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Just when you thought it was safe to stop thinking about the potential influenza pandemic for one second comes a new survey that declares more than 40 percent of public health employees said they are unlikely to report to work during an influenza pandemic. Researchers at the Johns Hopkins Bloomberg School of Public Health also found that 66 percent of public health workers felt they would put themselves at risk of infection if they were to report to work during a pandemic. Granted, these are public health workers, and not healthcare workers at an acute-care facility, but it provides a good idea of the level of absenteeism to expect in a real pandemic-related emergency. But theres a bright spot; in the survey, clinical staff members such as physicians and nurses were more likely to say they would report for work; this is contrasted by technical or support staff which included clerical workers, who were the least likely to say they would report to work. According to the survey, the willingness to report to work was strongest among employees who perceived an importance in their work and responsibilities during a pandemic; less than one-third of all public health workers felt they would have an important role in the response to a pandemic.
The Bush administrations report, National Strategy for Pandemic influenza, issued November 2005, promulgates a pandemic response system strengthened by three pillars which are:
These pillars are supported by the responsibilities of the U.S. private sector and critical infrastructure entities, including:
The Presidents report touches upon absenteeism, but it does not address in any detail what healthcare facilities can and should do to prevent a massive healthcare worker walk-out should a pandemic-related situation at a hospital become more demanding or dangerous than they can bear. It is up to facility administrators, risk managers, personnel directors, and yes, infection control practitioners (ICPs), to do the very best that they can to envision the worst-case scenarios that could confront them, and work backward from there to formulate a feasible plan of action. Theres no way to know in advance how many healthcare workers will jump ship if they perceive the ship is actually sinking, so hospitals are well advised to accept human behavior under duress, and anticipate what will have to be done to address surge-capacity issues. ICPs can, as the Presidents plan advises, Emphasize the roles and responsibilities of the individual in preventing the spread of an outbreak, and the risk to others if infection control practices are not followed, as the first step in guarding against a still-uncertain future. For a PDF of the National Strategy for Pandemic influenza, go to: http://www.whitehouse.gov/homeland/nspi.pdfÂ Â
Dont forget to visit us at the annual APIC meeting, booth #924; well be giving out goodies related to our 10-year anniversary, and you can also register for a chance to win an American Express gift card. A $75 card winner and two $25 card winners will be drawn in a raffle at 1:30 p.m. on Tuesday, June 13 in our booth. See you there!
Until next month, bust those bugs!
Kelly M. Pyrek
Editor in Chief