Bird Flu and You: Understanding Avian Influenza

1. Bird Flu and You:Understanding Avian Influenza Presented byNPS Risk Management Division and Biological Resources Management Division And Public Health Program

2. David Bleicher, CIH

3. Chuck Higgins Margaret Wild, DVM, PhD

5. Preparation for the Possibility

6. Be Prepared to Mute and Unmute

7. Question or Comment? Unmute, then “Excuse me [instructor],this is [name] at [location],I have a question (or comment).” Wait for the instructor to acknowledge you, then ask your question or make your comment.

8. Get To Know Your Classmates… • Your name? • Your position? • How many years with the park service? • What are some questions you have about bird flu or avian influenza?

9. 3 Participant Guide Throughout the course, refer to your participant guide. This symbol shows the pagein the participant guide forthe information/exercisebeing presented.

10. 3 Objectives • Refer to your participant guide

11. What Is An Influenza Virus?

12. What Are the InfluenzaVirus Types? Type APrimarily infects birds, may infect people, pigs, horses and marine mammals Type BInfects only humans Type CInfects only humans and results in very mild disease

13. Further Type Variations • Strains based on surface proteinsDesignated by an H and an N • Low pathogenic to high pathogenic Avian influenza of concern is –Type A with H5N1 surface proteins and is highly pathogenic

14. How Is Influenza Transmitted? Droplets ejected into air by: • Sneezes • Coughs Another person breathes the droplets or touches a misted surface and then touches mouth, nose or eyes.

15. Influenza Symptoms • Fever • Aches • Cough • Runny nose • Sore throat • 1-2 weeks

16. Influenza is NOT… • A common cold • The “stomach flu”

17. 4 Genetic Drift • Gradual process of change as replication of virus introduces slight errors in the genetic code • Reason new vaccines are needed each year

18. Genetic Shift • Significant shift over a short period of time • Creates a whole new virus • No immunity • If the new virus sustains person to person contact, then you can have a pandemic

19. 4 Pandemic • World wide outbreak • 1918 Spanish Flu 50M ww • 1957-58 Asian Flu 70K US • 1968-69 Hong Kong Flu 34K US

22. 5 Routes of Introduction • Migratory birds • Human assisted movement of wild or domestic birds • Human to human transmission

23. Migratory Bird Flyways

24. Flyways in Lower 48

25. Illegal Trade

26. Human to Human Transmission

27. Waterfowl

28. Die Off in Mongolia and China

29. What Mammals Are Affected? • Pigs • Leopards, tigers and civets

30. Poultry Ranch

31. Surveillance

32. Unusual Mortality Event • Unusual mortality events involving birds, particularly waterfowl or shore birds, should be investigated, carcasses removed, and samples submitted for AI screening. • Report an unusual mortality event to Natural Resources staff at your location.

33. 7 Prevention Toolbox • Sanitation and hygiene • Isolation • Quarantine • Education • Vaccines

34. PPE—Barrier Protection • Gloves • Eye Protection • Glasses • Face Shield • Goggles • Respiratory Protection • N-95 • PAPR • Splash Protection • Gown • apron

35. Massachusetts Department of Public Health Visit www.cdc.gov/handhygiene for additional hand hygiene information.

36. Preventing Personal ExposureGeneral Public • Avoid touching wildlife • Hygiene • Don’t pick up sick or dead wildlife

37. Preventing Personal ExposureHunting • Don’t handle or eat sick game • Wear gloves • Sanitation & Hygiene • Don’t eat, drink, smoke while handling • Thoroughly cook (160°F)

38. Preventing Personal ExposureField Biologists—HPAI Not Suspected • Wear gloves • Protective eye wear • Wash hands; Disinfect equipment • Don’t eat, drink or smoke

39. Preventing Personal ExposureField Biologists—Mortality Event • Wear gloves, coveralls, boots • Protective eye wear (goggles) • N-95 Respirator • Wash hands; Disinfect equipment & potentially infectious material • Don’t eat, drink or smoke

40. Let’s Be Clear About Respiratory Protection

41. Preventing Personal ExposureField Biologists—Known HPAI • Wear gloves, coveralls, boots • Protective eye wear (goggles) • N-95 Respirator • Wash hands; Disinfect equipment & potentially infectious material • Don’t eat, drink or smoke • Monitor health • See Healthcare provider • Prophylactic medication

42. What if Sustained Human-to-Human Transmission?

43. In Case of a Pandemic... How Will We: • Protect our NPS employees? • Limit impacts to economy and society? CLOSED ?

44. Protecting Employees & Society

45. How Will WE Use Our Public Health Tool Box? • How will it impact visitor services; Visitor contacts? • Employee--Human resources issues! Policies? • What must we prepare to protect our employees and visitors? • How will we communicate and educate NPS employees? • What is our role in the national response?

46. 8 What is NPS Doing? • Preparation has been going on and continues • Task Force • Presidential supplemental funding

47. 8 Resources • People • ZED web site • Web based training

48. Question and Answer

49. 9 To Get Credit • Print your name on the roster • Complete the evaluation today

50. Bird Flu and You:Understanding Avian Influenza Presented byNPS Risk Management Division and Biological Resources Management Division And Public Health Program