200 Adapting the BOHS COVID-19 risk matrix to Avian Influenza. Preparing an animal charity for future outbreaks

Based on a similar exercise carried out by the BOHS in 2020 during the early stages of the COVID-19 pandemic. The BOHS COVID-19 risk matrix was adapted to provide an animal charity with an Avian Influenza (AI) risk management tool. The charity staff handle sick and dead birds in the wild (symptoms of AI may not be immediately apparent) and at their animal treatment and housing centres. This tool guides the employer in determining appropriate control measures to help reduce the risk of their staff, and also the public, from being infected with AI. Although there is currently limited evidence of transference to humans and the risk appears to be low, this could change in the not too distant future. Cross species infections are predicted to increase with the habitat pressures brought about by climate change. Therefore this AI risk matrix has been developed as a precautionary approach. The approach recognises the pitfalls of reliance on PPE alone and endeavours to promote a preventative approach built on good occupational hygiene practice. Given the variety and complexity of the workplace, the AI risk matrix provides an initial reference for control measures, risk evaluation, and grouped job roles to help the employer make balanced decisions and decide what are the reasonable precautions. Acknowledgements- Authors of the BOHS COVID-19 risk matrix Kelvin Williams BSc(Hons) DipOH CFFOH Dr Mangala Patil-Mead