Pandemic Planning

1
Pandemic Planning

• The plan aims to manage the potential impact of
  an influenza pandemic on company employees and
  the business by
• Minimizing the risk of infection to company
  employees by reducing spread within business
  facilities and between staff
• Maintaining essential business operations if
  containment is not possible
• Providing appropriate information and assurance
  to employees
• Addressing customer needs and concerns

2
Pandemic Stages and Action Plans Planning
Response
Pandemic Stages
Now
Planning
Inter-Pandemic Period Stages 1 - 4
Human-To-Human (Occasional)
Preventive Action
Pandemic Initiation Alert Stage 5
Human-to-Human (Frequent)
Contingency Implementation
Pandemic Outbreak Stage 6
Return to Normalcy
3
Organized Corporate Response Crisis Management
Teams
Executive Steering Group
Corporate

• Pandemic Preparedness Teams
• Medical, security, legal, public relations,
  personnel etc
• Crisis management entity
• Global contingency plan and tripwires

Pole/Function
Work Teams
Work Teams
Work Teams
Work Teams
Site
Local Team
Local Team
Local Team
Local Team
Local Team
Local Team
Local Team
Local Team
4
Contingency Planning

• Frequent and rapid communication
• Education and engagement at all levels
• Preparation
• Practice
• Personalization for each site and function
• Self-Reliance

5
Appropriate Response Indicators

• Global contingency planning requires a uniform,
  centralized approach to threat mitigation
• Tripwires keep global plans flexible
• Create pre-determined response to local
  conditions
• Facilitate planning
• Allow for rapid, organized response to local
  threats

6
Inter-Pandemic Stage Planning Tripwires

• Tripwires
• Spreading through
• migratory birds
• Little bird-to-human infection
• Predominantly in rural areas
• Moderate social, economic, and political impact

7
Inter-Pandemic Stage Monitoring Example
Turkey Humans Cases 21 infected 4
deaths Population 70,000,000
Rural Human Deaths
8
Inter-Pandemic Stage Preparation Pandemic
Preparedness Team

• Pandemic Preparedness Team (PPT)
• Create contingency plans
• Articulate duties and delegate responsibility to
  employees on a position-basis and on global,
  regional and country levels
• Provide travel advisories and regular updates to
  local staff and traveling staff
• Educate all employees on influenza and
  organizations response plan

9
Inter-Pandemic Stage Preparation Business
Continuity Planning

• Contingency Planning
• Logistics and Supply Chain Disruptions
• Identify critical functions, sites and suppliers
• Work with key suppliers eliminate sole/single
  suppliers
• Adjust inventory levels
• Ensure basic utilities
• Information technology availability
• Psychological Impacts of a Pandemic
• Emotion (Fear, Anxiety, Grief) and Rumors
• Loss of social support system self esteem
• Parenting/ Childrens issues schools, daycare
  and socializing
• Social contact with friends and family
• Human Relations and Personnel Issues
• Sick leave and absenteeism policies
• Discouraging sick workers from work Skills
  cross-training
• Firing/layoffs/furloughs Bringing back the
  workforce later
• Unemployment insurance
• Sustaining Families through a Pandemic

10
Inter-Pandemic Stage Preparation Teams

• Work Teams and Local Teams
• Update employee contact lists phone tree
• Cross-train
• Collect and disseminate relevant information
  through all levels of the organization
• Local government contingency plans
• Appropriate health centers
• Relevant hygiene and sanitary guidelines to
  employees
• Hygiene supplies vendors
• Dismiss rumors

11
Inter-Pandemic Stage Preparation Teams

• Work Teams and Local Teams
• Monitor employee health
• Allocate funds and secure vendors for
• Basic medical and hygiene suppliesAs directed
  by Medical/EHS
• sophisticated face masks N95 (disposable
  particulate respirator)
• food and water
• Thermometers ear, mouth, batteries, sterile
  covers or disposable variety
• Alcohol-based hand sanitizer and sanitizing
  soaps
• Bleach and ammonia-based disinfectants
• Latex and vinyl gloves
• Anti-viral drugs and other medical supplies
• Employees, contractors, guests etc
• Designate secure storage locations and
  responsible point of contacts for supplies in
  each office

12
Pandemic Stages and Action Plans Preventive
Action
Response
Pandemic Stages
Planning
Inter-Pandemic Period
Next
Pandemic Initiation Alert
Preventive Action
Contingency Implementation
Pandemic Outbreak
13
Preventive Action Tripwires

• Tripwires
• Virus has mutated and human-to-human infection is
  becoming prevalent and sustained
• Infections begin on rural farms and eventually
  spread to neighboring towns and urban centers
• Local health officials become less able to
  properly care for the sick
• General atmosphere of fear and confusion

14
Preventive Action Secondary Operational Obstacles

• Resulting Secondary Operational Obstacles
• Significant and prolonged absenteeism
• Possible illness of key personnel
• Supply chain blockages
• Public transportation closure
• Government quarantines and travel restrictions
• IT Network overloads
• Increased crime / pharmaceutical counterfeiting

There are no countries currently in this phase
15
Preventive Action Responses from All Levels

• Responses from All Levels
• Gather and share relevant information
• Follow Trigger points
• WHO and government announcements
• Consider evacuation of non-essential ex-pat
  employees and /or families
• Limit or restrict travel to infected areas
• Order medication and masks and deliver to local
  offices

16
Preventive Action Teams

• Work Team and Local Teams
• Secure medication and medical supplies in safe
  location
• Administer only when instructed to do so by a
  physician
• Continually monitor employee health with
  thermometers
• Enforce usage of hand sanitizers, masks and
  gloves
• Continually sanitize hand railings, door knobs
  etc

17
Initiation and Alert Teams

• Work Teams and Local Teams
• Enact liberal leave plan
• Pay sick employees to stay home
• Pay employees in contact with sick people to
  stay home
• Split staff into shifts to minimize
  intra-employee contact
• One person from each department per shift
• Cross-Train
• Can quarantine whole shift if someone falls ill
• Prevent theft

18
Initiation and Alert Teams

• Work Teams and Local Teams
• Let employees work from home
• Equip with phones, walkie talkies and / or
  computers
• Develop alternative transportation options
  should roads or public transportation close
• Maintain contact with local hospitals to track
  breakouts
• Rent alternative worksite for future, rapid
  re-location

19
Pandemic Stages and Action Plans Contingency
Implementation
Response
Pandemic Stages
Planning
Inter-Pandemic Period
Pandemic Initiation Alert
Preventive Action
Endgame
Contingency Implementation
Pandemic Outbreak
Return to Normalcy
20
Contingency Implementation Tripwires

• Tripwires
• Highly contagious virus spreads rapidly from
  human-to-human
• Hospitals and Public Health coping poorly or
  overwhelmed
• Large areas under quarantine
• Employee infection confirmed

21
Contingency Implementation Responses from All
Levels

• Responses from All Levels
• Complete implementation of contingency plans
• Be prepared to forfeit present business for asset
  protection and employee safety
• Do not expect special treatment from local
  government
• Do not expect medical supplies from U.S.or other
  Embassy / Consulate

There are no countries currently in this phase
22
Contingency Implementation Teams

• Local Teams
• Constantly communicate with PPT and Work Teams
• Continue liberal leave policy
• Relocate as many key employees to new location as
  possible
• Maintain contact with employees working from home
• Support employees in order to facilitate rapid
  recovery
• Administer medication as physicians recommend

23
Contingency Implementation Re-establishing
Normalcy
Response
Pandemic Stages
Planning
Inter-Pandemic Period
Pandemic Initiation Alert
Preventive Action
Endgame
Contingency Implementation
Pandemic Outbreak
Return to Normalcy
24
Re-establishing Normalcy Recovery Period

• Final stage of planning
• Engage all levels of crisis management
• We are currently in a waiting game to see how
  avian flu develops before pursuing a recovery plan

25
Avian Flu Resources Internal and External

• Digital
• Pandemic Influenza Internal Web Site (FAQs in
  10 languages)
• Customer Response FAQs

• Activities
• WI HAN Network
• Milwaukee PIP (Pandemic Influenza Planning)
  Committee
• Waukesha County Emergency Preparedness Committee
• Southeast Wisconsin Homeland Security Partnership
  Pandemic Subcommittee

• Useful Websites
• Wisconsin Health Alert Network (https//www.han.wi
  sc.edu/mod_logn/index.jsp)
• Wisconsin P.H. Pandemic (http//dhfs.wisconsin.g
  ov/communicable/pandemic/index.htm)
• Milwaukee Health Department (http//www.ci.mil.wi.
  us/display/router.asp?docid14068)
• Overseas Security Advisory Council
  (http//www.osac.gov)
• World Health Organization (http//www.who.int/csr/
  disease/avian_influenza/en/)
• Centers for Disease Control and Prevention
  (http//www.cdc.gov/flu/avian/index.htm)
• Pandemic Flu Center (http//pandemicflu.gov/)
• U.S. National Library of Medicine
  (http//www.nlm.nih.gov/medlineplus/flu.html)
• China Ministry of Health guidelines
  (http//www.moh.gov.cn/uploadfile/200592885117556
  .doc)