Anthrax Safety Information

 

ENSURING THE SAFETY AND SECURITY OF YOUR BUS COMPANY THROUGH PREVENTIVE STRATEGIES

by Phillip S. Paige, President and CEO, Paige Bus Enterprises

September 11, 2001 has caused every business to look at the way they secure their workplace.  A wise business owner/manager understands that no business is invincible and all are at risk of some form of terrorism or sabotage.  This means understanding and being prepared for misfortunes and disasters.  The following information is summary of ways to help school bus operators prepare their employees and their locations in case of exposure to anthrax.

Several recent confirmed incidents of U.S. Postal Service mail delivered to places of employment and containing anthrax have spurred the Postal Service, the Centers for Disease Control and the Occupational Safety and Health Commission to issue advisories for how to respond to the threat of contaminated mail.  These advisories posted on the Web sites of the USPS, CDC and OSHA provide information on how to identify suspicious letters and packages and how to respond to mail suspected or known to be contaminated.  They also provide links to other resources, such as the Federal Emergency Management Administration (http://www.osha.gov/SLTC/bioterrorism/pkghandling.html).

WHAT IS ANTHRAX

Anthrax, disease of warm-blooded animals, including humans, caused by the bacterium Bacillus anthracis Anthrax is a spore-forming bacterium.  The spores have protective coats and can withstand extreme heat, drought, and other harsh conditions.  They can live for centuries in soil. Anthrax spores also have the potential for use in biological warfare because of their ability to survive and because they spread easily in air and can be inhaled.  Once the spores are inside the lungs, the bacteria develop and begin to multiply.

ANTHRAX IN HUMANS

In humans, the disease can appear in three forms:  cutaneous, inhalation, and gastrointestinal.  The cutaneous, or external form, primarily involves the skin and is contracted mainly by those who handle contaminated hides, wool, or carcasses.  The bacteria enter through a cut or other opening in the skin, and a dark, itchy bump that resembles an insect bite appears.  The bump then develops into an open sore with a black area in the center.  The cutaneous form of anthrax can be treated with antimicrobial drugs.  Death results in about 20 percent of untreated cases.  Veterinarians, mill workers, laboratory researchers, and other people at risk of exposure to anthrax are generally vaccinated against the disease.

Humans contract internal forms of anthrax by inhaling anthrax spores or by eating contaminated meat.  People who work with animal hair and wool are most likely to inhale the spores, especially in areas where anthrax occurs in animals.  Symptoms of inhaled anthrax initially resemble those of a cold or flu – general aches and pains, fever, fatigue, cough, and mild chest pain.  Inhaled anthrax is fatal unless the infected person has been vaccinated or antibiotics are administered soon after inhalation.  Ciprofloxaci penicillin and other antibiotics are effective treatments, except in rapidly progressing cases.

CHARACTERISTICS OR SIGNS OF SUSPICIOUS MAIL

The CDC, USPS and OSHA advisories list characteristics or signs to look for in identifying mail which may be contaminated with biological or chemical agents, or which may be otherwise hazardous.  Those characteristics include:

  1. no return address;
  2. excess postage;
  3. misspelled words;
  4. sloppy typing or handwriting;
  5. wrong or incomplete addressee information;
  6. lopsided or uneven envelope or packaging;
  7. excessive tape or string;
  8. stains or discoloration on envelope or wrapping;
  9. an unrecognized or unexpected foreign return address;
  10. a strange odor.


SUMMARY OF PREVENTIVE OR RESPONSIVE MEASURES

  1. do not shake or empty the contents 
  2. place the envelope or package in a plastic bag or some other type of container to prevent leakage, or cover it with anything available, such as clothing, paper, or trash can, and keep it covered;
  3. leave the area and close the door or barricade the area to prevent others from entering;
  4. wash hands with soap and water to prevent spreading to other places on the body;
  5. report to a supervisor or building security and to local police;
  6. list all people who may have been exposed to the item and provide the list to those officials for follow up.

If an envelope or package already has been opened and contains powder, or powder spills out
  1. do not clean up the powder, and cover the contents immediately with anything  such as clothing, paper or a trash can;
  2. leave the room and close the door or barricade the area to prevent others from entering;
  3. wash hands with soap and water and shower with soap and water as soon as possible;
  4. report the incident to a supervisor or building security and to local police;
  5. remove and store contaminated clothing in a sealed container to be given to emergency officials for follow up;
  6. provide a list of all people who may have been exposed to the contaminated item to the law enforcement and emergency medical authorities for follow up and investigation.

The United States Postal Service has similar advice for mail handling procedures.  Additionally, the Postal Service advises individuals to take as instructed any medication prescribed by a physician as a result of possible exposure.

 More information is available from both the CDC and the USPS on their Web sites: www.bt.cdc.gov and www.usps.com, respectively.

WHAT EMPLOYERS SHOULD BE DOING NOW

While there has not yet been any mandate issued by a court, legislature, or governmental agency requiring employers to institute mail handling procedures, employers across the country are assessing the risk to their employees and developing appropriate responses.  Precautions for handling incoming mail may include using protective devices, such as letter openers, latex gloves, or surgical mask, or segregating suspicious items for retrieval by the addressee.  Employees who process or handle incoming mail should be advised what to do and whom to contact if they find a suspicious item or are exposed to powdery or other foreign substances contained in a letter or package.  Others measures may be needed to protect employees adequately and to provide the information they need to avoid unnecessary panic or overreaction.

WHAT TO DO IF ANTHRAX IS FOUND ON A SCHOOL BUS

If anthrax or a suspicious substance is found on a vehicle the safety of the passengers is foremost.  Remaining calm and taking common-sense precautions can reduce the possibility of injuries.

SAFETY PROCEDURES

  1. Move the vehicle to a safe location as soon as possible and secure it.
  2. Use available materials such as jackets, paper, wastebaskets, etc. to cover the suspicious substance.  Do not move or touch the substance.
  3. Notify your terminal of the emergency and begin your companies evaluation steps avoiding the area of the bus that may be contaminated.
  4. After everyone has been moved to a safe area, wait for emergency personnel to arrive.  At no time should non-emergency personnel be allowed to enter the vehicle.
  5. Documentation of all passengers on the bus, especially those who were closest to the substance is important to local officials and school personnel.  This scene should be treated as an accident scene.
  6. If the suspicious materials has come in contact with your skin, wash your hands with soap and water, prevent spreading any power to your face.  Do not use bleach or other disinfectant on your skin.
  7. Remove any and all contaminated clothing as soon as possible and place it in a plastic bag and seal it.  Give the clothing to the proper authorities.
  8. Shower with soap and water as soon as possible.  Do not use bleach or disinfectant on your skin.

We can’t prevent all incidents of this nature, but where the human factor is concerned, people have considerable control.  A business owner/manager who is knowledgeable and careful can go a long way toward creating a safe workplace where employees and managers cooperate in avoiding unnecessary risks.  By lessening the risks, you also protect your company against lawsuits, excessive insurance claims, and government citations.  To keep employees informed, display a copy of your company’s written policies concerning incidents of this nature in strategic areas of your terminal.

Sources:  Business Resource Center, Laidlaw Educational services, United States Postal Service, Encarta Reference Library, Kottkes’ Bus Service Inc., Krapf Bus Co., and Paige Bus Enterprises

 

© 2005 National School Transortation Association
113 South West Street, 4th Floor  •  Alexandria, VA 22314
Phone: (703) 684-3200  •  (800) 222-NSTA  •  Fax: (703) 684-3212