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Merriam-Webster's on-line dictionary defines a pandemic as "occurring over a wide geographic area and affecting an exceptionally high proportion of the population". In terms of illness, it is an outbreak of any disease such as typhoid or influenza (the "flu"). In comparison, an epidemic is similar but the disease affects a large number of people within a population, community, or region at the same time where as a pandemic is the same disease on a much larger more global scale.
Pandemic influenzas are caused by a new strain of the influenza virus. Because the virus is new, humans do not have an immunity to it and the illness is usually more severe. There is also no vaccine available. Historically a new strain appears 3 or 4 times a century or about every 30 or 40 years. The last outbreaks were:
There are four types of viruses called influenza A, B, C, and D. Influenza types A and B are responsible for the seasonal disease that occurs almost every winter. Influenza type C usually causes a very mild disease, often without symptoms. Influenza type D viruses affect cattle and are not known to cause illness in people.
Only type A influenza causes pandemics in humans. Certain conditions have to be met for a pandemic to occur:
It is impossible to predict the impact or death rate of a new influenza virus. The 2009-2010 (Swine) flu has been estimated to have caused between 100,000 to 400,000 deaths worldwide. In comparison, the Spanish flu was considered "exceptional" and caused the highest number of known deaths (40 to 50 million) worldwide and was likely to have been only avian virus in origin. The Asian (2 million deaths) and Hong Kong (1 million deaths) flus were milder when compared to the Spanish flu, and caused by a combination of human and avian viruses.
Historically, pervious influenzas were able to spread around the world in 6 to 9 months but these events occurred when most travel was by boat. With international air flights, a "modern" pandemic is expected to spread to all parts of the world in less than 3 months.
A pandemic is not a "one time" event and periods of illnesses may come in 2 or 3 "waves" anywhere from 3 to 12 months apart. The total duration of a pandemic is likely to be 12 to 18 months.
The most important step you can take to reduce the chance of infection is to wash your hands regularly – always wash regularly with soap and warm water.
See the OSH Answers Hand Washing - Reducing the Risk of Common Infections for more details.
Other steps you can take for personal hygiene are listed in Good Hygiene Practices - Reducing the Spread of Infections and Viruses.
The Public Health Agency of Canada (PHAC) also recommends that all Canadians over the age of 6 months get the seasonal flu shot every year.
Individuals can also help reduce the spread of the virus by:
Yes. Workplaces should prepare a plan that allows for normal business operations to continue when many people will be sick or absent. Estimates of how many people may be sick range from 25 to 45% (called the "population clinical attack rates") and workplace absenteeism may be higher than this estimate due to caregiving duties or concern about personal safety. (From: Government of Canada, 2015. Canadian Pandemic Influenza Preparedness: Planning Guidance for the Health Sector)
When planning for a pandemic flu, remember a pandemic is not like the regular flu season, nor is it like a natural disaster (such as a hurricane or serious ice or snow storm). Remember, a pandemic will last much longer than a "one time" event and periods of illnesses may come in 2 or 3 "waves" anywhere from 3 to 12 months apart, and last overall between 12 and 18 months.
While impossible to predict, a business should plan for approximately one quarter to one third of employees being absent during a pandemic. While rare, some workplaces may need to close or be forced to close by order of a Medical or Public Health Office depending on the seriousness of the pandemic.
When creating a business plan, remember that:
Please see the booklet Business Continuity Plan: Infectious Diseases for more information.
As a pandemic "evolves", information may change quickly. The following web sites and telephone services are good sources for the most current information:
For public information about avian influenza or pandemic influenza,
You can also contact your local Ministry of Health or Public Health department for addition and local information. Check the blue pages of your telephone directory for these numbers.
Pandemic Preparedness – Public Health Agency of Canada
Influenza (Flu) – Center for Disease Control and Prevention (CDC), USA
Disease Outbreak News – World Health Organization
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Although every effort is made to ensure the accuracy, currency and completeness of the information, CCOHS does not guarantee, warrant, represent or undertake that the information provided is correct, accurate or current. CCOHS is not liable for any loss, claim, or demand arising directly or indirectly from any use or reliance upon the information.