UN Communication Plan on Avian Influenza Why Communication? Draft as of 23 March 2006 Having a large poultry industry, Pakistan traced its first cases of “H5 avian influenza” on 27th February 2006 from two farms in the NWFP province. The Pakistan UN team is actively supporting the national response including raising awareness on prevention and control of avian flu. Also to keep the UN staff and their families living in Pakistan safe, prompt and timely communication is one of the most critical components of a successful response. As part of the UN Contingency Plan, a strategic and exclusive AI Communication Plan has been devised for Pakistan. The plan outlines communication objectives, audience groups, strategies, messages, activities and coordination mechanism to provide adequate communication support for different phases. Audience Groups - UN General Staff UN Professional Staff UN International Professional Staff Spouses and Children Family Maids, Cooks and Other Servants UN Canteen Staff, Gardeners, Janitors & Security Guards Main Objectives - Impart knowledge on ways and means to minimize poultry to human transmission of the epidemic virus. Reach out the UN staff with appropriate update and precautions on how to handle poultry more cautiously and to improve hygiene knowledge and practices. Persuade children on the dangers related to handling poultry and preventive measures especially how and why good hygiene is essential Key Strategies - Strategic, branded and standardized messages and material for different phases Maintain the staff’s trust through proactive response, transparency and timely information sharing processes Special focus on educating children about necessary precautionary measures to avoid infection. Communication Outcomes - Risk of animal to animal transmission and animal to human is reduced. UN staff knows that most human cases of AI are linked to contact with poultry and understands how to protect themselves. UN staff can explain the link between unclean hands and risks of AI UN staff follows the AI related precautions and preventive measures Priority Theme Be Informed, Be Careful & Protect Yourself Important Interventions - Identify and announce an AI Taskforce in each agency involving focal points from communication, operations and programme. Action Each Agency Timeframe ASAP Finance Nil - Develop, design, field test, print and share audience specific communication material. Special material to be developed for children. See Annexure 1 for details about the material to be developed and general Urdu 7 English brochures. Action UNICEF Timeframe March/April Finance $4,000 - Arrange a master orientation for Islamabad based AI FPs. Each Agency then will organize special staff orientation in English/local language, at both office and sub office levels. A generic presentation and key messages are given at Annexure 2 & 3 respectively. Action Each Agency/UNCC Timeframe March/April Finance - Strengthen Information Dissemination System (UNDSS) for timely and effective utilization of the communication material and information. Action Each Agency/UNDSS Timeframe March Finance - Develop a weekly AI Pakistan E Bulletin and share with all UN staff through UNDSS. Action WHO, FAO, UNICEF Timeframe March-June Finance - Arrange (Three Hour) Stress Management Training Workshops for staff with priority to high exposure agencies. As a follow up of the training, also develop an AI UN Safety Network of Peer Helpers for on-going psychosocial support. The training outline is indicated at Annexure 4. Action CISMU1 in team with each Agency Timeframe April-June Finance - Establish and coordinate an agency specific AI Watch System to encourage all staff to report bird/chicken mortality or sudden sickness at 051 9255420. Action Each Agency Timeframe March - June Finance Communication Coordination Comprising relevant professionals from UN organizations, a UN Communication Committee2 on Avian Influenza (UNCC) has been constituted to ensure effective implementation and coordination. The Committee will work closely with UNDSS3 for staff information sharing. The Committee will strengthen inter-agency cooperation for uniform messages, material and media. 1 Critical Incident Stress Management Unit Including Dr. Rana Kakar WHO, Dr. Khalid Naeem FAO, Dr. Sohail Ali CISMU, Suleman Malik, UNICEF 3 UN Department of Safety and Security 2 The Committee will have regular meetings for effective planning and timely completion of communication assignments. Monitoring Each participating agency will be responsible to monitor the communication activities through AI FPs, communication colleagues or IDS. A periodic report will be required for review of the progress and fine-tuning of the subsequent activities. The communication committee will take the overall responsibility for monitoring and reporting to the CMT. A Staff Awareness Survey will be conducted in May/June. Annexure 1 Development & Distribution of AI Communication Material 2006 Type of Material AI Poster AI Brochure Urdu along with dispenser Theme/Message Audience Bird Flu – Symptoms and precautions General staff Bird Flu – Details on symptoms and precautions Family Maids, Cooks and Other Servants UN Canteen Staff, Gardeners, Janitors & Security Guards (one dispenser for 50 brochures) AI Brochure English along with dispenser Bird Flu – Details on symptoms and precautions General Staff, Families AI Brochure with Interactive CD Bird Flu – detailed information, background, present scenarios, precautions, symptoms and treatment AI Focal Points & communication & health colleagues AI Children Comic Book Bird Flu – Interesting illustrations on how to avoid play or petting poultry or birds during an outbreak General Staff, Families (one dispenser for 50 brochures) (one dispenser for 50 brochures) Quantity/ Distribution Total 1,000 Each Agency (14 x 50) 700 UNICEF Isd 100 UNICEF Lahore 30 UNICEF Peshawar 30 UNICEF Karachi 30 UNICEF Quetta 30 Total 5,800 Each Agency (14 x 300) 4,200 UNICEF Isd 400 UNICEF Lahore 200 UNICEF Peshawar 200 UNICEF Karachi 200 UNICEF Quetta 200 Total 1,700 Each Agency (14 x 100) 1,400 UNICEF Isd 100 UNICEF Lahore 50 UNICEF Peshawar 50 UNICEF Karachi 50 UNICEF Quetta 50 Total 300 Each Agency (14 x 10) 140 UNICEF Isd 80 UNICEF Lahore 20 UNICEF Peshawar 20 UNICEF Karachi 20 UNICEF Quetta 20 Total 4,100 Each Agency (14 x 200) 2,800 UNICEF Isd 500 UNICEF Lahore 200 UNICEF Peshawar 200 UNICEF Karachi 200 UNICEF Quetta 200 Generic Brochure English Generic Brochure Urdu Annexure 2 Annexure 3 Key Communication Messages for Prevention & Control of Avian Flu General Perspective Avian Influenza is a deadly and highly contagious disease for chicken/birds and can transmit from affected birds to human beings especially those who remove feathers, handle or slaughter sick birds. Despite some reports of H5 poultry cases in Pakistan, it is safe to consume well cooked poultry meat and eggs. Cooking Poultry Cook all meat at boiling temperature or more than 70 degree celsius (oc) since it destroys the Bird Flu virus. Wear gloves while cleaning meat or washing eggs. Wash eggs with detergent before storing. All meat should be properly cleaned before cooking. Keep cooked and raw meats separate. Do not use the same knives or chopping boards unless washed with detergent between uses. Avoid eating half boiled or half fried eggs. Instead take completely cooked eggs such as omelets. Wash your hands with soap and water after handling raw meat. Caring for Children Most infections in children were transmitted through playing with sick or dying birds, petting or handling them. Do not let children handle or carry birds/ poultry since they may contain virus. Teach children the importance of washing hands after playing and before taking food. Handling or Facing Affected Poultry If you are to handle sick or dead poultry make sure you are protected. Wear clothing like mask, goggles, gown, rubber boots and gloves. If these are not available then cover your mouth with a piece of cloth, also wear glasses. Use plastic bags to cover your hands and shoes. Always wash your hands after handling sick or dead poultry. Also wash your protective clothing with detergent each time after use. If you live in an area where Bird Flu presence has been reported, avoid contact with any birds, their feathers, faeces or other wastes. Do not keep birds as pets and do not let children go near alive or dead poultry. If necessary, wear disposable gloves and masks when handling birds. Infection in Pet Cats Domestic cat infections occasionally occur in association with H5N1 outbreaks in domestic or wild birds, e.g. when cats feed on infected birds. Cat to cat transmission has been proven. Make sure contact between your pet cats and wild birds or poultry is avoided. If cat shows breathing problems or nasal discharge, a veterinarian should be consulted. Do not handle any sick-looking or dead cat (or other animals) without gloves and report to the local authorities. Reporting Sick/Dead Chicken/Birds Be especially vigilant for any dead or sick chicken/birds/cats and report such findings to the local officials. Report all poultry/ animal sickness (flu-like symptoms) or unexpected deaths to the concerned local authorities/helpline, or Ministry of Food Agriculture & Livestock at 051 9208779 or 051 92063003. Precautions in Flu like Symptoms If you develop flu-like symptoms then take special precautions to contain the spread of the virus. Always use a tissue paper or handkerchief to cover your mouth and nose while coughing or sneezing. Wash your hands with soap and water each time you touch your nose or mouth. Also teach children to cover their nose and mouth when coughing or sneezing. Anyone with flu-like illness should be careful with secretions from the nose and mouth when around other people, especially small children, in order not to spread influenza virus. Use a tissue to cover your nose and mouth when coughing or sneezing and throw it away once used. Always wash your hands with soap and water after any contact with secretions from nose or mouth as these can carry a virus. Avoid touching your face, eyes and mouth with unwashed hands. Teach children to cover their coughing as above and the importance of hand washing after coughing, sneezing and touching dirty items. Annexure 4 Critical Incident Stress Management Unit (CISMU) UNDSS Pakistan Stress Management Training for UN Staff Objectives To impart sensitization and basic knowledge about stress and stress management. To develop skills of preventing and managing stress. In the current context, also to sensitize and prepare staff for preventing, and managing the psychosocial concomitants and sequalae of an outbreak of Avian Influenza. Training Outline Item Module 1 Duration Details 30 Introduction and breaking the ice. Objectives and format. minutes Introduction to the concepts of stress and stress management. Activity 1 10 Impact of life changes minutes Module 2 30 Types of stress and recognizing the features. minutes Activity 2 10 Self evaluation of levels of stress minutes Tea/coffee 15 break minutes Module 3 30 Psychosocial aspects of an epidemic. minutes Activity 3 10 Measuring susceptibility to stress minutes Module 4 30 Practical guidelines about preventing and managing stress. minutes Activity 4 10 Relaxation in your hands minutes Conclusion 5 minutes Summary and feedback Total duration 180 minutes/3 hours For Contact: Muhammad Sohail Ali Stress Counselor sohail.ali@un.org.pk stresscounsellor-pk@undp.org 0301-5129159 051-2800133 Ext: 2888