1. Hosted by Lincolnshire Teaching Primary Care Trust Working with you to improve health Pandemic Flu Infection Prevention & Control Emma.K.Lee Associate Nurse Specialist Infection Prevention & Control, LCHS

2. Hosted by Lincolnshire Teaching Primary Care Trust Transmission Incubation period - time from exposure to onset of symptoms - likely to be 1-4 days (2-3 typical) Period of infectivity -when someone is capable of infecting others - immediately from the onset of symptoms from the onset of symptoms 3-5 days in most children 3-5 days in most children 7-8 days in most adults 7-8 days in most adults

3. Hosted by Lincolnshire Teaching Primary Care Trust Infectivity Period of infectivity may be reduced by early treatment with anti-viral medication i.e.Tamiflu® (within 12h) *may be in short supply* Infectiousness proportional to symptoms ‘Safe’ option is to assume infectious until symptoms have resolved

4. Hosted by Lincolnshire Teaching Primary Care Trust Possible Modes of Spread Large droplets: virus laden secretions virus laden secretions coughs, sneezes which can coughs, sneezes which can travel up to 3 feet travel up to 3 feetContact: DIRECT persons touching each other skin-skin INDIRECT persons touching surfaces contaminated by viruses

5. Hosted by Lincolnshire Teaching Primary Care Trust Hard surfaces: viruses detectable for up to72h transferable and detectable on hands for around 24h Soft surfaces/furnishings: detectable for up to 24h transferable and detectable on hands for around 15 minutes Survival on hands after transfer: around 5 minutes Virus Survival

6. Hosted by Lincolnshire Teaching Primary Care Trust Easily inactivated on surfaces by: * household cleaners * bleach solutions * standard detergents Easily inactivated on hands by: * soap, water and drying * alcohol hand rub Virus Clearance

7. Hosted by Lincolnshire Teaching Primary Care Trust PANDEMIC INFLUENZA & PERSONAL PROTECTIVE EQUIPMENT (PPE)

8. Hosted by Lincolnshire Teaching Primary Care Trust General Guidance If in close contact with a case or suspected case of influenza during a pandemic situation the infection control guidance is the same as in a non-pandemic situation i.e. use of appropriate PPE to avoid acquisition/spread of infection

9. Hosted by Lincolnshire Teaching Primary Care Trust Wear a surgical mask, then… Direct care to be provided? NO Mask only for entry to area with no patient contact YES Don disposable gloves and plastic apron

10. Hosted by Lincolnshire Teaching Primary Care Trust Work from Clean to Dirty Limit opportunities for touch contamination Protect yourselves, others and the environment Discard as hazardous waste. Don't touch your face or adjust PPE with contaminated gloves Don't touch environmental surfaces except as necessary during patient care Don’t Re-use PPE Dos & Don’ts

11. Hosted by Lincolnshire Teaching Primary Care Trust Advice to Service Users

12. Hosted by Lincolnshire Teaching Primary Care Trust Working with you to improve health 6 Point Technique Step 1 Wet hands and take a measure of cleansing agent Step 2 Rub palms together Step 3 Interlace fingers and rub Step 4 Cup hands and rub side to side Step 5 Rotate thumbs in palm of hands Step 6 Rotate wrists in palm of hands Make sure you rinse all the soap off your hands under running water, and dry your hands thoroughly

13. Hosted by Lincolnshire Teaching Primary Care Trust Your Responsibilities Acting as a role model – good infection control procedures on a day-to-day basis at work & at home People who become symptomatic at work should go home as quickly as possible and isolate themselves where practical National provision of PPE is being discussed, guidance is available at: HSE - www.hse.gov.uk/biosafety/diseases/pandemic.htmww.hse.gov.uk/biosafety/diseases/pandemic.htm DoH - Pandemic influenza: guidance for infection control in hospitals and primary care settings

14. Hosted by Lincolnshire Teaching Primary Care Trust Further Information & Questions? Websites – further infection control information Department of Health (DoH) Health Protection Agency (HPA) World Health Organisation (WHO) LPCT – NHS Lincolnshire DoH Pandemic Flu FAQ –delegate packs pandemicflu@dh.gsi.gov.uk Shayne.ward@lpct.nhs.uk (NHS Lincolnshire – Pandemic Flu Planning Coordinator)

15. Hosted by Lincolnshire Teaching Primary Care Trust Working with you to improve health Any Questions?