Frequently asked Questions
by APWU members about AnthraxSince there have been quite a number of positive tests for the presence of anthrax in workplaces and in workers alike, and since it seems as if this disease is being spread via letters handled by postal employees, we as responsible workers must remain informed about the disease, about our safety, and about our rights. With this in mind, I have updated this section of the website with the assistance of Bob Del Prete, former Southern Region Safety/Health Rep. It represents a compilation of the very ample amount of information about this subject that has been generated ever so speedily in the preceding weeks.
Hopefully, the following frequently asked questions by members from many of the locals Bob and I recently spoke with, with accompanying straightforward answers (documented whenever possible), will help to enlighten all USPS employees. In the interest of expediency, not all answers are documented, but most of them are. If there is an answer that you need to have documented, let us know and documentation will be provided. Also, if there is any particular question that you may have that is not addressed in this forum, contact your steward, your local, or the region and we will be certain that your question is answered. If noteworthy, we will add it to this site so that others will benefit from your desire to be informed.
Further, we invite you to use this information in any manner you deem necessary to educate members, as long as it is done responsibly and accurately. As it is our intention to remain as current as possible as events transpire and information is disseminated, check this site frequently to remain abreast of all of the latest developments as they take place and eventually have their affect on us all.
Frequently Asked Questions:
What is Anthrax? How long will it take for the spores to cause disease? What do the spores look like? How big are the spores? If spores are measured in microns, how big is a micron? Can spores pass through a sealed envelope? How many spores are needed to make me sick? Can anthrax spores live in water? Can anthrax spores washed off my hands and into the water system be ingested by another citizen and possibly make him sick? Are there different types of anthrax, and what are the symptoms of each? Is a scab considered an open wound, and thus a risk for cutaneous anthrax? If I have flu like symptoms, how will I know if it might be anthrax? Are older people less inclined to fight off an anthrax infection? Are smokers more vulnerable to an anthrax infection? How is anthrax diagnosed? I called in sick and I was questioned extensively about my illness by my manager; is this harassment? Should postal workers tell attending health care providers that they work for the post office? If my health care provider wants me tested for anthrax, what should I do? What is the treatment for anthrax? What are the side effects to "cipro?" Are there side effects to "doxy?" Should I stockpile "cipro" or "doxy" for future use? Is there a vaccine to prevent the advent of anthrax? Are there side effects to this vaccine? Shouldn’t all postal workers just be inoculated with the anthrax vaccine as a simple remedy to the problem at hand? Is the vaccine effective against all forms of anthrax? Will the USPS be offering flu shots to workers? Why will flu shots help? Can the flu shot make me sick? I don’t think I can handle a flu shot; are there alternatives?What do I do if I find a suspicious letter, parcel or package?
What do I do if I touched a suspected contaminated mail piece? How long should I wash my hands, and must the water be hot? Does this mean management doesn’t have to provide its workers with hot water? What should I do with clothing that may have become contaminated? How often should I wash my hands? Should window clerks shake packages? What constitutes a "suspicious parcel?" How is a worker supposed to respond to a possible anthrax contamination? How must the USPS respond to anthrax scares or incidents, or when any suspicious letter, parcel or package is found? Am I required to clean up a suspicious spill or leak under any circumstances? Are spill team members supposed to clean up any powdery residue that may contain anthrax? A powdery substance seeps out of a letter or package that does not appear to be suspicious; what do I do? Will my office be checked for possible anthrax contamination? My office has never had an anthrax incident of any nature. Can I still get checked for the disease? Will nasal swabs taken by HAZMAT crews be a good indication if I have or will have the disease? Will anthrax always be contained in a white powdery substance? Has the USPS removed pre-stamped envelopes for sale to the public? Must safety talks be given more frequently at this time? Must management have a plan to deal with exposure incidents? Management at my facility doesn’t seem to care. What should I do? What is the union’s position if a workplace is found to have spores of anthrax present?If my facility tests positive for anthrax and I believe my safety is at risk, what should I do?
Must I wear a mask and gloves?Can I wear a mask I feel offers more protection than those recommended by the USPS?
Must I sign a management-initiated waiver of my right to wear a mask and gloves if I decline to wear them? Will gloves protect me from anthrax?How are nitrile gloves different from latex?
I’m allergic to the powder that the manufacturer places inside of nitrile gloves; what should I do?Are disposable nitrile gloves suitable to be reused?
Are clerks who work with automated machinery allowed to wear gloves? If automated machinery clerks can’t wear gloves because of ingoing nip points, what should I do? Are window clerks allowed to wear gloves and/or masks? Are general distribution clerks supposed to be provided with masks? Are clerks who work on automated machinery supposed to be provided with masks? What does the "N-95" designation on a mask mean? What does the "N-100" designation on a mask mean? Do these masks work? What type of mask should a maintenance worker wear? What if I find it too difficult to breathe with the mask?Is it necessary to have a good fitting mask?
Will my beard affect the ability of the mask to stop spores?Are the masks being issued employees reusable?
How should I store my mask? Can I store my mask in a plastic bag? Has OSHA attempted to end the use of masks? Am I supposed to be provided training when I am issued a mask? How are gloves to be disposed of? How are masks to be disposed of? Are maintenance employees still supposed to be blowing machines with compressed air? When maintenance workers vacuum, dust and other matter is getting distributed throughout the workroom floor. How can this be stopped? What PPE is required when maintenance personnel discard HEPA filters? How are HEPA filters supposed to be disposed of? Should custodial personnel be dry sweeping or dusting? Are there provisions for the cleaning of tractor-trailers and other vehicles? Why are discarded gloves, masks, and filters being kept for five days? Are all fans to be shut off? Are building temperature requirements relaxed to any degree if fans are to be shut off? Will "irradiation" machines work on the mail as they do in the agriculture industry? Who will get irradiation machines, and when will they be utilized?Will irradiation machines destroy data on compact discs, floppy discs, video tapes, DVD’s, etc.?
Does the APWU have an anthrax safety hotline for use by its members? What is the USPS EAP number?
What is Anthrax?
It is an infectious disease that spreads when its spores (cells that can create something else) enter the body through open wounds, the mouth or the nose, or swallowed. It is through the ability of some to force these spores to become airborne that makes anthrax such a threatening biological weapon for terrorists. These spores are extremely resilient to high temperatures and other adverse conditions; also to ethanol and many antibiotics.
How long will it take for the spores to cause disease?
These spores can cause disease usually in 1-7 days, but can still remain in an incubation stage for up to 60 days.
What do the spores look like?
The spores are odorless, colorless, and too infinitesimal for the naked eye to see. A dot made with a pen or pencil can hold 10,000 of these spores (Source: Dr. K. Sathiakumar, Epidemiological Analyst, Jefferson County Department of Health, Birmingham, Alabama).
How big are the spores?
Anthrax spores that we can inhale vary in size from 18-20 microns on down. The spores that do the most damage are those that measure 1-5 microns because these are the spores that can enter a person’s lungs where they begin to give off deadly toxins. Spores that are known to be less than one micron in size are not known to cause disease.
(Source: Dr. K. Sathiakumar, Epidemiological Analyst in Birmingham, Alabama).
If spores are measured in microns, how big is a micron?
According to Webster’s Dictionary, a micron is one thousandth of a millimeter. A millimeter is one thousandth of a meter. A meter is slightly more than one yard. To further put their size into perspective, the thickness of a common piece of Kleenex is 25 microns thick. One micron is one twenty fifth the thickness of a piece of Kleenex.
Can spores pass through a sealed envelope?
Yes, according to Dr. K. Sathiakumar, Epidemiological Analyst, Jefferson County Department of Health, Birmingham, Alabama. The porosity of the envelope may permit spores to seep through the paper.
How many spores are needed to make me sick?
By most accounts, it is agreed that it takes about 8000 spores to infect an individual to the point that symptoms of the disease manifest themselves. One CNN report said that it could take as little as 5000 spores. In a December 1 article in the Washington Post, it was stated that " … health experts on Friday acknowledged that little is known about the minimum dose of anthrax spores that may be necessary to cause disease, especially in older people."
(Source: Connecticut death clues uncovered. South Florida Sun Sentinel, reprinted from The Washington Post, D. Russakoff and R. Weiss, December 1, 2001, p. 6A.)
Can anthrax spores live in water?
Yes. Untreated water won’t kill anthrax spores. In fact, it is conceivable that anthrax spores measuring 1-5 microns (the size that do damage to lungs) could be sprayed in the atmosphere with water.
(Source: Carol Ingram, R.N., BSN; Communicable Disease Supervisor, Dallas County Department of Health and Human Services)
Can anthrax spores washed off my hands and into the water system be ingested by another citizen and possibly make him sick?
No. City water treatment systems are designed to kill bacteria, including anthrax, before it re-enters the water supply.
(Source: Carol Ingram, R.N., BSN; Communicable Disease Supervisor, Dallas County Department of Health and Human Services)
Are there different types of anthrax, and what are the symptoms of each?
There are different types and their corresponding symptoms are as follows:
Pulmonary (inhaled form): Here, spores generally measuring 1 to 5 microns enter the lungs through inhalation. For 1-5 days you have what appears to be a low grade viral infection, then this disappears or subsides. The spores then start to generate toxins that are released into the lung cavity, causing bleeding. Flu like symptoms develop, leading to a high fever, leading to shock. This form of the disease is most often fatal, usually within 24 hours in this stage, in almost all cases. This one must be treated early, but even then it is said to be almost always fatal. This is what the gentleman in Boca who worked for the tabloid had that died. This is second in incidence rate at 5% of all anthrax cases.
Cutaneous (skin form): Here, spores invade the body through a cut, or a wound. Poisons develop and grow, causing bleeding and swelling. It starts out as a sore (or sores) 1-7 days after exposure; these sores are not painful. This sore then grows into a black scab, usually on the face, neck, arms, or hands, and flu like symptoms develop. This type causes death in 20% of those infected; if properly treated in a timely manner, fewer than 1% die. This type might be contagious if the drainage from the sores comes into contact with open wounds on others. This is the most popular one … 95% of all cases are the "cutaneous" type.
Ingested: Here, you get it by eating undercooked meat from an animal infected with the bacteria. There is bleeding, swelling, and possible blood poisoning. You have flu like symptoms with stomach pain, vomiting of blood and diarrhea. This type is fatal in 25 – 60% of the cases. This is generally NOT found in this hemisphere, but in Asia and Africa. Actually this one has NEVER been reported in the United States among humans.
(Sources: Centers for Disease Control, Florida Department of Health, and others)
Is a scab considered an open wound, and thus a risk for cutaneous anthrax?
It depends. One medical professional defined an "open wound" as any skin lesion (cut) that one sustained in the last twenty-four hours. For postal workers, it might be advisable to consider any cut sustained in the last forty-eight hours as an open wound. This is why gloves are recommended for postal workers.
(Source: Carol Ingram, R.N., BSN; Communicable Disease Supervisor, Dallas County Department of Health and Human Services)
If I have flu like symptoms, how will I know if it might be anthrax?
With anthrax, you will have flu like symptoms WITHOUT ANY NASAL OR SINUS ACTIVITY. In other words, if you’re experiencing fever, muscle aches, sore throat, general discomfort, etc. like the flu, but with no "running nose," GO TO THE DOCTOR!
Are older people less inclined to fight off an anthrax infection?
Possibly, according to Dr. Bradley Perkins, lead anthrax investigator of the Centers for Disease Control. On November 3 it was reported that he said, "There may be host factors or particular susceptibilities in persons who might be a little older. And we’re actively exploring that as a hypothesis based on the 10 cases that we have." Further, it should be added that in a December 1 article in the Washington Post, it was stated that " … health experts on Friday acknowledged that little is known about the minimum dose of anthrax spores that may be necessary to cause disease, especially in older people (our underline)."
(Source: Connecticut death clues uncovered. South Florida Sun Sentinel, reprinted from The Washington Post, D. Russakoff and R. Weiss, December 1, 2001, p. 6A.
Are smokers more vulnerable to an anthrax infection?
Possibly, according to Dr. Bradley Perkins, lead anthrax investigator of the Centers for Disease Control. On November 3 it was reported that he said that smokers might be more vulnerable to anthrax "because of damage to a mechanism that clears impurities such as bacteria spores from the lungs."
How is anthrax diagnosed?
It can be diagnosed either of two ways. One way is with two blood tests. If there is a rise in antibodies in the second test, there’s a problem. The second test is usually not done until one or two weeks later, so another way is to introduce a sample of the blood or sputum and place it in a Petrie dish. Depending on what eventually grows, one can then tell if anthrax bacteria are present (Source: Carol Ingram, R.N., BSN; Communicable Disease Supervisor, Dallas County Department of Health and Human Services). This can take 2-4 days. However, the Mayo Clinic has just announced that there’s a new test that can diagnose the disease in one day through DNA. A sampling of nasal spores IS NOT a way to diagnose the disease; this is a means of measuring extent of exposure by HAZMAT crews.
I called in sick and I was questioned extensively about my illness by my manager; is this harassment?
Probably not, unless other existing circumstances suggest that it is. According to an October 24, 2001 letter from P. Donahoe (Chief Operating Officer and Executive Vice President) and S. Medvidovich (Senior Vice President, Human Resources) at USPS Headquarters, it is specified that employees who call in sick or report to a hospital are to tell their managers, and that this information is to be relayed to the district command center. The intent of this is to track any possible anthrax illnesses as closely as possible according to an October 24, 2001 USPS News Release. In addition, a number of APWU locals have asked their members to give management emergency telephone numbers and current home addresses so that they can be contacted in case of emergency. However, if you feel you are being harassed, see your steward.
Should postal workers tell attending health care providers that they work for the post office?
Yes, by all means. This may have a bearing on the health care provider’s diagnosis of your symptoms and subsequent treatment.
If my health care provider wants me tested for anthrax, what should I do?
Tell your supervisor IMMEDIATELY! According to Gary Conley, Human Resources Manager of the Tampa, Florida Sun Coast District, the USPS has agreed to pay for any such test that a licensed health care provider deems appropriate. Accommodations on your behalf will be made.
What is the treatment for anthrax?
A prescribed antibiotic is administered for as long as 60 days, usually a form of penicillin. If allergic to penicillin, oral tetracycline is used for cutaneous anthrax. The antibiotic used for the type of anthrax used in the germ warfare we are experiencing is ciprofloxacin (a.k.a. "cipro"), and this had been the drug being prescribed in the recent cases publicized. This practice ceased on October 28 when the USPS announced in a USPS Facts Update that "cipro" would no longer be the drug endorsed by the USPS as a recommended treatment for its employees. The antibiotic now recommended because of its fewer, less severe side effects is doxycyclene (a.k.a. "doxy").
What are the side effects to "cipro?"
According to the Centers for Disease Control, the side effects can be vomiting, diarrhea, headaches, dizziness, sun sensitivity, and rash. Ciprofloxacin is a very powerful antibiotic and should be avoided. It also should not be looked upon as the cure-all for the problem we are now facing. It is no longer the recommended drug to fight anthrax.
Are there side effects to "doxy?"
Yes, in some. According to the Centers for Disease Control, these side effects can be nausea, vomiting, diarrhea; sensitivity to the sun; dark "furry" tongue, black tongue or swollen tongue; vaginal yeast infection. More serious side effects can occur, and they may include an allergic reaction (swelling), severe headaches, vision changes, confusion, liver damage, blood problems, and genital sores or itching. Regardless, according to an October 28, 2001 USPS Facts Update this is now the drug endorsed by the USPS for postal employees to combat possible anthrax infections because of the lowered risk of side effects and because it is more readily available.
Should I stockpile "cipro" or "doxy" for future use?
No, according to Dr. Jeffrey Koplan, Director of the Centers for Disease Control. He stated on October 18, 2001 in a CDC Anthrax Update that "there is no need to stockpile antibiotics, and indeed it can be detrimental to both the individual and the community." He went on to say that antibiotics can be delivered as the need arises.
If one is taking "doxy," can he quit if tests prove negative for the disease, or is this strictly a decision by the attending physician?
According to Dr. Kingsley Sathiakumar, one should cease taking antibiotics such as doxy if tests are negative. He added that taking antibiotics unnecessarily can be harmful.
(Source: Dr. K. Sathiakumar, Epidemiological Analyst, Birmingham, Alabama).
If one completes his "doxy" regimen, is that individual protected against future anthrax exposures? And if so, for how long?
Dr. Kingsley Sathiakumar responded to this question as follows: "No; current use of antibiotics does not confer lasting protection (against) anthrax. Subsequent exposures will need antibiotics again."
Is there a vaccine to prevent the advent of anthrax?
Yes, and it was approved by the FDA in 1970. As of this date it is reserved for those in the military.
Are there side effects to this vaccine?
Possible side effects to this vaccine are a matter of much controversy. The US Army says less than 1/10 of 1% of those inoculated have any side effects. Dr. Meryl Nass, a member of an organization called "Physicians for Social Responsibility," says the military’s numbers are grossly in error. Dr. Nass says that 30% of those inoculated experience redness and swelling around the area of the inoculation. She also says that 20% experience more serious symptoms like sleeplessness, poor concentration, vision problems, no tolerance for loud noises or bright light, headaches, abdominal cramping, increased thirst, tingling in arms and legs, the possibility of bloody diarrhea, an inability to drive or read, bone joint pain, and chronic fatigue.
Many opponents of the vaccine feel it is a contributing factor to those who have been afflicted with Gulf War syndrome, and point to French troops who fought in Desert Storm with Americans who were not inoculated with the anthrax vaccine/atropine (a drug that counteracts the effects of nerve gas) combination. These individuals have shown no symptoms of Gulf War syndrome.
(Sources: various articles available upon request)
Shouldn’t all postal workers just be inoculated with the anthrax vaccine as a simple remedy to the problem at hand?
This could be time consuming, and with the issue of its safety further clouding the matter, this may prove to be unrealistic. As of now, the injection series mandates 6 inoculations over an 18-month period. Efforts are underway to reduce it to 4 injections (and possibly 2) over a shorter period of time, but this is still in the formulative stages. Also, since this vaccine is controversial, one may not want to take the series of shots. As of this writing, it is the position of APWU National Headquarters not to endorse any such inoculation program until it is deemed completely safe.
Is the vaccine effective against all forms of anthrax?
This is uncertain at best and is a topic of hot debate. While the military says that it is, others claim that it has only been proven to work against cutaneous anthrax. It has not yet been tested thoroughly to the satisfaction of many authorities as an effective preventative against the inhaled (pulmonary) form of anthrax. Further, the dosage may not be sufficient to combat a high bombardment of anthrax spores. Also, there are strains that the vaccine may not be effective against, and it is not known how long the vaccine works combating the anthrax bacteria in a person’s body.
(Sources: various articles available upon request)
Will the USPS be offering flu shots to workers?
Yes, and these efforts have already begun in a number of districts. Ask your steward for details. He may be able to get them from his local, managers, or human resources personnel.
Why will flu shots help?
Because with flu shots the number of false alarms will reduce. With the flu shot, if you subsequently get flu like symptoms with no nasal or sinus activity, you would then know to seek the services of a health care physician immediately because these are anthrax symptoms. Flu shots can reduce the amount of stress we are all currently enduring by preventing flu like symptoms, thus decreasing any unnecessary need for concern.
Can the flu shot make me sick?
Medical professionals insist that the worst that can happen is that for a very short period of time you could experience some slight symptoms similar to those that accompany the flu. They insist that the shot is not designed to make anyone sick and most often does not make anyone sick. If some symptoms are experienced, Tylenol or Advil can help.
(Source: Carol Ingram, R.N., BSN; Communicable Disease Supervisor, Dallas County Department of Health and Human Services)
I don’t think I can handle a flu shot; are there alternatives?
According to Corey Thompson, APWU Safety/Health Specialist, if any employee has any concern regarding their medical ability to have the flu shot, they should consult a physician for advice.
What do I do if I find a suspicious letter, parcel or package?
According to an October 18, 2001 USPS Anthrax Update, if an employee finds a suspicious letter, parcel or package, they should do the following:
Be calm.
Do not touch the item.
Contact your supervisor immediately.
If you have come into contact with the item, wash your hands as soon as possible.
Follow instructions provided by supervisor and/or HAZMAT (Hazardous Materials) personnel.
APWU President Bill Burrus says the following steps should be taken:
1. Do not touch or handle the suspicious item.
2. Leave the area immediately.
3. Notify your supervisor immediately.
4. Wash your hands and exposed skin completely.
5. Be sure you have current contact information on file so that you can be notified in an emergency.
(Source: Wallet sized card sent to all members by President Burrus on December 5, 2001.)
What do I do if I touched a suspected contaminated mail piece?
You should wash your hands with soap and water immediately and await further instruction from management or outside emergency response experts.
How long should I wash my hands, and must the water be hot?
Many health care professionals contend that one should wash as long as 3 minutes, or at least as long as it takes to say the alphabet or the pledge of allegiance. They also advise that one should wash their hands AND forearms, and that they should also wash their face. According to Hillsborough County (Tampa, Florida) epidemiologists, it is not necessary to wash with hot water or use any particular grade of soap.
Does this mean management doesn’t have to provide its workers with hot water?
At the very least, they must provide "tepid" or warm water. It is specified in 29 CFR 1910.141(d)(2)(ii) that "each lavatory shall be provided with hot and cold running water, or tepid running water." What temperature is considered "tepid" or warm is subject to debate.
What should I do with clothing that may have become contaminated?
Wash them with "hypochlorite," which is another way of saying one part household bleach to ten parts of water. Another option is to boil them in water for about thirty minutes.
How often should I wash my hands?
In an October 24, 2001 letter from P. Donahoe (Chief Operating Officer and Executive Vice President) and S. Medvidovich (Senior Vice President, Human Resources) at USPS Headquarters, it is specified that employees are permitted to wash their hands every two hours. It is strongly recommended that employees take advantage of this right.
Should window clerks shake packages?
No. This practice has temporarily ceased according to an October 15 USPS NewsTalk for supervisors and postmasters. The practice of asking customers if the package could present any form of hazard is still in effect.
What constitutes a "suspicious parcel?"
According to USPS Postal Inspectors, some typical characteristics that could trigger suspicion are as follows:
1. One that is unexpected or from someone unfamiliar to you;
2. One that is addressed to someone no longer with your organization or otherwise outdated;
3. One with no return address, or one that can’t be verified as legitimate;
4. One that is of unusual weight, lopsided, oddly shaped, marked with restrictive endorsements, e.g. "personal" or "confidential."
5. One that has protruding wires, strange odors or stains;
6. One that shows a city or a state in the postmark that doesn’t match the return address.
When such parcels are noticed, they are not to be touched but reported to a supervisor or manager immediately (Source: October 2001 Mandatory Safety Talk on Anthrax). The Centers for Disease Control adds that those sealed with excessive amounts of tape and those that have excessive amounts of postage could also be considered suspicious.
How is a worker supposed to respond to a possible anthrax contamination?
As outlined in Management Instruction, EL-860-1999-3. It says (a) do not handle the piece suspected to be contaminated; (b) notify the supervisor who will contact the safety person or whomever else is designated; (c) isolate the package and cordon off the area.
How must the USPS respond to anthrax scares or incidents, or if a suspicious letter, parcel, or package is found?
According to a mandatory safety talk on anthrax scheduled given in October, 2001, supervisors and managers will immediately do the following:
1. Direct all employees away from the suspected mail piece(s) immediately.
2. Avoid further handling of the suspected mail piece(s), isolate it, and cordon off the immediate area (may utilize facility Spill and Leak Team to assist in this effort).
3. Call 911 immediately for HAZMAT Response Team.
4. Call your supervisor/manager or any member listed on the Crisis Management Plan/Emergency Action Plan.
5. Call Postal Inspectors.
6. Call the Health Unit.
7. Instruct employees thought to have handled the suspect mail to wash exposed skin with soap and water for three minutes and then rinse with water for one minute. These employees should remain in a safe place on postal premises until the Hazardous Material (HAZMAT) team arrives and employees are processed through the decontamination line.
8. After being decontaminated, employees may be interviewed by federal authorities (FBI) to determine the extent of the situation.
9. Invoke emergency action plan, including mechanical shutdowns (air handling equipment) and evacuation.
10. Call Postal Service Aviation Mail Security Office.
11. Call County Health Department.
NOTE: This information has now been printed on a card that can be easily carried by workers. This card was distributed with President Bill Burrus’ December 5, 2001 letter to all members.
Am I required to clean up a suspicious spill or leak under any circumstances?
No. You are not to attempt to clean up a suspicious spill or leak under any circumstances. You are to stop what you are doing and immediately notify a supervisor.
Are spill team members supposed to clean up any powdery residue that may contain anthrax?
No. Spill team members are not to do anything but keep workers away, unless they are trained to clean up such contaminants as anthrax, and they are more than likely not trained to do this.
A powdery substance seeps out of a letter or package that does not appear to be suspicious; what do I do?
Inform a supervisor, who should contact the mailer or the addressee so that the contents can be verified. If its contents are verified to be safe, proceed with normal cleanup procedures. If its contents are not verifiable, management must initiate emergency procedures.
(Source: October 23, 2001 USPSNEWSTALK)
Will my office be checked for possible anthrax contamination?
Possibly. As of October 29, it was announced by the USPS that about 200 offices varying in size and chosen at random will or have already been tested for contamination. Some of these started as early as October 24. Check with your steward to see if your facility is one of those chosen. Any facility can be checked if there is a good reason to do so, e.g. the discovery of a powdery substance, a worker afflicted with the disease.
My office has never had an anthrax incident of any nature. Can I still get checked for the disease?
Possibly, but not likely. Your doctor would have no reason to request such a test, and the Centers for Disease Control relies upon an incident of some nature to justify the necessity of the test. Symptoms of anthrax could necessitate tests for the disease.
Will nasal swabs taken by HAZMAT crews be a good indication if I have or will have the disease?
No, according to Jordan Lewis, an epidemiologist and Director of the Hillsborough (Tampa, Florida) Health Department. Nasal swabs are taken by HAZMAT crews to determine the distance or extent anthrax spores have traveled. They are not an indicator if you have or will have the disease.
Will anthrax always be contained in a white powdery substance?
No. The color of the substance can be any color. It can also be mixed with other powdery substances like cinnamon. It can also be mixed with substances that are crystal-like in nature, like sugar.
Has the USPS removed pre-stamped envelopes for sale to the public?
Yes, according to an Associated Press story that ran on November 3, 2001. It is believed that anthrax spores can easily pass through the pores of the paper making up the envelope. They note that these envelopes were used in the recent anthrax attacks, and they were removed from sale to the public in post offices and in vending machines as part of the ongoing investigation. They can still be purchased in bulk by large mailers.
Must safety talks be given more frequently at this time?
Yes. Ask your steward to determine when appropriate safety talks have or will be given. If he determines that an insufficient amount of talks is a practice, he should make this known to the local’s president. Stand-up talks to employees by Supervisors and Postmasters to provide them with the information they need to stay safe are mandated, and this is specified in an October 24, 2001 USPS News Release. Sheets certifying that these took place on certain dates are to be completed by management according to Corey Thompson, APWU Safety/Health Specialist, in his letter dated October 18, 2001. These sheets can be requested by stewards if necessary.
Must management have a plan to deal with exposure incidents?
Yes. Ask your steward to determine if management has such a plan to deal with possible exposures, and if so, what that plan is, beginning with the discovery of a possibly contaminated letter through emergency evacuation.
Management at my facility doesn’t seem to care. What should I do?
Ask your steward to determine management’s sincerity, if possible, regarding their ability or desire to react in an appropriate manner. Address any perceptible shortcomings with your steward, who in turn should discuss then with management. If not satisfied, ask your steward to raise these issues with your local president. If the local president can’t make any progress, he has been instructed to discuss their apathy with the APWU National Business Agent representing your particular area. If he experiences difficulty, the regional coordinator will contact Washington to resolve the matter.
What is the union’s position if a workplace is found to have spores of anthrax present?
It is the position of the APWU that if one spore is found on postal premises, those premises are to be shut down and be de-contaminated immediately. This is based on the belief that if a sampling is taken and one spore is found, there is a good possibility that more spores can be found if more samples are taken. A decision will be made by the health department and other professionals with regard to the treatment of those possibly exposed.
Further, since the death of the elderly Connecticut woman has pretty much been attributed to cross contamination of a letter she received, it is apparent that "trace" amounts of the disease can affect some of the population. This lends additional credence to the union’s position that postal workers shouldn’t be allowed to work in any facility contaminated to any degree. In a December 1 article in the Washington Post, it was stated that " … health experts on Friday acknowledged that little is known about the minimum dose of anthrax spores that may be necessary to cause disease, especially in older people."
Also, President Burrus detailed the position of the union in his December 5 letter to members. Parts of this letter reads as follows:
"
Based on the scientific information currently available, we mustconclude that any employee who enters a facility that has tested positive for anthrax – in any amount – is being exposed to a potentially life-threatening situation. Decontamination workers going into the same facility will not do
so unless they are in a full body suit of protective equipment. Yet the Postal Service is asking us to go in wearing only gloves and masks.
The APWU’s position is simple. When a facility tests positive, no
employee should be forced to go into that building until it has been decontaminated. We will ask that employees whose facilities have tested
positive be offered an alternative place to work or be granted administrative
leave."
Sources: Connecticut death clues uncovered. South Florida Sun Sentinel (reprinted from The Washington Post, D. Russakoff and R. Weiss), December 1, 2001, p. 6A. Also, December 5, 2001 letter to APWU members from President Bill Burrus, American Postal Workers Union.
" … I recommend that you notify management that you are leavingIf my facility tests positive for anthrax and I believe my safety is at risk, what should I do?
APWU President Bill Burrus recommends you should do the following:
work and that you use the appropriate form to request administrative leave.
The National Labor Relations Board and the Supreme Court have ruled that
if employees believe working conditions in their workplace are abnormally dangerous, they may decline to work in them.
I urge you to accept an alternative work place if one is offered. If an alternative work place is not offered and you are denied administrative leave,
we will pursue appeals on your behalf upon your return to work."
Source
: December 5, 2001 letter to APWU members from President Bill Burrus, American Postal Workers Union.Must I wear a mask and gloves?
At this time it is not mandatory. However, in an October 24, 2001 letter from P. Donahoe (Chief Operating Officer and Executive Vice President) and S. Medvidovich (Senior Vice President, Human Resources) at USPS Headquarters, it is stated that the wearing of masks and gloves is "highly recommended." According to a USPS News Release dated October 25, 2001, the USPS " … has purchased 86 million pairs of gloves made of vinyl and nitrile, a high grade industrial plastic, to supply three pairs per employee per day throughout the nation. So far 44 million pairs have been shipped to postal facilities."
Can I wear a mask I feel offers more protection than those recommended by the USPS?
The USPS recommends that you wear either the N-95 or the N-100 mask. They may forbid you from wearing another mask for any reason. It is recommended that it be verified through the manufacturer of the mask that it could be more protective to strengthen your argument.
Must I sign a management-initiated waiver of my right to wear a mask and gloves if I decline to wear them?
No. A waiver should not be presented as it is not an agreed upon form that has been endorsed by the APWU. If such a form is presented, see your steward.
Will gloves protect me from anthrax?
According to an October 18, 2001 letter, Corey Thompson, APWU Safety/Health Specialist, stated that gloves will provide limited protection from cutaneous anthrax if used properly. However, the level of protection may be no more than that found if you regularly wash your hands with soap and water.
How are nitrile gloves different from latex gloves?
According to a USPS NEWS Release dated October 25, 2001, nitrile is a brand name for a high-grade industrial plastic. Latex gloves are made from natural materials and not quite as durable. Further, nitrile gloves, according to a November 16, 2001 USPS NEWSTALK are more resistant to punctures and abrasions.
I’m allergic to the powder that the manufacturer places inside of nitrile gloves; what should I do?
There is no powder inside of nitrile gloves.
In an October 17, 2001 USPSNEWSTALK for postal supervisors and postmasters, it states that disposable nitrile gloves are not suitable for reuse.
Are clerks who work with automated machinery allowed to wear gloves?
According to an October 18, 2001 letter, it was reported by Corey Thompson, APWU Safety/Health Specialist, that it has been a long standing USPS policy that those who work on machinery are not to wear gloves because it is felt that gloves will increase the potential for hands to be drawn into a machine. It appears that management remains steadfast in this belief. The use of barrier creams are being considered. Many districts are permitting these workers the opportunity to wear gloves in spite of this national policy. Therefore, at this time, it is a local issue.
If automated machinery clerks can’t wear gloves because of ingoing nip points, what should I do?
Request to see your steward to investigate the possibility that a machine guarding problem exists with equipment at your worksite. OSHA has standards that address such issues.
Are window clerks allowed to wear gloves and/or masks?
There is no national USPS policy to this effect; thus it is a local issue. However, it is understood that any window clerk who wishes to wear either gloves or a mask will at least be afforded the opportunity to work at other areas than the window.
Are general distribution clerks supposed to be provided with masks?
It has been agreed that general distribution clerks are to be provided with N-95 masks if they ask for them. These masks have been approved by NIOSH (National Institute of Occupational Safety and Health). This information is stated in the October 12, 2001 USPS Advisory entitled "Use of Gloves and Filtering Facepieces for Mailhandling and Protection from Anthrax." This information also appears in an October 15, 2001 USPSNEWSBREAKPM.
Are clerks who work on automated machinery supposed to be provided with masks?
It has been agreed that clerks who work on automated machinery are to be provided with N-100 masks if they ask for them. These masks have been approved by NIOSH (National Institute of Occupational Safety and Health).
The APWU is waiting documentation to this effect.
What does the "N-95" designation on a mask mean?
This means that the mask in question is 95% efficient against anything down to .3 or 3/10 of a micron. This information can be retrieved by going to
www.mmm.com and placing the word "respirator" in the search mechanism. N-95 masks and P-95 masks are one in the same thing.What does the "N-100" designation on a mask mean?
This means that the mask in question is 99.7% efficient against anything down to .3 or 3/10 of a micron. This information can be retrieved by going to
www.mmm.com and placing the word "respirator" in the search mechanism. N-100 masks and P-100 masks are one in the same thing.Do these masks work?
If worn properly they are very effective. Since the anthrax spores that can do the most damage measure 1-5 microns, and these masks are effective against spores measuring .3 or 3/10 of a micron, the masks can be an effective means of protection.
What type of mask should a maintenance worker wear?
As of now, maintenance workers are being provided with N-95 masks. However, efforts are being made by this region to assure that maintenance personnel be issued N-100 masks in view of much of the work they perform.
What if I find it too difficult to breathe with the mask?
According to Corey Thompson, APWU Safety/Health Specialist, if a person is having difficulty breathing through a respirator, they should tell their supervisor and seek medical attention/advice. There are other types of respiratory protection that have less if any effect on breathing. It should be noted, however, that the USPS is not obligated to pay for any respiratory device other than the N-95 and the N-100.
Yes. A good seal around the edges of a mask where it meets the face is crucial to keep out spores. The OSHA training video that USPS management has begun showing stresses this and provides instruction to get the best fit possible.
Will my beard affect the ability of the mask to stop spores?
Yes. A beard will prevent the mask from sitting flush against the face, thereby allowing spores to possibly enter your nose and mouth.
Yes, within certain limitations. In an October 17, 2001 USPSNEWSTALK for postal supervisors and postmasters, it is specified that the manufacturer of the masks recommends that their N-95 mask should be replaced when they become damaged, soiled, or breathing becomes difficult. They also specify that if you suspect that a mask may have been contaminated, it should be treated as hazardous waste, and disposed of in a similar fashion as gloves are, i.e. five days, etc. (see below).
How should I store my mask?
In general, at a place that management and workers agree is not contaminated. Since this is not easily accomplished given the situation that exists, many districts have agreed to replace the masks each time they are removed for various breaks. If this is not being allowed, see your steward. Remember NEVER to touch the inside of your mask, especially after touching the outside of the mask, as this could transfer spores to a position where they could be inhaled.
Can I store my mask in a plastic bag?
No. The vast majority of medical professionals agree that spores that can become airborne could contaminate the inside of the mask if they are on the outside of the mask. You would then inhale the spores once you’ve repositioned it on your face.
No. You could contaminate members of your family if the spores possibly resting on your mask become airborne.
Has OSHA attempted to end the use of masks?
No. Information to this effect was not correct. OSHA plans on issuing a clarification in the near future.
Am I supposed to be provided training when I am issued a mask?
Yes. Many offices are showing a 12-15 minute film produced by OSHA. This is acceptable at this time.
How are gloves to be disposed of?
Procedures for the disposal of gloves are best outlined in an October 18, 2001 memorandum sent by Terry Green, Acting Manager, Human Resources in the South Florida District; this was based upon an October 17 mandatory safety talk. In summary, gloves are to be disposed of as follows:
How are masks to be disposed of?12. A waste container(s) must be designated for the disposal of gloves, employees must be told of the site and the requirement that gloves be disposed of only at this site(s);
13. The containers must be lined with double trash bags for easy removal;
14. The disposed gloves must remain on site for five days, secured each day, and clearly labeled with dates. If there are no anthrax incidents, the bags may be disposed of with the normal trash in the dumpster;
15. If there are any incidents, management is to adhere to the instructions issued by HAZMAT Teams, USPS Inspection Service, and other officials.
It is understood that used masks are to be disposed of in the same manner as gloves.
Are maintenance employees still supposed to be blowing machines with compressed air?
No. In an October 26, 2001 letter from J. Gerard Bohan, Manager, Maintenance Policies and Programs, it is expressly stated that custodians are not to use compressed air for cleaning. This policy was reiterated in a November 1, 2001 letter from Bohan.
When maintenance workers vacuum, dust and other matter is getting distributed throughout the workroom floor. How can this be stopped?
It was specified in an October 26, 2001 letter from J. Gerard Bohan, Manager, Maintenance Policies and Programs, that vacuum cleaners are to be equipped with a high efficiency particulate (HEPA) filter. This should eliminate the redistribution of most (if not all) of the material taken in by the vacuum. This policy was reiterated in a November 1, 2001 letter from Bohan.
What PPE is required when maintenance personnel discard HEPA filters?
It was specified in an October 26, 2001 letter from J. Gerard Bohan, Manager, Maintenance Policies and Programs, that it is a good work practice to wear the filtering face respirator (ffp) and gloves while changing the vacuum bags. It is hoped that all will follow this suggestion.
How are HEPA filters supposed to be disposed of?
It was specified in an October 26, 2001 letter from J. Gerard Bohan, Manager, Maintenance Policies and Programs, that the generation of dust when changing bags be minimized. To do this, he suggests that the employee place the full bag in a plastic bag and seal the plastic bag, then place it in the trash. We are looking into the possibility that these filters be kept for five days in the locations marked for discarded gloves, for future possible analysis.
Should custodial personnel be dry sweeping or dusting?
No. It was specified in an October 26, 2001 letter from J. Gerard Bohan, Manager, Maintenance Policies and Programs, that dry sweeping and dusting is to be avoided. A vacuum with a HEPA (high efficiency particulate) filter is to be used, or a wet mop with a 10% bleach solution (1.5 cups of household chlorine bleach in 1 gallon of water) for areas unattainable with the HEPA filtered vacuum. This policy was reiterated in a November 1, 2001 letter from Bohan.
Are there provisions for the cleaning of tractor-trailers and other vehicles?
Yes. In an October 31, 2001 communication from George Moose, Manager, Surface Operations, that was sent to various postal managers and supervisors, it was specified that all interim cleaning practices used on the workroom floor will also apply to trailers and vehicles that service postal facilities. It was specified that sweeping or the use of compressed air to clean trailers is prohibited; that empty trailers and vans be inspected for cleanliness prior to delivery to postal facilities; and that this also applies to companies who lease vehicles to the USPS. The leasing companies are to meet the burden of USPS requirements.
Why are discarded gloves, masks, and filters being kept for five days?
According to medical professionals, it is so that in the case of an actual anthrax infection, this material can be checked for anthrax spores, and thus aid in determining the extent of the exposure.
Are all fans to be shut off?
Yes. This was agreed to during a joint USPS/APWU teleconference held on October 25, 2001. As of this date, the APWU is in the process of obtaining this policy in writing.
Are building temperature requirements relaxed to any degree if fans are to be shut off?
No. Building temperature requirements are to be maintained as stated in the MS-49, Energy Conservation and Maintenance Handbook. The MS-49 reads as follows:
"It is permissible to allow interim temperatures to float
between the heating and cooling set points, providing
supplemental energy (boiler and chiller) is not used to
heat above 65 degrees or to cool below 78 degrees."
We have been informed that this passage has been interpreted as a standard for building temperatures in postal facilities.
(Source: MS-49, Energy Conservation and Maintenance Handbook, Section 221.10 Building Temperature Standards)
Will "irradiation" machines work on the mail as they do in the agriculture industry?Yes, they should. It is our understanding that electron beams at certain levels will kill the anthrax bacteria that may exist inside and outside mail as per the October 28, 2001 USPS Facts Update. APWU headquarters personnel have verified that rumors to the contrary have proven groundless.
Who will get irradiation machines, and when will they be utilized?According to an October 28, 2001 USPS Facts Update, The Titan Corporation of San Diego was awarded the contract to develop the equipment. They will be used in targeted areas and eight such systems have been ordered. Delivery will begin next month and the first ones will be installed in the D.C. area.
According to a December 8, 2001 report, all federal mail is being irradiated in Washington, D.C. This was announced one day after it was revealed that a batch of mail at the Federal Reserve tested positive for anthrax. It was also reported that about 90 lbs of flats and letters were destroyed during two small fires that started while being treated with radiation.
Source: All federal mail getting radiation treatments for anthrax. South Florida Sun-Sentinel, December 8, 2001, page 13A.
Will irradiation machines destroy data on compact discs, floppy discs, video tapes, DVD’s, etc.?
High Tech Productions, Inc., a Boca Raton, Florida based company that sells blank video tapes is in the process of conducting tests to determine whether irradiation machines will destroy data saved on these devices. As of this date, these tests have not yet been completed, but the company hopes to post results on their web site, blankvideotape.com/radiation.htm., by December 15.
(Source: Will Electrons Kill Data Too? South Florida Sun-Sentinel, November 12, 2001, pg. BR 11.
Will irradiation machines destroy prescription drugs and other medical products (such as test samples)?
Health experts say that radiation could destroy some prescription drugs and test samples. While the post office has plans at this time to only sterilize letters, they plan on sterilizing packages as well and have pledged to find a way to solve this problem.
(Source: Mailed Meds could get Zapped by Feds, USA Today.com, Arlington, Va., November 19, 2001)
Does the APWU have an anthrax safety hotline for use by its members?Yes. The number is 1-888-529-1029.
What is the USPS EAP number?The number is 1-800-EAP-4YOU. The USPS has advised us that after November 1, 2001, live counselors will be on hand for consultation. If your local has a Member’s Assistance Program, you are also encouraged to contact them as well.
Other diseases (e.g. smallpox, ebola, Q fever, beubonic plague, etc.) can also be used by terrorists to inflict harm upon a nation. Are any of these diseases capable of being spread with the help of the US mail as it has been done with anthrax?
Most experts believe that conditions prevalent in post offices would not be helpful in the spread of these diseases, as they had been with the spread of anthrax.
(Source: Dr. K. Sathiakumar, Epidemiological Analyst, Birmingham, Alabama).
Are there any other points that we should keep in mind as postal workers dealing with this situation?
Yes. They are as follows:
1. Learn who your spill team members are.
2. Learn who your emergency evacuation team members are.
3. Be certain that there is an up to date emergency evacuation map posted on the work room floor and review it.
4. Act with "reasonable vigilance" and do not panic! When determining whether a package or letter may be contaminated, BE REASONABLE.