Bird Flu Awareness

7/28/2019 Bird Flu Awareness

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Health & Safety Is the Overriding Priority All Incidents Can Be Prevented 1

Contents

1. What is bird flu?2. What are the symptoms in humans?3. How does bird flu spread to humans?4. How long is a person with flu virus contagious?

5. What can you do to prevent being infected?6. Eating Habits?7. Tips for cooking poultry8. Travel to other countries9. Vaccination10. What should I do if I suspect I have bird flu?11. Comparison with SARS & Flu12. WHO Update13. Action Plan?

Delphi AP Preparedness for Avian influenza (bird flu)


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What is Avian influenza (bird flu)?

1. Bird flu is a disease affecting birds that is caused by several types of

flu viruses.

2. Highly Pathogenic bird flu (HPAI) is a highly contagious diseaseaffecting wild birds and poultry

3. This disease has been responsible for recent human outbreaks and

deaths in European and Asian countries

4. There are three types of flu viruses - A, B and C. Only types A and Bcause significant human disease. Flu A is further sub-typed accordingto the type of proteins (H) and (N) proteins on its outer layer. There are15 different H types (H1, H2, H3, etc) and 9 different N types (N1, N2,

N3, etc).

5. The current outbreak of bird flu in poultry which affected humans iscaused by the H5N1 subtype of flu A virus


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What are the symptoms in humans?

1. Fever, cough, muscle ache, runny nose, and sore throat

2. Some may get eye infections and have difficulty breathing

3. Pneumonia or other complications may occur at a later stage

4. There is no evidence to date that the disease is spread throughcasual contacts.

5. Concerned employees can contact their personal doctor or publichealth authorities


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How does Avian Influenza spread to humans?

Bird flu spreads to humans mainly through contact with infected birds,

which shed the virus in their saliva, nasal secretions and droppings.

Very rarely, human-to-human transmission may occur (insufficient datato support this at this time)


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How long is a person with flu virus contagious?

The period when an infected person is contagious depends on the

age of the person.

Adults may be contagious from one day prior to becoming sickand for three to seven days after they first develop symptoms.

Some children may be contagious for longer than a week .


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What can you do to prevent being infected?

1. Avoid visiting poultry farms.

2. If you intend to travel to countries with cases of bird flu, you shouldadopt the following good hygiene practices to minimize your risk of acquiring bird flu:

Avoid contact with live poultry and birds, especially for children.

Avoid crowded areas and stay in places with good ventilation. Wash hands thoroughly with soap and water after handling live

poultry and birds, and when they are dirtied by respiratorysecretions e.g. after sneezing.

Observe good personal and environmental hygiene.

3. You should also build up a strong immunity system in your body. Startby having a regular exercise regime, a well-balanced diet that includestwo servings of vegetables and two servings of fruits daily, adequaterest, reducing stress and not smoking.


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Eating Habits?

The poultry and eggs available in the market are safe to eat

No evidence that you can get bird flu by eating cooked chicken or eggsor other poultryCanned poultry products such as essence of chicken are also safe toeat

All canned products undergo a heat treatment process that effectivelydestroys any viruses


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Tips for cooking poultry

Separate raw food from cooked food

Wash your hands before and after preparing foodCook poultry meat thoroughly

Avoid eating raw or half-boiled eggs or semi-cooked meat


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Travel to other countries

World Health Organization has not advised any travel restrictions sofar No quarantines measures are in place in any countryWhen visiting affected countries, avoid farms and live poultry and birds,and adopt good hygiene practices


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Vaccination

Should I get vaccinated against flu before I travel?

Health experts recommendation:Children aged 6 months and older shouldbe vaccinated if travelling to countries where outbreaks have

occuredPersons likely to be exposed to infected chickensor farms should also be vaccinatedPurpose of vaccination is to avoid risk of peoplebeing infected by bird and human virus at thesame time


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What should I do if I suspect I have bird flu?

Consult your doctor immediately if you have had contact with live birds or

travelled to a country which has cases of bird flu

Or call public health authority to take you to the Communicable DiseaseCentre for evaluation


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Comparison with SARS & Flu

Avian Flu Flu SARS

Virus H5N1 H7N2 H1 H2 H3 N1 N2 SARS CoV.

Symptoms

Headache, fever, cough,running noise, sore throat,muscle and joint ache, vomit,diarrhea, poor appetite (similar to common flu and hard todistinguish)

Fever, cough, runningnoise, sore throat, bodyache

Fever 38, dry cough, short breath,possibly headache, muscle stiffness, poor appetite, fatigue, diarrhea, or skin rash.Detection of pathological changes through X-ray

Incubationperiod

1-5 days, possibly contagious

before and after symptomsappear

About 1-3 days, contagious

before and after symptomsappear

3-10 days, no indication to be transmittedduring incubation period

Transmission Route

Contact with bird feces or breath in dry bird feces ducts

Flying particles of saliva or phlegm

Close contact or breathe in flying particles of saliva, phlegm, or body fluids of SARSpatients

Prevention Avoid contact with birds, strictpersonal hygiene Flu vaccinationWear surgical mask if fever occurs, frequentlywash hands and measure body temperature,and avoid hospitals

TreatmentInfluenza antiviral medications Influenza antiviralmedications

Antiviral medications, antibiotics, interferon,supportive treatments

High RiskIndustry

Poultry, butchery, & farmindustries, hospital & medicalpersonnel, laboratories

General population Hospital & medical personnel, laboratories


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WHO Update 23 Jan 2006

Dateof onset

Cambodia China Indonesia Thailand Turkey Viet Nam Total

cases

deaths

cases

death

s

cases deaths cases deaths

cases deaths

cases deaths cases deaths

2003 0 0 0 0 0 0 0 0 0 0 3 3 3 3

2004 0 0 0 0 0 0 17 12 0 0 29 20 46 32

2005 4 4 8 5 16 11 5 2 0 0 61 19 94 41

2006 0 0 1 1 3 3 0 0 4 2 0 0 8 6

Total 4 4 9 6 19 14 22 14 4 2 93 42 151 82

Total number of cases includes number of deaths.WHO reports only laboratory-confirmed cases


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WHO Update

COUNTRIES WITH HUMAN CASES IN THE CURRENT OUTBREAK

1. To date, human cases have been reported in seven countries, most of which are in Asia: Cambodia, China,Indonesia, Thailand, Turkey,Viet Nam and some Africian countries like Nigeria.

2. The first patients in the current outbreak, which were reported from Viet Nam, developed symptoms inDecember 2003 but were not confirmed as H5N1 infection until 11 January 2004. Thailand reported its firstcases on 23 January 2004. The first case in Cambodia was reported on 2 February 2005. The next countryto report cases was Indonesia, which confirmed its first infection on 21 July. Chinas first two cases werereported on 16 November 2005. Confirmation of the first cases in Turkey came on 5 January 2006.

3. All human cases have coincided with outbreaks of highly pathogenic H5N1 bird flu in poultry. To date, VietNam has been the most severely affected country, with more than 90 cases.

4. Altogether, more than half of the laboratory-confirmed cases have been fatal. H5N1 bird flu in humans is stilla rare disease, but a severe one that must be closely watched and studied, particularly because of thepotential this virus to evolve in ways that could start a pandemic.


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1. Keep track of travellers

Employees to affected countries2. Travel control if there is an epidemic

Country is affected2 or more employees are affectedGovt has recommendations on restriction

3. Daily monitoring employeesMonitoring of employees for symptomsEmployees to keep company informed of family members affected

4. Refer to designated doctor if necessaryDelphi to work with Designated Company Doctor

5. Doctor will coordinate with CDC if necessary6. Daily reporting to corporate

Delphi Plan

Documents

Bird Flu Awareness