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MANAGING ILL EMPLOYEES



MANAGING ILL EMPLOYEES


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12.1            Discovering ill employees in the workplace could mean healthy employees' refusal to come to the office due to safety concerns. According to the workplace health and safety regulations in most countries they would be well within their rights to do so.

12.2            It is imperative therefore to have clear guidelines in place for dealing with ill employees and these plans must be communicated effectively to all staff.

12.3            Such plans should include the following:

12.3.1               If a person feels ill, or if someone observes that another person is ill at work, they are to contact the Crisis Manager/Influenza Manager or person responsible by telephone as soon as possible.

12.3.2               Avoid visiting this person if possible - manage the process over the phone

12.3.3               Check if the employee has any of the symptoms. Use the ill screening flow chart.

12.3.4               If the ill employee does not have any symptoms like those listed, they are very unlikely to have influenza, and should be reassured but advised to call the Influenza Manager again later or to see their doctor if they are still concerned.

12.3.5               If the ill employee does have symptoms that match some of those listed, they should be treated as a 'suspect case'. It may be helpful to have a Sickness at Work Report Form completed, including details of any staff and/or visitors they have been in contact with.

12.3.6               This information will permit the Influenza Manager to identify recent movements and monitor well-being during the pandemic.

12.3.7               The ill employee should be informed where they can find a face mask and instructed to wear it immediately. This is to help protect other staff.

12.3.8               The ill employee should leave work and immediately contact medical assistance. This may involve phoning the person's normal doctor or nurse, or a specially designated centre to seek further advice. The employee's manager should be informed that they have left work.

12.3.9               The ill employee, should, if at all possible, avoid public transport when leaving work.

12.3.10            Ascertain who has the ill staff been in contact with. Identify contacts (once an employee is suspected to be infected) and advise contacts in person that they have been in contact with a person suspected of having influenza

12.3.11            Ask contacts to go home, and stay at home until advised otherwise.

12.3.12            The ill employee's work station should be cleaned and disinfected.

12.4            The Influenza Manager will need to set up pandemic response phases system to manage the absence and return to work of the employee and their contacts. Some issues to consider include:

12.4.1            Advice to the ill employee on how long to stay away from work.

12.4.2            Decisions on the leave and cover arrangements.

12.4.3            Checking on the ill staff member during his/her absence from work. This will facilitate treatment, contact tracing, etc., if they become ill.

12.4.4            Set up a process in the plan for ensuring both that: the ill employee is healthy before allowing them to return to work; and that they are encouraged to return to work once they are well.

12.5            Prevention is always better than cure. Encourage staff to perform a self-illness check before coming to work each day, including themselves and their families.

12.6            Have a return-to-normal notification tree in place so that all staff are aware of the all-clear in the office in case some are waiting to return to work.

12.7            Have Public Relations plans in place and ensure all staff are aware of the 'line-to-take' in case they are asked by the press or public to comment on the situation.

12.8            Workplace cleaning. Most modern offices sub-contract cleaning services, organised either by the businesses themselves or by the building's management company. If your cleaning services are sub-contracted or otherwise managed by outside service providers, query their plans for cleaning and disinfection during a Bird Flu outbreak.

12.9            Study the response to those queries, or if cleaning services are provided internally, consider the following:

12.9.1            During a pandemic, it is necessary to implement additional measures to minimise the transmission of the virus through environmental sources, particularly hard surfaces (e.g. sinks, handles, railings, objects and counters).

12.9.2            Transmission from contaminated hard surfaces is unlikely but influenza viruses may live up to two days on such surfaces.

12.9.3            Influenza viruses are inactivated by alcohol and by chlorine. Cleaning of environmental surfaces with a neutral detergent followed by a disinfectant solution is recommended. Surfaces that are frequently touched with hands should be cleaned often, preferably daily.

12.10        Should no additional cleaning services be available for whatever reason, then refer to the following table to assist in your own cleaning and disinfecting regime.

12.10.1            Workplace Cleaning Products

Disinfectants

 

Recommended use

Precautions

Sodium hypochlorite:

1000 parts per million of available chlorine, usually achieved by a 1 in 5 dilution of hospital grade bleach.

Disinfection of material contaminated with blood body fluids.

Should be used in well ventilated areas.

Protective clothing required while handling and using undiluted bleach.

Do not mix with strong acids to avoid release of chlorine gas.

Corrosive to metals.

Granular chlorine:

May be used in place of liquid bleach, if it is unavailable.

Should be used in well ventilated areas.

Protective clothing required

while handling and using undiluted bleach.

Do not mix with strong acids to avoid release of chlorine gas.

Corrosive to metals.

Alcohol:

e.g. Det-Sol 5000 or Diversol, to be diluted as per manufacturer's instructions.

e.g. Isopropyl 70%, ethyl alcohol 60%.

Smooth metal surfaces tabletops and other surfaces on which bleach cannot be used.

Flammable and toxic. To be used in well ventilated areas. Avoid inhalation.

Keep away from heat sources, electrical equipment, flames,and hot surfaces.

Allow it to dry completely, particularly when using diathermy, as this can cause diathermy burns.

12.11        When an ill person with suspected influenza is identified and has left the workplace, it is important that their work area / office, along with any other known places they have been are thoroughly cleaned and disinfected.

12.12        Among other things, planning should identify the basic hygiene practices (including hand hygiene) to be followed by cleaners, protocols for the use personal protection equipment and methods for waste disposal.



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Latest Bird Flu / Avian Flu News From Medical News Today.

07/03/2008 08:00 PM
Potential New Drug Candidates To Combat 'Bird Flu' Identified By UC San Diego Researchers
As the specter of a worldwide outbreak of avian or "bird flu" lingers, health officials recognize that new drugs are desperately needed since some strains of the virus already have developed resistance to the current roster of anti-flu remedies.
07/02/2008 07:00 PM
Animal Study Identifies New DNA Weapon Against Avian Flu
Researchers at the University of Pennsylvania School of Medicine have identified a potential new way to vaccinate against avian flu. By delivering vaccine via DNA constructed to build antigens against flu, along with a minute electric pulse, researchers have immunized experimental animals against various strains of the virus. This approach could allow for the build up of vaccine reserves that could be easily and effectively dispensed in case of an epidemic.
07/01/2008 04:00 PM
Sinovac Initiates Phase II Volunteer Enrollment For Split Viron Pandemic Influenza (H5N1) Vaccine
Sinovac Biotech Ltd. (Amex: SVA), a leading provider of vaccines in China, announced the initiation of volunteer enrollment in its Phase II clinical trial for its split pandemic influenza vaccine. The preliminary results from this study are expected to be available in early 2009.
06/26/2008 07:00 PM
ECRI Institute And IAHSS Offer Guidance On Preparing For Pandemic Flu - July 17 Web Conference
Plans for appropriate respiratory protection are a major part of healthcare facilities' pandemic preparation. To assist hospitals with the complex task of protecting frontline staff in the event of an outbreak, ECRI Institute and the International Association for Healthcare Safety and Security (IAHSS) present
06/26/2008 03:00 PM
West Nile Virus Threat Reduced By Diversity Among Bird Populations In Surrounding Area
A more diverse bird population can help lower the incidence of West Nile virus in the surrounding human population, in a process called the "dilution effect," according to an article released in the open access journal PLoS ONE on June 25, 2008. West Nile Virus, usually infecting birds but also affecting humans, is often passed through mosquitoes.
06/19/2008 03:00 PM
Biotech Experts Available To Discuss The Critical Role Of Vaccine Adjuvants In Treating Pandemic Bird Flu
The likelihood of an influenza pandemic caused by an avian influenza (Bird Flu) virus is an increasing concern to the World Health Organization (WHO) and others. Recent breakthroughs on promising cell-based vaccines are encouraging, but manufacturing, stockpiling and distributing enough vaccine to treat victims on a massive scale remain a challenge that needs attention.


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MANUAL TOPICS
The manual covers the following topics:

  • Conducting a Risk Assessment
  • Company Pandemic Response Phases
  • The Influenza Manager-
  • Business Continuity Manager
  • Office Access Control
  • Social Distancing
  • Workforce Management
  • Managing Illness at Work
  • Sickness Response Procedures
  • Workplace Disinfection
  • Communications Management
  • Supply Shortages
  • Office Environment
  • Staff Training
  • Promoting Awareness
  • Personal Hygiene Education
  • Contact Tracking
  • Regulatory Compliance
  • Public Health Sector Actions
  • Communications Tree
  • Corporate Travel Policy
  • Quarantine Room
  • Customer Management
  • Stockpiling Provisions
  • Flu vs. Common Cold Differences Fact Sheet
  • Illness Screening Flow Chart
  • Running Practice Drills
  • Pandemic Activation by Phases
  • Sample Project Timeline
  • Awareness Posters
  • Pandemics Through History
  • Lists and Forms
  • Bird Flu's Impact on Business
  • Bird Flu FAQ
  • Bird Flu Characteristics
  • Pandemic Influenza Quiz
  • Management Buy-in Training
  • Staff Awareness Training
  • Preparedness Report Template
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Other Useful Resource Links

World Health Organisation Sites
Current WHO Phase of Pandemic Alert
WHO Avian Influenza ("bird flu") Fact Sheet
WHO Bangladesh
WHO Cambodia
WHO China
WHO Confirmed Human Cases of Avian Influenza A(H5N1)
WHO Democratic People's Republic of Korea
WHO Egypt
WHO Epidemic and Pandemic Alert and Response
WHO India
WHO Indonesia
WHO Laos
WHO Myanmar
WHO Nigeria
WHO Pakistan
WHO Podcasts
WHO Republic of Korea
WHO Situation updates - Avian influenza
WHO Thailand
WHO Viet Nam
WHO Weekly Epidemiological Record
WHO | Avian influenza: food safety issues
WHO | Clinical management of human infection with avian influenza A (H5N1) virus
WHO/WPRO-Human Avian Influenza A/H5N1 Cases by Onset Date
WHO: Acceptable Labs for Positive PCR Results of H5 Infection in Humans
World Health Organization Home Page

Bird Flu NGO Resources
ActionAid USA
Avian Flu - CARE USA
BRAC (Bangladesh)
CARE International UK: Bird Flu Overview
InterAction.org | Disaster Response
Partners In Health (PIH), Health Care for the Poor
Red Cross Red Crescent - Avian Influenza
Save the Children: Avian Flu




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