Pandemic Plan Update

1
Pandemic Plan Update

• Corporate HSE, Human Resources (HR)
• October 15, 2009

2
Agenda

• Huskys Pandemic Plan Update
• The Facts
• Medical review by The ECM Group
• Huskys Pandemic Plan
• An overview by HSE
• What About me?
• HR related questions and answers
• Whats Next?

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Influenza A-H1N1 Virus

• New influenza virus for which humans do not have
  immunity although those over 65 seem to have some
  immunity
• Comprised of components of human, avian and swine
  virus
• Most cases have resulted in mild symptoms but it
  has resulted in deaths in the younger age groups
  (4100 world wide, 76 Canada, 8 Alberta)

4
Seasonal Flu

• 250,000 to 500,000 deaths annually associated
  with seasonal flu
• 4000 deaths in Canada
• Deaths mostly in high risk groups 65, chronic
  disease, immunosuppressed

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Pandemic Level 6

• World Health Organization (WHO) Confirms Pandemic
  Phase 6
• June 11, 2009
• Sustained human to human transmission three
  generations are
• involved i.e. the virus has passed from person
  A to person B and then
• to person C.
• Pandemic Alert Levels are about the spread of the
  virus not about
• severity!

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Symptoms of H1N1

• Similar to Seasonal Flu and include fever,
  cough, sore throat,
• headache, chills, fatigue and in some cases
  vomiting and diarrhea
• (usually sudden onset more severe than cold
  symptoms)
• Symptoms needing urgent medical attention
  difficultly breathing or
• shortness of breath, pain or pressure in chest or
  abdomen, sudden
• dizziness, confusion and severe and persistent
  vomiting, fever gt 3 days

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Pre-existing Conditions

• People with the following conditions should
  contact physician as
• soon as possible after flu like symptoms occur as
  antiviral
• treatment may be required
• Pregnancy, Asthma and other lung conditions,
• Diabetes other Chronic Metabolic Diseases,
  Cardiac Disease,
• Liver Disease, Impaired Immunity, HIV Infection,
  Chronic
• Neurological Disorders

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H1N1 Infectious Period

• 1 day before onset of illness
• 7 days after onset of illness or 24 hours after
  fever has resolved (without medication) whichever
  is longer.
• Spread primarily through droplets in the air
  (coughing/sneezing)
• Lives on objects for up to 2 days (most
  infectious 8 hours)

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H1N1 Vaccine

• Will be available in November 2009
• Will be provided through Alberta Health Services
• May require a waiting period between seasonal flu
  vaccination and receiving H1N1(duration currently
  unknown)
• Currently seasonal flu only offered to groups
  high risk for complications from seasonal flu

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General Precautions

• If you have flu like symptoms stay home seek
  medical advise if symptoms worsen,
• Frequent hand washing with soap and water.
  Alcohol based (at least 60) hand cleansers are
  also effective,
• Cover nose and mouth with tissue when you cough
  or sneeze (dispose of tissue and wash hands)
• If no tissue - Use upper sleeve

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General Precautions

• Avoid touching your nose, eyes mouth
• Avoid contact with persons with flu like
  symptoms.
• Practice good health habits good nutrition,
  exercise adequate sleep
• Wearing a mask is not recommended for prevention
• Antiviral medication not recommended for
  prevention of H1N1

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Be Prepared

• At home stock up on thermometer, acetamenophen
  (Tylenol) or Ibuprofen, fluids and food to last
  several days.
• Arrange to have some one who can assist you with
  child care or shopping.
• Obtain information on how to care for yourself or
  others (Alberta Health and Wellness Website)
• Familiarize yourself with ECMs Self Assessment
  Tool form online on Huskys website and ECMs

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References

• World Health Organization (WHO)
• http//www.who.int/en/
• Public Health Agency of Canada (PHAC)
• http//www.phac-aspc.gc.ca/alert-alerte/h1n1/index
  -eng.php
• Alberta Wellness
• http//www.health.alberta.ca/health-info/influenza
  -H1N1.html

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• Questions?

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Phases of a Pandemic
Pandemic Response
Localized Disease Outbreaks / Epidemics
Normal Cold Influenza Season
WHO Phase 1
WHO Phase 2
WHO Phase 3
WHO Phase 4
WHO Phase 5
WHO Phase 6
Normal
Pandemic
Infectious Disease Risk
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Pandemic Plan Purpose (Overview)

• In conjunction with BCP, provide site-specific
  guidelines and strategies to
• ensure a consistent, timely and effective
  response to infectious disease events
• and to minimize impacts on employees and
  operations.
• This plan is intended to
• Protect the health and safety of employees
• Identify and highlight key dependencies
• Establish means of clear and sufficient
  communication
• Define the actions necessary to support ongoing
  operations and deliver essential programs and
  services
• Outline specific roles, processes and support
  systems for day-to-day operations, and provide
  support to Husky locations during a pandemic
  crisis and
• Enable business areas to maintain as robust a
  service as possible to Husky customers and
  stakeholders in any major incident thus
  protecting the reputation of the organization and
  maintaining stakeholder confidence.

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Response Levels - WHO Phases
Husky Response Level Husky Response Level WHO Phase WHO Phase
Normal Normal operations Phase 1 No new influenza virus subtypes
Alert Awareness of issue planning underway Phase 2 and 3 Circulating animal subtype poses threat
Level 1 Increase readiness, test response plans Phase 4 Small clusters of human infection
Level 2 WHO Phase 5 PLUS 15 absenteeism take active measures Phase 5 Large clusters of infection, but localized
Level 3 WHO Phase 6 PLUS 30 absenteeism take aggressive measures Phase 6 Pandemic increased and sustained transmission
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H1N1 Status

• Currently, Husky Response Level 1, WHO Phase 6
• (Husky will remain at Level 1 even if WHO Phases
  are at 5 or 6 unless
• there is a local outbreak)
• In Canada, 78 deaths due to H1N1
• Deaths in regular influenza season 4,000 to
  7,000
• Virus peaked in Canada in first 3 weeks of June,
  waned and is peaking again, but did not mutate
  significantly (low to moderate severity)
• Some antiviral resistant strains identified

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Pandemic Core Response Team

• Multi-disciplined team conferences semi-monthly
• Sharing of best practices, development of
  strategies and tactics, and preparation of
  communications
• Deliverables
• Developed Pandemic Plan
• Key messages, bulletin articles, dark website
• Template / checklist for site preparedness
• Wallet cards / 1-800 employee number
• On-line diagnosis tool / absenteeism tracking
• Increased sanitization

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CERT Responsibilities at Level 3

• Make decisions on separation or segregation of
  staff (travel restrictions / meeting restrictions
  / working from home)
• Coordinate field sites in implementing their
  business continuity plans and prioritizing
  critical operations
• Defer non-critical activities

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Human Resource Questions

• Pro-Active Steps
• Monitor the latest Alberta Health Services
  bulletins and other credible sources of
  information,
• Immunization Program Administer employee /
  contractor immunization programs if and when
  possible,
• Provide access to the most current relative
  information,
• Web site, Bulletin, Lunch Learn
• Providing hand sanitizers,
• Template / checklist for site preparedness
• Wallet cards / 1-800 employee number
• Maintain the On-line Self Assessment Tool (SAT),
  and training via Lunch Learn sessions.

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On-Line Health Assessment Tool (SAT)

• ECM Health Services Provider Referral - via way
  of the confidential Self Assessment Tool.
• Expected turnaround is 24 hours depending on
  volume.
• The objective of this on-line tool is provide
  information about Influenza / H1N1 and to provide
  access to our Health Service Provider (ECM) for
  an initial assessment, enabling employees to
  have questions and health concerns accurately and
  quickly addressed.

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Human Resource Questions

• Where can I go to learn more about the pandemic
  virus, its symptoms, preventative care and
  supportive information?
• World Health Organization www.who.int
• Center for Disease Control www.cdc.gov
• Public Health Agency Canada www.phac.aspc.gc.ca
• Ohio Department of Health www.odh.ohio.gov
• ECM Self-Assessment Tool on the Husky Intranet
• Intranet http//huskynet.myconnection (takes
  you to www.huskyenergy.com/myconnection/)
• External website http//www.huskyenergy.com/myco
  nnection/
• (must be typed into the address line of your
  web browser)

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Human Resource Questions

• We are about to enter into a potentially
  extraordinary time.
• In all cases Husky will consider what is
  reasonable and makes most sense for you, your
  co-workers and the Company.
• The following has been prepared to assist in
  answering questions you may have.

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Human Resource Questions

• Who should I call if I believe I have contracted
  the disease?
• First Contact should be your Medical Caregiver
• Complete ECMs confidential on-line Self
  Assessment Tool (SAT)
• Manager or Supervisor to advise them of your
  fitness to work
• Now.how should I look after myself?
• Follow the advice of your Medical Caregiver,
• Stay at home, keep away from work, school or
  crowds as much as possible,
• Rest take plenty of fluids,
• Cover your mouth nose with disposable tissues
  when coughing sneezing and dispose of the used
  tissues properly,
• Wash your hands with soap and water frequently
  and thoroughly, especially after coughing or
  sneezing,

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Human Resource Questions

• What if Public Transportation is deemed
  unhealthy?
• Access to public transportation is generally not
  deemed a valid reason to be away from work.
• Should this become an issue, employees are
  expected to make alternative transportation
  arrangements (i.e. car or car pooling)
• Can I work from home?
• With your supervisors approval you may be
  permitted to work from home.
• What if I become ill for a prolonged period of
  time?
• If you are ill for a prolonged period of time,
  sick pay will be calculated on your length of
  service as per Huskys Sick/Short Term Disability
  policy

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Human Resource Questions

• What will be required from me before I can come
  back to work?
• If you have been away less than 3 days and
  symptoms no longer exist, there is generally no
  RTW requirement.
• If you had flu-like symptoms or your illness
  lasted longer than 5 days, you may require a
  fitness to return to work authorization from
  Huskys Health Service provider (i.e. ECM, AOMS).
• If a co-worker is ill, what should I do?
• Avoid close contact with people who appear
  unwell, have a fever and / or cough.
• Continue to manage proper health practices and
  avoid close contact with others you feel may be
  infected.
• When a manager has reasonable cause or concern of
  an employees well being, they can refer the
  employee for appropriate medical care.

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Human Resource Questions

• What if I need to care for an ill family member
  or my regular childcare services fail?
• If you have to stay home to care for an ill
  family member or childcare, vacation and PDO days
  could be used.
• To assist with possible back up plans consider
• Human Solutions / EFAP
• Family and friends
• Pre-Registering with Kids and Company
• www.kidsandcompany.ca
• I would like to enroll
• 80 / day or 350 for 20 days
• Pay only when accessed, but must register first

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Human Resource Questions

• What if I have recently returned from a region in
  close proximity to a Pandemic outbreak?
• Your Medical Caregiver should be aware of your
  travels,
• Heed their advice,
• Complete the SAT,
• If after 3 days no symptoms present, you would be
  expected at work
• What is a Region of close proximity?
• A location that you visited (work or vacation)
  that is known to have a high prevalence of
  infection within its population,
• Has been deemed as a high risk region during
  your travel by qualified agencies such as
• World Health Organization,
• Center for Disease Control,
• Public Health Agency Canada

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Whats Next?

• Pandemic Plan will be Posted.
• Staying Healthy
• Nutritional Lunch and Lean October 21,
• Wellness Fair October 28 and 29,
• H1N1 vaccination When available mid November?
• Visit the posted web sites, Husky bulletin etc.
• Exercise and get your rest,
• Practice proper hygiene, hand washing etc..