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					    Staying in the business
    during the time of pandemic..


Pandemic influenza
Preparedness

       PTT Public Company Limited
    Predicted
    spread
    and virulence
•   Illness rates in population   20-50%
•   Death rate                    70%
•   Global deaths                 2-50 Millions
•   Global Spread                 3 months
•   Vaccines availability         6 months after initial
                                  outbreak and up to 2 Yrs
• Anti-viral treatment            Likely to be in short
  supply                          and may be not effective
   1. New influenza
    virus in animals
  low risk for human

                2. High risk                                        Green Alert
                                                                  (Low Condition)
                 for human                                   No Indication /Information


                       3. Human infections,
                                                                               Yellow Alert
                       no or only inefficient                             (Significant Condition)
                          man-to-man Tx                                    Some Indication /Info


                                    4. Increased
                                   man-to-man Tx,                                        Orange Alert
                                                                                       (High Condition)
                                  limited outbreak                                    Confirmed /Credible
                                                                                        Indication /Info

Close                                           5. Significant increase
                                                   in man-to-man Tx,                          Red Alert
Tracking                                         extended outbreak
                                                                                          (Severe Condition)
                                                                                           Direct Indication
                                                                                                 /Info




 Influenza Situation
                                                           6. Pandemic
and Pandemic Trend
PTT Business Impact Analysis
on Pandemic Crisis

 Workforce ( 30%)
 Supply chain and Production

 Business and Finance

 Communication & Computer Network

 Customers, Suppliers and Other
  stakeholders
PTT Pandemic Management Plan


  Purpose
  1.   Workforce Safety and Health
  2.   Risk Mitigation
  3.   Business Continuity and Recovery
  4.   Co-operation and collaboration with
       stakeholders and government agencies
PTT Pandemic Management
Plan
              Main Aspects

                   1. Employee


                                    2. Business
5. Communication
                                      Process
                        Plan



      4. Stakeholders      3. Infrastructure
PTT Pandemic Management
Plan

                              4 Phases of
4 Alert Levels              Management Plan

          Green Alert
        (Low Condition)
                             1.Prevention
          Yellow Alert
          (Significant
           Condition)
                             2.Preparedness
          Orange Alert
        (High Condition)
                             3.Response
           Red Alert
       (Severe Condition)




                             4.Recovery
PTT Pandemic Management
Plan
      Pandemic Management Committee

                  ู              ู
                                            ุ
                                 .-     .
                                .      .        .       .   .   .
                      ู          .


                                                . .
                                     Flu Manager




                                                            QSHE
ICT    ุ      ุ
                                                    .
                                                        Yellow Alert
                                                        Yellow Alert

1. Employee                                             (Significant
                                                        (Significant
                                                         Condition)
                                                         Condition)




Preparedness                       Hosted by
                                    HR
   HR Policies on:
                                    Medical Division
    •   Overseas travel
    •   Absenteeism etc.
    •   Consider succession        Supported by
        planning for key staff      Influenza foundation
                                     (Thailand)
   Medical Plan
    •   Appoint the Flu Manager    Deliverables
    •   Stock up on “TAMIFLU”,      HR Policies

        thermometers, disposable    Medical Plan
        gloves and N-95 face
        masks
                                                            Yellow Alert

2. Business Process                                         (Significant
                                                             Condition)




Preparedness                           Hosted by
                                        Business Groups
   Identify critical functions that
                                        All Units
    may be affected due to
    absence of staff, e.g.             Supported by
    production, sales etc               QSHE

                                        Risk Mgt. Committee
   Plan for an absenteeism rate
    of up to 30% during Alerts          Consultant

    Orange and Red.                    Deliverables
                                        Critical Functions and Staffs
   Consider cross-training of
                                         List
    staff in critical functions
                                        Pandemic Business Continuity
   Identify functions that can be       Plan
    done off-site or from home
                                                            Yellow Alert

3. Infrastructure                                           (Significant
                                                             Condition)




Preparedness                             Hosted by
   Prepare the IT equipment and            ICT
    communications access for               Facility
    employees working from home /
    off-site, e.g. telephones, fax
    machines, servers, laptops, etc      Supported by
   Disinfect common areas within
    your workplace, including the air-   Deliverables
    conditioning
                                            ICT Business Continuity
   Prepare the alternative workplace        Plan
    with equipments
                                            Facility Business
   Prevent visitors with flu-like           Continuity Plan
    symptoms from entering workplace
4. Stakeholders
                                                             Yellow Alert
                                                             (Significant
                                                              Condition)




Preparedness                         Hosted by
                                      Business Groups
   Update contact information
    of key suppliers and
    customers                        Supported by

   Prevent visitors with flu-like
    symptoms from entering           Deliverables
    workplace                           Emergency and Crisis
                                         Management Plan
   Co-ordinate business
    continuity plan with suppliers      Pandemic Business Continuity
    and customers                        Plan
5. Communication
                                                          Yellow Alert
                                                          (Significant
                                                           Condition)




Preparedness                              Hosted by
                                           Medical
   Create general awareness of flu
                                           HR
    and preventive measures among
                                           PR
    staff. Consider various
                                           IR
    communications channels such
    as briefings, newsletters, intranet
    or email                              Supported by
   Develop an external
    communications plan for various       Deliverables
    alert levels aimed at customers,       Information Sharing

    suppliers and shareholders             Emergency and Crisis
                                            Communication Plan
1) Self Assessment           3) Develop Plans by each functions
                             1. Employee
                             1.1 HR
                             1.2 Medical
2) Responsible               2. Business and Process
Persons and Strategies       2.1 Define Critical Functions and Staffs
                             2.2 Develop Business/Process Continuity Plan
                                  (BCP)
4) Consolidate to PTT        3. Infrastructures
Corporate Plan               3.1 ICT System
4.1 PTT Corporate            3.2 Facilities and Utilities
Pandemic Plan                4. Communication
4.2 Emergency and            4.1 Internal: HR/PR/Med
Crisis Management Plan       4.2 External: IR/PR
                             5. Stakeholders
                             2.2 Key Suppliers and Customers Coordination

5) Table Top Exercise
6) Review and Corrective Actions
7) Approve and Maintain the system
Private Sector Strategies
1.   Establishing a process for infection control in the workplace,
     including options for working offsite while ill, systems to reduce
     infection transmission, and worker education
2.   Establishing internal surveillance protocols to monitor the
     health of workers and business stakeholders and to keep State
     and local public health officials informed
3.   Developing pandemic specific continuity of operations plans to
     maintain delivery of essential goods and services despite
     significant and sustained worker absenteeism
4.   Monitoring regional/national/international pandemic threat
     levels for trigger-point changes that will affect the business
5.   Coordinating with government officials and community
     stakeholders to share planning, preparedness, response, and
     recovery information; and
6.   Establishing partnerships with other members of the sector to
     provide mutual support and maintenance of essential services
     during a pandemic
             Avian Infuenza 2008


Influenza Inter-Pandemic Preparedness Plan Episode III

       - Epidemiologic status
       - Mutation
       - Mode of Transmission
       - Drug Treatment
       - Prevention
       - PTT Strategic Action Plan
Epidemiologic Status

 14 Countries, 382 Cases, 241 Deaths ( 30 April 2008 )
 average mortality rate 63%


Mutation
 - Antigenic drift (gradually change) reported by
   Prof. Y. Puworawan, Virologist Chulalongkorn U.,
 - Antigenic shift (reassortment) – close observation
   due to high risk of Pandemic spread
Present situation

        1      2     3     4      5     6

    Bird-Flu                          Pandemic Flu



Mode of Transmission
1. Droplet – P’cle >5 µm, ≤ 3 ft, coughing/sneezing/
              talking, mucosa
2. Contact – Direct and indirect
3. Airborne – P’cle ≤5 µm, dust containing
             microorganism, air current
Drug Treatment
 1. Amantadanes gr.- 93% resistant
 2. Neuraminidase inhibitor gr.- Oseltamivir (Tamiflu)


Prevention
 Pre-exposure
  - Personal precaution - hand hygiene, mask, gloves
  - Respiratory hygiene/Cough Etiquette – waste
    management
 Post-exposure
  - Antiviral drug (Tamiflu) prophylactic dose
 Ten Things to Know about Pandemic Influenza

- Pandemic influenza is different from Avian influenza
- Influenza pandemics are recurring events
- The world may be on the brink of another pandemic
- All countries will be affected
- Widespread illness will occur
- Medical supplies will be inadequate
- Large number of deaths will occur
- Economic and social disruption will be great
- Every country must be prepared
- WHO will alert the world when the pandemic threat increases


These are the key reasons why PTT needs to create own
Business Contingency Plan
  PTT Business Contingency Plan


- Head office workers – HO , PK
- GSPs & LPG Plants and Pipeline
- Depots
- Mobile workers
- Frequent business travellers
            PTT Strategic Action Plan

1. Render health education to PTT employees ; e-mail,
   brochure
2. Set up medical conference “Avian Influenza 2008 ”
   by expert from Medical Department, MOPH on
   April 10, 2008 to target participants – medical
   personnels, QSHE-Co , PTT employees
3. Provide and distribute masks to all PTT employees
4. Encourage PTT employees to put on their masks
   whenever they get RT infection such as a cold, etc.
   and keep on hand hygeine
5. Prepare travel kit for frequent business travellers,
   mobile workers
6. Provide Influenza vaccination for PTT staff (on a
   voluntary basis and the potential of rare complications
   existed should be informed before receiving
   vaccination)
7. Stockpile of antiviral drug (Tamiflu) for approximately
   15% of PTT staff
8. Expanded Action to PTT Group – PTTEP by
    - Stockpile of antiviral drug (Tamiflu) for PTTEP
      high risk employees (cost sharing)
    - Sharing the data of Avian Influenza situation
                                   ตารางเปรียบเทียบ
ระดับขั้นขององค์การอนามัยโลก WHO และ ระดับการเตือนภัยของ ปตท.
      ระดับขั้นขององค์การอนามัยโลก WHO                        ระดับการเตือนภัยของ ปตท.
ขั้นที่ 1 พบเชื้อไวรัสไข้หวัดใหญ่สายพันธุ์ใหม่ในสัตว์             ระดับ 1 สีเขียว
ขั้นที่ 2 เชื้อแพร่กระจายระหว่างสัตว์ โดยมีความเสี่ยงที่อาจ       (Low Condition)
         ติดสู่คนได้
                                                                  ระดับ 2 สีเหลือง
ขั้นที่ 3 คนติดเชื้อสายพันธุ์ใหม่จากสัตว์
                                                                  (Significant Condition)
ขั้นที่ 4 ติดต่อจากคนสู่คน แต่ยังอยู่ในวงแคบ                      ระดับ 3 สีส้ม
ขั้นที่ 5 การระบาดขยายตัวเพิ่มขึ้น                                (High Condition)
                                                                  ระดับ 4 สีแดง
ขั้นที่ 6 การระบาดแพร่กระจายทั่วโลก
                                                                  (Severe Condition)
• การชี้แจง ให้ความรู้แก่
                      ั
  พนักงานและผู้ปฏิบติงาน
         ่
 ในพื้นทีของ ปตท.
• การฉีดวัคซีนป้องกันไข้หวัดใหญ่
  ให้กับพนักงาน
• Travel kitสาหรับพนักงานที่ต้องเดินทางไปพื้นที่เสี่ยงต่อการ
  ระบาดของโรค
ข                   ื          ไ ใ         ึ
        ข
   ภาคเอกชน แลกเปลี่ยนข้อมูลกันภายในกลุ่ม
    เครือข่ายของตน จากห่วงโซ่อุปทาน ลูกค้าหลัก
   ภาครัฐเป็นพี่เลี้ยง ศูนย์กลางข้อมูล ข่าวสาร ความรู้
    และการติดตามผล
   กาหนดมาตรการทั้งบังคับ และสมัครใจ รวมทั้ง
    แนวทางมาตรฐานต่าง ๆ เพื่อให้ความรู้และสนับสนุน
    การดาเนินงานภาคเอกชน เช่น
     Pandemic Preparedness National Plan
     Guide for critical infrastructure and key resources
     Flu Pandemic Business Continuity Guide for SME

   ฝึกซ้อมร่วมกันระดับท้องถิ่น
   Thank you
for your attention

         Dr. Panya Artchariyavivit
         PTT Medical division
         July 21, 2008

				
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