Coronavirus and Pandemic Planning
A/Prof David Allen
MBBS(Hons), DPH, FAFOEM
Occupational and Environmental Physician
Conjoint Appointee UNSW School of Public Health and Community Medicine
Resources:
Business Pandemic Plan Checklist
https://www.cdc.gov/flu/pandemic-resources/pdf/businesschecklist.pdf
Centers for Disease Control (US)
https://www.cdc.gov/coronavirus/2019-ncov/about/prevention-treatment.html
Australian Government advice:
https://www.health.gov.au/health-topics/novel-coronavirus-2019-ncov#latest-news
Hand Hygiene Australia:
https://www.hha.org.au/hand-hygiene/hha
OHS preparedness for an influenza pandemic: A guide for employers
Coronavirus COVID-19 Global Cases by Johns Hopkins
https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6
Pandemics
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Can last many months or even more than a year
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May be peaks and troughs of reduced illnesses
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Plan for up to 50% of staff off at peak of significant pandemic
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Likely some advanced warning
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Warning can be very short
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In Australia may be many weeks before full impact is felt
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Early impacts from closure of institutions
Staffing Levels
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With natural disasters the disruption to business is usually due to hardware
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With pandemic it’s mainly lack of staff
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Plan for 50% staff absenteeism for two weeks at height of severe pandemic waves
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Overall pandemic waves may last for 2 months
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Waves may vary in severity
Staffing Levels down from:
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Sickness from suspected or actual infection
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Need to stay home and care for sick family
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Fulfilling voluntary roles in community
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To look after children whose schools have closed
Other Impacts
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Suppliers of materials disrupted e.g. lack of air freight if imported
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Availability of services from contractors such as in maintenance area may be limited (this area needs careful planning)
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Demands for different types of services may vary
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Some services will increase e.g. health care
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Others may fail such as travel, transportation or education
Pandemic Manager/Team
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One person responsible for general health of the people during pandemic
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Team with defined roles and responsibilities
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Tasks of pandemic manager include:
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Setting up health management processes to ensure staff return to work once recovered and non- infective
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Monitoring staff who may be infected or are confirmed as infected
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Ensuring that staff have access to medical care in the event of illness or suspected illness
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Ensuring there are ample supplies of:
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handwashing materials
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tissues
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medical supplies
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cleaning goods (need to be obtained well before any potential pandemic)
Medical Consultants
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Consider obtaining advice of a medical consultant.
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May be through contact through Dept of Health or medical services in the occupational/public health area.
Communicating with staff
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Considerable worry, anxiety and distress -from absenteeism and poor morale.
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Measures to help control this include as follows:
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Early advice to the staff regarding the possibility of a pandemic
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Use of fact sheets to aid communication
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Discuss OH&S concerns
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Discuss leave arrangements
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Ensure the continuity plan is in place and is explained to staff
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Make communication during possible pandemic part of your plan
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Ensure there are systems to maintain communications during the pandemic
Identifying Core Personnel and Skills
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Establish what are core processes
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Identify core personnel to keep that running
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Identify core skills
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Establish adequate back-up for them (and skills)
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Identify other resources such as assistance from outside company or ex-employees/retired employees
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Consider managing a business during pandemic through “virtual war room” i.e. telephone, email or video conferencing, Microsoft Teams
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What part of the business requires specific physical intervention to maintain them
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Consider protecting core personnel from illness at work or elsewhere
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Trial work from home
Business Planning for Absence
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Identify who can decide on which activities to shut down when staff numbers are so low as to threaten safety
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Staff travelling overseas may be unable to work or travel
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Use videoconferencing….
Knowledge Management
Any operating procedures or emergency management information or documents need to be stored in:
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Safe area
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Controlled location
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Accessible to the relevant personnel
Communication
Consider communication needs and maintenance. This may be with:
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Other business units
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Government authorities
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Suppliers
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Customers
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Contractors
Identify and communicate with key suppliers, customers and contractors in the planning stage.
Supply Shortages
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Could be supplies in demand during a pandemic i.e. protective equipment, disinfectants
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Ensure adequate supplies of these.
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Transport and/or importing restrictions may occur for various reasons
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Discuss with key suppliers plans for shipments during pandemic and what measures can deal with shortages or transport problems
Protecting Staff and Visitors
Main strategies for this include:
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Restrict workplace entry of people with Coronavirus symptoms
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Practice good personal hygiene and workplace cleaning habits
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Use social distancing including working from home and avoiding face-to-face contact
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Assisting and managing staff who are sick at work
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Assisting staff who travel overseas
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Worthwhile making use of fact sheets and other information
Summary of Coronavirus Protection Measures
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At the peak of a pandemic, consider notices at entry points restricting those entering who have Coronavirus symptoms
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Employees should be told to stay home if they are feeling unwell (particularly if they have Coronavirus symptoms)
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Provide information to staff on Coronavirus symptoms
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Advise sick employees to see their doctor
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Sick employees should stay home until well
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System needed to ensure those who have completed quarantine are healthy before return to work
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Note: those who have recovered from the infection will be unlikely to be re-infected.
Personal Hygiene
Basic personal hygiene is essential
Simple measures include:
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Covering the mouth and nose when sneezing and coughing (preferably with disposable single use tissue)
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Immediately dispose of tissue
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Proper handwashing and hand hygiene practices especially after coughing, sneezing or using tissues
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Keep hands away from eyes, mouth and nose
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Ensure adequate supplies of hand hygiene products (requires early planning to avoid shortages of soap and towels)
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Bins for tissues nearby
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Communicate hand and personal hygiene information to all staff and visitors
Workplace Cleaning
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Additional measures needed during pandemic
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Hard surfaces need cleaning including handles, sinks, railings, counters etc
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Note virus may live several days on hard surfaces
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Virus likely killed by alcohol or chlorine
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Clean with neutral detergent then disinfectant
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Advise staff to not share cups, dishes or cutlery
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Ensure utensils are thoroughly washed with soap and hot water after each use
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Remove material that can be handled from waiting rooms and common areas including magazines, newspapers etc
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Ensure cleaning of areas contacted by people who have suspected Coronavirus – clean thoroughly
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Ensure that cleaners follow appropriate protocol for cleaning and personal protection and waste disposal
Air Conditioning System
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Evidence suggests that Coronavirus virus can spread in areas that have poor ventilation
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Advise good ventilation of internal areas
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Preferably use fresh air by using windows
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Ensure properly designed and maintained air conditioning system (refer to Australian Standards)
Increased Social Distancing
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Minimum distance of two metres between persons wherever practical
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Larger distances more effective
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Avoid contact with infected people or suspect infected people
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Avoid face-to-face meetings – use telephone, video-conferencing, internet etc (even if participants in same building)
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Limit unnecessary travel
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Work from home wherever possible
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Practice shift changes where there is no contact between each shift – ideally leave interval reoccupation of the workplace
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If possible ventilate workplace between shifts by increasing air conditioning, opening windows etc.
Increased Social Distancing
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Avoid public transport
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If using it choose quiet time
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Always disinfect hands
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Eat alone at desk of away from others
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Stagger lunch or break times
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Avoid gathering in communal areas
In essential meetings:
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Choose a large room and
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Sit greater than a metre away from others
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Avoid any handshaking, hugging etc
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Consider meetings in open air
Set up systems where clients can:
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Request information by telephone or email or fax
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Have order ready for fast pick-up or delivery
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Advise staff to avoid other meetings where possible contact can occur
Managing Staff Who Are Sick at Work
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Contact Coronavirus manager by phone
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Coronavirus manager should:
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Avoid visiting person - manage by phone if possible
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Check symptoms against advice
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Reassure if symptoms don’t match those listed but advise recontact or GP if still concerned
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If symptoms match those treat as suspected case then complete Coronavirus notification form
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Provide employee with advice where they can find masks and instruct on wearing immediately
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Worker to leave work immediately and contact doctor
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Worker should avoid public transport
Managing Staff Who Become Sick at Work – Contact Management
Employers can help by:
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Identifying contacts after an employee has suspected infection
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Advise the contacts they may have had contact with an infected person
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Advise contacts to go home and stay at home until advised otherwise
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Remember to ensure employees workstation is cleaned and disinfected
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Consider Pandemic Manager planning for advice on return to work and length of absence
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Ensure workers are safe to return to work
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Encourage to return to work once well
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