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Contingency plan for the ah1n1 influenza epidemic

Table of contents:

Anonim

The influenza epidemic that occurs in Mexico is an acute respiratory disease caused by the influenza A (H1N1) virus, which is contagious. Because this flu is new, most people are not protected against it. A severe pandemic flu would result in a high percentage of the population becoming ill and many could die if they are not diagnosed and treated in time.

1. Introduction

The influenza epidemic that occurs in Mexico is an acute respiratory disease caused by the influenza A (H1N1) virus, which is contagious. Because this flu is new, most people are not protected against it. A severe pandemic flu would result in a high percentage of the population becoming ill and many could die if they are not diagnosed and treated in time.

The characteristics and evolution of the influenza A (H1N1) epidemic in our country establish the need to prepare to face the possible pandemic, before which there is a shared responsibility of the entire society, the national, state and municipal health authorities, the public and private health institutions, in coordination with the competent international organizations and workers 'and employers' organizations.

Sesajal has the right and social responsibility to protect the source of employment and therefore the fundamental part is the protection of the people who come to fulfill their working day.

Human knowledge has faced innumerable problems to ensure its survival, through the search for quiet and safe places to protect itself from threats. He has also acquired extensive knowledge and developed various forms of planning to minimize the consequences of disasters.

This Plan describes the actions to be taken in the event that an emergency situation arises and threatens our source of work.

It also establishes the responsibilities and procedures for anticipated emergency situations, training required for the parties involved, as well as a list of teams for responding to incidents.

2. Purpose and objectives.

2.1 General Purpose.

Provide a set of guidelines and information for the adoption of structured procedures that provide a quick and efficient response in emergency situations in Sesajal.

2.2 Specific Objectives.

a) Restrict as much as possible the impacts that could occur due to an outbreak of the A H1N1 virus epidemic.

b) Prevent the contagion and spread of the A H1N1 virus in our workplace.

c) Strengthen the operational and response capacity for the benefit of our collaborators, clients and suppliers.

d) Establish strategies for the acquisition of the necessary resources for the implementation of the Contingency Plan.

3. Scope and Content of the SESAJAL Contingency Plan

The scope of the Sesajal Contingency Plan is to define the response to incidents that could impact any operational work area, including those of an administrative nature.

4. Definitions

  • Fever greater than 38 ° or higher Headache Muscle and joint pain Attack on general condition and weakness Cough Runny nose Irritated eyes Sore throat Possible diarrhea

6.1.2 Warning signs:

  • Difficulty breathing Chest pain Bloody phlems Confusion or drowsiness

6.2.3 Preventive measures:

Individual:

6.2.3.1 Prevention of individual risks

  • Wash hands and wrists frequently with soap and water, preferably liquid, or use alcohol-based antibacterial gel, following the aforementioned technique, especially after sneezing, coughing and blowing your nose. When coughing or sneezing, do it with the technique suitable for coughing or sneezing, completely cover nose and mouth with a tissue or the inner corner of the elbow. Throw the tissue in a plastic bag, tie it up and put it in the trash can Avoid sharing office supplies such as pens, pencils, markers, CDs, USBs, etc. and if necessary, wash your hands after contact. Do not say hello with kisses, hands and hugs. Disposable latex or polyurethane or polyethylene gloves help prevent reinfection and are recommended for use by cleaning personnel.Do not exchange personal protective equipment (gloves, respirators, others).

Collectives:

6.2.3.2. Risk prevention in the workplace

  • Ventilate all work areas, opening windows and allowing the sun to enter. Guarantee the availability of rigid garbage containers with plastic bags and covers in all areas. Establish a cleaning schedule in each of the areas; If it is about inert surfaces (stainless steel or hard plastic) it should be done with water and detergent or with a chlorine solution (one liter of water with 8 teaspoons of 6% chlorine, which is commercial chlorine) every 4 hours. Ensure that there is no obstruction or stacking of materials and equipment. If there is air conditioning, maintain the climate with a gradation between 24 ° and 26 ° C. and a humidity between 50 and 60%. The specific maintenance program for each system must be carried out, especially filter cleaning. If possible use HEPA filters.Place enough water and soap or disinfectants in the restrooms to wash hands frequently Maintain the restrooms, dressing rooms and lockers for personal use permanently in useable and hygienic conditions Intensify the application of sanitary measures, if available dining facilities, to keep their facilities, equipment and utensils free of pathogens.

6.2.3.3 Risk prevention in the use of common objects and work spaces

  • Keep common objects clean by disinfecting them three times a day with alcohol or household bleach solution Phones Power switch handles and buttons Computer keyboards and Mice, printers, Sinks, doors and handles, as well as a handle or button on the toilet bowl Check the supply of sufficient water, liquid soap, toilet paper, disposable towels or air dryers.

7. General Procedure

7.1. Measures for the entry of workers

7.1.1. Surveillance Supervision Filter: Objective, To guarantee that the people who enter the company do not represent a potential risk of contagion for the rest of the people within Sesajal.

7.1.1.1. The surveillance area includes a booth and a counter facing the street, the surface should be cleaned every 4 hours with a chlorine solution (one liter of water with 8 teaspoons of 6% chlorine, which is commercial chlorine).

7.1.1.2. The supervision filter at the entrance of the property will consist of reviewing each person who enters the company, for which a laser gun will be used to detect body temperature.

7.1.1.3. To avoid conglomerations in the monitoring filter, people should line up and keep at least one arm's length between one person and another; Depending on the number of workers, it is recommended to establish flexibility in staff schedules.

7.1.1.3.1. The work material for the supervision filter will be:

7.1.1.3.1.1. Infrared thermometers or plastic strips to measure body temperature.

7.1.1.3.1.2. Alcohol-based antibacterial gel

7.1.1.3.1.3. Tissues

7.1.1.3.1.4. Trash can with plastic bag for waste. (The constant change of the same should be monitored to avoid accumulation of waste).

7.1.1.3.1.5. Questionnaires for detecting signs and symptoms.

General questionnaire for surveillance filter application

Date of application (d / m / y) ________________________

Symptoms

1.- In the last 7 days4, have you had any symptoms, how ?:

a) fever (equal to or greater

than 38ª C) Yes_____ No_____

b) cough

Yes_____ No_____

Characteristics of cough:

I. Dry ________ II. With phlegm_______

c) headache

Yes_____ No_____

d) body or joint pain and fatigue in general

Yes______ No_______

e) runny nose

Yes _______ No _______

This runny nose is:

I. Of little quantity during the day _____

II. Abundant amount most of the day _____

2. Do you know if you are allergic to dust or other substances that make you sneeze or cough?

If not _______

  1. If he has a fever greater than or equal to 38º C, deny access and refer him to a medical consultation. If she presents any other symptom without fever equal to or greater than 38<2MASCULINE> C, deny access and refer her to her home with the recommendation that she be alert in case it increases in frequency and intensity. In case of being allergic, and what she presents

7.1.1.3.2. In the filter, questionnaires to identify any symptoms of respiratory infection will be applied to all people, and based on this, it will be determined whether the person can enter the property or if they will be referred to their home or medical care unit.

7.1.1.3.3. Avoid entering workers or visitors with any symptoms of the disease to the workplace, especially those with coughing, sneezing or fever.

7.1.1.3.4. Avoid shaking hands, kisses or hugs at all times.

7.1.1.4. In case of suspicion Immediately isolate the worker with symptoms of the disease from the rest of the workers and refer him to the nearest health center.

7.1.1.4.1. Keep a record of isolated and incapacitated personnel, as well as their physical location in the workplace, to follow up on possible cases of contagion.

7.2. Contingency phases in accordance with the World Health Organization and the Secretary of Health of Mexico.

7.2.1. Phase 1, non-animal influenza virus circulating among animals, has been reported to cause infection in humans.

7.2.1.1. Actions to be taken: Those that are currently being carried out and that are contemplated in the Good Manufacturing Practices.

7.2.1.1.1. Include foods high in Vitamin C in the menu, such as: lemon, orange, grapefruit, broccoli, spinach and watercress.

7.2.2. Phase 2, an animal influenza virus circulating in domestic or wild animals is a known cause of infection in humans and is therefore considered a potential pandemic threat.

7.2.2.1. Actions to be taken: Apart from those indicated in phase 1, they should be considered.

7.2.2.2. Avoid shaking hands or kissing.

7.2.2.3. Constantly clean, with soap and water or bleach, handles, handrails, elevator control buttons, computer keyboard and mouse, as well as other objects of common use, and avoid using other colleagues' equipment.

7.2.2.3.1. Identify essential workers and critical processes to maintain Sesajal operations.

7.2.3. Phase 3, In this phase there are already human infection (s) with a known or new subtype of the influenza virus, but without person-to-person transmission, or at most rare cases of transmission to a close contact.

7.2.3.1. Actions to be carried out: apart from the previous actions, the following will be considered:

7.2.3.1.1. Evaluate access and availability of government medical services.

7.2.3.1.2. Reinforce the measures deemed necessary to support the company's medical service.

7.2.3.1.3. Provide timely preventive maintenance to the artificial ventilation systems of the work centers, which includes their general cleaning, replacement of filtration components and lubricants.

7.2.3.1.4. Provide workers with disposable gloves.

7.2.3.1.5. In accordance with the sales forecast, generate a production plan to keep Sesajal's activity to a minimum, in case of going to a higher contingency level.

7.2.3.1.6. Identify essential workers and critical processes to maintain workplace operations.

7.2.3.1.7. Encourage the use of information technologies to communicate remotely between employees, customers and the general public.

7.2.3.1.8. Reduce national and international business trips.

7.2.3.1.9. Prevent the return of sick workers to work before having an appropriate medical evaluation that declares them free of said disease.

7.2.3.1.10. Reorganize work shifts and stagger working hours.

7.2.3.1.11. Strengthen the area of ​​information technology to ensure distance communication.

7.2.3.1.12. Carry out tours in all areas of the workplace by the safety and hygiene committee to verify the implementation of the Emergency Care Plan.

7.2.4. Phase 4, It is characterized by the proven person-to-person transmission of an animal virus or regrouped human-animal animal capable of causing epidemics at the community level.

7.2.4.1. Actions to be taken; In addition to the above, the following will be considered:

7.2.4.1.1. Consider the probable absenteeism during the contingency due to direct illness of the worker or his family, due to the closure of schools, nurseries, public transport and other isolation measures.

7.2.5. Phase 5, It is characterized by the spread of the virus from person to person in at least two countries of a region of the World Health Organization.

7.2.5.1. Actions to be taken; In addition to the above, the following will be considered:

7.2.5.1.1. Authorize by the General Directorate the contingency plan to keep the activity of the work center to the minimum prepared by the Operations Directorate, in case of going to a higher contingency level.

7.2.5.1.2. Increase the consumption of liquids, particularly bottled water in small presentations.

7.2.5.1.3. Maintain a temperature of 24º to 26º C and humidity between 50 and 60%, in those work areas where it is feasible to implement this measure.

7.2.5.1.4. Allow work from home, considering the loan of personal computers if necessary.

7.2.6. Phase 6; Pandemic phase. High and sustained transmission among the general population. In addition to the Phase 5 criteria, it is characterized by the fact that the same virus has caused epidemics at the community level in at least one other country in another World Health Organization region.

7.2.6.1. Actions to be taken; In addition to the above, the following will be considered.

7.2.6.1.1. Apply and evaluate the contingency plan so that the administrative staff can work from home.

7.2.6.1.2. Apply and evaluate keeping work center activity to a minimum, in accordance with sales requirements.

7.2.6.1.3. Provide workers with disposable gloves.

7.2.6.1.4. Prevent the return of sick workers to work before having an appropriate medical evaluation that declares them free of said disease.

7.2.6.1.5. Simplify guidelines for requesting disabilities and reinstating workers who are no longer a source of infection.

8. Procedure for Contingency Response in each Phase.

8.1. Individual Risk Prevention Phase.

8.1.1. The Quality Management through the Health area is responsible for:

8.1.1.1. That each container destined for antibacterial gel is in good condition and with product.

8.1.1.2. Supervise that operations personnel comply with the hand washing procedure

8.1.1.3. Ensure that the sanitary and surveillance booth have mouth covers and caps

8.1.1.4. For this purpose, it will follow the purchasing procedure so that the material is supplied.

8.1.1.4.1. The requisition of this material must be requested with sufficient anticipation of at least thirty days

8.1.2. Purchasing is responsible for ensuring a prompt response in the acquisition of the equipment that is requested.

8.1.3. The Human Resources Management is responsible for preparing and disseminating triptychs, brochures that help employees learn and help maintain a company free of viruses that put the source of employment at risk.

8.1.3.1. Human Resources through the Surveillance Department will ensure, verify and supervise that no person enters with symptoms of those indicated in point 6, as well as:

8.1.3.1.1. With a laser gun it will take the body temperature.

8.1.3.1.1.1. In case of detecting a person with symptoms, they will immediately apply a questionnaire, notify the Human Resources Manager and isolate the person until the symptoms are verified and they are transferred to the IMSS clinic or to a doctor

8.1.3.1.2. It will instruct the person who enters to put antibacterial gel

8.1.3.1.3. For no reason will the Human Resources Management allow the entry of a person who shows the signs established in point 6.

8.2. Prevention Phase in the Work Environment

8.2.1. Prior authorization from the General Directorate and in the absence of the Council Presidency and in the absence of both, the Administrative Directorate will authorize the purchase of vaccines for all operational and administrative personnel so that they are vaccinated against influenza in the month of October

8.2.2. The Human Resources Management is responsible for updating the Telephone Directory of trusted collaborators.

8.2.2.1. In addition to the above, you must have a census of those who have a computer and Internet in their homes

8.2.2.2. Human Resources, through the office cleaning staff, will verify that the workplaces are ventilated, telephone cleaning, that there are antibacterial gel containers in the different offices, cleaning of handles and handrails, using the indicated solution. in point 6.2.3.2

8.2.2.3. You must have contact with Clinic 34 of the IMSS in order to have medical support

8.2.2.4. From the moment the prevention phase is decreed or as of November, the food served in the dining room must include those indicated in point 7.2.1.1.1

8.2.3. The Systems area is responsible for ensuring that sufficient broadband is available so that in the event that more than 10 people connect at the same time from their home to the company via the Internet and make use of the TOTVS.

8.2.3.1. Systems must ensure that all security measures are in place to avoid intrusion into our systems.

8.2.4. The Administrative Directorate must have perfectly defined what activities the staff may carry out in the event that staff have to work at home, for which it will define the following

8.2.4.1. Key personnel in the Accounting area who can perform tasks from home

8.2.4.1.1. How you will monitor the jobs that need to be done

8.2.4.1.2. For no reason should the work be delayed.

8.3. Phase 1; The following will intensify:

8.3.1. The Quality Management will ensure that you have personal cleaning implements

8.3.2. Human Resources that the food eaten is rich in vitamin C.

8.4. Phase 2, The following will be carried out

8.4.1. Human Resources will place signs recalling the actions that staff must remember, such as not greet with kisses or hands, among others.

8.4.1.1. Toilet constantly clean handles, railings, keyboard, etc.

8.4.2. Purchases ensure the supply of personal cleaning implements

8.4.3. The Administration Department must present everything related to point 8.2.3 regarding prevention.

8.5. Phase 3, It will ensure that you have:

8.5.1. Human Resources must have medical services available, whether they are from the Health Sector, IMSS or individuals.

8.5.1.1. Prevent the return of sick workers without having a medical evaluation

8.5.2. Plant Management through Maintenance; You must ensure that the artificial ventilation system is in good condition and clean.

8.5.2.1. Plant Management, must provide disposable gloves to personnel who are in contact with food

8.5.2.2. Sales must present a sales forecast to Production

8.5.2.3. You must have a plan so that if necessary the production does not stop, for this purpose you must present the minimum number of personnel that need to operate for this reason the Production Management must ensure production

8.5.2.3.1. Must have identified essential personnel and critical processes

8.5.3. The systems area must ensure remote work and security in the systems

8.5.4. Logistics Directorate; is responsible for ensuring at all times both arrivals, exports as well as national traffic

8.5.4.1. She is responsible for keeping in contact with customers at all times.

8.6. Phase 4; the actions previously will be maintained

8.7. Phase 5 and 6; The provisions of sections 7.2.5 and 7.2.6 of this procedure will be evaluated, and only in the absence of the General Director and / or the Chairman of the Board of Directors, decisions fall on the Operations Division and the Administrative Division, who jointly make decisions.

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Bibliography

National Consultative Commission on Safety and Hygiene at Work, Subcommittee for the attention of the Influenza outbreak, guide of recommendations to implement the Emergency Plan in the Work Centers for the Influenza Epidemic, Secretary of Labor and Social Welfare, Mexico.

Guidelines for Prevention and Control of Influenza A (H1N1), Secretary of Health Mexico.

Federal Labor Law, Mexico.

Law of the Mexican Institute of Social Security.

Contingency plan for the ah1n1 influenza epidemic