove most germs• Sterilants……….remove all germs

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Pandemic Planning for Companies and People

Antiseptics• Definition: Chemicals formulated to kill

germs on skin.• Types

– Soaps•Non-germicidal•Germicidal

– Alcohol based Agents

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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

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Pandemic Planning for Companies and People

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