DEPARTMENT OF HEALTH AND FAMILY SERVICES Division of Public Health October 12, 2006
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DEPARTMENT OF HEALTH AND FAMILY SERVICES
Division of Public Health
October 12, 2006
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Outline
In Wisconsin, what can we expect in the next influenza pandemic?
How can your business prepare?
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IMPORTANT TERMINOLOGYEPIDEMIC:
Disease or condition with activity above what is typically seen in a given geographic area.
Ex. Annual Influenza activity in Northern Hemisphere
PANDEMIC:Disease activity in a large geographic area (worldwide?), usually for longer periods of time
Ex. HIV, Obesity(?)
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• A respiratory disease caused by influenza virus.• Abrupt onset of fever, cough, sore throat, chills, body aches.• Not typically associated with vomiting or diarrhea.• Typical incubation period 1–5 days (usually 1-3).
WHAT IS INFLUENZA?
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Pandemic Influenza“An influenza pandemic is unlike any other
public health emergency or disaster”
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SEASONAL VERSUS PANDEMIC INFLUENZASeasonal Influenza
Pandemic Influenza
Begins November/December At any time of the year
Peaks Late January/early February
Not known
Duration 4-5 months 2 years or more
At Risk Elderly, chronic illness, infants
Everyone
Vaccine Annual vaccine available in
October
Not available for 6-8 months after a pandemic begins
Reproduction(Spreadability)
1.5 to 2 additional cases
2.5 to 3+ additional cases
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ILI %
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ILI % During Pandemic
2000 2001
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Outpatient Care 120,000-240,000
~5%-20% Infected 270,000-1.1 million
Hospitalized
3,500-7,000
Deaths~600-1000
WISCONSIN Population ~5.4 million
INFLUENZA: SEASONAL IMPACT
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Outpatient Care 1.4 million
~35% Infected
1.9 million
Hospitalized
27,500
Deaths~8500
WISCONSIN Population ~5.4 million
INFLUENZA: PANDEMIC IMPACT
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WHAT CAN WE EXPECT IN THE NEXT PANDEMIC?
–Absenteeism ( up to 30-40%)• Employee illness & family members• Death• Fear
–Shortages of materials–Possible closures (hopefully short
term)–Financial Issues
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PUBLIC HEALTH INFECTION CONTROL STRATEGIES
• Personal Hygiene – Hand washing– Respiratory etiquette – Stay home when sick
• Social distancing and limiting access – Public gatherings and events cancelled – Public places closed– Restricted or suspended travel
• Isolation/Quarantine
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HOW CAN YOUR BUSINESS PREPARE FOR A PANDEMIC?
• Education of employees
• Communicating with employees during a pandemic
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HOW CAN YOUR BUSINESS PREPARE FOR A PANDEMIC?
• Plan to keep operating with only 60% staff– Don’t plan to close!!
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BUSINESS PLANNING• Plan how to keep operating with only 60%
staff – Establish policies for flexible worksite
(e.g. telecommuting)– Flexible work hours (e.g. staggered
shifts).– Retraining or cross-training– Reduce or combine services
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BUSINESS PLANNING• Communicating with employees during
a pandemic– Plan for communicating with vendors,
suppliers, and customers inside and outside the worksite
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BUSINESS PLANNING• Communicating with employees during
a pandemic– Anticipate employee fear and anxiety,
rumors and misinformation
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WHAT WE DON’T KNOW…
• We do not know when the next pandemic it will occur
• We do not know how severe the next pandemic will be
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WHAT WE KNOW…..
• An influenza pandemic is likely to occur at some time in our life
• An influenza pandemic will result in increased illness and increased deaths
• Need to prepare for increased absenteeism
• Need to prepare now for what we know will occur and be prepared to make intelligent decisions when faced with the unexpected!!
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INFLUENZA PANDEMIC RESOURCES
• www.PandemicFlu.gov – Official U.S. Government Web site on
pandemic influenza and avian influenza
• www.cdc.gov/flu/pandemic– Centers for Disease Control Pandemic
Influenza Info.
• www.pandemic.wisconsin.gov
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Thomas Haupt M.S.
Respiratory Disease EpidemiologistWisconsin Division of Public Health