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H1N1 Flu Recommendations for Employers

The H1N1 virus is not to be called “swine flu” anymore. There has been significant misinformation about the virus. The virus cannot be transmitted by eating pork or any food. 

It is transmitted like other seasonal viruses: by a person with the illness sneezing or coughing on another person, or on an object that is contacted by another who touches their eyes, nose, or mouth without appropriate cleaning of the hands or object before doing so.

The virus can live on surfaces for several hours if not wiped or disinfected. So far the virus has resulted in predominately relatively minor illness, but that could change, so do not take lightly recommendations for preparation or prevention until we are much further into the typical flu season, which is also likely the same season for the H1N1 flu.** 

·    Review your current pandemic flu plan or develop a new plan. Involve your employees in development and review of the plan. Share the plan and polices with your employees.

·   Engage your state and local health department to confirm channels of communication and methods for dissemination of local outbreak information.

·   Consider ways to allow sick employees to stay home without fear of losing their jobs.

·   Develop flexible leave policies to allow employees to stay home to care for sick family members or for children, if schools dismiss students or childcare programs close.

·   Share best practices with other businesses in your community. Work with companies in your supply chain as well as chambers of commerce and local associations to improve response efforts.

·   Add a “widget” or “button” to your company Web page or employee Web site so employees can access the latest information on the flu:

www.cdc.gov/widgets

www.cdc.gov/SocialMedia/Campaigns/H1N1/buttons.html

www.hhs.gov/web/library/hhsfluwidgets.html

www.flu.gov/news/socialmedia

·    Purchase supplies such as tissues, soap, and alcohol-based hand cleaners to encourage healthful habits in the workplace.

·    Plan for how business can continue if many employees must stay home. Designate and train other employees in the event someone becomes sick to make sure you can continue your critical functions.



Take These Steps Now

Take steps now and continue during the flu season to help protect the health of your employees.

·   Advise all employees to stay home if they are sick until at least 24 hours after they no longer have a fever (100 degrees Fahrenheit or 38 degrees Celsius) or signs of a fever (have chills, feel very warm, have a flushed appearance, or are sweating). Make sure fever is gone without the use of fever-reducing medicines (any medicine that contains ibuprofen or acetaminophen).

·  Employees who get sick at work should go home as soon as possible. If the employee cannot go home immediately, he or she should be separated from other employees.

·   Encourage sick employees at higher risk of complications from flu to contact their health care provider as soon as possible. Taking antiviral medicines early might prevent severe complications from the flu, such as hospitalization or death.  As of September 8, 2009, only high risk patients, children 5 years of age or less, pregnant women, or anyone (especially the elderly) with serious chronic illnesses who have flu-like illness for 48 hours or less are candidates for antiviral medicines.  Also, currently, pregnant women are the only ones who are recommended to have nasal swab tests for confirmation of the virus.

·    Encourage all employees who want protection from flu to get vaccinated for seasonal flu. Also encourage employees who are at higher risk for complications from 2009 H1N1 flu to receive the vaccine when it becomes available. People at higher risk for 2009 H1N1 flu complications include pregnant women and people with chronic medical conditions (such as asthma, heart disease, or diabetes). The H1N1 virus is also seen more frequently in children 5 years of age of less. For more information about priority groups for vaccination, visit www.cdc.gov/h1n1flu/vaccination/acip.htm.

·   Provide resources and a work environment that promotes hand washing and covering coughs and sneezes. Provide tissues, no-touch trash cans, hand soap, and alcohol-based hand cleaner. Offer education on hand washing and covering coughs and sneezes in an easy-to-understand format and in appropriate languages. Go to www.flu.gov/plan/workplaceplanning/toolkit.html to find tools businesses can use.

·  Clean surfaces and items that are more likely to have frequent hand contact with cleaning agents that are usually used in these areas. Additional disinfection beyond routine cleaning is not recommended. Public use phones, keyboards, carts, etc.

·   Provide information to employees overseas about what to do if they become sick.


Take Additional Steps if Flu Conditions are More Severe

The flu may become more severe and additional steps may be necessary to slow the spread of flu and maintain a healthy workforce.

·  Conduct active screening of employees when they arrive at work. Ask all employees about symptoms such as fever, cough, runny nose, muscle aches, and sore throat during the previous 24 hours. Employees who have flu-like symptoms should be asked to go home. Continue to advise employees to check for any signs of illness before coming to work each day.

·    Extend the time sick employees stay home to at least 7 days. People who are still sick after 7 days should continue to stay home until at least 24 hours after symptoms have gone away, even if they feel better sooner.

·   Try to change work duties, workspace, or work schedules for employees who are at higher risk for flu complications to reduce the possibility of getting sick at work. If this cannot be done, allow these employees to work from home, or stay home if feasible. 

·    Plan to minimize face-to-face contact between employees. Consider strategies, such as using e-mail, Web sites and teleconferences, canceling large meetings and gatherings, and encouraging flexible work arrangements (telecommuting or flexible work hours) to reduce the number of employees who must be at the work site at the same time or in one specific location.  Discourage hand shaking if many employees have become ill.

·    Provide guidance to employees who are traveling overseas on what to do if they become sick. Also provide information about possible travel delays, health screenings and other activities targeted towards travelers.


For more information:

Visit: www.flu.gov

Contact CDC 24 Hours/Every Day 1-800-CDC-INFO (232-4636)

TTY: (888) 232-6348 dcinfo@cdc.gov 

** Italicized remarks are added by Dr. Goertz.  The other segments are from the US Centers of Disease Control Web site.

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