off the grid & on alert
OFF THE GRID & ON ALERT:
A LOOK AT MEDICAL & SECURITY HOT SPOTS AHEAD
RIMS Piedmont February 13, 2018
1
Who is International SOS? AT A GLANCE • A presence in more than 1,000 locations in 90 countries • 26 Assistance Centers • Over 11,000 employees and 92 offices • 99 languages supported • 1,400 doctors • 67 international clinics • 200 full-time security specialists • 5 Regional Security Centers • Internal travel tracking team
2 2
Speaker
Mark B. Fischer, MD Medical Director, Assistance, Americas Region, International SOS
3 3
Perception vs. Risk
4 4
Business Resilience: 2017 Study
SURVEY
667
Organization decision-makers
69
Countries
5
A Rise in Travel Risk?
Source: Global study conducted October 2017
6
Itinerary Changes: Top 3 Reasons
Source: Global study conducted October 2017
7
Perception versus Reality PERCEPTION Rank Issue 1 Terrorism 2 Civil unrest 3 Extreme weather events 4 Petty crime 5 Natural disasters 6 Infectious diseases 7 Road accidents 8 Stomach/gastrointestinal problems 9 Zika virus 10 Flu 11 Inadequate healthcare 12 Gun violence 13 Non-infectious diseases
8
REALITY Rank Issue 1 Stomach/gastrointestinal problems 2 Road accidents 3 Inadequate healthcare 4 Flu 5 Non-infectious diseases 6 Infectious diseases 7 Petty crime 8 Zika virus 9 Extreme weather events 10 Natural disasters 11 Civil unrest 12 Terrorism 13 Gun violence
NATURAL DISASTERS
FLU
PETTY CRIME
MEDICAL AND EMOTIONAL DISTRESS GASTRO SECURITY ISSUES PIRACY HIJACKING FACING AIRLINE CATASTROPHES DISEASE A MOBILE WORKFORCE TERRORISM
LAWLESSNESS
LANGUAGE AND CULTURAL BARRIERS
9
IMPRISONMENT AIR QUALITY
Medical Hot Spots
10
Current and Emerging Global Medical Concerns Infectious Diseases Chikungunya Cholera Dengue Influenza Malaria MERS Rabies Yellow Fever Zika
11
Natural & Manmade Disasters Air pollution Ash Cloud Earthquake Hurricane Tsunami
Latest News: Pandemic Preparedness
12
Influenza •
• • • • •
•
• • 13
“Seasonal Flu” refers to annual winter outbreaks in Northern and Southern hemispheres: • A/H1N1 • A/H3N2 • Influenza B Flu season: Oct. to May Most cases occur late Nov. to early Mar. Vaccine usually offered Sept. to midNov. Spreads via respiratory droplets Contagious 1 day before and 5-7 days after symptoms begin Symptoms: • Fever • Aches • Headache • Tiredness • Cough Can last 2 or more weeks Can be life threatening
Influenza Treatment • Viral illness • Does not respond to antibiotics • Generally treated with antiviral medication immediately after symptoms begin • Treatment decisions are on a case-by-case basis • Many recover without treatment through rest, fluids, and OTC medications
14
Advice • • • •
Get a seasonal flu vaccine Pay close attention to hygiene Avoid people who are sick If symptoms develop, high risk groups should seek medical attention promptly • Others should seek medical attention if symptoms are more than mild or are progressive
Influenza Hot Spots: Worldwide
15
Malaria Facts • 3.2 billion people are at risk worldwide • 10,000 travelers report becoming ill with malaria after returning home each year • Malaria is caused by a Plasmodium parasite that infect humans through mosquito bites
16
Symptoms • • • • • • • •
Fever Sweating Headache Muscle aches Fatigue Shaking/chills Vomiting Diarrhea
Malaria
17
Rabies Facts • Rabies occurs in more than 150 countries • 40% of risky bites occur in children under 15 years of age • Rabies spreads from infected animals to people through bites or scratches • Dog bites are responsible for 99% of human rabies deaths • Untreated is fatal, you must seek medical attention promptly • Rabies is 100% preventable
18
Rabies
19
Reduced Air Quality Advice • Follow the advice of local authorities • Minimize time outdoors • Reduce physical exertion • Keep windows/doors closed • Consider using an air cleaning device or use the air conditioner in “recirculate” mode • Consider using a respirator (N95 mask) while outdoors • Consult medical practitioner if you experience symptoms • Use saline drops regularly to minimize irritation in your eyes • Contact lens wearers should temporarily stop wearing them
20
Natural Disasters Medical Challenges • Water-borne diseases (cholera) • Vector-borne diseases (malaria/dengue) • Lacerations/wounds • Infections • Heat stroke / frostbite • Dehydration • Lack of access to safe food/water • Lack of access to appropriate medical care • Weakened infrastructure
21
Advice • Follow the advice of local authorities • Drink only boiled/bottled water • Avoid contact with contaminated water/sewer spills • Practice good hygiene • Wash your hands with soap and safe water or use sanitizer • Clean wounds throroughly
Questions to Consider 1. 2. 3. 4. 5. 6. 7. 8.
How do you identify travelers to affected countries? How are you educating your travelers and expatriates? How do you ensure the traveler is fit to travel? How do you ensure the traveler is safe? How do you monitor your travelers in-country? How do you monitor your returning travelers? How would you manage a workplace potential exposure? When would you evacuate non-essential or essential staff if the issue were to escalate? 9. Do you stockpile medical equipment, and if so, what, how much, and how do you manage expiration dates? 10. What does management do to monitor the situation globally? Has your crisis management team convened to discuss how they would respond or exercise existing plans? 11. Do you have response plans in place to address crisis management and workforce resilience issues?
22
Duty of Care
23 23
WHAT IS DUTY OF CARE? Ethical
Legal
Fiduciary
Social Responsibility
Commercial
Duty of Care
Moral
“Obligations to act toward others and the public in a prudent and cautious manner to avoid the risk of reasonable foreseeable injury to others.” 24
WHY DOES DUTY OF CARE MATTER? Costs of a trip or assignment being disrupted or cut short
MEETING YOUR DUTY OF CARE Impact on your business continuity in the event of an incident
Impact on employee satisfaction & morale
25
Costs of care and evacuation for an emergency that might have been avoided
Risk of prosecution under occupational health and safety legislation, or a claim for damages
Travel Risk Management
26 26
INTEGRATED MEDICAL & SECURITY RISK PREVENTION AND MANAGEMENT Pre – departure
Travel or Assignment
Understand your risks and prepare accordingly
Local expertise and advice available 24/7
General Assistance or Emergency on the ground support should you need us
ASSESS
BE AWARE OF YOUR RISK EXPOSURE
PREPARE
EDUCATE
COMPLY
Pre-travel planning with medical & security assessment
Pre-travel instruction with traveling risk awareness training
Advising with occupational Health/ Screening/consultancy
REAL-TIME ADVICE
ADVISE
NOT JUST FOR EMERGENCIES
RECOMMEND
INFORM
TRACK
Receive medical and security advice
Provide medical and security advise on call
Proactively monitor and communicate
?
HELPING YOU
ASSIST
MANAGE YOUR TRAVEL RISK IF THE “UNTHINKABLE” HAPPENS…
ACT
SUPPORT
REPORT
Give medical and security assistance
Provide evacuation coordination and support
Inform workplace management and reporting
Questions?
31 31
A LOOK AT MEDICAL & SECURITY HOT SPOTS AHEAD
RIMS Piedmont February 13, 2018
1
Who is International SOS? AT A GLANCE • A presence in more than 1,000 locations in 90 countries • 26 Assistance Centers • Over 11,000 employees and 92 offices • 99 languages supported • 1,400 doctors • 67 international clinics • 200 full-time security specialists • 5 Regional Security Centers • Internal travel tracking team
2 2
Speaker
Mark B. Fischer, MD Medical Director, Assistance, Americas Region, International SOS
3 3
Perception vs. Risk
4 4
Business Resilience: 2017 Study
SURVEY
667
Organization decision-makers
69
Countries
5
A Rise in Travel Risk?
Source: Global study conducted October 2017
6
Itinerary Changes: Top 3 Reasons
Source: Global study conducted October 2017
7
Perception versus Reality PERCEPTION Rank Issue 1 Terrorism 2 Civil unrest 3 Extreme weather events 4 Petty crime 5 Natural disasters 6 Infectious diseases 7 Road accidents 8 Stomach/gastrointestinal problems 9 Zika virus 10 Flu 11 Inadequate healthcare 12 Gun violence 13 Non-infectious diseases
8
REALITY Rank Issue 1 Stomach/gastrointestinal problems 2 Road accidents 3 Inadequate healthcare 4 Flu 5 Non-infectious diseases 6 Infectious diseases 7 Petty crime 8 Zika virus 9 Extreme weather events 10 Natural disasters 11 Civil unrest 12 Terrorism 13 Gun violence
NATURAL DISASTERS
FLU
PETTY CRIME
MEDICAL AND EMOTIONAL DISTRESS GASTRO SECURITY ISSUES PIRACY HIJACKING FACING AIRLINE CATASTROPHES DISEASE A MOBILE WORKFORCE TERRORISM
LAWLESSNESS
LANGUAGE AND CULTURAL BARRIERS
9
IMPRISONMENT AIR QUALITY
Medical Hot Spots
10
Current and Emerging Global Medical Concerns Infectious Diseases Chikungunya Cholera Dengue Influenza Malaria MERS Rabies Yellow Fever Zika
11
Natural & Manmade Disasters Air pollution Ash Cloud Earthquake Hurricane Tsunami
Latest News: Pandemic Preparedness
12
Influenza •
• • • • •
•
• • 13
“Seasonal Flu” refers to annual winter outbreaks in Northern and Southern hemispheres: • A/H1N1 • A/H3N2 • Influenza B Flu season: Oct. to May Most cases occur late Nov. to early Mar. Vaccine usually offered Sept. to midNov. Spreads via respiratory droplets Contagious 1 day before and 5-7 days after symptoms begin Symptoms: • Fever • Aches • Headache • Tiredness • Cough Can last 2 or more weeks Can be life threatening
Influenza Treatment • Viral illness • Does not respond to antibiotics • Generally treated with antiviral medication immediately after symptoms begin • Treatment decisions are on a case-by-case basis • Many recover without treatment through rest, fluids, and OTC medications
14
Advice • • • •
Get a seasonal flu vaccine Pay close attention to hygiene Avoid people who are sick If symptoms develop, high risk groups should seek medical attention promptly • Others should seek medical attention if symptoms are more than mild or are progressive
Influenza Hot Spots: Worldwide
15
Malaria Facts • 3.2 billion people are at risk worldwide • 10,000 travelers report becoming ill with malaria after returning home each year • Malaria is caused by a Plasmodium parasite that infect humans through mosquito bites
16
Symptoms • • • • • • • •
Fever Sweating Headache Muscle aches Fatigue Shaking/chills Vomiting Diarrhea
Malaria
17
Rabies Facts • Rabies occurs in more than 150 countries • 40% of risky bites occur in children under 15 years of age • Rabies spreads from infected animals to people through bites or scratches • Dog bites are responsible for 99% of human rabies deaths • Untreated is fatal, you must seek medical attention promptly • Rabies is 100% preventable
18
Rabies
19
Reduced Air Quality Advice • Follow the advice of local authorities • Minimize time outdoors • Reduce physical exertion • Keep windows/doors closed • Consider using an air cleaning device or use the air conditioner in “recirculate” mode • Consider using a respirator (N95 mask) while outdoors • Consult medical practitioner if you experience symptoms • Use saline drops regularly to minimize irritation in your eyes • Contact lens wearers should temporarily stop wearing them
20
Natural Disasters Medical Challenges • Water-borne diseases (cholera) • Vector-borne diseases (malaria/dengue) • Lacerations/wounds • Infections • Heat stroke / frostbite • Dehydration • Lack of access to safe food/water • Lack of access to appropriate medical care • Weakened infrastructure
21
Advice • Follow the advice of local authorities • Drink only boiled/bottled water • Avoid contact with contaminated water/sewer spills • Practice good hygiene • Wash your hands with soap and safe water or use sanitizer • Clean wounds throroughly
Questions to Consider 1. 2. 3. 4. 5. 6. 7. 8.
How do you identify travelers to affected countries? How are you educating your travelers and expatriates? How do you ensure the traveler is fit to travel? How do you ensure the traveler is safe? How do you monitor your travelers in-country? How do you monitor your returning travelers? How would you manage a workplace potential exposure? When would you evacuate non-essential or essential staff if the issue were to escalate? 9. Do you stockpile medical equipment, and if so, what, how much, and how do you manage expiration dates? 10. What does management do to monitor the situation globally? Has your crisis management team convened to discuss how they would respond or exercise existing plans? 11. Do you have response plans in place to address crisis management and workforce resilience issues?
22
Duty of Care
23 23
WHAT IS DUTY OF CARE? Ethical
Legal
Fiduciary
Social Responsibility
Commercial
Duty of Care
Moral
“Obligations to act toward others and the public in a prudent and cautious manner to avoid the risk of reasonable foreseeable injury to others.” 24
WHY DOES DUTY OF CARE MATTER? Costs of a trip or assignment being disrupted or cut short
MEETING YOUR DUTY OF CARE Impact on your business continuity in the event of an incident
Impact on employee satisfaction & morale
25
Costs of care and evacuation for an emergency that might have been avoided
Risk of prosecution under occupational health and safety legislation, or a claim for damages
Travel Risk Management
26 26
INTEGRATED MEDICAL & SECURITY RISK PREVENTION AND MANAGEMENT Pre – departure
Travel or Assignment
Understand your risks and prepare accordingly
Local expertise and advice available 24/7
General Assistance or Emergency on the ground support should you need us
ASSESS
BE AWARE OF YOUR RISK EXPOSURE
PREPARE
EDUCATE
COMPLY
Pre-travel planning with medical & security assessment
Pre-travel instruction with traveling risk awareness training
Advising with occupational Health/ Screening/consultancy
REAL-TIME ADVICE
ADVISE
NOT JUST FOR EMERGENCIES
RECOMMEND
INFORM
TRACK
Receive medical and security advice
Provide medical and security advise on call
Proactively monitor and communicate
?
HELPING YOU
ASSIST
MANAGE YOUR TRAVEL RISK IF THE “UNTHINKABLE” HAPPENS…
ACT
SUPPORT
REPORT
Give medical and security assistance
Provide evacuation coordination and support
Inform workplace management and reporting
Questions?
31 31
