The A-H1N1 Influenza Virus OutbreakThe A-H1N1 Influenza Virus OutbreakStatus Report as of 6 May 2009 0600 GMTStatus Report as of 6 May 2009 0600 GMT

Dan Biby, Emergency Services Sector ChiefDan Biby, Emergency Services Sector ChiefInfraGard Oklahoma Members AllianceInfraGard Oklahoma Members Alliance

BackgroundBackground

• Based upon research and monitoring to verify information is “up to the minute.”

• Consulted local health and swine experts.

• Significant experience in Influenza Pandemic planning for Oklahoma.

• I’m not a medical expert.

Report GoalsReport Goals

1. Define the A-H1N1 Influenza Virus.

2. Summarize the 2009 A-H1N1 Influenza Outbreak.

3. Compare 2009 Outbreak with the “Big One.”

4. Discuss tools to protect you and your family.

5. Provide resources for additional information.

What Does “A-H1N1” Mean?What Does “A-H1N1” Mean?

Source: 21st Century Flu Pandemic Insights from 20th Century History, Jonathan D. Abolins, CHSP

An A-H1N1 Virus (37,800x)An A-H1N1 Virus (37,800x)

Source: Centers for Disease Control & Prevention (CDC).

The 2009 A-H1N1The 2009 A-H1N1

Genetic Breakdown

• Some genetic code from Eurasian Swine Flu Strain

• Some genetic code from N.A. Swine Flu Strain

• Some genetic code from N.A. Avian Flu Strain

• Most genetic code from Human Flu Strain

How it Spreads from Human to Human

• By inhaling or absorbing viral material from infected humans. Much like contracting seasonal flu.

NO documented cases indicating Swine to Human transmission.

One confirmed case of Human to Swine transmission.

Swine industry is taking strong precautions.

NOT contracted by eating properly cooked pork or pork products.

Where We Are Today…Where We Are Today…

Source: World Health Organization.

Confirmed Cases WorldwideConfirmed Cases Worldwide

Source: World Health Organization (WHO)

US Confirmed CasesUS Confirmed Cases

Source: http://interactive.foxnews.com/health/swine-flu

The Big One: 1918 “Spanish Influenza” (H1N1)The Big One: 1918 “Spanish Influenza” (H1N1)

• Deadliest known pandemic

• Caused Cytokine Storms in the physically fit.

• 3 waves:

• 1st Wave: Spring 1918 – circled the globe in 4 months!

• 2nd Wave: Late Summer 1918 – mutated to new strain(s).

• 3rd Wave: Spring 1919 – another mutation.

• 50-100 million deaths worldwide. 675,000+ US.

• Dropped 1918 US life expectancy by 12 yrs.

Did We Dodge The Bullet?Did We Dodge The Bullet?

In Addition to Traditional Safeguards…In Addition to Traditional Safeguards…

1. “Watch” your hands!

2. Use your forearm, instead of your hand, to push a door open when possible.

3. Sanitize office equipment that you share with others, such as a workstation, copier, break room appliances, etc.

4. Consider wearing a mask when in a confined space such as an airline cabin, taxi, or other public transit.

5. Don’t believe everything you see and hear, especially from the mass media. Instead consider OSDH, CDC, and other reliable sources.

Wakeup Call …Wakeup Call …

1. Review your employees’ response to this event.

• How are they reacting? What are their greatest fears?

• Consider a post-event survey.

2. Update or write your pandemic plan.

3. Confirm your key suppliers also have a plan.

4. Other critical pieces:

• Mobilization plan (emergency protocols, personnel, supplies, etc.)

• Crisis communications plan (briefings for ALL stakeholders, public health, media)

• Human resource allocation plan (25% + 40%)

• Considerations include tele-working, reduced production, security vulnerabilities, legal obligations (payroll, SLAs), etc.

5. Test your plans!

6. Communicate the AAR to your employees and other stakeholders.

Questions?Questions?

Links fromLinks from The Responder Bulletin The Responder Bulletin on biby.com on biby.com

Dan Biby, Emergency Services Sector ChiefDan Biby, Emergency Services Sector ChiefInfraGard Oklahoma Members AllianceInfraGard Oklahoma Members Alliance

E-mail: dan@biby.comE-mail: dan@biby.comMobile: 405.203.2873Mobile: 405.203.2873