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Many US agencies not ready for a flu pandemic - GAO

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  • Many US agencies not ready for a flu pandemic - GAO

    Source: http://www.reuters.com/article/marke...090616?sp=true

    Many US agencies not ready for a flu pandemic - GAO
    Tue Jun 16, 2009 6:55pm EDT

    * Federal agencies "muddling along"

    * Few have rehearsed for bad pandemic

    By Maggie Fox, Health and Science Editor

    WASHINGTON, June 16 (Reuters) - From air traffic controllers packed together in control towers to prisoners denied hand sanitizer for fear they might drink it, many U.S. government agencies would fall short if a dangerous pandemic struck, according to a report released to Congress on Tuesday.

    Most agencies have planned to let employees work from home in case of a severe pandemic, but only one has actually tested this idea to see if it might work, the Government Accountability Office found.

    The world is experiencing a pandemic of a new flu virus called H1N1 swine flu. The World Health Organization classifies it as a moderate pandemic, but says the virus could change at any time into a more dangerous form.

    WHO says H1N1 has killed a confirmed 163 people and says there are likely to be many more deaths. Seasonal influenza is involved in 250,000 to 500,000 deaths annually.

    "I think we really need to take a look at what we have learned from this current experience. We have a little bit of time -- we are not in a drastic, severe situation," the GAO's Bernice Steinhardt, who led the study, said in a telephone interview.

    Just before H1N1 emerged, Steinhardt's team surveyed 24 federal agencies to find out how well prepared they were for a worst-case scenario. She reported to the Senate Committee on Homeland Security and Governmental Affairs on Tuesday.

    "Of the three pandemics of the 20th century, the most deadly was the influenza pandemic of 1918-1919 during which scientists estimate there were 50 million to 100 million deaths worldwide, including at least 675,00 in the United States, making it among the most deadly events in human history," the report reads.

    "During the peak of an outbreak of a severe influenza pandemic in the United States, an estimated 40 percent of the workforce could be unable to work because of illness, the need to care for ill family members, or fear of infection."

    WHO and U.S. health officials have been urging governments, companies and individuals to be ready for such a pandemic for years.

    Steinhardt's assessment: "They are still muddling along."

    UNTESTED PLANS

    All 24 agencies had some sort of plan to allow flexible schedules and telework so people could avoid becoming infected while commuting or at the office, and could stay home with children if schools closed.

    But few had tested the plans -- and only 10 percent of federal employees who are eligible to telework right now do so, Steinhardt said.

    The Bureau of Prisons reported it could not give hand sanitizer to prisoners because they might abuse it -- it is alcohol based -- and could not give masks and gloves to prisoners or guards because they might get knocked off in a riot -- or could not be put on in time. Prisoners seeing guards in masks might become frightened, they said.

    Air traffic controllers had virtually no options -- they work in small control towers, cannot wear masks because their voices must be clear when they radio pilots, and they cannot even spray their shared work terminals with disinfectant for fear it will interfere with the electronics.

    The controllers could not take antiviral drugs such as Roche AG's (ROG.VX) Tamiflu to protect themselves from infection because the Federal Aviation Administration has not tested whether it may affect their performance on the job.

    "I don't know how they would handle it. I think they'd just have to cross their fingers," Steinhardt said.

    She also recommends the federal government do more to coordinate with state and local officials about what they could and should do during a pandemic.

    (Editing by Eric Beech)

  • #2
    Re: Many US agencies not ready for a flu pandemic - GAO

    Originally posted by Shiloh View Post
    Source: http://www.reuters.com/article/marke...090616?sp=true

    Many US agencies not ready for a flu pandemic - GAO
    Tue Jun 16, 2009 6:55pm EDT

    * Federal agencies "muddling along"

    * Few have rehearsed for bad pandemic

    By Maggie Fox, Health and Science Editor
    ...

    Prisoners seeing guards in masks might become frightened, they said.

    Air traffic controllers had virtually no options -- they work in small control towers, cannot wear masks because their voices must be clear when they radio pilots, and they cannot even spray their shared work terminals with disinfectant for fear it will interfere with the electronics.

    The controllers could not take antiviral drugs such as Roche AG's (ROG.VX) Tamiflu to protect themselves from infection because the Federal Aviation Administration has not tested whether it may affect their performance on the job.

    "I don't know how they would handle it. I think they'd just have to cross their fingers," Steinhardt said.
    ...
    prisoners frightened ...
    more frightened than experiencing other prison aspects, no way

    they work in small control towers ...cannot wear masks ... cannot even spray ...
    precisely the oposite:
    - an perfect oportunity to set up an viral particles filtering climatization system (as depicted by a poster in a presentation already posted here at FT), joined with entering checkups;
    - exists various glassed masks with incorporated radio communication;
    - obviously there are various kinds of terminals, touch screens, or specialy builded with over protections onto agressive fluids, etc, so an addition of such special communications terminal extensions will enabled decontamination sprayings;
    - Tamiflu as a treatment must be taken the first 2 days of the initial symptoms onset - if the worker is not an silent spreader, when experiencing the first initial symptoms, home isolation is needed, not working and spreading the ilness - so Tamiflu could be taken, and the man must be released to home or hospital.

    Vacant consequences for the "crossfingers only" policy, instead of more money worldwide investments ...

    Comment


    • #3
      Re: Many US agencies not ready for a flu pandemic - GAO

      Originally posted by Shiloh View Post
      Air traffic controllers had virtually no options -- they work in small control towers, cannot wear masks because their voices must be clear when they radio pilots, and they cannot even spray their shared work terminals with disinfectant for fear it will interfere with the electronics.
      Now there is a truly ridiculous statement. I'll bet every person reading this knows perfectly well how to apply disinfectant to a sensitive surface.

      When I owned a telephone answering service, the last thing each person had to do before turning their position over to the next shift was put disinfectant on a paper towel and wipe down their keyboard and the surrounding counter area. We had some colds and flu among the employees, but we never had a mass outbreak, and I always credited that practice for helping to prevent it.

      Comment


      • #4
        Re: Many US agencies not ready for a flu pandemic - GAO

        From the GAO report: Greater Agency Accountability Needed to Protect Federal Workers in the Event of a Pandemic
        [snips]

        For example, the Bureau of Prisons’ correctional workers had only recently been required to develop pandemic plans for their correctional facilities. Nevertheless, the Bureau of Prisons has considerable experience limiting the spread of infectious disease within its correctional facilities and had also made arrangements for antiviral medications for a portion of its workers and inmates.

        The Department of the Treasury’s Financial Management Service, which has production staff involved in disbursing federal payments such as Social Security checks, had pandemic plans for its four regional centers and had stockpiled personal protective equipment such as respirators, gloves, and hand sanitizers at the centers.

        Air traffic control management facilities, where air traffic controllers work, had not yet developed facility pandemic plans or incorporated pandemic plans into their all-hazards contingency plans. The Federal Aviation Administration had recently completed a study to determine the feasibility of the use of respirators by air traffic controllers and concluded that their long-term use during a pandemic appears to be impractical.

        There is no mechanism in place to monitor and report on agencies’ progress in developing workforce pandemic plans.

        The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918

        Comment


        • #5
          Re: Many US agencies not ready for a flu pandemic - GAO

          It is abundantly clear that the US federal government, US state governments and virtually all but not every local governments a unprepared to handle even a moderate pandemic defined as a CAR of 50% with a CFR of <4%.

          No government anywhere is prepared to function during and for sometime after a severe pandemic defined as a CAR of 50% with a CFR of >4%.

          The higher the CFR, the more societal disruption and the longer it will take for the rule of law to become re-established.

          GW
          The Doctor

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