Handling Suspicious Substances

 

 

Purpose

 

The purpose of these policy guidelines is to recommend procedures for handling potential biological threats.

 

HOW TO IDENTIFY SUSPICIOUS PACKAGES AND LETTERS

 

Some characteristics of suspicious packages and letters include the following...

•       Excessive postage

•       Handwritten or poorly typed addresses

•       Incorrect titles

•       Title, but no name

•       Misspellings of common words

•       Oily stains, discolorations or odor

•       No return address

•       Excessive weight

•       Lopsided or uneven envelope

•       Protruding wires or aluminum foil

•       Excessive security material such as masking tape, string, etc.

•       Visual distractions

•       Ticking sound

•       Marked with restrictive endorsements, such as “Personal’ or “Confidential’

•       Shows a city or state in the postmark that does not match the return address

 

SUSPICIOUS UNOPENED LETTER OR PACKAGE MARKED WITH THREATENING MESSAGE SUCH AS “ANTHRAX”

 

•       Do NOT shake or empty contents of any suspicious envelope or package

•       COVER the envelope or package with anything (e.g., clothing, paper, trashcan, etc.) and do not remove this cover

•       LEAVE the room and CLOSE the door, or section off the area to prevent others from entering i.e., keep others away

•       WASH your hands with soap and water to prevent spreading any powder to your face

•    REPORT the incident to ________.

•       LIST all people who were in the room or area when this suspicious letter or package was recognized and give this list to ______________. This list will be needed for the local public health authorities and law enforcement officials for follow-up investigations.

 

POWDER AND POWDER SPILLS OUT ONTO SURFACE:

 

•       Do NOT try to clean up THE POWDER. COVER the spilled contents immediately with anything e.g., cloth, paper, trashcan, etc. Do NOT remove this cover!

•       Then LEAVE the room and CLOSE the door, or section off the area to prevent others from entering (i.e., keep others away).

•       Thoroughly WASH your hands with soap and water to prevent spreading any powder to your face.

         •       REPORT the incident to ________.

•       If any of the powder landed on your clothing, you will need to remove as much of your clothing as possible. If you feel you are unable to remove your shirt, dress or top without contaminating your face with powder, wait for assistance. Do NOT remove clothing by pulling over your head.

•       SHOWER with soap and water as soon as possible. DO NOT USE BLEACH or OTHER DISINFECTANT ON YOUR SKIN.

•       LIST all people who were in the room or area when this suspicious letter or package was recognized and give this list to ______________. This list will be needed for the local public health authorities and law enforcement officials for follow-up investigations.

 

QUESTION OF ROOM CONTAMINIATION BYAEROSOLIZATION:

 

For example: small device triggered warning that air handling system is contaminated, or

warning that a biological agent was released in a public space.

 

•       TURN OFF local fans/close windows

•       LEAVE area immediately

•       CLOSE the door or section off the area to prevent others from entering (i.e., keep others away)

•       STAT PAGE ________________________ to turn off the air handling system

•       REPORT the incident to ________.

•       LIST all people who were in the room or area when this suspicious letter or package was recognized and give this list to _______________. This list will be needed for the local public health authorities and law enforcement officials for follow-up investigations.

 

Notification

 

Internal:     At hospital notify ________.

 

External:   All suspected cases of contamination should be reported immediately to the Local Health Department who will then contact the State Health Department and/or CDC.

 

 

References

 

CDC Website

http://www.cdc.gov/ncidod/hip

 

 

 

Note:    These are Guidelines that have been developed with data available as of 1/21/02.

 

 

Initially Prepared by

The Akron Regional Hospital Association

Emergency Preparedness Subcommittee

August 20, 2002