SOP Avian Flu preparedness plan.docx
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SOP Avian Flu preparedness plan.docx
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SOPAvianFlupreparednessplan
GENPACT–Global
AvianInfluenzaPandemicPreparednessPlan
MedicalServicesDocument–06
DocumentIssue/Revision
Rev
IssueDate
RevisionStatement
ReviewDate
Author
Approved
1
13thMay07
NewDocument
Version2
13thMay08
ChiefMedicalOfficer-Global
Inrastructure&LogisticsLeader
Business:
GENPACT
Location:
Global
Aim:
ToprovideguidelinestotheSiteLogistics,SiteEHSandOn-siteMedicalServicesoftheprocedurestobefollowedincaseofanAvianInfluenzaOut-break/detectionintheState/ProvincewhereGenpactFacilityissituated.
Objective:
TopreventthespreadofAvianInfluenzaamongemployees/visitorsattheFacilityandtoprovidespeedytreatmenttotheaffectedemployees.
Scope:
AllGenpactsites.
Responsibility:
AlltheMedicalandPara-MedicalStaffonthesite,EHSpersonnel,theemployee’sManager,SiteLogisticsLeader,CoEHRLeaderandSiteLeader.
Introduction
Apandemicisaglobaldiseaseoutbreak.Aninfluenzapandemicoccurswhenanewinfluenzavirusemergesforwhichthereislittleornoimmunityinthehumanpopulation,beginstocauseseriousillnessandthenspreadseasilyperson-to-personworldwide.
Intheeventofaninfluenzapandemic,wewillplayakeyroleinprotectingouremployees'healthandsafetyaswellasinlimitingtheimpactonthefunctioning.Properplanningwillallowustobetterprotectouremployeesandlessentheimpactofthepandemic.
Itisimportanttonotethatthereiscurrentlynopandemic;thus,thisdraftisintendedforplanningpurposesandisnotspecifictoaparticularviralstrain.Additionalguidancemaybeneededasanactualpandemicunfoldsandmoreisknownaboutthecharacteristicsofthevirulenceofthevirus,diseasetransmissibility,clinicalmanifestation,drugsusceptibility,andriskstodifferentagegroupsandsubpopulations.
TheDifferencebetweenSeasonal,PandemicInfluenzaandAvianInfluenza
Seasonalinfluenzareferstotheperiodicoutbreaksofrespiratoryillnessinthefallandwinter.Outbreaksaretypicallylimited;mostpeoplehavesomeimmunitytothecirculatingstrainofthevirus.Avaccineispreparedinadvanceoftheseasonalinfluenza;itisdesignedtomatchtheinfluenzavirusesmostlikelytobecirculatinginthecommunity.
Pandemicinfluenzareferstoaworldwideoutbreakofinfluenzaamongpeoplewhenanewstrainofthevirusemergesthathastheabilitytoinfecthumansandtospreadfrompersontoperson.Duringtheearlyphasesofaninfluenzapandemic,peoplemightnothaveanynaturalimmunitytothenewstrain;sothediseasewouldspreadrapidlyamongthepopulation.Avaccinetoprotectpeopleagainstillnessfromapandemicinfluenzavirusmaynotbewidelyavailableuntilmanymonthsafteraninfluenzapandemicbegins.Pandemicscanvaryinseverityfromsomethingthatseemssimplylikeabadfluseasontoanespeciallysevereinfluenzapandemicthatcouldleadtohighlevelsofillness,death,socialdisruptionandeconomicloss.
Avianinfluenza(AI)-alsoknownasthebirdflu-iscausedbyvirusthatinfectswildbirdsanddomesticpoultry.Someformsoftheavianinfluenzaareworsethanothers.Avianinfluenzavirusesaregenerallydividedintotwogroups:
lowpathogenicavianinfluenzaandhighlypathogenicavianinfluenza.Lowpathogenicavianinfluenzanaturallyoccursinwildbirdsandcanspreadtodomesticbirds.Inmostcases,itcausesnosignsofinfectionoronlyminorsymptomsinbirds.Ingeneral,theselowpathstrainsofthevirusposelittlethreattohumanhealth.LowpathogenicavianinfluenzavirusH5andH7strainshavethepotentialtomutateintohighlypathogenicavianinfluenzaandare,therefore,closelymonitored.Highlypathogenicavianinfluenzaspreadsrapidlyandhasahighdeathrateinbirds.HighlypathogenicavianinfluenzaoftheH5N1strainisrapidlyspreadinginbirdsinsomepartsoftheworld.
HighlypathogenicH5N1isoneofthefewavianinfluenzavirusestohavecrossedthespeciesbarriertoinfecthumansanditisthemostdeadlyofthosethathavecrossedthebarrier.MostcasesofH5N1influenzainfectioninhumanshaveresultedfromcontactwithinfectedpoultryorsurfacescontaminatedwithsecretions/excretionsfrominfectedbirds.
AsofApril2007,thespreadofH5N1virusfrompersontopersonhasbeenlimitedtorare,sporadiccases.Nonetheless,becauseallinfluenzaviruseshavetheabilitytochange,scientistsareconcernedthatH5N1virusonedaycouldbeabletosustainhumantohumantransmission.Becausethesevirusesdonotcommonlyinfecthumans,thereislittleornoimmuneprotectionagainsttheminthehumanpopulation.IfH5N1virusweretogainthecapacitytosustaintransmissionfrompersontoperson,apandemiccouldbegin.
HowInfluenzaCanSpreadBetweenPeople
Influenzaisthoughttobeprimarilyspreadthroughlargedroplets(droplettransmission)thatdirectlycontactthenose,mouthoreyes.Thesedropletsareproducedwheninfectedpeoplecough,sneezeortalk,sendingtherelativelylargeinfectiousdropletsandverysmallsprays(aerosols)intothenearbyairandintocontactwithotherpeople.Largedropletscanonlytravelalimitedrange;therefore,peopleshouldlimitclosecontact(within6feet)withotherswhenpossible.Toalesserdegree,humaninfluenzaisspreadbytouchingobjectscontaminatedwithinfluenzavirusesandthentransferringtheinfectedmaterialfromthehandstothenose,mouthoreyes.Influenzamayalsobespreadbyverysmallinfectiousparticles(aerosols)travelingintheair.
ClassifyingEmployeeExposuretoPandemicInfluenzaatWork
Employeerisksofoccupationalexposuretoinfluenzaduringapandemicmayvaryfromveryhightohigh,medium,orlower(caution)risk.Thelevelofriskdependsinpartonwhetherornotjobsrequirecloseproximitytopeoplepotentiallyinfectedwiththepandemicinfluenzavirus,orwhethertheyarerequiredtohaveeitherrepeatedorextendedcontactwithknownorsuspectedsourcesofpandemicinfluenzavirussuchascoworkers,thegeneralpublic,outpatients,schoolchildrenorothersuchindividualsorgroups.
▪Veryhighexposureriskoccupationsarethosewithhighpotentialexposuretohighconcentrationsofknownorsuspectedsourcesofpandemicinfluenzaduringspecificmedicalorlaboratoryprocedures.
▪Highexposureriskoccupationsarethosewithhighpotentialforexposuretoknownorsuspectedsourcesofpandemicinfluenzavirus.
▪Mediumexposureriskoccupationsincludejobsthatrequirefrequent,closecontact(within6feet)exposurestoknownorsuspectedsourcesofpandemicinfluenzavirussuchascoworkers,thegeneralpublic,outpatients,schoolchildrenorothersuchindividualsorgroups.
▪Lowerexposurerisk(caution)occupationsarethosethatdonotrequirecontactwithpeopleknowntobeinfectedwiththepandemicvirus,norfrequentclosecontact(within6feet)withthepublic.Evenatlowerrisklevels,however,employersshouldbecautiousanddeveloppreparednessplanstominimizeemployeeinfections.
WeatGenpactfallintothemediumexposureriskbecauseofthenatureofourworkconditions.
DevelopingaDisasterPlan
▪ReviewofpandemicinfluenzaplansofMinistryofHealth,GOI.Incorporateappropriateactionsfromtheseplansintoworkplacedisasterplans.
▪Preparationandplanningforoperationswithareducedworkforce.
▪Asickleavepolicythatdoesnotpenalizesickemployees,therebyencouragingemployeeswhohaveinfluenza-relatedsymptoms(e.g.,fever,headache,cough,sorethroat,runnyorstuffynose,muscleaches,orupsetstomach)tostayhomesothattheydonotinfectotheremployees.Recognizethatemployeeswithillfamilymembersmayneedtostayhometocareforthem.
▪Minimizeexposuretofellowemployeesorthepublic.
▪Identifybusiness-essentialpositionsandpeoplerequiredtosustainbusiness-necessaryfunctionsandoperations.Preparetocross-trainordevelopwaystofunctionintheabsenceofthesepositions.Weshouldtrainthreeormoreemployeestobeabletosustainbusiness-necessaryfunctionsandoperations,andcommunicatetheexpectationforavailableemployeestoperformthesefunctionsifneededduringapandemic.
▪Recognizethat,inthecourseofnormaldailylife,allemployeeswillhavenon-occupationalriskfactorsathomeandincommunitysettingsthatshouldbereducedtotheextentpossible.
▪Stockpileitemssuchassoap,tissue,handsanitizer,cleaningsuppliesandrecommendedpersonalprotectiveequipment.Whilestockpilingitems,wehavetobeawareofeachproduct'sshelflifeandstorageconditions(e.g.,avoidareasthataredamporhavetemperatureextremes)andincorporateproductrotation(e.g.,consumeoldestsuppliesfirst)intoourstockpilemanagementprogram.
▪Developpoliciesandpracticesthatdistanceemployeesfromeachother,customersandthegeneralpublic.Considerpracticestominimizeface-to-facecontactbetweenemployeessuchaswebchatandteleconferences.Policiesandpracticesthatallowemployeestoworkfromhomemaybeimportantasabsenteeismrises.
▪Acentralteamofpeopleorfocalpointtoserveasacommunicationsourcesothatouremployeesandcustomerscanhaveaccurateinformationduringthecrisis.
▪Toprovideemployeeswitheasyaccesstoinfectioncontrolsupplies,suchassoap,handsanitizers,personalprotectiveequipment(suchasglovesorsurgicalmasks),tissues,andofficecleaningsupplies.
▪Providetraining,educationandinformationalmaterialaboutbusiness-essentialjobfunctionsandemployeehealthandsafety,includingproperhygienepracticesandthe
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