Guidelines for Law Enforcement Agencies GUIDELINES FOR USE AND PROCEDURE FOR ORDERING PERSONAL PROTECTIVE (PPE) EQUIPMENT LAW ENFORCEMENT SETTING 15 SEPTEMBER 2009 VERSION 1.0 SITUATION: Since the spring of 2009, the state has experienced an above average level of Influenza, with the predominate strain being novel H1N1 (swine). CDC has issued guidance to the State and Local Public Health Officials regarding the use of personal protective equipment (PPE) for staff whose occupational assignments expose them to influenza like illnesses. For the purposes of disease management in the law enforcement setting, PPE is defined as surgical masks and gloves.
The Department of Health has secured a stockpile of PPE for distribution to law enforcement agencies in the event local or regional supplies are not available. RISK EXPOSURE : During a pandemic influenza event, law enforcement agencies need to determine which of their employees may have an elevated exposure level based on their assignments. The risks of occupational exposure to influenza during a pandemic may vary from very high, high, medium, or lower risk.
The level of risk depends in part on proximity and length or contact with people infected with the pandemic influenza virus. Definitions of the risk levels and examples of occupations ... more. less.
in each of the four exposure levels are: o Very high risk 3 occupations with high potential exposure to concentrations of known or suspected sources of pandemic influenza during specific medical or laboratory procedures ( crime scene/forensic personnel) o High risk 3 occupations with high potential for exposure to known or suspected sources of pandemic influenza virus (patrol officers, detectives) o Medium risk 3 occupations that require frequent, close contact (within six feet) to known or suspected sources of pandemic influenza virus such as the general public, outpatients, school children or other such individuals or groups (patrol officers, detectives) o Lower risk 3 occupations which do not require contact with people known to be infected with the pandemic virus or frequent close contact with the general public (within six feet). Law enforcement personnel routinely come into contact with the general public.<br><br> There may be conditions wherein it is necessary to either be in close proximity (less than 6 feet) or physically engage individuals exhibiting Influenza like illness. The majority of these contacts are no different than the day to day contact that persons of all occupations may encounter. In those circumstances where there is a high or medium risk of exposure, the following are suggested guidelines for law enforcement officers: The first line of defense is to wash your hands frequently with soap and water or use an alcohol-based cleaner.<br><br> USE OF PPE: If appropriate or practical, a surgical or procedure mask placed on the known or suspected sick individual (suspect) can help to reduce the chance of transmission If there is a high or medium risk exposure, the use of a surgical mask by the law enforcement officer is likely to be the most effective intervention in reducing the chance of exposure and illness The more severe the symptoms of the ill individual and the closer the contact to the ill individual (such as less than 6 feet), the higher the risk of exposure to the officer. (utilize mask where situation allows) Use of gloves (and other PPE 3 pursuant to standard precautions) is appropriate when it is reasonably anticipated that there will be contact with blood, body fluids or other potentially infectious materials. It is recognized that based on occupational conditions it may not be practical to use gowns and masks in some responder situations.<br><br> Use non-sterile gloves for contact with persons or surfaces that may have been contaminated. Those law enforcement officers that will only be out in the community without anticipated close contact with known or suspected H1N1 swine influenza infected persons do not need to take special precautions beyond the hand washing and distancing recommendations. WORK ENVIRONMENT MITIGATION: Influenza virus can survive on environmental surfaces and can infect a person for up to 2-8 hours after being deposited on the surface.<br><br> Prior to cleaning a vehicle, the air within the vehicle may be exhausted by opening the doors and windows of the vehicle while the ventilation system is running. This should be done outdoors and away from pedestrian traffic. Perform routine cleaning with soap or detergent and water to remove soil and organic matter before using a disinfectant.<br><br> Disinfect commonly-touched hard surfaces, such as holding cells, work stations, counter tops, door knobs, and bathroom surfaces by wiping them down. During vehicle use, encourage good vehicle airflow/ ventilation to reduce the concentration of aerosol accumulation when possible. Guidance is subject to change based on the evolving event conditions, most current versions can be found at www.myflusafety.com .<br><br> If there are specific questions about exposures, contact, or the contagiousness of the disease, law enforcement agencies are encouraged to consult with either their Medical Officer or their local health department. PPE ACCESS/AVAILABILITY: Law enforcement agencies are to utilize their normal PPE procurement procedures. If the selected PPE is not available, local Emergency Management (EM) in consultation with law enforcement will validate that the PPE is not available from other local or regional sources or caches.<br><br> In the case of a documented lack of availability, local EM will submit an order through EM Constellation using the cH1N1 Law Enforcement PPE Order Form d in the 2009 Swine Flu Database. ORDERING PROCESS: In order to effectively manage the distribution of the PPE, law enforcement agencies should work with EM to coordinate ordering the PPE via the utilization of EM Constellation. The H1N1 database has been opened in Constellation and will be the system utilized for ordering and tracking PPE missions.<br><br> EM will attach the completed order form to a mission request and submit the request to State ESF 8 Logistics. This order should be placed in Constellation no later than one (1) working day after receipt. EM will validate the accuracy of the delivery site addresses.<br><br> SHIPMENT AND DELIVERY: All orders received in Constellation will be routed by the State Division of Emergency Management to State ESF-8 (DOH) logistics on the day received. State ESF-8 will fill the order using their processes for this operation. All health care systems orders will be sent to the identified ship-to address.<br><br> Orders will be filled and delivered to the designated site(s) no later than 96 hours from the date/time of receipt. Shipment will be dependent upon the schedules set by the state transportation vendor for shipment. Large shipments involving palletized inventory will be shipped from the State Logistics Response Center in Orlando.<br><br> Smaller shipments may come from regional warehouses in order to expedite the delivery process. SERVICE AND SUPPORT: Over time, due to possible inventory shortages in the retail and supply system, orders may be adjusted based on available inventory to ensure equal distribution. Shorted orders will be backfilled as inventory becomes available.<br><br> ESF 8 and SERT Logistics will monitor the supply chain from manufacturer to state warehousing and advise of delays in the system if they occur. ESF 8 Logistics will provide the SERT Chief with weekly updates of supply issues. SHIPPING CONFIGURATION: Gloves 100/box Surgical Masks 50/box Minimum order request via EM Constellation will be one box.<br><br> Orders will be shipped within 96 hours of order receipt by emergency management.