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More than a wing and a prayer?
 
While some have contingency plans in place, many charities are counting on the risk remaining low of an avian flu pandemic. Others are actively involved in preventing one, reports Graham Buck
 
Media attention towards the potential threat of avian influenza has proved as migratory as many birds. The discovery of a dead swan close to home triggers alarmist reports on an imminent pandemic, followed by periods of silence when the issue disappears from the headlines.

Although the Department of Health advises that the risk of travellers becoming infected with avian flu is low, the World Health Organisation warns that further outbreaks could trigger a human flu pandemic.

The deadly H5N1 virus is closely related to those that cause flu in humans and, although so far mostly restricted to birds, can be passed on to humans. It appears that avian flu has been present among wild birds, poultry farms and live markets for centuries without posing any serious threat. H5N1 became a serious concern at the end of 2003, when an outbreak was reported in South East Asia and spread to various countries, with Vietnam, Thailand, Indonesia, Cambodia, China and Turkey suffering human fatalities.

To date, transmission appears to have occurred where people have been in close contact with poultry and other birds. Charities with overseas operations have therefore ignored the lurid headlines and issued “common sense” guidelines to those travelling in affected countries, such as avoiding live animal markets and poultry farms and exercising caution in handling or eating dishes containing poultry, duck or eggs.

However, few charities are likely to have a business continuity plan in place should the H5N1 virus trigger a pandemic.

Continuity planning
Broker and risk management consultancy Aon Ltd – one of several broking and risk management groups to have developed a business continuity review service – marked its launch in March with a survey: Pandemic Influenza: Managing the Risks of an Invisible Threat.

Aon found that, even in the private sector, fewer than 60 per cent of the firms surveyed had measures in place to respond to an avian flu pandemic. Alex Hindson, associate director for the group’s IRMG risk consultancy unit, says only the biggest charities are likely to have any form of business continuity process in place. These will have been developed for situations such as operating in regions affected by war or disease.

The first step for those still unprepared is to ensure their key operations can be maintained if disaster strikes, by identifying the key processes and functions and who the key people are. The second is to calculate whether the loss of a key function, such as computer services, can be coped with for a short while. “For a financial institution, the service needs to be restored immediately, but a charity can perhaps live without it a little longer,” he observes.

“If a pandemic hits, office administrative functions can possibly be run from home and linked by IT – people will be reluctant to move around anyway. But if the charity has an activity such as running a hostel, it will need to consider laying on buses and overnight accommodation for its nurses and care workers.”

Unlike such threats to continuity as bomb attacks or fire, a pandemic would act as a steady erosion of activity over time, observes Malcolm Cornish, business development manager of Marsh Ltd’s risk consulting practice. For example, a charity might see a quarter of its staff affected, but the knock-on effect would be magnified with other employees occupied with looking after a sick relative or simply opting to stay off work.

Cornish says last July’s bomb attacks in London demonstrated the significant contribution made by non-profit organisations in dealing with an emergency. “The input of the voluntary services was greater than the authorities anticipated. They hadn’t been greatly involved in the preparations for such an event and were therefore hampered by the lack of information from the government and local authorities. In future, there needs to be closer involvement.”

Peter Heap, a consultant for ARK Risk Consulting, adds that an assessment should also consider the potential impact of a pandemic on both its revenue and its insurance policies.
While coverage is, at present, unlikely to exclude medical treatment for employees exposed to avian flu, it won’t extend to loss of business if the charity is forced to close down. Insurers don’t regard pandemics as a traditional business continuity risk, as they do not impact a single physical location over a finite time.

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Root causes
Christian Aid is among the charities which regard the risk to staff overseas as remaining low, provided they take precautions. However, it warns that if avian flu were to become pandemic, it might have to restrict the ability of field staff in affected countries, instructing them to return either to the UK or their home country. Local offices could also be closed down.

The charity’s security manager, Kiruja Micheni, says discussions are underway to develop a contingency plan, with initiatives coming from risk management companies and businesses in the private sector. He admits that much remains unknown about how the virus could mutate, although charities are participants in a bird flu task force made up of scientists and conservationists from nine international organisations, including four UN bodies.

The Royal Society for the Protection of Birds has worked with the Department for the Environment, Food and Rural Affairs (DEFRA) in locating dead birds and submitting them for analysis, while a number of voluntary organisations have also played a significant role in pinning down the causes of avian flu.

Dr. Richard Thomas, of BirdLife International, says previous outbreaks attracted little publicity as they were contained and posed a minimal risk to humans. It transpires that the first recorded case of H5N1 was in Scotland in 1959, while a turkey farm in England suffered an outbreak in 1991.

BirdLife cites the three major potential routes for a worldwide epidemic as the movement of infected poultry and poultry products, the movement of caged wild birds in trade and the movements of wild birds.

The charity believes the intensive farming practices within the poultry trade and resulting infection to be the main culprit. “It’s incredibly hard to thoroughly clean the cages used to transport poultry and the virus can easily be passed on through infected faeces,” observes Dr Thomas.

BirdLife is active in efforts to prevent the mass culling of wild birds, which have been reported in areas such as Russia, as it believes they have been the victims of H5N1 but not the cause.

“The virus is only moderately pathogenic among wild birds, but becomes much more severe when you have poultry in cramped conditions,” says Thomas. “Charities are fighting the case for backyard poultry producers.”

They are also promoting the cause of preserving diversity in farming, he adds. “We’ve made ourselves reliant on a very limited number of species of chicken; something which also applies to crops such as rice. If any are affected by virus, the consequences are disastrous.”
FARM-Africa, which works to reduce poverty with smallholder farmers and herders to promote natural resource management, is keenly aware that many of the continent’s most vulnerable communities rely heavily on poultry farming.

“Poultry is incredibly important to help lift people out of poverty, providing them with much needed protein and an income,” says its chief executive, Dr Christie Peacock. “So FARM-Africa has been making detection and monitoring of this virus a big priority.” The charity’s animal health workers throughout East Africa have been frontline scouts against avian flu since the beginning of the year, alerting the authorities to any early signs of the virus.

Dr Peacock, who is also a professional animal scientist, has spent the last 26 years in the field in Africa engaged in research and development with livestock keepers and is familiar with many of the issues confronting farmers.

Last autumn, she attended the Conference of Ministers Responsible for Animal Resources in Kigali, Rwanda, where Africa’s senior ministers and officials met to discuss and prepare for avian flu. “Bird flu is a serious disease both from the economic and human health perspective and African leaders have been taking this very seriously for quite some time. It is often first seen in large commercial flocks where sick and dead birds are easily noticed,” says Dr Peacock. “However, village poultry are particularly at risk as they mix with wild birds
that may carry the virus. Because of this, a great deal of work to educate people about the virus has been undertaken, and FARM-Africa’s local teams have played an active role in this.”


Online Information on Pandemic Flu
A number of governmental and other bodies offer free advice online for both commercial and non-profit organisations on planning for pandemic flu.

They include risk consultancy firm Link Associates, which has an 18-page document as a free download on its website www.linkassociates.com

Prepared by business continuity practitioner Jamie Jameson, the document considers the implications of a pandemic for a wide range of sectors and the actions that would need to be addressed. Issues highlighted include planning for widespread absenteeism, putting effective employee management strategies in place, travel policy and insurance considerations and issues affecting key partners and critical supply chains. The document also provides a list of other relevant websites.


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