QUARANTINE Return to the New Normal: COVID-19 Recovery Plan CHAT Kathryn H. Clark, CIH, CSP, ARM-E Senior Vice President Safety & Health, Chief Risk Officer kclark@wcf.com | 385.351.8903 office | 801.556.0222 mobile
5 ELEMENTS 1. Planning
Preparation
Execution
2. Training 3. Return to Work 4. Reporting
Evaluate, Adapt, Adjust
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5. Evaluation
PLANNING Answer questions (see questions pdf)
Screening, testing, reporting*
Social (physical) distancing
PPE
(masks, gloves, eye protection, protective clothing)
Who, what, where, when, HOW? * https://www.cdc.gov/coronavirus/2019-ncov/community/general-business-faq.html 4
UTAH LEADS TOGETHER 2.0*
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*https://coronavirus.utah.gov/utah-leads-together/#2.0
UTAH LEADS TOGETHER 2.0 PLAN APRIL 2020
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https://coronavirus-download.utah.gov/Health/Phased%20Health%20Guidelines%20V3.pdf
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COVID-19 RESOURCES • Utah Leads Together 2.0 and Color-Coded Health Guidelines https://coronavirus.utah.gov/utah-leadstogether/#2.0 • Center for Disease Control (CDC) Frequently Asked Questions https://www.cdc.gov/coronavirus/2019ncov/community/general-business-faq.html • Center for Disease Control (CDC) Guidelines for Businesses https://www.cdc.gov/coronavirus/2019ncov/community/organizations/businesses-employers.html • OSHA Guidance on Preparing Workplaces for COVID-19 https://www.osha.gov/Publications/OSHA3990.pdf • Rocky Mountain Center on Occupational and Environmental Health (RMCOEH) University of Utah Novel Coronavirus COVID-19 online course https://ce.rmcoeh.utah.edu/wconnect/ace/CourseStatus.awp?&Course=20COVID19F20&DirectFrom=Schedule • WCF Insurance Website www.wcf.com • World Health Organization (WHO) https://www.who.int/emergencies/diseases/novel-coronavirus-2019 9
Implementing a Safe and Healthy Work Environment Plan Rocky Mountain Center for Occupational & Environmental Health University of Utah Rocky Mountain Center for Occupational and Environmental Health
Communication Structure • Establish communication flow • Potential coordinator / team • Disseminate information accurately and timely • Updated employee, client, vendor, etc. contact lists Rocky Mountain Center for Occupational and Environmental Health
Reporting COVID-like Symptoms • Before coming to work. Preclude those with symptoms! • Consider temperature checks • Follow current state, etc. guidance for medical help. Rocky Mountain Center for Occupational and Environmental Health
Corona Virus Mechanisms of Spread • Initial emphases on contact spread (handwashing) • Subsequent emphases added re. droplet spread (e.g., 6-ft) • Concerns about aerosol spread (beyond 6-ft, e.g, 20 feet)
Corona Virus Mechanisms of Spread • Initial emphases on contact spread (handwashing) • Subsequent emphases added re. droplet spread (e.g., 6-ft) • Concerns about aerosol spread (beyond 6-ft, e.g, 20 feet)
1. Primary spread appears to be by droplets 2. Some evidence of possible spread by aerosol 3. Likely some spread by contact Above provides hierarchy for interventions likely to be more successful.
CDC study of a Chinese restaurant. AC unit is along Right side of diagram. Note airflow A1 is the index case.
Respiratory Spread Measures
Protective Measures Respiratory (droplet, aerosol)
Contact-Spread
• Distancing • Masks • Ventilation
• Handwashing • Gloves
Differences between droplet and aerosol: degree of distancing, types of masks, type of ventilatory measures.
Social Distancing • Distance apart: 6+ feet when possible • Avoid carpooling (if so, masks and gloves, careful handwashing needed)
• Avoid public transportation (if so, masks and gloves, careful handwashing needed)
• Enter work single file Rocky Mountain Center for Occupational and Environmental Health
Social Distancing
Social Distancing
Social Distancing
• ManufacturingPPE@officialchs
Workers on Site • Gradually increase capacity • Face masks, gloves, other PPE • Pick up points at specific locations for materials (no direct hand to hand contact) • Separate shifts (e.g., when one shift ends, start next shift 30 minutes later; and/or enter/leave different entrances) Rocky Mountain Center for Occupational and Environmental Health
Physical Barriers
Physical Barriers
Face Masks
Gloves, Gowns, Eye Protection
Ventilation Issues • Consider direction of ventilation • Consider increasing air exchanges • Local ventilation bringing in air may provide ’safe zones’ • May provide downstream risk
• Consider HEPA filters on HVAC systems • Consider portable air purification systems esp. for close/small work spaces
Disinfection • Consistent cleaning of all surfaces and areas, esp. commonly handled items • Increase frequency for higher traffic areas
• Build into daily protocols of before and after each shift • 62-71% ethanol, 0.5% hydrogen peroxide, 0.1% sodium hypochlorite for at least one minute Rocky Mountain Center for Occupational and Environmental Health
Corona Virus Survival on Surfaces
NEJM March 2020. DOI: 10.1056/NEJMc2004973.
Disinfection
Disinfection
Worker Hygiene • Regular handwashing as part of daily work routine • Provide tissues, no-touch trash cans, alcohol-based hand rubs, disinfectants • Disposable towels for cleaning surfaces • Display posters Rocky Mountain Center for Occupational and Environmental Health
Worker Hygiene
Worker Hygiene
Contact with Community • Use online or phone interaction when possible • Limit working hours and facilities • Communicate easily understood changes with the public Rocky Mountain Center for Occupational and Environmental Health
Contact with Community
Contact with Community
Contact with Community
References • https://coronavirus-download.utah.gov/Governor/UtahLeads%20April2020%20v20%20(2).pdf • https://www.wsj.com/articles/volkswagen-reopens-europe-plants-offering-a-vision-of-the-postvirus-car-factory-11587140348 • http://newsroom.vw.com/community/volkswagen-drives-bigger-to-fight-the-covid-19-outbreak/ • https://www.cushmanwakefield.com/en/netherlands/six-feet-office • https://www.cushmanwakefield.com/en/news/2020/04/creation-of-recovery-readiness-taskforce-to-prepare-businesses-for-post-covid-19 • https://arlingtonva.s3.amazonaws.com/wp-content/uploads/2019/08/COOP-Template-BusinessContinuity.pdf • https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-businessresponse.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019ncov%2Fspecific-groups%2Fguidance-business-response.html • https://www.osha.gov/Publications/OSHA3990.pdf • https://coronavirus.utah.gov/