MEDICAL CRISIS PLAN RISK RESPONSE As the progress in level of severity risk changes, recommendations covered in previous categories will apply where appropriate. RESPONSE CATEGORY Medical LEVEL 1 CAUTIONARY LEVEL 2 SERIOUS LEVEL 3 SEVERE LEVEL 4 CRITICAL High Awareness – Business Operations -Normal Medical Situation: Medical Situation: Medical Situation: Business Operations – Severely Impacted Medical Situation: Actions: Actions: Evidence of widespread person to person spread in country. Possible/probable essential infrastructure compromised. Lack of reliable information to make informed decisions. WHO, CDC, U.S. State Department, and/or other reliable source issue significant travel restriction/border closing advisory. Actions: Medical Concern identified in region of a country. Limited case identification in-country. No documented human to human transmission Regional response team(s) and business updated. Obtain medical information and guidance as situation dictates to assess situation. Limited person to person spread (cluster). WHO, CDC, U.S. State Department, and/or other reliable sources recommend a travel alert. Public Health measures implemented or needed to mitigate risk. Minimal healthcare system impact. Regional response team activated. Regular updates to Corporate level team(s) supporting the regional response team, e.g. Medical, Travel, Security, Communications, others as deemed appropriate. Corporate response team is engaged and on standby to support regional response team(s). Ongoing communication to assess local health care resources. Quarantine guidance provided as required by the country laws and regulations. Pandemic (human to human transmission) Global essential infrastructure compromised Healthcare system overwhelmed. Quarantine in affect (e.g. borders closed) Actions: Corporate response team takes lead role in managing situation. Regular updates to Executive level team. Ongoing communication to assess and support local heal care resources. Quarantine guidance for preventive and symptomatic as required by the country laws and regulations. MEDICAL CRISIS PLAN RISK RESPONSE RESPONSE CATEGORY Copyright Shoreland, Inc. 2005 LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 CAUTIONARY SERIOUS High Awareness – Business Operations -Normal Actions (continued): Actions (continued): Actions (continued): Coordinate with local Department of Health Ministries. Consider temporary relocation nonmanufacturing operations. Activate business portion of Continuity plan. Consider Flexible Work Arrangements for employees to work from home. Consider restricting vendor site visits as well as employee off site visits. Contact regional medical assests to assess situation (e.g. health care infrastructure, local support, evacuation plans, etc.) Confirm that corporate level communications is prepared to support the crisis and begin the pandemic communications plan. Business/Operations SEVERE Communicate general crisis situation to worldwide employee population on the situation and how the company is managing the crisis. Follow all corporate medical guidance documents. Review local Department of Health recommendations. Medical information and guidance documents posted on designated website and disseminated to the regional business organizations. Assess and confirm local health care resources. incorporate the business leadership into the regional response team so that they are fully aware of the situation in accordance with the Continuity Plan. Business leadership will need to be prepared to take the appropriate action in accordance Medical Preparedness Grid. Direct expatriate medical concerns through corporate medical assets. Frequent communication (weekly) of general medical information, travel restrictions, evacuation and leave policy guidance to employees. CRITICAL Business Operations – Severely Impacted Actions (continued): Consider temporary relocation of business critical personnel to another location to conduct business. MEDICAL CRISIS PLAN RISK RESPONSE RESPONSE CATEGORY Copyright Shoreland, Inc. 2005 LEVEL 1 CAUTIONARY LEVEL 2 SERIOUS LEVEL 3 SEVERE LEVEL 4 CRITICAL Business/Operations (continued) High Awareness – Business Operations -Normal Communicate guidance for work fitness for duty protocols in accordance with the Medical Preparedness Grid. Business Operations – Severely Impacted Travel Monitor travel advisories (e.g. CDC, WHO, U.S. State Department or other designated authorities). Limit elective travel to affected areas. Recommend limit personal travel to affected areas. Protocols in place relative to customer and employee site visits in accordance with the Medical Preparedness Grid. Review local Department of Health guidelines. Business critical travel only Consider approval of travel to/from and within Country at higher authority level (e.g. Business/Functional Vice President level or equivalent). Discourage personal travel within or to affected areas. Travel ban to, from and through affected country(s). All current travelers within affected areas will return to home location immediately. Company Visitors, e.g. customer, etc. from out of country subject to previously designated higher authority level. Consider imposing selfquarantine for individuals coming from Level 3 (Severe) or 4 (Critical) locations (obtain advice from regional medical staff ). In concern over exposure, Regional response team with Medical Department (or equivalent) advisement can determine appropriateness of quarantine precautions. Travel ban to, from and through affected country(s). Impose quarantine for individuals from Level 3 (Severe) or Level 4 (Critical) locations. MEDICAL CRISIS PLAN RISK RESPONSE RESPONSE CATEGORY LEVEL 1 CAUTIONARY High Awareness – Business Copyright Shoreland, Inc. 2005 LEVEL 2 SERIOUS LEVEL 3 SEVERE LEVEL 4 CRITICAL Business Operations – Severely Transfers and Relocations Operations -Normal Evacuation plans updated. Policies dealing with international mobility reviewed. Identify expatriates with high risk medical conditions and consider preemptive evacuations as warranted. Copyright Shoreland, Inc. 2005 Transfers of employees to affected area may be postponed. Evacuate high risk personnel if medical condition(s) exceed local medical capabilities. Consider voluntary evacuation of expatriate families or early home leave offer and parental leave. Transfers of employees to affected area may be postponed. Evaluate evacuation actions of other companies, embassies, etc. Consider evacuation of non-critical personnel, and other high-risk employees. Consider relocation opportunities. Impacted Transfer of employees to affected areas will be deferred. Evaluate evacuation actions of other companies, embassies, etc. Consider evacuation of all expatriate employees and families.