Local flu conditions will influence the decisions that  public health officials make regarding community-level strategies. Know where to get timely  and accurate information that can guide your responses in each location where your  operations reside.  Be prepared to  use multiple measures to protect employees and ensure continuity of business  operations. 
| Encourage employees    to get vaccinated.Encourage your employees to    get vaccinated for seasonal flu and 2009 H1N1 flu.
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| Encourage employees to wash their hands often.Instruct employees to wash their hands often with soap and    water or use an alcohol-based hand rub, especially after coughing or    sneezing.
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| Encourage your    employees to cover their coughs and sneezes.Communicate the importance of covering coughs and sneezes    and provide tissues and no-touch disposal receptacles.
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| Clean surfaces and items that are more    likely to have frequent hand contact. Clean    surfaces that are likely to have frequent contact with hands with cleaning    agents that are usually used in these areas. Additional disinfection beyond    routine cleaning is not recommended.
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| Sick employees    should stay home.People    with symptoms of flu-like illness  should stay home until at least 24 hours after they are free of fever
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| Sick employees at    work should be asked to go home.Employees who appear to have a flu-like illness    upon arrival or become sick during the work day should be promptly separated    from others and asked to go home.
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| Protect employees who    are at higher risk for complications of flu.Let employees know that if they are at higher risk for    complications, they should check with their health care provider promptly, if    they become sick. Encourage these employees to get vaccinated for seasonal flu    and 2009 H1N1 flu.
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| Prepare for    employees to stay home from work and plan ways for essential business    functions to continue.Cross-train staff to perform essential functions so that    the business can continue operating.
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| Advise employees to take certain steps before traveling.Advise    employees to check for signs of flu-like illness before starting travel and notify their    supervisor and stay home if they are sick.    Tell employees who    are traveling to notify their supervisor and, if needed, seek health care if    they become sick .
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| Prepare for schools    to be dismissed or for early childhood programs to close.Allow employees to stay home to take care of their    children if schools are dismissed or early childhood programs are closed.    Encourage your employees with children to plan for child care alternatives.
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  1Symptoms of flu-like illness include fever or chills  AND cough, runny nose, or sore throat. Symptoms can include fever, cough, sore  throat, runny or stuffy nose, body aches, headache, chills and tiredness. Some  people may also have vomiting and diarrhea. People may be infected with the flu,  including the 2009 H1N1 flu and have respiratory symptoms without a fever.
 
  2Fever is usually described as 100°F [37.8°C] or greater.
| Action Steps Under More Severe Flu Conditions (similar severity as in April through December 2009 H1N1 flu outbreak)
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| If flu conditions become more severe than that of the April through December 2009 H1N1 flu outbreak, there may be an increase in employee absenteeism and a need to add additional protective measures. Consider the following measures if flu conditions are more severe, and use them along with the action steps above. | 
| Consider active    screening of employees who report to work.At    the beginning of the workday or the beginning of each shift, ask all    employees about flu-like symptoms and those with symptoms should be    asked to go home.
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| Consider    alternative work environments for employees at higher risk for complications    of flu.Change work duties, work    location, or work schedules for employees who are at higher risk for flu    complications to reduce the    possibility of getting sick at work. If this cannot be done, allow these    employees to work from home, if feasible, or stay home.
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| Increase social    distancing in the workplace.Avoid crowded work settings, cancel business-related    face-to-face meetings, space employees farther apart, cancel non-essential    travel, promote teleworking, and use staggered shifts to have fewer employees    in the workplace at the same time.
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| Advise employees about    possible disruptions and special considerations while traveling overseas.Travel    restrictions may be enacted by some countries, which may limit the ability of    employees to return home if they become sick while traveling. Plan ahead to    limit non-essential travel and create contingency plans for employees on    international travel.
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| Prepare for school    dismissal or closure of early childhood programs.School dismissals and closure of early childhood programs    are more likely at higher levels of severity. Be prepared to allow employees    to stay home to care for their children if schools are dismissed or early    childhood programs are closed.
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| Other    considerations.Employers should be aware that the severity of 2009 H1N1 flu could    change rapidly; therefore, recommendations to communities and businesses    could be revised quickly. Planners should identify sources of timely and    accurate information so that they are aware of changes to recommendations and    can promptly implement revised or additional measures.
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