influenza – Page 3 – SafetyAtWorkBlog

Swine Flu and business continuity – video

On the evening of 2 June 2009, the ABC TV show “Lateline Business” ran a short item on the business continuity issues associated with Australia’s swine flu outbreak. Not much that was said was new but it proposed an interesting scenario for those people who manage aged care facilities where a potentially virulent illness could harm residents who it may be difficult to isolate or quarantine.

Michael Tooma of Australian law firm, Deacons, spoke briefly to remind viewers that health and safety were important legislative obligations that relate to illnesses, such as swine flu. Interestingly he provided a rule-of-thumb scenario on business continuity. He asked whether a business could continue to operate with 20% less staff, a 20% reduction in logistics services and 20% less customers, if the swine flu realises its potential.

Most of the speakers spoke from the current position that Australia is suffering from a “mild” case of this virus. The story would be considerably different if Australia suffered its first swine-flu fatality, as have other nations. One death and the terminology will change.

A video of the segment is available to view online.

Kevin Jones

Presenteeism and swine flu

Craig Donaldson interviewed Joydeep Hor, managing partner of Australian law firm Harmers on employment issues related to the swine flu outbreak. Joydeep rightly points out that HR and OHS processes should not differentiate between swine flu and other workplace illnesses. Hor briefly discusses the employers duty of care and how to question one’s traditional approaches to the “sniffles” at work.

Of course there is also the much under-enforced obligation of the employee not to put their work colleagues at risk – the major argument against presenteeism.

Kevin Jones

The latest OHS advice on managing swine flu

Some time ago SafetyAtWorkBlog was critical of OHS regulators releasing swine flu information because the advice was not being easily translated in the workplace, and some of the advice was just silly.

Much better advice is available from the New South Wales government however, curiously, the Workplace Guide to Managing Influenza Pandemic has been issued by the Department of Commerce. The department’s Office of Industrial Relations has released the document which makes more sense however the release seems to be contrary to WorkCover New South Wales who defers to the NSW Health Department, surely the most logical central point for communication on this public health issue.

There are too many “experts” on the workplace impact of swine flu influenza and pandemics. SafetyAtWorkBlog has kept out of this issue as we share the position of WorkCover NSW – defer to the State or National authorities.

However, some companies feel obliged to be seen to be doing something, anything, about swine flu and their half-cocked measures are discrediting their overall process of safety management.

One national company recently issued a new policy advice to all staff on swine flu. The policy was little more than a cut and paste from an official fact sheet. It added little to the employees’ knowledge of the hazard and in no way answered staff questions such as

If my child’s school is closed due to a swine flu threat, what type of leave am I entitled to take?

The company has provided annual influenza vaccinations. Will I need re-vaccinating in the event of swine flu and will the company cover this cost?

In what circumstances can my employer send me home?

Not only was it next to useless, the company had the cheek to include its own corporate logo on the policy. Public health and OHS information is usually flexible in its reuse but somebody in the company looks like they are empire-building rather than managing their staff.

People want advice on how swine flu will disrupt their lives and working lives, not information on swine flu itself. Employers should leave the health information to the health authorities and concentrate on the management of the disruption and potential health threats within their area of expertise, their own workplaces.

If employers raise expectations by issuing policies in areas outside of their expertise, they begin a spiral of the demand for information that it may be impossible to satisfy.

Kevin Jones

Worst Case Scenarios and Pandemics – 2005 interview

In 2005 I had the great opportunity to spend some time with Peter Sandman, a world renowned risk communicator. We spoke about worst case scenarios and risk communication in those times of avian influenza and smallpox threats. The interview has gained additional poignancy in this time of swine flu.

Although the audio is “noisy” as Collins St in Melbourne had more traffic on a Sunday morning than I expected, I think some readers may find this excerpt very useful at the moment.

Click on the magazine’s cover image below to download the interview transcript.

[For Peter Sandman’s current commentary on swine flu, see http://www.psandman.com/index-infec.htm#swineflu1 and especially http://www.psandman.com/col/swinecomm.htm]

or Peter Sandman’s current commentary on swine flu, see

http://www.psandman.com/index-infec.htm#swineflu1 and especially

http://www.psandman.com/col/swinecomm.htm.

Kevin Jones

Swine Flu – isolation – a personal view

Australia’s swine flu numbers are increasing and the government is introducing new measures regularly in response. I write this post from self-imposed isolation from the swine flu outbreak in my son’s high school. There are some interesting decisions that have been made which provide me with optimism but also illustrate some useful personnel management actions.

I heard about a confirmed case of swine flu at the high school at my son’s soccer match last Sunday. I was asked by a soccer mum whether my son knew a boy at his high school who was a confirmed swine flu case. He did and we had not heard.

When I returned home there was no message from the school on my answering machine and nothing on my mobile. I looked on the internet and the case was reported but more importantly the school was to be closed for a week. I confirmed the media report by looking at the local health department website. The case and control measure was mentioned.

However, what does it mean in the broader context when a school is closed? Is my son in “isolation”? Are the other family members? The websites could not help with this so I rang the helpline listed on the website. Yes, my son should have no contact with people outside the house and we should monitor his health, and that of others in the household, for symptoms.

I knew my employer had issued an email from Human Resources in late April advising what to do in the case of an outbreak of swine flu. However, this is not much help for the days prior to symptoms or confirmation of the infection. As I am not in isolation I could be going to work as normal and potentially and innocently infecting work colleagues – not a good risk control. (I have written elsewhere on the matter of presenteeism, here was a preventative opportunity)

I put some risk management questions to the employer even though my advice would be to have me work from home. Within 12 hours, my employer had set me up to work from home for the rest of the week. The IT adviser emailed me a procedure entitled “Flu Pandemic Remote Access”. I commented that I was a little surprised that the company was this prepared. The IT adviser said it was only new and I was the first user.

My wife’s employer is still assessing the situation but we are of the same opinion that if work can be done from home, we should be located at home for the remainder of the isolation period. We are lucky that our occupations afford us this option.

On Monday morning the school rang me to answer any questions about swine flu. I didn’t ask any as we had done our homework and arranged to go to school to collect some of my son’s schoolwork for his time in isolation.

It could be asked why the school waited 24 hours to notify me? How does any company or organisation contact up to 700 people on the weekend? These are issues that are currently also being discussed in a Royal Commission into Victorian Bushfires in Melbourne. The school had all of its staff and teachers on the phones after a meeting at 9.00am that morning. The school’s website did not get an update until Monday morning but not everyone turns on their PC on a Sunday. In the context of the slow encroachment of swine flu in Australia, I think this was reasonable.

It should be noted that although my son was friends with the infected boy only the immediate classmates were provided with Tamiflu and that this occurred on the Sunday – a fair response.

Anticipating the family being at home for a week, I purchased some supplies including a thermometer as a useful way of identifying at least one of the swine flu symptoms.

Two days into isolation and there are no symptoms.

From a professional OHS perspective, communication has been acceptable. Available online information was okay and company support reassuring. At this early stage of the outbreak in Australia, we are optimistic and not worrying ourselves over issues over which we have no control.

Kevin Jones

H1N1 and facemasks

Swine flu cases have begun appearing in Australia and not just in people who have travelled to infected zones overseas. Talkback radio has begun discussing the wisdom of basic infection control issues such as isolation, hygiene and the use of facemasks.

Many large companies have started to provide antibacterial soaps and lotions in the office bathrooms and toilets but few have begun to issue guidelines on staff leave. However as the flu season grows in Australia, it is expected that the tolerance to sniffles by workmates will diminish. SafetyAtWorkBlog has already written about how swine flu will change the culture of workplaces.

The media has plenty of photos of people in infected zones wearing surgical masks or P2 and N95 masks. This indicates that non-health workers do not appreciate the role of facemasks. According to authorities in Japan, where the the wearing of masks during infection peaks and outbreaks is a very common practice, masks are best worn by those who are infected to minimise droplets and spray rather than for healthy people to stop the chance of inhalation.

The government is recommending people use masks as a way of reducing the spread of infection via droplets from coughs and sneezes, but puts the onus on those who are already infected.

“If you start to cough or sneeze, please use a mask,” reads an advice section on the Health Ministry’s website. “If someone in your family or at your workplace is coughing without a mask on, please urge them to wear one.”

An official at the ministry emphasised the government was only recommending those with symptoms wear masks.

“Unless you are in a very crowded place, masks are not going to help much with prevention,” he said. “We are not saying that people should always wear a mask when you go out, although it might help to wear one on a rush-hour train.”

“We are certainly not saying that you’ll be safe if you just put on a mask.”

If the situation worsens to the extent that Australians need to wear PPE as a barrier to infection, the government needs to begin a campaign of not only educating the community on influenza risks but on basic matters like how to wear a mask and how to safely dispose of them.

Although Japanese authorities are quoted above, you are urged to seek local advice for your specific circumstances.

Kevin Jones

Influenza – dilemma for OHS regulators

SafetyAtWorkBlog has no expertise in the control of infectious diseases. Any enquiries received on the issue are directed to the official information on government websites such as Australia’s Dept for Health & Ageing or the US Centre for Disease Control, or international authorities such as WHO.

vwa-pandemic-cover1

But this creates a dilemma for OHS regulators. If the regulator does nothing, it is seen as inactive – a bad thing. Or the regulator can issue its own guidance on infection control – a good or bad thing. It is an unenviable choice.

WorkSafe Victoria took the latter choice and issued their “OHS preparedness for an influenza pandemic: A guide for employers” in early May 2009. The guide is not intended to be definitive and may be useful in the future but infectious outbreaks can move rapidly and, to some extent, this document is shutting the door after the horse has bolted, in expectation of the next “door”.

The guide mentions the following sources but it could be asked what is gained by contextualising these Australian documents? Why not just direct companies to the raw documents?

Australian Health Management Plan for Pandemic Influenza 2008 , Australian Department of Health and Ageing.
National Action Plan for Human Influenza Pandemic, Department of the Prime Minister and Cabinet.
Business Continuity Guide for Australian Business, Department of Innovation, Industry, Science and Research.

pandemicinal-7091883e-236bready1 The trap for producing localised guides is that recommendations may be made that are out-of-place, difficult to implement and, ultimately, question the credibility of the document. WorkSafe fell for this trap by specifying some recommendations for the legitimate control measure of “social distancing”.

In its employers guide it makes the following recommendations:

“A primary transmission control measure is social distancing, that is reducing and restricting physical contact and proximity. Encourage social distancing through measures such as:

allowing only identified, essential employees to attend the workplace

utilising alternative work options including work from home

prohibiting handshaking, kissing and other physical contact in the workplace

maintaining a minimum distance of one metre between employees in the workplace (person-to-person droplet transmission is very unlikely beyond this distance)

discontinuing meetings and all social gatherings at work including informal spontaneous congregations

closing service counters or installing perspex infection control barriers

using telephone and video conferencing.”

nap-cover1 The guide does recommend social distancing as part of a risk management process but “prohibiting handshaking, kissing and other physical contact in the workplace”? “Discontinuing … informal spontaneous congregations”?

How is a business expected to police these sorts of measures? Have someone walking the workplace reminding workers of the new “no touchy” policy?

The Australian Health Management Plan for Pandemic Influenza talks repeatedly about social distancing in workplaces, the community and families but never goes to the extent WorkSafe has.

The National Action Plan for Human Influenza Pandemic (NAP) defines social distancing as:

“A community level intervention to reduce normal physical and social population mixing in order to slow the spread of a pandemic throughout society. Social distancing measures include school closures, workplace measures, cancellation of mass gatherings, changing public transport arrangements and movement restrictions.”

NAP does not mention kissing, nor does the Business Continuity Guide For Australian Businesses .

WorkSafe WA has not issued anything specific on pandemic influenza, nor has SafeWorkSA, WorkCover NSW defers to NSW Health (which has a lot of information and a reassuring video from the health officer), and Queensland’s OHS regulator defers to its State health department.

Social distancing is an appropriate hazard control measure amongst other measures in an influenza risk management plan but the current WorkSafe Victoria guidance seems to be an unnecessary duplication, and on the matter of kissing, silly. Why, oh why did WorkSafe Victoria think it necessary to publish anything?

Kevin Jones

Category: influenza

Swine Flu and business continuity – video

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Presenteeism and swine flu

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The latest OHS advice on managing swine flu

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Worst Case Scenarios and Pandemics – 2005 interview

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Swine Flu – isolation – a personal view

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H1N1 and facemasks

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Influenza – dilemma for OHS regulators

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