Over the past few days, fears of anthrax exposure, especially through the mail, have traversed our nation. These incidents are placing a strain on emergency services, but even more so on employees and County residents who are following the news. While the overwhelming majority of incidents have been false alarms, it is prudent for all of us to be on alert for suspicious letters and packages. To this end, my office has compiled guidelines especially designed for mail handlers and openers, but which can be followed by anyone. Additionally, the California Highway Patrol has a video that can be played directly from its website at http://www.osha.gov/SLTC/etools/anthrax/credible_risk.html#Mail
In addition to the guidelines below, the guidelines are available as PDF file in the following languages (see the PDF attachments below):
Identifying suspicious mail
The following information, provided by the FBI, can help you identify suspicious mail.
- Excessive string, tape or postage.
- Oily stains, discolored packaging, strange odor, or crystallization on the wrapper.
- Rigid, bulky, lopsided or uneven packaging.
- No return address with restrictive markings like personal, confidential or special delivery.
- Return address and postmark are different locations
- Wrong title with your name or addressed to your title only.
- Possibly mailed from a foreign country.
- Possibly misspelled words, badly typed or written words.
Handling and opening mail
The following guidelines have been developed jointly by health professionals, the FBI and the California Office of Emergency Services. Please remember that the risk of contracting anthrax from an envelope is extremely low. General awareness of one's surroundings and suspicious mail is always appropriate. These are some common sense steps to take in the workplace and general precautions for those who handle large volumes of mail:
- Wash your hands with warm soap and water before and after handling mail.
- Do not eat, drink or smoke around mail
- If you have open cuts or skin lesions on your hands, disposable plastic or rubber gloves may be appropriate.
- Surgical mask, eye protection or gowns are NOT necessary or recommended.
If a letter is received that contains powder or contains a written threat
- Do not shake or empty the envelope.
- Isolate the specific area of the workplace so that no one disturbs the item.
- Evacuation of the entire workplace is NOT necessary at this point.
- Have someone call 911 and tell them what you have received and what you have done with it. (Law Enforcement should place a call to the local office of the FBI and tell them the same information.) Indicate whether the envelope contains any visible powder or if the powder was released.
- Wash your hands with warm water and soap for one minute.
- Do not allow anyone to leave that might have touched the envelope.
- When emergency responders arrive, they will provide further instructions on what to do.
Important to remember:
- Do not panic.
- Do not walk around with the letter or shake it.
- Do not merely discard the letter.
If you suspect the mail item is an explosive device, evacuate immediately and call 911.
Instructions for removing gloves for employees who choose to wear them
- Avoid touching the inside of the gloves, or your skin, with the outside of the gloves.
- Pull each glove half way off by pulling at the fingertips.
- Pull off one glove by the fingertips by using the gloved hand.
- With the ungloved hand, grab from the inside the other glove. Remove the glove by turning it inside out, with the second glove being kept inside the first glove (like you would a pair of socks).
- Discard the gloves in a plastic bag.
- If a suspicious substance was found when opening the mail with your gloves on, place gloves in an empty plastic bag. Make sure the bag contains only the gloves and that it can be made available to law enforcement officials.
The Santa Clara County Public Health Department has established a bioterrorism information line. The number is 408-885-3980. Additional information is available on the Public Health Department Web Site: http://www.sccphd.org
For more information about handling mail, contact the following web sites:
US Postal Service: http://www.usps.gov
Centers for Disease Control: http://www.bt.cdc.gov/
The US Department of Labor mail handling training video is available on at:http://www.osha.gov/SLTC/etools/anthrax/credible_risk.html#Mail