Bird Flu: Personal Preparedness Must Include These 4 Critical Areas

The recent hurricanes Katrina and Rita have beenworkers will be sick or otherwise absent from
powerful reminders of how destructive the forceswork, and because of regional, national and/or
of nature can be, and how preparation for theminternational restrictions on travel. These problems
can mitigate their effects. Avian influenza,will cause a decrease or the unavailability of most
commonly referred to as "bird flu," is a powerfulor all of the products we easily have access to
force of nature that we must prepare for--ornow.
suffer the potentially devastating health andCommodities such as soap, toothpaste, toilet
financial consequences. Bird flu is a viral contagiouspaper, and virtually everything you can buy at
disease, just like the regular seasonal flu, but itstores such as Wal-Mart will be difficult or
might turn out to be 70 times more deadly. And,impossible to obtain--for periods of weeks or
because of the nature of the virus, it might bemonths at a time. This includes the most
most deadly for healthy children and adults, andimportant commodity--food. The federal
pregnant women--just like the so-called Spanish flugovernment is always telling us to stock up on
of 1918-19 was.emergency supplies for three days. This will not
The report of the U.S. National Intelligencebe sufficient preparation for the coming deadly
Council's 2020 Project, Mapping the Global Future,bird-flu pandemic. There will likely be limited food
identified a global pandemic (an epidemic that isavailable in stores. In addition, stores are places
worldwide) as the single most important threat toyou want to avoid anyway, because potentially
the global economy. According to Shigeru Omi,contagious people might be there. Stock up now
regional director of the World Health Organization,so that you have sufficient commodities, including
"The world is now in the gravest possible dangerfood, for a period of months.
of a pandemic." And according to Dr. RobertThe third area to address is so-called personal
Webster, a world-renowned influenza researcherprotective equipment (PPE), which you will have to
at St. Jude's Children's Research Hospital inuse, depending upon circumstances. PPE includes
Memphis, Tennessee, "We could be heading for aspecial face masks, called N95 respirators, which
global catastrophe." Infectious-disease expertshelp prevent infection through inhalation of the
have repeatedly warned that it's not a question ofvirus. Remember that avian influenza ("bird flu") is
whether a bird-flu pandemic is coming; it's only aa very contagious disease that can be
question of when.transmitted through the air. The only way to
Judging from the federal government's incrediblycounter this source of infection is through the use
inadequate response at all levels to hurricaneof special N95 respirators. These are disposable
Katrina--which is emblematic of its ineptness inface masks that can be worn for up to eight
dealing with large national emergencies, its slowhours.
and superficial response to bird flu to date, and itsN95 masks were the type of masks worn by
lack of leadership on this issue--it is clear that youhospital workers during the 2003 severe acute
cannot count on the government to protect you.respiratory syndrome (SARS) pandemic that
You must take the initiative to prepare yourselfstruck a number of cities around the world,
and your family for the coming bird-flu pandemic.including Toronto, Canada. Surgical masks or other
There are four essential areas that you mustcommon face masks, sometimes used when
address to prepare for the bird-flu pandemic: 1)sanding or painting and so forth, are not effective.
"social distancing"; 2) commodities--including food,Other elements of PPE include disposable latex or
3) personal protective equipment (PPE), and 4)vinyl gloves, eye goggles or face shields, gowns
financial preparation. Social distancing refers toimpervious to liquids, and sometimes disposable
your living and work situations when the pandemicbooties or disposable head caps. Keep in mind that
strikes. Without going to extremes, you want youduring the pandemic, most people who become
and your family to be as far away from otherinfected will have to be cared for at home, not in
people as possible. Bird flu is just like the regularcrowded and overwhelmed hospitals. This means
seasonal flu in that you become infected fromthat caregivers taking care of loved ones at
other people, not birds. (Although it might behome need to be protected from the virus, just
possible to acquire the viral infection from birds, itlike hospital workers working in hospitals. The only
is much more likely that, if you do becomeway to be protected is to wear PPE. (Just
infected, you will have acquired the virus fromwashing your hands--the federal government's
another person, not a bird.)primary recommendation for caregivers at
The bird-flu virus is extremely contagious; it ishome--will not be enough.) Once the pandemic
transmitted though casual contact with astarts, demand for PPE will be huge and supplies
contagious person (who might not have anywill be in very short supply--or nonexistent. Buy
symptoms during the first 24 hours of infection),now or suffer the consequences later.
through touching contaminated objects, andThe last area that must be addressed before the
through the air. Because of this, you want to staybird-flu pandemic strikes is personal finances. This
away from people as much as possible, and thatis an area that governments at all levels have
means spending more time at home. Your childrenbeen mute on. However, preparing your finances
will not be at school, they will be home. If yourto sustain yourself and your family during (and
home is on the 73rd floor in an apartment buildingafter) the pandemic could prove to be the most
in New York City, how are you going to avoidimportant area of preparation. Although the
other people? You might want to think of anbird-flu virus is deadly and many of us will fall ill,
alternative living situation for a few months.most of us will not die from it--only one to two
The same principle applies to your work setting. Ifpercent of the population will likely die. The vast
you can telecommute, that is the best scenario. Ifmajority will live--but under what circumstances?
you don't telecommute now, but because of theThink of hurricane Katrina--where most people
type of work you do it might be a possibility,survived--but where hundreds of thousands are
discuss it with your employer. If you will have tonow homeless and underemployed or unemployed.
continue to work closely with others at your jobBecause of the potentially severe local, national,
site, what can be done there to help protect youand international economic consequences of the
and others from infection? How can policies andbird-flu pandemic, many of us will suffer financially.
procedures be amended to minimize contact withBusinesses around the world will not be able to
coworkers or customers? Are theremake or distribute products or provide services.
hand-washing stations available? What are yourThere will be layoffs and some companies will go
employer's plans for dealing with the comingout of business altogether. At a minimum, people
pandemic? Discuss these and related issues withwill be out of work for periods of weeks or
your employer and coworkers.months. Your child or children, if you have any, will
The second area that must be addressed isbe at home--not in school or day care. Will that
"commodities--including food." There will beforce one parent to stay home from work to
sporadic difficulties manufacturing or producingcare for them? How will you pay your rent or
goods--because workers around the globe will bemortgage and your bills under these
sick or otherwise absent from work. There alsocircumstances?
will be supply chain disruptions--both because