HEALTH INCIDENT PLANNING Infectious Disease and the Workplace - - PowerPoint PPT Presentation

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HEALTH INCIDENT PLANNING Infectious Disease and the Workplace - - PowerPoint PPT Presentation

HEALTH INCIDENT PLANNING Infectious Disease and the Workplace Presenter: Dr Andrew Ebringer, International SOS AAMIG Member Seminar Minespace, 2 nd July 2015 Africa Health Risk Map 2015 Medical Care Disease Risk Food & Water Quality Risk


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HEALTH INCIDENT PLANNING

Infectious Disease and the Workplace

Presenter: Dr Andrew Ebringer, International SOS AAMIG Member Seminar Minespace, 2nd July 2015

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Africa Health Risk Map 2015

Medical Care Vaccinations Food & Water Quality Disease Risk Risk of Malaria Risk of Rabies

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Risk of medical evacuation for international assignees and travellers is 20 times greater in High Risk countries1

1Source: JOEM _ Volume 54, Number 9, September 2012. Myles Druckman, MD, Philip Harber, MD, MPH,

Yihang Liu, MD, MS, MA, and Robert L. Quigley, MD, DPhil, Results from International SOS medical evacuation activity from 50 companies based on 94,561 International Assignees located in 181 countries and 8,727,361 International Trips to 214 countries in 2009

Medical evacuation likelihood by country risk rating

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Australasia AC Data : Evacuation Causes

5 10 15 20 25 30 35 %

Combined PNG Africa

Top 5 causes account for 80% of all causes for evacuation

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Infective causes of air evacuation by International SOS

10 20 30 40 50 60 70 Malaria PUO Meningitis Dengue TB Hepatitis Cellulitis % Combined PNG Africa

54% of evacuations relate to malaria, a largely preventable disease in these populations

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Key Diseases

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Key Diseases - Workplace

Person-to Person

Flu Measles Chickenpox Mumps Meningitis Ebola TB Bed Bugs

Water/ food

  • borne

Cholera Typhoid Hep A Norovirus

Mosquitoes

Malaria Dengue Yellow Fever Chikungunya

  • Some are vaccine preventable
  • Many occur in Australia
  • Some are new ‘emerging’ threats
  • Mosquito-borne diseases cannot be

transmitted person to person, however vector-control programmes can reduce prevalence in the workplace

Can all be transmitted person-to- person

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Emerging Threats

Common requests for assistance with workplace incidents for which there is no vaccine

  • Tuberculosis
  • Bed bugs
  • Gastroenteritis – Norovirus

Emerging threats which increase client concern, even if no incident has occurred

  • Ebola
  • Bird flu
  • MERS-CoV

Question: How many of you created or amended procedures due to Ebola?

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Infectious disease in the workplace

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Infectious Disease – Workplace Impact

Poor management of an outbreak can lead to:

  • Poor clinical outcomes
  • Employee anxiety / lack of corporate confidence
  • Reduced business productivity
  • Business disruption and financial losses
  • Liability & reputational losses

Best practice

  • Crisis plans for earthquakes, floods etc
  • Influenza pandemic planning now a standard
  • Need an infectious disease plan as part of crisis

management plans

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Case Study : Mine Site Norovirus Outbreak

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Gastroenteritis / Norovirus

  • Very common outbreaks
  • Highly contagious
  • Person-to-person
  • Contaminated food or water
  • From surfaces
  • Hardy
  • Symptoms: sudden onset of nausea, violent

vomiting, diarrhoea, aches and fever

  • Usually clears when well hydrated and rested
  • Prevention = good personal hygiene
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Project site with 2,000 employees

  • Dec 5 - Employee arrives on site from Dubai
  • Dec 6 - He develops sudden vomiting and

diarrhoea

  • Dec 7 – 2 people develop same illness
  • Dec 8 – 1 more case
  • Dec 9 – 9 new cases
  • Dec 17 – Final case #42.

Took 12 days to eliminate

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  • Isolation
  • Room review
  • Deep cleaning - toilet blocks/accommodation
  • Laundry segregation
  • Dining facilities
  • Enhanced personal hygiene

Site management of outbreak

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Washing hands

Use soap: Using water alone does not remove soil and grease which can trap unseen germs and viruses. Wash your hands for at least 15-20 seconds using the following steps. Total duration

  • f the entire procedure is

40-60 seconds.

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Site management of outbreak

  • Awareness – emails and toolbox talks
  • Daily briefings - senior managers
  • Daily team meetings - facility managers
  • Reporting to all stakeholders on site and

externally

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Outbreak Plan : Procedures

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  • 1. Screening and PPE
  • 2. Isolation / Quarantine
  • 3. Cleaning
  • 4. Food handling
  • 5. Health authorities are notified
  • 6. Prevention

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How to prepare for an health incident

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Compliance Environment : Legislative Framework

  • Obligations on employers to take

reasonably practicable steps to minimise the threats identified and reduce the risk of injury or other harm to those who work for them

  • WH&S Laws are criminal in nature. Penalties

may apply to any PCBU: Company Director, white van tradesman, workers in a practice

– Not tested in law yet – Consideration - justification vs. cost (unjustifiable hardship) – Cannot ‘contract off’ legal obligations – Requirement for threat assessments to be conducted prior to work commencing – Judged against peers

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Components of Effective Disease Management

  • 1. Disease dependent procedures in place
  • 2. Health Incident Plan
  • In advance
  • Allows business leaders to systematically manage a health

incident

  • Simultaneously support affected personnel and protect the
  • rganisation
  • Living document : review, update, reflect
  • Sits within greater framework of business continuity plans
  • 3. Communications should be pre-prepared
  • To address expected questions
  • To educate on best practice
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Key Organisation Takeaways

Develop an adaptable Corporate Plan to protect employees and business assets, include:

  • 1. Corporate Policies for guidance to

business units

  • 2. Practical Action Tables to guide Crisis

Management Team/s – scalable to the severity and impact

  • 3. Reference Documents, Procedures,

Communication, Posters and Tools for handling the disease

  • 4. Health promotion and screening to

maintain optimal health

  • 5. Provide vaccinations for preventable

diseases

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Key Traveller Takeaways

Wash your hands often Wash regularly and properly with

  • soap. Carry hand sanitiser

and use it when you can’t wash your hands Cover your cough or sneeze If you are sick, cover your cough or sneeze to avoid transferring the virus to others Avoid touching your face Viruses can transfer from surfaces to your hands, then to your mouth and nose Keep your distance from people who are sick If you have to attend to someone who is ill, wash your hands afterwards Ensure food is thoroughly cooked, milk is pasteurised Avoid unnecessary exposure to mosquitoes / animals

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Key Contacts

International SOS 24/7 Assistance Centre Sydney Ph: +61 2 9372 2468 www.internationalsos.com For more information, please contact: Beth King Business Development Manager (Perth Based) Ph: +61 8 6465 5104 M: +61 447 628 155 E: beth.king@internationalsos.com