Proposed Guidance on Workplace = Stockpiling of Respirators and Facemasks for Pandemic = Influenza

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This=20 proposed guidance reflects the current thinking on the = stockpiling=20 of respirators and facemasks for the purpose of pandemic = influenza=20 preparedness. The information contained in this document is=20 distributed solely for the purpose of pre-dissemination = public=20 comment. It has not been formally disseminated by DOL. It = does not=20 represent and should not be construed to represent any = agency=20 determination or policy.

Proposed Guidance on = Workplace=20 Stockpiling of
Respirators and Facemasks for Pandemic=20 Influenza

Introduction:

In the event of an influenza pandemic, = employers=20 will play a key role in protecting employees' health and = safety as=20 well as in limiting the impact on the economy and society. = Employers=20 will likely experience employee absences, changes in = patterns of=20 commerce and interrupted supply and delivery schedules. To = further=20 preparedness efforts, the Department of Labor (DOL) proposes = to=20 publish this information on stockpiling respirators and = facemasks in=20 occupational settings as an appendix to the DOL and the = Department=20 of Health and Human Services (HHS) jointly issued = Guidance on=20 Preparing Workplaces for an Influenza Pandemic = (February 2007).=20 This proposed guidance is designed to encourage employers in = the=20 private and public sectors to purchase and stockpile = facemasks and=20 respirators in advance of an influenza pandemic, because=20 manufacturing capacity at the time of an outbreak would not = meet the=20 expected demand for respiratory protection devices during = the=20 pandemic. Through advanced planning and stockpiling, = employers will=20 be able to better protect their employees as well as lessen = the=20 impact of a pandemic on their business, society, and the=20 economy.

As is explained in more detail in this = guidance,=20 employers should consider stockpiling facemasks and = respirators.=20 More specifically, it is recommended that employees at = very-high=20 risk and high risk of exposure to pandemic influenza use=20 respirators, while employees at medium risk of exposure use=20 facemasks. Neither facemasks nor respirators are recommended = for=20 employees at lower risk of exposure to pandemic = influenza.

This=20 guidance is advisory in nature and informational in content. = It is=20 not a standard or a regulation, and it neither creates new = legal=20 obligations nor alters existing obligations created by OSHA=20 standards or the Occupational Safety and Health Act (OSH = Act).=20 Pursuant to the OSH Act, employers must comply with safety = and=20 health standards as issued and enforced either by OSHA or by = an=20 OSHA-approved State Plan. In addition, Section 5(a)(1) of = the OSH=20 Act, the General Duty Clause, requires employers to provide = their=20 employees with a workplace free from recognized hazards = likely to=20 cause death or serious physical harm. Employers can be cited = for=20 violating the General Duty Clause if there is a recognized = hazard=20 and they do not take reasonable steps to prevent or abate = the=20 hazard. However, failure to implement any specific = recommendations=20 in this guidance is not, in itself, a violation of the = General Duty=20 Clause. Citations can only be based on standards, = regulations, or=20 the General Duty Clause.

Pandemic Influenza and the = Workplace:

For most employers, protecting their = employees=20 during an influenza pandemic will depend on emphasizing = proper=20 hygiene (cleaning hands and decontaminating surfaces) and = practicing=20 social distancing. Social distancing means reducing the = frequency,=20 proximity, and duration of contact between people (both = employees=20 and customers) to reduce the chances of spreading pandemic = influenza=20 virus from person-to-person. There are additional protective = measures, including engineering changes, procedure changes, = and the=20 use of personal protective equipment, which employers and = employees=20 can implement based upon the occupational exposure risk = profile of=20 their job tasks in the work place. Use of respiratory = protection=20 (respirators) and barrier protection (facemasks) are = components of a=20 comprehensive plan to prepare workplaces for an influenza=20 pandemic.

To assist employers in preparing for a = pandemic,=20 DOL and HHS have issued Gui= dance=20 on Preparing Workplaces for an Influenza Pandemic. = That=20 document, referred to here as =93Preparing = Workplaces=94=20 provides information that employers and employees can use to = evaluate their workplace and reduce the risk of being = exposed to the=20 pandemic influenza virus. DOL has also developed a guidance = document=20 to help healthcare employers protect their employees during = an=20 influenza pandemic: Pandemic Influenza Preparedness and = Response=20 Guidance for Healthcare Workers and Healthcare = Employers can be=20 found at http:= //www.osha.gov/Publications/3328-05-2007-English.html.=20 It is important to note that in addition to occupational = exposure=20 risks, employees will also have non-occupational exposure = risks.=20 Such non-occupational exposure risks could include commuting = to and=20 from work on public transportation (e.g., bus or train) or = other=20 community exposures (e.g. shopping). By addressing = non-occupational=20 exposure risks, employers and employees can minimize the = chances of=20 an employee bringing illness into the workplace. Additional=20 information on strategies to reduce community exposures to = pandemic=20 influenza can be found on http://www.pandemicflu.gov/

Employee risks of occupational exposure = to=20 influenza during a pandemic may vary from very high to high, = medium,=20 or lower (caution) risk. The level of risk depends in part = on=20 whether or not jobs require close proximity to people = potentially=20 infected with the pandemic influenza virus, or whether they = are=20 required to have either repeated or extended contact with=20 individuals or groups.

Very high exposure risk occupations = are those=20 with high potential exposure to high concentrations of = known or=20 suspected sources of pandemic influenza during specific = medical or=20 laboratory procedures.
High exposure risk occupations are = those with=20 high potential for exposure to known or suspected sources = of=20 pandemic influenza virus.
Medium exposure risk occupations = include jobs=20 that require frequent, close contact (within 6 feet) = exposures to=20 known or suspected sources of pandemic influenza virus = such as=20 coworkers, the general public, outpatients, school = children or=20 other such individuals or groups.
Lower exposure risk (caution) = occupations are=20 those that do not require contact with people known to be = infected=20 with the pandemic virus, nor frequent close contact = (within 6=20 feet) with the public. Even at lower risk levels, however, = employers should be cautious and develop preparedness = plans to=20 minimize employee infections.

Employers of critical infrastructure and = key=20 resource employees (such as law enforcement, emergency = response, or=20 public utility employees) may consider upgrading protective = measures=20 for these employees beyond what would be suggested by their = exposure=20 risk due to the necessity of such services for the = functioning of=20 society as well as the potential difficulties in replacing = them=20 during a pandemic (for example, due to extensive training or = licensing requirements).

To help employers determine appropriate = work=20 practices and precautions, OSHA has divided workplaces and = work=20 operations into four risk zones, according to the likelihood = of=20 employees' occupational exposure to pandemic influenza. We = show=20 these zones in the shape of a pyramid to represent how the = risk will=20 likely be distributed. The vast majority of American = workplaces are=20 likely to be in the medium exposure risk or lower exposure = risk=20 (caution) groups.

Occupational Risk = Pyramid for=20 Pandemic Influenza

3D"Occupational

Very High Exposure Risk:

Healthcare employees (for example, doctors, nurses,=20 paramedics, or dentists) performing aerosol-generating = procedures=20 on known or suspected pandemic patients (for example, = cough=20 induction procedures, tracheal intubations, = bronchoscopies, some=20 dental procedures, or invasive specimen = collection).
Healthcare or laboratory personnel collecting = respiratory=20 tract specimens from known or suspected pandemic patients. =

High Exposure Risk:

Healthcare delivery and support staff exposed to known = or=20 suspected pandemic patients (for example, doctors, nurses, = and=20 other hospital staff that must enter patients' = rooms).
Staff transporting known or suspected pandemic = patients (for=20 example, emergency medical technicians).
Staff performing autopsies on known or suspected = pandemic=20 patients.

Medium Exposure Risk:

Employees with high-frequency contact with the general = population (such as schools, high population density work=20 environments, and some high volume retail).

Lower Exposure Risk (Caution):

Employees who have minimal occupational contact with = the=20 general public and other employees (for example, office=20 employees).

After discussing the relative advantages = and=20 disadvantages of respiratory protection options, we will = propose=20 guidance for estimating facemask and respirator usage during = a=20 pandemic for workplaces in each of these exposure risk = zones.

Facemasks and Respirators:

As employers evaluate their workplace, = facemasks=20 and respirators are the two types of protection that should = be=20 considered for use in occupational settings during an = influenza=20 pandemic. While the degree of protection offered by these = devices in=20 a pandemic environment is uncertain at this time, use of = these=20 devices during an influenza pandemic is a recommended part = of a=20 comprehensive strategy of personal protection.

Facemasks:
Facemasks are = used as a=20 physical barrier to protect employees from hazards such as = splashes=20 of large droplets of blood or body fluids. Facemasks also = prevent=20 contamination by trapping large particles of body fluids = that may=20 contain bacteria or viruses when they are expelled by the = wearer=20 (for example, through coughing or sneezing). Facemasks are = cleared=20 by the FDA and are legally marketed in the United States for = use in=20 disease prevention. FDA-cleared masks have been tested for = their=20 ability to resist blood and body fluids. Facemasks are not = designed=20 or certified to prevent the inhalation of small airborne=20 contaminants. The term =93facemask=94 is used in this = guidance to refer=20 to Food and Drug Administration (FDA) - cleared surgical, = medical,=20 procedure, dental, laser and isolation masks.

Respirators:
Respirators are = used to=20 reduce an employee's exposure to airborne contaminants. Most = respirators are designed to fit the face and to provide a = tight seal=20 between the respirator's edge and the face. A proper seal = between=20 the user's face and the respirator forces inhaled air to be = pulled=20 through the respirator's filter material and not through = gaps in the=20 seal between the face and respirator. A =93fit test=94 is = necessary for=20 most models of respirators because it is the only way to = know for=20 certain whether a proper seal can be established between the = respirator and the user's face. The advantages and = disadvantages of=20 respirators as compared to facemasks are described in Table = 1. In=20 some workplaces, respirators will be an important component = of=20 protecting employees and allowing them to perform essential = work,=20 particularly work that may put them at greater risk for = exposure to=20 pandemic influenza. When the use of a respirator is = necessary to=20 protect employees from an occupational hazard, the = respirator must=20 be used in the context of a comprehensive respiratory = protection=20 program established by the employer (see OSHA standard 29 = CFR=20 1910.134, or www.os= ha.gov/SLTC/respiratoryprotection/index.html).

Air purifying respirators are the type = of=20 respiratory protection recommended to reduce exposure risk = to=20 pandemic influenza in certain occupational settings. Air = purifying=20 respirators can be divided into several types. Each of these = is=20 described below; Table 1 provides a comparison of these = respirator=20 types.

Disposable or filtering facepiece respirators = are a=20 type of respiratory protection in which the entire = respirator=20 facepiece is comprised of filter material. The most = commonly used=20 filtering facepiece respirator is made with material = certified to=20 meet the N95 filtration requirements. It is important to = note that=20 other National Institute for Occupational Safety and = Health=20 (NIOSH)-certified N-, R-, or P- filtering facepiece = respirators=20 (e.g., N99, R95, and P100) provide an equivalent or = greater level=20 of exposure reduction to airborne particulates as an N95 = and can=20 be used if N95s are not available. Some filtering = facepiece=20 respirators have an exhalation valve which can reduce = breathing=20 resistance, reduce moisture buildup inside the respirator = and=20 increase work tolerance and comfort for respirator users. = However,=20 respirators with exhalation valves should not be used when = there=20 is a need to protect others from possible contamination by = the=20 respirator wearer (e.g., a healthcare provider performing = surgical=20 or other sterile medical procedures or a person with known = or=20 suspected pandemic influenza who could transmit infection = to=20 others).
Surgical respirators are a type of = respiratory=20 protection designed for certain healthcare work = environments that=20 offers the combined protective properties of both a = filtering=20 facepiece respirator and a facemask. Surgical N95 = respirators are=20 certified by NIOSH as respirators and are also facemasks = cleared=20 by FDA as medical devices.
Reusable elastomeric respirators are a type = of=20 respiratory protection that has a flexible, rubber-like = facepiece=20 with either permanent or removable filter cartridges. The=20 facepiece can often be cleaned, repaired and reused, and = the=20 filter cartridges can be discarded and replaced when they = become=20 unsuitable for further use. Other elastomeric respirators = with=20 permanent filter cartridges are designed to be disposed of = when=20 the cartridges need to be replaced.
Powered air purifying respirators (PAPRs) are = a type=20 of respiratory protection in which a battery-powered = blower pulls=20 air through filters that trap particles (including those=20 containing viruses and bacteria) that may be present, and = then=20 moves the filtered air to the wearer's facepiece or hood. = PAPRs=20 are significantly more expensive than other air purifying=20 respirators but they provide higher levels of protection = against=20 airborne particulates. It should also be noted that there = are=20 hooded PAPRs that do not require employees to be fit = tested in=20 order to use them. Additionally, a PAPR blower unit and = battery=20 can be shared by employees (who need protection at = different=20 times) who can each have their own reusable hood. A PAPR = could be=20 assigned to an individual person, to a staff position = (e.g. a=20 floor nurse position staffed by several employees over the = course=20 of a week), or to a location such as a treatment room or = mobile=20 treatment cart used for aerosol-generating medical = procedures.=20 Consequently, several approaches can be used to limit the = number=20 of PAPRs that an employer would purchase for pandemic=20 preparedness, as long as proper decontamination procedures = are=20 followed between uses or users.

Replacing Disposable = Respirators:

Disposable respirators are designed to = be disposed=20 after use. Once worn in the presence of an infectious = individual,=20 the respirator should be considered potentially contaminated = with=20 infectious material. Touching the outside of the device = should be=20 avoided to prevent self-inoculation (touching the = contaminated=20 respirator and then touching one's eyes, nose, or mouth). It = should=20 be noted that a once-worn respirator will also be = contaminated on=20 its inner surface by the microorganisms present in the = exhaled air=20 and oral secretions of the wearer.

In the above scenario, users should = discard=20 respirators when they become unsuitable for further use due = to=20 excessive breathing resistance (e.g., particulate clogging = the=20 filter), unacceptable contamination/soiling, or physical = damage. In=20 the context of pandemic influenza, some have proposed = reusing=20 disposable respirators for prolonged periods of time (e.g., = weeks or=20 months) in the event supplies are limited. However, data on=20 decontamination and/or safe reuse of respirators for = infectious=20 diseases are currently not available. Although filtering = facepiece=20 respirators have been reused during public health crises in=20 resource-limited settings, the safety and efficacy of this = approach=20 has yet to be confirmed. It is not possible to give = definitive=20 guidance on the safety or efficacy of reuse or = decontamination of=20 disposable respirators. In the interim, plans should be = based on=20 single use of equipment according to manufacturers' = instructions,=20 FDA label claims, and NIOSH user instructions. Respirator = users=20 should not attempt to decontaminate filtering facepiece = respirators=20 as it may create a health hazard for the user and it may = render the=20 respirator ineffective in providing respiratory protection. = Reuse=20 may increase the potential for contamination through contact = transmission. The risk of contaminating the inside of the = respirator=20 through improper handling must be weighed against the need = to=20 provide respiratory protection.

Thus, in preparing for an influenza = pandemic,=20 employers who anticipate providing respiratory protection to = employees for the duration of the pandemic could instead = consider=20 using reusable respirators that are designed to be = cleaned,=20 repaired and reused. Information on proper cleaning and = maintenance=20 of respirators (both elastomeric respirators and PAPRs) is = model=20 specific and provided by the manufacturer as part of the=20 NIOSH-certified user instructions. Purchasing reusable = respirators=20 also may reduce or eliminate the impact of potential = shortages of=20 filtering facepiece respirators and may be more cost = effective over=20 the duration of the pandemic. If an employer chooses to use = reusable=20 elastomeric respirators, the employer should take into = account the=20 initial training needed to teach employees how to properly = clean=20 such respirators as well as the time needed for employees to = clean=20 the respirators after use.

Replacing Elastomeric Respirator and = PAPR=20 Filters:

In the case of elastomeric respirators = and PAPRs,=20 the respirator body and PAPR case is designed to be = decontaminated=20 and reused in accordance with the manufacturer's use = instructions.=20 If the filters are used in an environment where pandemic = influenza=20 is the sole air contaminant of concern, then the filters = should last=20 a long time if they are not physically damaged or soiled and = are=20 handled appropriately to control risk of contamination. In = most=20 workplaces, two to three filter sets should last for the = duration of=20 the pandemic. However, in certain work environments where = there is a=20 significant potential for physical damage or soiling of the = filters=20 (e.g., with blood or body fluids), employers may want to = stockpile=20 additional filter sets to ensure adequate protection of = their=20 employees for the duration of a pandemic.

The following table summarizes the = forgoing=20 information about the advantages and disadvantages of = facemasks and=20 of the specific types of respirators previously described, = as well=20 as providing rough cost estimates. Employers may find this = summary=20 helpful in considering purchasing options for fulfilling the = specific recommendations addressed in the remainder of this=20 guidance.

Table 1: = Advantages and=20 Disadvantages of Respirators and Facemasks

Device	Unit Cost*	Advantages	Disadvantages
Facemasks	$0.12-0.20	=95 Reduces exposure to splashes of = large=20 droplets. =95 Tested for fluid resistance. =95 = Easier to=20 breathe through than a respirator. =95 Does not reduce = exposure=20 to small inhalable particles.	=95 Cannot be decontaminated, may = be=20 shortages during a pandemic. =95 Not designed to = form a seal=20 to the face.
N95 respirator (filtering = facepiece)	$0.50-1.20	=95 Reduces exposure to small = inhalable=20 particles and large droplets. =95 Designed to form = a tight=20 seal to the face. =95 Filtration efficiency = certified.	=95 Cannot be decontaminated, may = be=20 shortages during a pandemic. =95 Must be fit-tested = to assure=20 full protection. =95 Cannot be worn with facial = hair that=20 interferes with the seal between the face and = respirator. =95=20 Harder to breathe through than a facemask. =95 Not = designed=20 to be used in surgery.
N95 respirator w/ exhalation valve=20 (filtering facepiece)	$1.30-3.00	=95 Reduces exposure to small = inhalable=20 particles and large droplets. =95 Designed to form = a tight=20 seal to the face. =95 Filtration efficiency = certified. =95=20 Exhalation valve makes it easier to exhale and reduces = moisture buildup inside the facepiece compared to = other=20 filtering facepiece respirators.	=95 Cannot be decontaminated, may = be=20 shortages during a pandemic. =95 Must be fit-tested = to assure=20 full protection. =95 Cannot be worn with facial = hair that=20 interferes with the seal between the face and = respirator. =95=20 Harder to breathe through than a facemask. =95 = Should not be=20 used when others must be protected from contamination = by the=20 wearer. =95 Not designed to be used in = surgery.
Surgical respirator (filtering=20 facepiece)	$1.00-1.10	=95 Reduces exposure to small = inhalable=20 particles and splashes of large droplets that would = require a=20 facemask. =95 Designed to form a tight seal to the = face. =95=20 Filtration efficiency certified. =95 Tested for = fluid=20 resistance, biocompatibility, and flammability = rated.	=95 Cannot be decontaminated, may = be=20 shortages during a pandemic. =95 Must be fit-tested = to assure=20 full protection. =95 Cannot be worn with facial = hair that=20 interferes with the seal between the face and = respirator. =95=20 Harder to breathe through than a facemask. =95 = Limited=20 availability compared to other filtering facepiece=20 respirators.
Elastomeric = respirator (flexible,=20 rubber-like facepiece)	Facepiece $10-40 Filters = $2-10	=95 Reduces exposure to small = inhalable=20 particles and large droplets. =95 Designed to form = a tight=20 seal to the face. =95 Filtration efficiency = certified. =95=20 Can be decontaminated & reused, can = reduce/eliminate the=20 impact of potential N95 shortages. =95 Higher = initial cost,=20 but may be more cost effective than filtering = facepieces for=20 longer term use. =95 Filters are = replaceable. =95 After=20 decontamination, respirators can be used by different=20 individuals. =95 Full facepiece type provides eye=20 protection. =95 Full facepiece type provides a = higher level=20 of protection than a half facepiece type.	=95 Must be fit-tested to assure = full=20 protection. =95 Cannot be worn with facial hair = that=20 interferes with the seal between the face and = respirator. =95=20 Harder to breathe through than a facemask. =95 May = interfere=20 with voice communication. =95 Requires cleaning and = disinfection between uses. =95 Should not be used = when others=20 must be protected from contamination by the = wearer.
Powered Air-Purifying Respirator=20 (PAPR) (head/face covering with battery powered = blower=20 unit)	PAPR $400-1,200 Spare=20 battery $120-200 Extra=20 hood $75-100 Filters $20-35	=95 Reduces exposure to small = inhalable=20 particles. =95 Provides greater level of protection = than=20 filtering facepiece or elastomeric respirators. =95 = Filtration efficiency certified. =95 Can be = decontaminated=20 & reused, can reduce/eliminate the impact of = potential N95=20 shortages. =95 Hooded PAPRs do not need to be fit = tested and=20 can be worn with facial hair. =95 = Reduces/eliminates=20 breathing resistance and moisture buildup inside the=20 facepiece/hood. =95 Filters are replaceable. =95 = After=20 decontamination, PAPRs can be used by different = individuals.=20 =95 Full facepiece type provides eye = protection	=95 Significantly more expensive = than other=20 respirators. =95 Blower unit/battery typically worn = on belt=20 (weighs 1.5-3 lbs.). =95 On some units, fan noise = can make=20 communication and medical care delivery more = difficult. =95=20 Requires cleaning and disinfection between = uses. =95 Should=20 not be used when others must be protected from = contamination=20 by the wearer.

* Cost estimates are current as of = publication and=20 intended only for planning purposes. Actual pricing will = vary=20 depending on the make, model and quantity of respiratory = protection=20 devices selected.

Estimating Employee's Occupational = Exposure=20 Status:

The best method for assessing the number = of=20 employees at risk of occupational exposure and their = particular=20 level(s) of risk is for the employer to evaluate the = workplace and=20 develop a site-specific pandemic influenza plan. Then, the = employer=20 should assess the occupational exposure risk for each job=20 classification and specific work tasks (for example,=20 aerosol-generating medical procedures). Once an employer has = classified jobs and tasks into very high, high, medium, and = lower=20 exposure risk categories, she/he should then estimate the = number or=20 percentage of employees who fall into each category.

For example, not all hospital-based = healthcare=20 workers provide direct patient care. In addition changes in = work=20 practices during a pandemic (such as the cohorting or = grouping of=20 patients with pandemic influenza to reduce the number of = healthcare=20 workers and non-pandemic patients who may be exposed to = pandemic=20 patients) may further affect the number of persons with high = risk=20 exposures. In addition, a single employee may at times be at = low=20 risk whereas at other times they may have medium or high = risk=20 exposures. For example, a law enforcement officer's risk = would be=20 different when patrolling in a car (low risk), interacting = with=20 persons in the community (medium risk) or transporting = someone who=20 may be ill with pandemic influenza (high risk).

Respirator and Facemask Planning=20 Assumptions:

We recognize that the number of = employees with=20 occupational exposure is difficult to predict because of = uncertainty=20 of the size or scale of an influenza pandemic. However, = using the=20 assumptions listed below, Table 2 provides rough estimates = of the=20 percentage of employees potentially exposed to pandemic = influenza=20 and their potential respiratory protection needs for some = specific=20 occupational sectors.

Employers and employees should plan for a pandemic = assuming=20 community mitigation interventions (e.g., isolation of = cases,=20 voluntary quarantine of case household members, = potentially=20 closing schools and canceling other public gatherings, and = social=20 distancing) are effective at reducing the pandemic illness = rate in=20 communities to about 15%. A mitigated pandemic is = currently=20 expected to occur in two waves; community outbreaks in = each wave=20 would each last up to 12 weeks in duration (24 weeks = total). There=20 are assumed to be five work days per week and thus 120 = work days=20 per employee over the two pandemic waves.
If pandemic vaccine is available and used, an = employee's=20 vaccination status will not modify recommendations for the = use of=20 respirators and facemasks because vaccines may not be = completely=20 effective and will not be available in large supply at the = start=20 of a pandemic.
Respirators and facemasks will only be used by = employees=20 during pandemic waves in their local community/state and = not=20 between pandemic waves, and only during work tasks where = they=20 might be exposed to people who are or might be ill with = pandemic=20 influenza.

These same planning assumptions underlie = the=20 estimates of respirator and facemask usage for planning and=20 stockpiling purposes provided in the subsequent sections of = this=20 proposed guidance.

Table 2: = Stockpiling=20 Estimates for Respirators and Facemasks

Occupational=20 setting	Proportion=20 of medium or higher risk employees	Number = of=20 respirators or facemasks per employee per work = shift	Number = of=20 respirators or facemasks per employee for a pandemic = (120 work=20 days)
N95=20 Respirators (high or very high risk)	Facemasks (medium=20 risk)	N95 = Respirators=20 (high or very high risk)	Facemasks (medium=20 risk)
Healthcare=20 Hospital¹ Outpatient office/clinic = Long=20 term care Home healthcare Emergency medical = services	33% 67% 25% 90% 100%	4² 4 1 2 8	0 0 3 4 0	480 480 120 240 960	0 0 360 480 0
First = responders Law=20 enforcement Corrections Fire department=20 (non-EMS, career and volunteer)	90% 90% 90%	2 1 2	2 3 2	240 120 240	240 360 240
Medium risk = employees	See Note³	0	2	0	240

¹ In hospital settings, it is = expected=20 that known or suspected pandemic influenza patients will be = cohorted=20 (i.e., pandemic patients share rooms only with others = pandemic=20 patients in order to reduce the exposure risk to = non-pandemic=20 patients; cohorting patients may also include designating = specific=20 areas such as a hospital floor or wing for pandemic patient = care).=20 Through the cohorting of patients, hospitals are also = expected to=20 reduce the number of healthcare providers and support staff = who=20 might be exposed to pandemic influenza and thus reduce the = number of=20 employees who will need respirators.

² Four respiratory protection = devices=20 per shift is the estimate used for most healthcare and = emergency=20 response settings where employees are in contact throughout = the=20 shift with pandemic influenza patients. For example, = employees might=20 use one respirator from the start of the shift until a = mid-morning=20 break, a second respirator from the break until lunch, a = third=20 respirator from lunch to a mid-afternoon break, and the = fourth=20 respirator from the mid-afternoon break until the end of the = work=20 shift. If the work flow is not conducive to regular breaks, = it may=20 be necessary to modify the estimates used to determine = stockpiling=20 recommendation. In the following sections, formulas are = provided to=20 calculate respirator stockpiling needs for very high and = high=20 exposure risk employees. These formulas can adapted to a = specific=20 workplace by substituting estimates of daily respirator = needs that=20 are tailored to the work flow and schedule in your place of=20 employment.

³ Includes employees in = various retail=20 and other settings where frequent and close contact with = other=20 people, whose pandemic infection status is unknown, is = unavoidable.=20 The purpose of this estimate is for purchasing and = stockpiling of=20 respirators and facemasks. During an actual pandemic the=20 distribution of employees exposed at each risk level, and = the=20 distribution of respirators and facemasks necessary to = protect=20 employees will likely be less at the beginning and end of a = pandemic=20 wave and greater during the middle of a wave. These = estimates are=20 intended to provide an average over the duration of the = pandemic in=20 the absence of a work site-specific pandemic influenza = plan.

Estimating Respirator Usage in = Workplaces=20 Classified at Very High Exposure Risk for Pandemic=20 Influenza:

Employees Covered:

Healthcare employees performing aerosol-generating = procedures=20 on known or suspected pandemic influenza patients; = and
Healthcare or laboratory personnel collecting = respiratory=20 tract specimens from known or suspected pandemic influenza = patients.

Respirators are recommended to protect = healthcare=20 workers performing aerosol-generating medical procedures on = patients=20 known or suspected to be infected with pandemic influenza as = well as=20 certain laboratory personnel. Although a reduction in the = level of=20 exposure can be provided by a filtering facepiece respirator = (e.g.,=20 N95, N95 surgical respirator), a reusable elastomeric = respirator or=20 a powered air purifying respirator (PAPR) will provide a = further=20 reduction in the level of exposure.

If using disposable N95 or surgical = respirators=20 for aerosol-generating medical procedures, healthcare = institutions=20 should estimate the total number of such procedures that the = facility might reasonably expect to perform during in a = severe=20 pandemic and the average number of employees involved in = each=20 procedure. Employers should plan on stockpiling:

1 N95 respirator per employee = per=20 aerosol-generating procedure.

If using elastomeric respirators for=20 aerosol-generating medical procedures, healthcare = institutions=20 should estimate:

1 elastomeric respirator with 3 = or more=20 sets of filters per employee, depending on frequency of=20 use.

If using PAPRs for aerosol generating = medical=20 procedures, healthcare institutions should estimate:

The number of patients on which aerosol-generating = medical=20 procedures might reasonably be expected to be performed at = a given=20 time (e.g., number of treatment rooms or mobile treatment=20 carts).
The maximum number of healthcare workers (HCWs) = expected to be=20 involved in the aerosol-generating medical procedure (for = example,=20 four healthcare workers might be involved in the procedure = =96 a=20 treating physician, a nurse, an anesthesiologist, and a=20 respiratory therapist).

For example:

1 patient/treatment room X 4=20 HCWs/patient =3D 4 PAPRs per treatment room + 4-8 sets of = filters=20 per PAPR (changing filters every 15-30 pandemic work days, = depending on frequency of use).

When PAPRs are used in the workplace, it = is=20 possible for several employees to share a single PAPR blower = unit=20 and battery. For example, if a hospital employs 5 healthcare = workers=20 to provide continuous coverage of a single staff position = (e.g., a=20 nurse) over the course of a week, they might purchase 1 = blower unit,=20 2 batteries (one is a spare for recharging while other is in = use),=20 and 5 reusable hoods in order to protect the 5 = employees.

Note: PAPRs and elastomeric = respirators=20 may also be used for other patient care activities = normally=20 covered under the high risk section of this = document.

Estimating Respirator Usage in = Workplaces=20 Classified at High Exposure Risk for Pandemic = Influenza:

Employees Covered:

Healthcare delivery and support staff working closely = with=20 (either in direct contact or within 6 feet of) people = known or=20 suspected to be infected with pandemic influenza = virus.
Staff transporting patients who are known or suspected = to be=20 infected with pandemic influenza virus (for example, = emergency=20 medical technicians).
Staff performing autopsies on known or suspected = pandemic=20 patients.

Respirators are recommended to protect = employees=20 working closely with people/patients known or suspected to = be=20 infected with pandemic influenza. Such protection can be=20 accomplished by a disposable filtering facepiece (e.g., N95, = surgical respirator), a reusable elastomeric respirator or a = powered=20 air purifying respirator (PAPR).

If using disposable N95 or surgical = respirators to=20 protect healthcare delivery and support staff, employers = should plan=20 for:

4 N95s/HCW/shift X 120 pandemic = workdays =3D 480 N95s per exposed HCW.

If using disposable N95 or surgical = respirators to=20 protect emergency medical service providers who = treat/transport=20 patients that are known or suspected to be infected with = pandemic=20 influenza, employers should plan for:

8 N95s/EMT/shift X 120 pandemic = workdays =3D 960 N95s.

The stockpiling recommendation for = emergency=20 medical service providers is noticeably higher than for = other work=20 environments and is based upon their dynamic and = uncontrolled work=20 environment. Employers may consider revising this estimate = based=20 upon work volume (e.g., municipalities with high patient = volume may=20 need more N95s while those with lower patient volume may = need fewer=20 respirators).

If using elastomeric respirators for = employees at=20 high exposure risk (either healthcare workers or emergency = medical=20 service providers), employers should estimate:

1 reusable elastomeric = respirator + 3=20 sets of filters per exposed employee.

If using PAPRs for employees at high = exposure risk=20 (either healthcare workers or emergency medical service = providers),=20 employers should estimate:

1 PAPR per exposed employee + 3 = sets of=20 filters per exposed employee.

Example of Stockpiling Needs and Comparative Costs for = a=20 Single High Exposure Risk Employee

As previously discussed in Table 1: = Advantages=20 and Disadvantages of Respirators and Facemasks, each = type of=20 respirator offers different advantages and disadvantages = that may=20 aid in selecting an appropriate respirator for the work = environment.=20 Below is a comparison of three different options for = providing=20 respiratory protection and estimates of cost for each = option.

Option 1 - Using disposable N95=20 respirators:
480 N95:s @=20 $0.50/respirator =3D $240 per employee protected

Option 2 - Using reusable elastomeric=20 respirators:
1 respirator @ = $25 + 3=20 sets of filters @ $5 set =3D $40 per employee protected

Option 3 - Using 1 PAPRs shared by 4 employees on = shift=20 work:
1 PAPR @ $800 + 1 = spare=20 battery @$160 + 3 extra hoods @ $90 each + 3 sets of filters = @ $30=20 set =3D $1,320 / 4 employees =3D $330 per employee = protected

(Note: hooded PAPRs do not need to be fit tested which = can result=20 in other programmatic cost savings)

Estimating Facemask Usage for=20 Patients in Workplaces Classified at High Exposure = Risk for=20 Pandemic Influenza:

Healthcare providers should consider = distributing=20 facemasks to patients with influenza-like illness as a = component of=20 an overall pandemic influenza containment strategy. The = number of=20 facemasks stockpiled for such purposes are in addition to = the=20 numbers presented above for employees' health and = safety.

During periods of pandemic influenza = activity in=20 the community, facemasks should be offered as part of a = respiratory=20 hygiene/cough etiquette strategy to patients who are = coughing and/or=20 sneezing, have a fever or have other symptoms of = influenza-like=20 illness when they present for health-care services (for more = information see Interim=20 Guidance for the Use of Masks to Control Influenza=20 Transmission).

If tolerated, facemasks should be worn = by these=20 patients until:

It is determined that the patient does not have either = pandemic influenza or another respiratory infection that = requires=20 isolation=20 precautions to prevent respiratory droplet = transmission;=20 or
The patient has been appropriately isolated, either by = placement in a private room or by placement in a room with = other=20 patients with the same infection (i.e., cohorting). Once = isolated,=20 the patient does not need to wear a facemask unless = transport=20 outside the room is necessary.

Table 3: = Stockpiling Estimates for Facemasks for Use by Ill=20 Patients

Occupational = setting	Facemasks = needed
Healthcare
Hospital (inpatient)4	2 per patient per day
Essential visitors5	3 per visitor per day
Emergency Rooms6	1 per ill person
Outpatient office/clinic	2 per patient visit
Long term care	1 per patient per day
Home healthcare	1 per patient visit
Emergency medical services	1 per ill person
First = responders
Law enforcement	1 per ill person
Corrections	2 per ill inmate per day
Fire department (non-EMS, career = and=20 volunteer)	1 per ill = person

⁴ Primary use will be when = transporting=20 patients to/from and outside of their = room.

⁵=20 =93Essential=94 visitors may include parents of pediatric = patients who=20 need to stay with the patient in their room but will not = apply to=20 visitors of all patients. Hospitals will likely encourage = social=20 distancing during an influenza pandemic and may restrict = visitors to=20 only those deemed "essential.=94

⁶ = Projections for=20 stockpiling respiratory protective devices for emergency = room or=20 urgent care setting patients should be based on the need to = provide=20 a facemask for every patient who is coughing, sneezing or = has a=20 fever or other symptoms of influenza-like illness (ILI) when = they=20 present for health-care services. Based upon experience with = seasonal influenza, only approximately 1/3 of patients = presenting=20 with ILI are confirmed to have influenza.

When estimating the number of facemasks = to=20 stockpile for use by ill persons in a pandemic, consider = estimating=20 facemasks per ill patient per day for patients in hospitals=20 (including possible essential visitors), long term care = facilities=20 and correctional facilities. When estimating the number of = facemasks=20 per patients encountered in other settings (e.g. in = emergency rooms,=20 outpatient offices or clinics, home healthcare, emergency = services=20 settings and by law enforcement and fire personnel), the = stockpile=20 should be sufficient to provide facemasks for each ill = individual=20 encountered.

Estimating Facemask or Respirator = Usage in=20 Workplaces Classified at Medium Exposure Risk for = Pandemic=20 Influenza:

Employees Covered:

Employees with high-frequency close contact (within 6 = feet)=20 with the general population.

Facemasks are recommended to protect = employees=20 with high-frequency close contact with the general public = from=20 sprays of potentially infectious liquid droplets (from = talking,=20 coughing, or sneezing). Employers should plan for:

2 facemasks/employee/shift X = 120=20 pandemic workdays =3D 240 facemasks per exposed = employee.

Alternatively, employers may choose to = provide=20 respirators if there is an expectation of close contact with = people=20 who have symptomatic influenza infection or if the employer = chooses=20 to provide protection against the risk of airborne influenza = transmission. For example, employers in critical = infrastructure or=20 key resource industry sectors (e.g., utilities or banking) = may=20 consider providing a higher level of protection based upon = the=20 essential nature of their services or the difficulty of = replacing=20 employees whose job requires extensive training or = licensing. In=20 such cases, employers should plan for:

2 N95s/employee/shift X 120 = pandemic=20 workdays =3D 240 N95s per exposed employee;

or =

1=20 reusable elastomeric respirator + 3 sets of filters per=20 employee.

While PAPRs would certainly be = acceptable to use=20 instead of an N95 or elastomeric respirator, they may be = considered=20 costly in the medium exposure risk work environment.

Estimating Facemask or Respirator = Usage in=20 Workplaces Classified at Lower Exposure Risk = (Caution):

Facemasks and respirators are not = recommended in=20 lower exposure risk work environments.

Stockpile Management:

When stockpiling items, be aware of each = product's=20 shelf life and storage conditions. Stockpiles of supplies = should be=20 placed in clean, secure, temperature-controlled environments = to=20 prevent damage or contamination of the supplies (e.g., avoid = storage=20 areas that are damp or have temperature extremes). Where = possible,=20 incorporate product rotation (e.g., consume the oldest = supplies=20 first) into your stockpile management system. Surgical masks = may or=20 may not have expiration dates listed; however, product = shelf-life=20 should be taken into consideration to assure adequate = inventory of=20 supplies.

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Occupational Safety & Health=20 Administrations 200 Constitution Avenue, NW Washington, DC = 20210	Page last updated:=20 05/12/2008

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.blueBoldFourteen { FONT-WEIGHT: bold; FONT-SIZE: 118%; COLOR: #003399; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .blueFourteenI { FONT-SIZE: 118%; COLOR: #003399; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .blueBoldFourteenI { FONT-WEIGHT: bold; FONT-SIZE: 118%; COLOR: #003399; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .blueFifteen { FONT-SIZE: 122%; COLOR: #003399; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .blueBoldFifteen { FONT-WEIGHT: bold; FONT-SIZE: 120%; COLOR: #003399; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .blueFifteenI { FONT-SIZE: 120%; COLOR: #003399; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .blueBoldFifteenI { FONT-WEIGHT: bold; FONT-SIZE: 120%; COLOR: #003399; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .blueSixteen { FONT-SIZE: 128%; COLOR: #003399; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .blueBoldSixteen { FONT-WEIGHT: bold; FONT-SIZE: 128%; COLOR: #003399; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .blueSixteenI { FONT-SIZE: 128%; COLOR: #003399; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .blueBoldSixteenI { FONT-WEIGHT: bold; FONT-SIZE: 128%; COLOR: #003399; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowEight { FONT-SIZE: 75%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .yellowBoldEight { FONT-WEIGHT: bold; FONT-SIZE: 75%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowEightI { FONT-SIZE: 75%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldEightI { FONT-WEIGHT: bold; FONT-SIZE: 75%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowNine { FONT-SIZE: 78%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .yellowBoldNine { FONT-WEIGHT: bold; FONT-SIZE: 78%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowNineI { FONT-SIZE: 78%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldNineI { FONT-WEIGHT: bold; FONT-SIZE: 78%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowTen { FONT-SIZE: 80%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .yellowBoldTen { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowTenI { FONT-SIZE: 80%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldTenI { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowEleven { FONT-SIZE: 90%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .yellowBoldEleven { FONT-WEIGHT: bold; FONT-SIZE: 90%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowElevenI { FONT-SIZE: 90%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldElevenI { FONT-WEIGHT: bold; FONT-SIZE: 90%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowTwelve { FONT-SIZE: 100%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .yellowBoldTwelve { FONT-WEIGHT: bold; FONT-SIZE: 100%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowTwelveI { FONT-SIZE: 100%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldTwelveI { FONT-WEIGHT: bold; FONT-SIZE: 100%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowThirteen { FONT-SIZE: 108%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .yellowBoldThirteen { FONT-WEIGHT: bold; FONT-SIZE: 108%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowThirteenI { FONT-SIZE: 108%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldThirteenI { FONT-WEIGHT: bold; FONT-SIZE: 108%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowFourteen { FONT-SIZE: 118%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .yellowBoldFourteen { FONT-WEIGHT: bold; FONT-SIZE: 118%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowFourteenI { FONT-SIZE: 118%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldFourteenI { FONT-WEIGHT: bold; FONT-SIZE: 118%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowFifteen { FONT-SIZE: 122%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .yellowBoldFifteen { FONT-WEIGHT: bold; FONT-SIZE: 120%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowFifteenI { FONT-SIZE: 120%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldFifteenI { FONT-WEIGHT: bold; FONT-SIZE: 120%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowSixteen { FONT-SIZE: 128%; COLOR: #ffcc00; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .yellowBoldSixteen { FONT-WEIGHT: bold; FONT-SIZE: 128%; COLOR: #ffcc00; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowSixteenI { FONT-SIZE: 128%; COLOR: #ffcc00; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .yellowBoldSixteenI { FONT-WEIGHT: bold; FONT-SIZE: 128%; COLOR: #ffcc00; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redSix { FONT-SIZE: 75%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .redEight { FONT-SIZE: 75%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .redBoldEight { FONT-WEIGHT: bold; FONT-SIZE: 75%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redEightI { FONT-SIZE: 75%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldEightI { FONT-WEIGHT: bold; FONT-SIZE: 75%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redNine { FONT-SIZE: 78%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .redBoldNine { FONT-WEIGHT: bold; FONT-SIZE: 78%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redNineI { FONT-SIZE: 78%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldNineI { FONT-WEIGHT: bold; FONT-SIZE: 78%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redTen { FONT-SIZE: 80%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .redBoldTen { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redTenI { FONT-SIZE: 80%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldTenI { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redEleven { FONT-SIZE: 90%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .redBoldEleven { FONT-WEIGHT: bold; FONT-SIZE: 90%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redElevenI { FONT-SIZE: 90%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldElevenI { FONT-WEIGHT: bold; FONT-SIZE: 90%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redTwelve { FONT-SIZE: 100%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .redBoldTwelve { FONT-WEIGHT: bold; FONT-SIZE: 100%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redTwelveI { FONT-SIZE: 100%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldTwelveI { FONT-WEIGHT: bold; FONT-SIZE: 100%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redThirteen { FONT-SIZE: 108%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .redBoldThirteen { FONT-WEIGHT: bold; FONT-SIZE: 108%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redThirteenI { FONT-SIZE: 108%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldThirteenI { FONT-WEIGHT: bold; FONT-SIZE: 108%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redFourteen { FONT-SIZE: 118%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .redBoldFourteen { FONT-WEIGHT: bold; FONT-SIZE: 118%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redFourteenI { FONT-SIZE: 118%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldFourteenI { FONT-WEIGHT: bold; FONT-SIZE: 118%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redFifteen { FONT-SIZE: 122%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .redBoldFifteen { FONT-WEIGHT: bold; FONT-SIZE: 120%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redFifteenI { FONT-SIZE: 120%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldFifteenI { FONT-WEIGHT: bold; FONT-SIZE: 120%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .redSixteen { FONT-SIZE: 128%; COLOR: #990000; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif } .redBoldSixteen { FONT-WEIGHT: bold; FONT-SIZE: 128%; COLOR: #990000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redSixteenI { FONT-SIZE: 128%; COLOR: #990000; FONT-STYLE: italic; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .redBoldSixteenI { FONT-WEIGHT: bold; FONT-SIZE: 128%; COLOR: #990000; FONT-STYLE: italic; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .yellowBkgnd { BACKGROUND-COLOR: #ffcc00 } .dk-blueBkgnd { BACKGROUND-COLOR: #003399 } .whiteBkgnd { BACKGROUND-COLOR: #ffffff } .blueBkgnd { BACKGROUND-COLOR: #3366cc } .aquaBkgnd { BACKGROUND-COLOR: #009999 } .bold { FONT-WEIGHT: bold } .italic { FONT-STYLE: italic } A.blueheader { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #3366cc; FONT-FAMILY: = Verdana, Arial, Helvetica, Sans-Serif; TEXT-DECORATION: none } A.result { FONT-SIZE: 80%; COLOR: #31639c; FONT-FAMILY: Verdana, Arial, Helvetica, = Sans-Serif; TEXT-DECORATION: none } A.whiteresult { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Helvetica, Sans-Serif; TEXT-DECORATION: none } A.whiteheader { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #ffffff; FONT-FAMILY: = Verdana, Arial, Helvetica, Sans-Serif; TEXT-DECORATION: none } TD.gray { FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: = #eeeeee; TEXT-DECORATION: none } TD.graycenter { COLOR: #31639c; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; = BACKGROUND-COLOR: #eeeeee; TEXT-ALIGN: center; TEXT-DECORATION: none } TD.white { FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: = #ffffff; TEXT-DECORATION: none } TD.whitecenter { COLOR: #31639c; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; = BACKGROUND-COLOR: #ffffff; TEXT-ALIGN: center; TEXT-DECORATION: none } TD.sort { FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: = #ffffff; TEXT-ALIGN: center; TEXT-DECORATION: none } TD.caption { FONT-WEIGHT: bold; COLOR: #000000; FONT-FAMILY: Verdana, Arial, = Helvetica, Sans-Serif; BACKGROUND-COLOR: #cece9c; TEXT-ALIGN: center; = TEXT-DECORATION: none } UL.standard { FONT-SIZE: 100%; MARGIN-BOTTOM: 10px; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif; LIST-STYLE-TYPE: square; = TEXT-ALIGN: left } .title1 { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #996600; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .title2 { FONT-WEIGHT: bold; FONT-SIZE: 100%; COLOR: #000099; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .title3 { FONT-WEIGHT: bold; FONT-SIZE: 75%; COLOR: #996600; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .title4 { FONT-WEIGHT: bold; FONT-SIZE: 80%; COLOR: #153499; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif } .title5 { FONT-WEIGHT: bold; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .notetext1 { FONT-SIZE: 75%; MARGIN: 2px; COLOR: #f40000; FONT-FAMILY: Verdana, = Arial, Helvetica, sans-serif } .notetext2 { FONT-WEIGHT: bold; FONT-SIZE: 75%; MARGIN: 2px; COLOR: #f40000; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .footnote1 { FONT-WEIGHT: bold; FONT-SIZE: 75%; MARGIN: 2px; VERTICAL-ALIGN: super; = COLOR: #f40000; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; = TEXT-DECORATION: none } .linktext { FONT-SIZE: 75%; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } .standard { FONT-SIZE: 75%; COLOR: #757575; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif } .linkedstandard { FONT-SIZE: 75%; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif } UL.menu-item-findit { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 72%; PADDING-BOTTOM: = 0px; MARGIN: 0px 0px 10px 20px; PADDING-TOP: 0px } UL.menu-item-findit A { COLOR: #0000ff } UL.news-items { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 72%; PADDING-BOTTOM: = 0px; MARGIN: 0px 0px 10px 20px; PADDING-TOP: 0px } UL.news-items A { COLOR: #003399 } UL.menu-item-small { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 70%; PADDING-BOTTOM: = 0px; MARGIN: 0px 0px 10px 18px; LINE-HEIGHT: 12px; PADDING-TOP: 0px } .shadow { BACKGROUND-IMAGE: url(/images/shadow-bot-wh.gif); BACKGROUND-REPEAT: = repeat; HEIGHT: 6px } .lightBlue { FONT-WEIGHT: bold; FONT-SIZE: 75%; COLOR: #cfd2e5; FONT-FAMILY: = Verdana,Geneva,Arial,Helvetica,sans-serif } .lightBlue A:visited { dfe1f5:=20 } UL.menu-item { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 70%; = LIST-STYLE-IMAGE: url(/images/bulletBlue.gif); PADDING-BOTTOM: 0px; = MARGIN: 0px 0px 10px 20px; COLOR: #000000; PADDING-TOP: 0px; = FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; = LIST-STYLE-TYPE: square } UL.menu-item A { COLOR: #003399 } UL.menu-item A:visited { COLOR: #003366 } UL.menu-red { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 70%; = LIST-STYLE-IMAGE: url(/images/red-arrow.gif); PADDING-BOTTOM: 5px; = MARGIN: 0px 0px 0px 20px; COLOR: #ffffcc; PADDING-TOP: 0px; FONT-FAMILY: = Verdana, Geneva, Arial, Helvetica, sans-serif; LIST-STYLE-TYPE: square } UL.menu-red A { COLOR: #003399 } UL.menu-red A:visited { COLOR: #003366 } DIV#search-bar { FONT-WEIGHT: bold; FONT-SIZE: 70%; FLOAT: right; COLOR: #ffcc66; = FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif } DIV#search-bar A { FONT-WEIGHT: bold; COLOR: #ffcc66; FONT-FAMILY: Verdana, Geneva, Arial, = Helvetica, sans-serif } ------=_NextPart_000_0000_01CA3AA9.902469F0 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.osha.gov/jscripts/date.js dayName =3D new Array = ("Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday")=0A= monName =3D new Array ("January", "February", "March", "April", "May", = "June", "July", "August", "September", "October", "November", "December")=0A= now =3D new Date=0A= =0A= var todayDate =3D monName[now.getMonth()] + " " + now.getDate() + ", " + = now.getFullYear();=0A= =0A= =0A= mesName =3D new Array ("Enero", "Febrero", "Marzo", "Abril", "Mayo", = "Junio", "Julio", "Agosto", "Septiembre", "Octubre", "Noviembre", = "Diciembre")=0A= =0A= if (now.getDate()=3D=3D1)=0A= var day =3D "primer";=0A= else=0A= var day =3D now.getDate();=0A= =0A= var fechaHoy =3D "El " + day + " de " + mesName[now.getMonth()] + " de " = + now.getFullYear();=0A= ------=_NextPart_000_0000_01CA3AA9.902469F0--