Warden Messages

Additional Information on Avian Flu May 3rd, 2006

Dear Fellow American Citizens,

This is the latest in a series of information bulletins on Avian Influenza (AI).  As the press devotes more attention to AI, employees and their families understandably have a growing number of AI-related concerns.  This message discusses the risks and practical protective measures related to bird droppings, dead birds, and house cats.

BIRD DROPPINGS
--------------
Birds infected with AI excrete the virus in their droppings, where the virus can survive for long periods, especially when temperatures are near or below freezing. Although there is minimal risk of humans becoming infected by AI from bird droppings (the majority of human cases have resulted from extensive contact with live poultry), as a precautionary measure the following guidelines should be followed when removing bird droppings, even in regions where there has been no documented case of AI.  Bird droppings can contain infectious agents other than AI, and so these guidelines represent good practice in any case. (Note: These guidelines apply to the removal of thin coatings of droppings.  Thick amounts of droppings -- i.e., those that would require removal using a shovel – should be removed only by trained staff. 

-- Wear gloves that are either disposable or easily cleanable (for example, light-weight vinyl or nitrile gloves, or heavy duty dishwashing rubber gloves).
-- Gently spray the droppings with water or preferably a disinfecting solution made from 3 tablespoons of household bleach per gallon of water.  Allow time for the bird droppings to soften.
-- Surgical masks should be worn if removal will aerosolize the droppings; i.e., cause the droppings to turn to airborne dust.
-- Remove the droppings with a disposable or cleanable utensil.
-- If dust is observed as the droppings are disturbed, stop and wet the droppings again before continuing the clean up.
-- Place the droppings, tainted debris, and tools into a plastic bag and seal the bag.
-- Clean re-usable utensils with water and detergent or preferably a disinfectant solution as described above.
-- Clean the exterior of footwear with detergent and water or the disinfectant solution.
-- Rinse reusable gloves with detergent and water or disinfectant solution prior to removing. Disposable contaminated gloves should be placed in a sealed bag for appropriate trash disposal.
-- Place reusable gloves in a clean plastic bag and wash them in water containing detergent or disinfectant.
-- Thoroughly wash your hands with soap and water for 15-20 seconds.
Individuals with the greatest potential for occupational exposure to bird droppings are likely those performing building and security equipment maintenance (e.g., cleaning the roof, mechanical penthouses, ledges where birds roost or rest, or TV equipment and lighting) or landscaping (e.g., pruning, digging, spreading mulch).  Supervisors should review work activities and consider the likelihood of disturbing bird droppings. 

DEAD BIRDS
----------
The AI virus remains in the tissues of infected dead birds for some time.  Therefore, contact with dead birds should be avoided and local veterinary or agricultural authorities should be notified to collect the bird carcass for disposal or testing.  If contact with a bird carcass is unavoidable (for example, a cat brings a dead bird into the house), follow the guidance below:
-- Wear gloves and, if possible, remove the carcass with a shovel or other disposable or cleanable utensil.  Under no circumstances should the bird be touched with bare hands.
-- Place the carcass in a plastic bag and seal it.  Place this bag in another bag or a cardboard box.
-- If disposing of the carcass in the absence of other instructions, bury it in a location where it is unlikely to be disturbed by other animals.
-- Thoroughly wash your hands with soap and water for 15-20 seconds.

HOUSE CATS
----------
A few domestic cats, in addition to pigs, tigers, leopards, ferrets, and stone martens (a weasel-like mammal), have been infected with AI.  The cats are believed to have been infected by eating uncooked diseased birds. Although no human cases of AI have been associated with contact with AI-infected cats, the following measures are recommended if there has been a verified AI infection in birds within the region:
-- Keep domestic cats inside the house to avoid exposure to potentially infected birds.
-- Avoid all contact with stray cats and keep them outside the house.
-- Inform local veterinary authorities if your cat is sick and has possibly been in contact with birds.
-- Strictly follow normal cat care hygiene rules.  When cleaning cat litter boxes, wear gloves and thoroughly wash your hands with soap and water immediately afterward.

For further information consult the following websites:
http://www.avma.org/public_health/influenza/avian_faq.asp
http://www.fao.org/ag/againfo/subjects/en/health/diseases-cards/avian_cats.html,
http://www.nwhc.usgs.gov/publications/wildlife_health_bulletins/WHB_05_03.jsp, or http://www.oie.int/eng/en_index.htm

U.S. citizens living in or traveling in Lesotho are encouraged to register with the nearest U.S. Embassy through the State Department’s travel registration website, https://travelregistration.state.gov, and to obtain updated information on travel and security in Lesotho.  Americans without Internet access may register directly with the nearest U.S. Embassy.  The Consular Section of the Embassy in Maseru, Lesotho is located at 254 Kingsway Avenue, Maseru 100.  America citizens can call 22-312-666 during office hours from 8am to 5pm Monday to Thursday and 8am to 1:30pm Fridays.  For after-hours emergencies an American Officer from the Embassy can be reached on cellular phone 58884035.  The email address for the Consular Section in Maseru is consularmaseru@state.gov.