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The New Workplace

Considerations for Healthy Buildings & Healthy People

© 2020 Brown & Brown, Inc. All rights reserved.bbinsurance.com/covid19 | September 11, 2020 2

Discussion Topics

Clinical and Medical Response Update

1Your Healthy Buildings Scorecard

2Panel: The Six-Foot Office

3


Resource Center• Find more information on other insurance implications

at bbinsurance.com/covid19

• Resource Links:

• WHO - www.who.int/health-topics/coronavirus

• CDC - www.cdc.gov/coronavirus/2019-ncov/index.html

• National Business Group on Health -https://www.businessgrouphealth.org/topics/blog/the-evolving-situation-of-coronavirus-what-we-know-and-what-we-dont

• OSHA – www.osha.gov

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How We Can Support

https://www.bbinsurance.com/covid19

http://www.who.int/health-topics/coronavirus

http://www.cdc.gov/coronavirus/2019-ncov/index.html

https://www.businessgrouphealth.org/topics/blog/the-evolving-situation-of-coronavirus-what-we-know-and-what-we-dont

http://www.osha.gov/


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The information in this program is based upon the very dynamic and evolving outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in China and which has now been detected in more than 100 locations internationally, including in the United States. The virus has been named “SARS-CoV-2” and the disease it causes has been named “coronavirus disease 2019” (abbreviated “COVID-19”). The information presented is current as of the date of this program, but it may change in the coming hours and days ahead. Participants are encouraged to refer to information from the U.S. Centers for Disease Control and Prevention (“CDC” at www.cdc.gov).

The information provided in this live stream does not, and is not intended to, constitute legal, tax, or medical advice; instead, all information, content and materials available in this program are for general informational purposes only. Information on this live stream may not constitute the most up-to-date legal, tax, medical or other information. This program contains links and references to other third-party websites. Such links are only for the convenience of the participant, users or browser; Brown & Brown, Inc. and its teammates are not responsible for the contents of the third-party sites.

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Please be advised that any and all information, comments, analysis, and/or recommendations set forth relative to the possible impact of COVID-19 on potential insurance coverage or other policy implications are intended solely for informational purposes and should not be relied upon as legal or medical advice. As an insurance broker, we have no authority to make coverage decisions as that ability rests solely with the issuing carrier. Therefore, all claims should be submitted to the carrier for evaluation. The positions expressed herein are opinions only and are not to be construed as any form of guarantee or warranty. Finally, given the extremely dynamic and rapidly evolving COVID-19 situation, the commentary herein does not take into account any applicable pending or future legislation introduced with the intent to override, alter or amend current policy language.

Disclaimer


Today’s Presenters

Bob Lloyd Executive Vice President & General Counsel Brown & Brown, Inc.

Dr. Louise Short, MD, MScNational Clinical LeaderBrown & Brown, Inc. & Strategic Benefit Advisors

Frank SantiniVice President, Business Development & Strategic InitiativesPure Air Control Services, Inc.

Troy RaszkaVice President, MarketingPure Air Control Services, Inc.

Rory MurrayExecutive SponsorCushman & Wakefield

Debra MoritzConsulting LeadCushman & Wakefield

Taylor van DamWorkplace/Experience LeadCushman & Wakefield

Alex Beacham Senior DirectorCushman & Wakefield


Clinical and Medical Response Update

With Dr. Louise Short


Q&Awith Dr. Louise Short

What does the phrase “twindemic” mean and how can we decrease the risk of being in this situation?


Q&ATwindemic Influenza COVID-19

Vaccine & Treatment Available

The Race for the Vaccine & Therapeutic Treatments



What do we know about post-recovery symptoms or the long-term health effects of COVID-19?


Source: https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351

Q&ALong-Term Health Effects of COVID-19

Common Symptoms

Fatigue, Cough, Shortness of breath, HeadacheJoint pain

Impact to Lungs

Damage to the tiny air sacs (alveoli) in the lungs. The resulting scar tissue can lead to long-term breathing problems.

Impact to Heart

Imaging tests after recovery have shown lasting damage to the heart. This may increase the risk of heart failure or other heart complications.

Impact to Brain

COVID-19 can cause strokes, seizures and Guillain-Barre syndrome. It may also increase the risk of developing Parkinson's disease and Alzheimer's disease.

Additional Effects

COVID-19 may also cause long-lasting blood clots and blood vessel problems, as well as problems with mood and fatigue



Can you give an update on vaccines?


Q&AVaccine Update

Source: https://www.biopharmadive.com/news/coronavirus-vaccine-pipeline-types/579122/

For this chart:

Solid dots indicate events which have occurred, while striped bars indicate company estimates for when an event will occur.

Updated 9/8/20


Q&AVaccine Update

Source: https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html

To find out how to volunteer, visit coronaviruspreventionnetwork.org

DELIVERING VALUE IN TIMES OF CRISIS

Debra MoritzLeader, Strategic Consulting

ASSESSING THE LANDSCAPE

ESTABLISH A REVISED STRATEGY

MAXIMUM BUSINESS VALUE

PREPARE FOR RE-ENTRY SEAMLESS TRANSITION

RECOVERY READINESS: PLATFORM SOLUTIONS / 19© 2020 CUSHMAN & WAKEFIELD

1. PREPARE THE BUILDING

2. PREPARE THE WORKFORCE

3. CONTROL ACCESS

4. CREATE A SOCIAL DISTANCING PLAN

5. REDUCE TOUCH POINTS & INCREASE CLEANING

6. COMMUNICATE FOR CONFIDENCE

SHORT TERM: THE SAFE SIXWorkplace Readiness Essentials

UNDERSTANDING & MANAGINGExperience Per Square Foot XSF@HOME

HOW THE CURRENT WFH STATUS AFFECTS THE BUSINESS

Engagement Collaboration InnovationMentorship Diversity & Inclusion Learning & GrowthSpeed Client Satisfaction

UNDERSTANDEmployee feelings, challenges and productivity

MANAGEEmployee communications, perception and return strategy

How PRODUCTIVEare employees in today’s COVID-19 environment?

What are the biggest CHALLENGES facing employees while working from home?

How are employees FEELING right now?

Are you COMMUNICATINGin the way employees need?

What should you consider as you plan the RETURNto the office strategy?

How do you COMPAREagainst your peers?

21

Of younger generations have WFH Challenges

Feel they effectively focus and collaborate

Have a sense of wellbeing

Struggle to connect to company culture

Productivity has remained consistent and strong.

Employees report low levels of energy, wellbeing and are not taking enough time away from work.

Colleague bonding is down and only half of respondents feel personally connected to their company culture.

Millennials & Gen Z struggle with caregiver responsibilities andinadequate workspace.

70%75% 54%50%

We Are Still Working

Personal Connections & Learning are Suffering

People Don’t Feel “Well” Younger Generations Struggle More

A TOTAL WORKPLACE ECOSYSTEM

The office will remain a critical driver of culture, learning, & personal connections.

73%Want remote working policies expanded and the flexibility to work across office, home and third places.

38 companies50,000 people2.5 million data points 99 countriesExperience per Square Foot™ @home Survey Scope:

WHYReimagining the future workplace through an evidence-based evaluation of remote work: Cushman & Wakefield’s proprietary XSF@home survey

Life-stage plays a key role in challenges of WFHXSF@home proportions reporting challenges

Source: Cushman & Wakefield

No Challenges Challenges

Gen Z 30% 70%

Millennial 31% 69%

Gen X 37% 63%Baby Boomer 45% 55%

TOTAL 36% 64%

Avge = 18%

26%

GEN ZInadequate workspace

Avge = 22%

26%

MillennialCaregiver

Avge = 22%

29%

Gen XCaregiver

36%

ALLSub-par connectivity

WORKFORCE Re-entry Scenario Planning Elements & Tools

RECOMMENDED READING

C&W Launches Global Recovery Readiness Task Force and www.SixFeetOffice.com

http://www.sixfeetoffice.com/

SIX FEET OFFICE (6FO) Re-entry Scenario Planning Elements & Tools

6 Feet Quick Scan: Analysis of current work environment

6 Feet Rules: A set of simple and clear agreements that puts safety first

6 Feet Routing: A visually displayed circulation route

6 Feet Workstation: Addressing distances, surfaces and panels

6 Feet Facility Manager: Training to operate a safe facility

Cushman & Wakefield | Fossil 25

Capacity When Social Distancing & Reducing Touchpoints

Distancing: elevator lobby – coordinate entrance /egress. Consider elevators reset for up and down transport only; consider pinch points. Note: freight elevator could be used but creates a pinch point for bathroom access.Occupant volume: avoid high occupancy; support reduced traffic by staggering arrival/departures.Touchpoints: new gloves to be worn in elevatorsHygiene: employees to wear masks upon entering and while circulating on the floor. Pick up/disposal of PPE to be available upon entering the space.

Distancing: significant furniture reduction --6 seats can be used simultaneously while respecting distancing. Touchpoints: disinfectant wipes available for cleaning of surfaces.

Distancing: significant seat reduction: seats used as workplaces.Circulation: clockwise; respect seated individuals upon arrival.Touchpoints: disinfectant wipes available for cleaning of surfaces.

Occupant Volume: each bathroom to be considered single occupant and possibly unisex. *pinch point for occupants exiting the space.Hygiene: trash receptacles within reach of doors. Masks to be worn.

Distancing: workstation seats reduced for distancing and secondary circulation capacity; install vertical dividers at spine of workstations; eliminate guest seating. Convert large offices to accommodate two work seats that maintain required distance from each other. Doors to be propped open or removed.

Distancing: capacity reduction from 12 to 5 people. Circulation: clockwise flow into the conference room; occupants take the furthest seat first; consider queuing protocol prior to entering the room. Touchpoints: doors propped open or removed. Shared tech and writing materials only to be used with gloves.

ENTRY | EGRESS

3

1

2

Indicates friction points with higher traffic volume and proximity to adjacent traffic flow which will need to be considered and resolved.

5

4

6

7

8

COMMUNITY SPACE

PANTRY

CONFERENCE ROOMS

OPEN SEATING

INDIVIDUAL SEATS

BATHROOMS

PINCH POINTS Distancing: remove stools; consider single use occupancy. Touchpoints: wear gloves when using shared equipment; support with a day porter; single use supplies

1

2

2

76

77

3

8

3

4

6

5

ESTABLISH Scenario Planning Elements

DISTANCING REMAINS REALITY

Work from Home

Desk Sharing

Dedensification

RETURN TO

BASICS

Business Continuity

Health, Wellness & Safety

PORTFOLIO PLANNING

REIGNS

Labor

Markets/CBD vs. Suburbs

Coworking

Decision Support

SPACE & PLACE MATTERS

Place has a Purpose

Experience Matters

Right Shoring / Re-Shoring

WORKPLACE Defining the New-Normal through integrated People, Place & Technology

PRE-COVID19

I go to the office to be productive.

THE NEW NORMAL

I can be productive anywhere. I go to the office for cultural connection, access to

colleagues and a great experience.

I program and create great workplaces

aligned with the work.

The average life of a workplace strategy is 8 years.

Workspaces are more like theatres…space evolves for the project at

hand and is then repositioned in a different light for the next “project/show”.

I design through smart technology and predictive analytics orchestrating great

experiences and wellbeing where people can thrive.

EXPERIENCE

PREDICTIVE

FLEXIBILITY

C&W Choreographing the Employee Experience

62.8 59.6 56.3

69.6

59.3

69.176.5 73.5 73.9 76.9 77.7 80.4

Experience Index Learn Renew Focus Bond Team

Chicago Pre-Move Experience | Post-Move Experience

Pre-Move Post-Move

TeamBondRenew FocusLearn

Overall Experience Index Score

Improved the experience

21.8%Reduced cost

18.1%

“Building amenities and the overall environment is a great change for the

better. Thank you!”

“This office has exceeded my

expectations on things that really mattered to me.”

Your Healthy BuildingsScorecard

Frank Santini, VP, Business DevelopmentTroy Raszka, VP, Marketing

Healthy Buildings, Healthy People

©2020 Pure Air Controls Services, Inc. 800 422-7874 • PureAirControls.com

Agenda

• Areas to Add to Risk Mitigation Strategy• Pre-Existing Building Health Conditions• Questions to ask your Facilities/Risk Mgmt. Team• Creating a Healthy Buildings Scorecard• Questions & Answers


©2020 Pure Air Controls Services, Inc. 800 422-7874 • PureAirControls.com30

Where do you fall on a Healthy Building Scorecard?

• Focus on Air Quality & Hygiene• Covid-19 Viral Spread &

Addressing Other IAQ Issues• Disclaimer: Ever-changing

Research & Field Observations



The Key is Minimizing Risk

• No Guarantee for a Building Free from Covid-19

• Minimizing Risk Includes Additional Steps with Far-reaching Benefits



Minimizing Risks

• Temperature Checks• Work-Place Arrangements

• Social Distancing• Masks & Hand Washing

• Touch-less Features• Work-from-Home Policies

• Quarantine



Minimizing Risk


Air Flushing & Filtration

• Increase Volume of Air Flow in Building, Including Outside Air, When Applicable

• Better HVAC Filters


Covid-19 Building Hygiene Timeline

• Initially – Please Clean my Building Before we Come Back!

• Evolved into Implementation of Multiple Cleanings in Conjunction with Risk Mitigation



2 Key Things We Now Understand

• Particles/Indoor Contaminants Correlates with Viral Spread

• Covid-19 Virus is Airborne

What are the implications?



Address Pre-Existing Conditions

Particulates• Sourced from Indoors (carpets,

poor janitorial, etc.)• Sourced from the HVAC System

Specific Contaminants• Mold, Allergens, Legionella, etc.



Concern of Small Particles

• Less Than 2.5 Microns in Size• Bypass our Natural Defenses• Absorbed Directly into our Blood

Stream



HVAC Contaminant Transmission



SARS-CoV-2 Environmental Testing

• 56 samples from 3 different AHUs• All 3 had positive results

• Sample locations:• Pre-Filters (MERV 10)• Final Filters (MERV 15)• Supply Air Dampers

• 25% positive (14 samples)• 21% in Supply Air Damper Positive

University of Oregon StudyInstitute for Health in the Built Environment

Identification of SARS-CoV-2 RNA in Healthcare HVAC Unitsdoi: https://doi.org/10.1101/2020.06.26.20141085



SARS-CoV-2 Environmental TestingConclusions:

1. HVAC can contribute to the transmission of SARS-CoV-2

2. Higher efficiency filters capture some SARS-CoV-2 virion but should not be the sole solution to preventing transmission via HVAC

3. Authors cite previous studies demonstrating SARS-CoV-2 in droplets 0.25 – 4.0 microns with infectivity between 1 to 16 hours*This study is not yet peer reviewed and draws from previous studies showing

long-term aerosolization and migration of SARS-CoV-2 through the air.



Questions to Ask Your Facilities/Risk Team

• How are we reducing particles?• Cleaned Air Ducts?• Have we completed a baseline IAQ

exam?• What air purification options are

out there?• Testing for Covid (in building)?



Are we cleaning focused on particles?

• Disinfecting vs. Cleaning• Carpets, Furniture• HEPA Vacuums• Air Scrubbing



Have we done any baseline testing?HVAC Health

• Visual Conditions• Environmental Testing• Maintenance Prioritization

Building Health• Indoor Environmental Testing• Contaminant Source & Risk

• Allergens, Bacteria, Fungi, Viruses, etc.

• Building Envelope & Roof



Why aren’t we testing for Covid-19 in our buildings?

Coronavirus Environmental Test• Sample Proactively (Peace of Mind) & Post

Disinfection• Environmental Surface Validation

• Present (positive) or Absent (negative)• RT-qPCR Detects SARs-CoV-2 RNA• 12-72 Hour Turnaround Time

• Air Sampling Method Also Available



Have we cleaned our HVAC systems?Duct Cleaning

• 7-10 years in Rotation• Mechanical Experience• Detailed Specification

Steam Coil Cleaning• High Temps Disinfect• Improves Performance

& Saves Energy• Eco-Friendly



Inside the HVAC System

Duct Before Duct After

Coil Before Coil After



HVAC System Restoration

Drain Pan Before Drain Pan After

Blower Before Fan Wall Retrofit



Are we looking into air purification?

• Air Changes• Filter Viruses & Contaminants• Peace of Mind

• Employees, Guests, Customers



Have we looked at bipolar ionization?

• Airborne particles charged ions cluster & are caught more easily by the filter.

• Bacteria & virus cells are destroyed.• Odorous aerosols oxidize on contact with

oxygen ions & are neutralized.• Oxygen ions cause a chemical reaction

with VOCs breaking down their molecular structure.



HVAC Mounted BPI Covid-19 Efficacy

• Field Study in Facility transitioned into a temporary hospital by Spanish Govt.

• Installation into fan coil unit serving mock patient room

• 99% air reduction of Covid-19 virus surrogate in 10 minutes



Why aren’t we monitoring air quality?

• Nodes (sensors) Placed in Facility• CO2, Particulate, VOC, RH, Temp• Sends to Cloud with Dashboard• Set Parameters & Send Alerts• Logs Data & Generates Reports



Visualize Scorecard ResultsSupply & return ductwork is hygienically cleaned with the PURE-Duct service incorporating negative air machines with HEPA filtration. Fiberglass duct board is also encapsulated to prevent degradation.

PURE-Decon building disinfection is conducted using EPA registered disinfectants to neutralize all bacteria, mold & viruses (including coronavirus) prior to the facilities being certified.

IAQ Guard is installed to monitor/alert the facility 24/7 for particles, temperature, RH, CO2 & VOC.

The HVAC units are hygienically cleaned with PURE-Steam™ using 350° F steam. Then restore them with anti-microbial paint as part of the HVAC New Life™ process.

Baseline environmental (including for COVID-19 or Coronavirus) and HVAC testing is done to verify building safety.

HEPA Air purifiers with EnviroSmart™ technology and/or PURE-Plasma bipolar ionization are installed in the building for the continuous cleaning of the air to remove allergens, microbes, odors & particles.


Indoor Environmental & HVAC Hygiene Expertise

• Founded in 1984• 3 Specialized Divisions

• Building Sciences, EDLab, Building Remediation

• 700 Million+ Square Feet of Experience• 12,000+ Buildings Serviced• PhD Microbiologists & Building Scientists• Certified Environmental Lab



Questions & Follow-up


Frank SantiniVP of Business Development1-800-422-7873 extension: 804(727) [email protected]

Troy RaszkaVP of Marketing1-800-422-7873 extension: [email protected]


mailto:[email protected]


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live stream - brown & brown insurance...sep 09, 2020 · the information provided in this live...

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