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Scott McPherson's picture
Scott McPherson

Tiptoeing Through Minefields

We're in a pandemic, but there's still time to plan.

It is quite possible that by the time you have read this blog, the World Health Organization will have moved the planet to full pandemic influenza status by engaging the Phase Six protocol.

Now what Phase Six means is that the world is in the throes of a full-blown flu pandemic.  But it does not mean we are looking 1918 in the eye, nor does it mean we are looking at the 50%+ mortality rate from bird flu.

It does mean that the world is experiencing a novel virus with little to no human immunity, that it has found the way to jump species, infect humans with ridiculous ease, and is on every continent, doing its business of infecting humans. 

The big question is this:  What will this virus do in the late summer and fall?  Will it acquire the Tamiflu Resistance Geneset?  Will it get together somewhere in Egypt, or Indonesia, or China in this, the 40th anniversary of the Summer of Love, and Woodstock itself to H5N1 bird flu? 

Or will it simply go away, lose the fight against seasonal flu and disappear?

I have mentioned before, on this site and on my regular blogsite, www.scottmcpherson,net , that influenza plays King of the Mountain.  Whichever strain is the most adept at perpetuating itself will survive.  It is Darwin at its zenith. 

In the Southern Hemisphere, it is now officially flu season.  Everyone is watching with great anticipation if swine H1 will overtake the seasonal H1N1 and H3N2 viruses and expand its empire, or if it will be beaten back by the milder flus. 

If swine H1 is effectively dissipated by seasonal influenza, we may see an early end to the pandemic.  However, if swine H1 continues to gain a foothold and actually displace the seasonal flus, then we have no earthly idea what the virus will eventually look like once it has circled the globe and come back for a second wave.  Recall that pandemics come in waves, and no one knows how long a wave lasts in this age of quick intercontinental air travel and mass rapid transit.

But the one luxury you have -- which should not be squandered -- is the luxury of a (so far) mild to moderately severe virus.  So now is the time to finish your pandemic plans and acquire whatever you think you need to endure a likely second wave in the late summer or early fall.

Here are some things to consider:

No one knows who will get sick, but pandemics (and this pandemic is no exception) go after the young with fervor.  "Young" in this case seems to be anyone under age 60.  Most of these cases are of young people under age 40.  So you should consider what would happen if a disproportionate amount of your workforce -- people under 40 -- were absent for extended periods of time. 

First, help your employees understand what a flu pandemic is, and how to prepare themselves and their families.  Your employees will appreciate the information you will give them, and will appreciate the effort you undertake to make sure they and their families are better prepared. 

Work with your HR department and local public health authorities to get those brochures and information.  contact the Red Cross, local health department, and see what giveaway stuff they have.  Go pick up the stuff yourself if necessary. 

Remind people to wash their hands regularly and to sneeze or cough into their sleeves or arms, NOT on their hands.  Admonish those who fail to remember this simple step. Influenza virus will become inert on a sleeve after twelve hours.  It will remain on unwashed hands for much longer. 

It is amazing how these ridiculously simple steps will slow the spread of the virus.  It is equally amazing how many people will ignore that advice.  If someone doesn't wash their hands, say "Dude!  Wash your hands!"  Unless they are much larger than you, at which point you may simply sneeze onto them and run.

Cross-train and cross-train some more, at least to a depth of three.  And break down tasks.  Don't try to replicate someone's entire day.

Consider training people out of their element.  For example, who else can do tape rotation besides data center personnel?  Who can do simple administrative tasks within Exchange?  Who can post an emergency message on a corporate Website?

Don't put too much faith in telecommuting.  In my own opinion, telecommuting is overrated.  Not everyone has broadband, and organizations cannot afford to put broadband capability in every displaced employee's hands.  Look for those areas where telecommuting might play a temporary role and know when it won't work. 

For example, any process that involves taking paper forms and performing manual data entry is doomed to fail in a teleworked environment.  That is because you have to quarantine paper as well as establish the digital entry point for the worker to log into the system securely and remotely.  Influenza virus on paper becomes inert after 12 to 24 hours, but each time it is handled restarts that clock. 

That includes USPS, FedEx, UPS, DHL, and courier services.  So a paper form for first-time applicants for unemployment conpensation, for example, could take several more days than normal for processing.

Scanning paper into, say, PDFs and emailing them home to socially distanced workers also creates problems if that data is sent to private ISPs with strict limits on attachment size. 

If you require employees to do work from home, on their own equipment, you are in for a world of hurt.  Securing those home PCs will be a major hassle.  Establishing VPNs with the ability to enforce policy compliance with antivirus and malware detection is essential.  this also means an organization should pay for the antivirus and antimalware software licenses.

Help desks need to be converted to socially-distanced operations.  This is easy if you have deployed VoIP or similar technology, or use "softphones" on agency laptops. 

Be prepared to support them on their own equipment.  Be prepared to buy them Microsoft Office, antivirus/antimalware, etc. legally, you cannot force them to buy their own.  Or else be ready to supply them with laptops.  No broadband?  Here come the cellcard broadband modems?  What? A nightmare?  You can't afford all this?  See, I told you telework is overrated.

You are better off scheduling keypunch operators in shifts, minimizing their physical proximity to one another and to increase the space between them.  This may mean going to 24-hour operations.  So be it.  This is not business as usual, so business as usual is thrown out the window.

And do not forget the lost morale that will come if managers are securely sealed away at their homes while the plebes have to come in to the office, slave over a hot PC or terminal all day, and risk exposing them and all their loved ones to the virus.  You need to lead.  That means being seen in their environment.

Next, check to see how your suppliers are handling any reduction in the flow of the just-in-time supply chain.  Recall SARS:  the virus created massive supply chain strains, even though Americans were largely unaffected by the virus. A flu pandemic will usually impact Asia much more than it does the Western nations.  Check to see what items might get constrained and see what you can do to pull additional quantities in, especially consumables.

Check with your sanitation and cleaning people and set up a schedule that eliminates vacuuming on weekdays.  Vacuuming should only be performed on weekends, preferably Saturdays.  This is because influenza virus becomes inert and drops to the carpet or floor.  Vacuuming stirs up that virus again, energizes it and restores it to the air to be inhaled.

Move those vacuumers over to cleaning all solid contact surfaces, such as staircase railings, elevator buttons, door handles and countertops.  Influenza virus can live on solid surfaces for days.

Non-carpeted floors should be cleaned on a regular basis. 

And now, today if possible, get up with your organization's leadership; place a list of IT services in front of them; and ask which services can be turned off, or allowed to fail without restart, during a pandemic.  Remind them that you will need to prioritize your staff and not all IT services are essential in a serious pandemic.

OK, let's go to work.

What People Are Saying

bayrak

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This is very good news was

This is very good news was well informed that the followers of the issue I am. Thank you ...

HINI

STIMULATING IMMUNE FUNCTION: A NEGLECTED RESOURCE AGAINST PANDEMIC INFLUENZA

Society is fast losing its battle against emerging and reemerging infections. HIV continues to inflict considerable human and economic damage, and HINI is causing death, overwhelming health services, and threatening to intensify in the fall with a more virulent strain. The tuberculosis bacillus shows signs of resisting conventional treatment, as does the malaria parasite. Influenza, the agents of food poisoning, methicillin- resistant staphylococcus aureus (MSRA), and hospital- acquired infections (HAIs) take their gloomy toll. Global warming may invite such tropical diseases as malaria to our shores.

Stimulating immune function would transform the prevention, treatment, research and economics of infectious disorders. Immunostimulation is propagandized as unavailable, but as early as nineteen eighty-one, published evidence showed that lithium and antidepressants have clinically relevant, immunostimulating and antimicrobial properties. Lithium and antidepressants have been overlooked as immunostimulants, chiefly because they promise to save a fortune, rather than create one.

Antidepressants can remit tuberculosis, canker sores, cold sores, genital herpes, upper respiratory tract infections, and plantar warts. They can destroy the organisms of various parasitic diseases, including malaria, and are lethal to disease causing fungi and bacteria. Remission of such manifestations of viral infections as sinusitis, bronchitis, frequent colds, sore throats, cold sores and genital herpes in patients taking lithium has been reported. Lithium and antidepressants can reduce the rates of common, “flu-like” colds, and lithium is capable of preventing recurrences of staphylococcal and streptococcal skin infections.

Developing a vaccine for viruses has the disadvantage of having to know the strain, especially a virus such as the human immunodeficiency virus that is known to be rapidly mutating. That problem does not apply to immunostimulants: once stimulated, an immune system is likely to be effective against all strains. One cannot say whether lithium or antidepressants are best suited to HINI, until clinical responses are observed. If not adapted to pandemic preparedness, a disaster may yet befall us. In the 28 years that immunostimulation has been available, vested interests have suppressed it. Among them, government and private laboratories have tried to replicate it using other methods, but they have failed, and are unlikely to succeed.

Pandemic

Dont know what the WHO is doing in controlling the pandemic influenza..

Amarjit Singh Kullar

This is because influenza virus becomes inert and drops to the c

If you could post a lnk to study that substantiates this fact, this woould be helpful. Can not find anything on this on official fu sites.

Here are some quick references:

http://www.pandemicflu.gov/plan/healthcare/influenzaguidance.html

"Influenza A and B viruses can persist on dry environmental surfaces, both porous and nonporous. Laboratory studies conducted to evaluate this persistence document survival periods that vary widely in length, depending on environmental factors. Low relative humidity levels (e.g., < 50%) and cool, ambient temperatures are associated with longer periods of activity. Influenza A virus can survive on hard, nonporous surfaces (e.g., stainless steel, hard plastic) for 24 – 48 hours and on porous materials (e.g., cloth, paper) for < 8 – 12 hours in ambient temperatures (1). Virus persistence on surfaces increases up to 72 hours when those surfaces are moist or wet (2)."

Also:
http://www.pandemicflu.gov/travel/cleaning_vessels.html

"Do not use compressed air and/or water under pressure for cleaning, or any other methods that can cause splashing or which might re-aerosolize infectious material. Vacuum cleaners should only be used after disinfection has taken place. Vacuum cleaners should be maintained to minimize dust dispersal in general and equipped with High Efficiency Particulate Air (HEPA) filters."

There are more references, and St. Jude did a study that confirms the porous/nonporous research.

Scott

Serious Thinking

All that serious thinking should revolve around the best way of disbanding the WHO.

Global Swine Flu Marketing Pandemic

Hi folks,

I am wondering whether anyone else out there shares my sceptical viewpoint around swine flu. I can't think of one great reason why the world has been inspired to panic so much around this apart from the grat news it makes. So you've heard the flu will mutate into something much worse? Well how come we never heard that theory about Avian Flu or SARS - which are much bigger threats? And why haven't these flus mutated given it's been years since those scares? Because mutating flu virus's are nowhere near as common as you may believe. google it. Also check out this site I found while researching this thing. It's:

swineflutally.com

pretty amusing and provides some balance in my opinion.

Answer to your question.

You're wrong about both avian flu and SARS being a bigger threat.

Avian flu H5N1 still has a ways to go before it can be easily transmitted person-to-person. SARS is not a bigger threat simply because its incubation period is so quick, public health authorities were able to get in front of it. SARS has gone back to ground, back into the civet cats where it originally came from. I do believe we will see SARS again, and SARS was scary because it had a 10% case fatality rate, four times higher than the 1918 flu pandemic.

This current swine H1 flu is by far a bigger threat to public health, because it has already acquired the ability to move from person-to-person with ease and because it displays extremely mild symptoms in at least a third of its cases, thereby allowing it to gain a foothold within the population. Plus, it is a pandemic, which by nature makes it a more immediate public health threat.

Reassortment of swine H1 with avian H5N1 either in the Middle East or in Asia (especially China, Vietnam or Indonesia) is the nightmare scenario, but recombination of swine H1 with copies of itself is also a looming threat, because it is difficult to imagine the virus getting any milder. In my opinion, it with either get more lethal or it will go away, forced out by seasonal influenza.

No middle ground here.
Scott

Pandemic or not

Why do we need to be so scared ? Yes, there are people who died because of this but their number is way lower than for almost any other disease. Doesn't anyone look at statistics ? Heck, it is more likely that I die in a car crash on my way home than being infected and die because of this virus. To me this whole story is either monumental incompetence or some clever global marketing ploy. In this part of Canada where I live, there are around forty something cases and 4 people died (most of them had also some other health problems). Can anyone bother telling us how many people died so far this year because of heart attacks, cancer or simply died in their sleep for no apparent reason ? I strongly believe this hysteria must serve some purpose.