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Tracking the next pandemic: Avian Flu Talk

’Clean facilities’ among precautions taken against - Event Date: June 11 2006

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    Posted: June 11 2006 at 5:31am

'Clean facilities' among precautions taken against potential outbreak


RICHARD DREW / THE ASSOCIATED PRESS
Donna Childs, president and CEO of Childs Capital, sits with her tablet PC outside the New York Stock Exchange Monday. The bird flu has yet to develop the ability to become a pandemic, but many businesses are not waiting to find out if it will. Some companies are going so far as to set buildings aside as "clean facilities" in case of outbreaks.

By Brian Bergstein
THE ASSOCIATED PRESS

The bird flu has yet to develop the ability to jump from human to human and become a pandemic, but many businesses are not waiting to find out if it will.

Some companies are going so far as to set entire buildings aside as "clean facilities" in which workers and families would remain during a bird flu outbreak. At least two financial institutions are setting up such voluntary quarantines and two utilities are considering it, according to Gary Lynch, national practice leader for business continuity risk management at Marsh Inc. He said the companies plan to pay premiums and offer antiviral drugs to employees who take part.

Most companies' steps are less extreme, such as making sure that key employees can work from home. But companies large and small are advised to have plans for the enormous work force disruptions that bird flu might bring.

"It's going to be every company for itself," said Mark Mansour, a partner with the Foley & Lardner law firm in Washington, D.C., who has been advising companies on their preparations. At least one, he said, has pored over its workers' upcoming travel plans and eliminated trips to potential bird flu hot spots.

Even small firms vulnerable


Generally, big companies and those that do business in Asia — which has suffered more than 100 bird flu deaths and the 2003 SARS outbreak — began preparing first.

For example, DuPont Co. is considering giving employees kits with masks and disinfectant and is assessing ways to continue manufacturing with reduced staffing. Sun Microsystems Inc. plans to keep workers informed over its intranet radio station.

Now, however, fears that the H5N1 virus that causes bird flu could begin to spread internationally are promoting small businesses to consider their options as well.

Bird flu sparked a crisis meeting last month at Ervin and Smith, a 40-person public-relations firm based in Omaha, Neb. The firm is arranging to have freelancers on call if staffers fall ill.

At Childs Capital, a New York-based investment firm, founder Donna Childs has informed the staff they should work remotely if the flu cripples public transportation to the company's Wall Street office. Meanwhile, Childs would use a service that can open and scan the firm's mail so its bills could be paid online.

And Childs has gone a bit further, following lessons learned firsthand in the terrorist attacks of Sept. 11, 2001, when her apartment building near the World Trade Center was evacuated and her office closed for a week.

One thing she realized then was the importance of keeping extra cash around, a step she plans to repeat in case of bird flu, even if bank shutdowns are unlikely. Employees also are trained to handle multiple responsibilities in case other members of the staff are unavailable.

"Overall, I think people should think about what would happen if you couldn't work in your premises for whatever reason," said Childs, who has co-authored a book about how small businesses should get ready for big disruptions. "That would prepare you for most threats."

Protecting the workplace


Not everyone can telecommute, of course. That's why Andrew Spacone, who heads crisis planning at Providence, R.I.-based manufacturer Textron Inc., has been mulling other ideas.

One is to make sure that company cafeterias are using disposable cups and utensils, eliminating the risk of spreading the virus through poorly washed silverware.

Should bird flu ripple through the United States, the five executives on Textron's management committee would cease assembling in the same room and instead would hold conference calls.

The company's intranet site just got a new section advising employees on bird flu and how to recognize its symptoms. Textron's 37,000 employees might be e-mailed questionnaires to help them figure out if they are sick and infectious. Depending on the scale of the pandemic, Spacone is prepared to take workers' temperatures at facility entrances and send people with fevers home. He also would stagger shifts and move workstations further apart, out of sneezing and coughing range.

Experts in workplace law say companies that fail to adequately plan could face thorny problems later. There could be shareholder lawsuits, breach-of-contract cases or union grievances over forced time off.

Daniel Westman, a partner who specializes in employment law at Morrison & Foerster in McLean, Va., foresees trouble if companies that increase telecommuting don't train employees in how to protect sensitive data on desks and computers in their homes.

Big firms not ready


Despite these risks, AMR Research, an analyst firm, determined in March that 68 percent of companies larger than $1 billion were unprepared for a pandemic. One of the biggest reasons was an inability to let employees and customers conduct business remotely.

"Like in most crises, a lot of people tend to be in denial," said Brent Woodworth, who heads the crisis response team at IBM Corp., which is launching a new service this month to help companies assess their flu preparedness.

The assessment will cost $10,000 to $150,000, depending on an organization's size. Among the consultants' suggestions: Identify maintenance and other noncritical functions that can wait until a pandemic subsides. Figure out alternate routes for supplies. And be prepared to rent space on high-speed satellite networks if telecommuting employees' home Internet services are swamped by overuse.

Even with attention to detail, Textron's Spacone expects that no large company would emerge unscathed through a period in which absentee rates could reach 40 or 50 percent because of sickness, panic or crises such as the shutdown of schools.

"Let's not kid ourselves," said Spacone, a retired Army colonel. "If an acute pandemic is in your area, there will be times when you simply have no choice but to shut down your business."

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: June 11 2006 at 5:33am
The last statement is probably more realistic in terms of when this thing hits. Many people are going to be too scared to leave their homes too.
Schools will probably close right away too and then child care will become an issue. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: June 11 2006 at 11:49am

"Like in most crises, a lot of people tend to be in denial," said Brent Woodworth, who heads the crisis response team at IBM Corp., which is launching a new service this month to help companies assess their flu preparedness.

Including the govt agencies supposedly fixing the problem.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: June 11 2006 at 12:06pm
I saw a report from an exercise in Eurpoe that said the internet would probably go down within a few days of a pandemic striking. They said the traffic of people trying to work at home would overwhelm it.

I hope not - I'd miss all of you!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: June 11 2006 at 6:33pm

In a pandemic, where do the bodies go?

By Ceci Connolly

The Washington Post

Enlarge this photo

NATIONAL PHOTO COMPANY COLLECTION / LIBRARY OF CONGRESS

During the 1918 flu pandemic, Red Cross nurses helped victims in Washington, D.C. Officials are now preparing for another potential pandemic.

They brought in steam shovels to dig graves. Caskets were rented — just long enough to hold a brief memorial service — and passed on to the next grieving family. The death toll of the 1918 flu pandemic was so overwhelming that the military commandeered trains to transport dead soldiers; priests patrolled the streets of Philadelphia in horse-drawn carriages, collecting bodies from doorsteps.

"One of the most demoralizing things was the inability to move bodies out of the home," said John Barry, author of "The Great Influenza," the definitive work on the 1918 pandemic.

With medical experts and government leaders racing to prepare for a potential pandemic, a cadre of mortuary specialists has begun quietly dealing with the grisly but essential question of what to do with the dead if it happens again.

Opinion is varied on when and how virulent the next global flu outbreak would be, but even a modest epidemic — similar to the one that hit in 1968 — could kill 89,000 to 207,000 Americans. If the next virus mimics the far more potent 1918 strain, the U.S. death toll could reach 1.9 million.

In any event, experts foresee 18 months of funeral homes being short-staffed, crematories operating round-the-clock, dwindling supplies of caskets and restrictions on group gatherings, such as memorial services. Morgues and hospitals would quickly reach capacity. And most of the federal Disaster Mortuary Operational Response Teams (DMORT) would be too busy in their own communities to deploy elsewhere.

"I can't see myself packing my bags to go to another state to help out," said Joyce deJong, a Michigan medical examiner who worked on DMORT teams after the Sept. 11 terrorist attacks and Hurricane Katrina. "I'll be here dealing with an increase in the number of bodies."

Some fear that the Bush administration, in all its planning for pandemic flu, has paid scant attention to deaths.

"It's the one thing nobody wants to address, because it's ugly. People don't want to think that anyone will die," said John Fitch, senior vice president for advocacy at the National Funeral Directors Association. "We can't put our head in the sand and say response stops at prevention and treatment."

In the 227-page response plan recently released by the White House, "medical examiner" appears once — and "autopsy" not at all. One paragraph on page 112 recommends that hospitals, medical examiners and government officials "assess current capacity for refrigeration of deceased persons, discuss mass fatality plans and identify temporary morgue sites" to handle surges.

Officials said much more is happening behind the scenes. In March, the administration helped organize a two-day conference at Fort Monroe in Virginia with medical examiners, funeral directors, public-health experts and casket makers.

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Among the more innovative ideas being considered are backyard burials, virtual funerals and storing bodies at ice-hockey rinks.

Seattle's King County came up with the ice-rink idea when officials realized their mass-fatality plan would accommodate no more than 50 deaths, perhaps in a plane crash, said interim health director Dorothy Teeter.

"This is so much bigger," she said. "We project 11,000 potential deaths in six to eight weeks."

Several participants said they will consider temporary mass graves because they will not have the staff to keep up, especially if some workers or family members contract the flu.

"They would bury the person with all the identification material and carefully keep track of that information," said Ann Norwood, a senior analyst at the Office of Public Health Emergency Preparedness at the Department of Health and Human Services. "After things calm down, we can locate the family, exhume the casket and put it wherever the family ultimately would like the body to rest."

"Virtual funerals" broadcast over closed-circuit television or the Internet would be advised, said John Nesler, a specialist in mass fatalities who advises the military and who ran the Fort Monroe conference.

"The very worst thing you can do during an epidemic is have large gatherings of people" such as memorial services, he said. Some families may bury relatives on their own property, said deJong, who is also chairwoman of the mass-fatality management committee of the National Association of Medical Examiners.

"We've forgotten that people do die from infectious diseases, and our process of dying has become very sanitized," said Norwood, who is also a psychiatrist. "For the whole Western world, it's going to be a shock."

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: June 11 2006 at 6:36pm

Sorry its morbid. It doesnt bother me reading this stuff. But can see where others might find it creepy.

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