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LIVE STREAM Will Start Momentarily
Thank you for joining us.
Find additional resources and past live stream recordings at bbinsurance.com/covid19.
The New Workplace Considerations for Healthy Buildings & Healthy People
Discussion Topics 1 2 3 Clinical and Medical Panel: The Six-Foot Office Your Healthy Response Update Buildings Scorecard bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 2
How We Can Support
Resource Center
• Find more information on other insurance implications
at bbinsurance.com/covid19
• Resource Links:
• WHO - www.who.int/health-topics/coronavirus
• CDC - www.cdc.gov/coronavirus/2019-ncov/index.html
• National Business Group on Health -
https://www.businessgrouphealth.org/topics/blog/the-evolving-
situation-of-coronavirus-what-we-know-and-what-we-dont
• OSHA – www.osha.gov
Q&A
• Please submit any questions in the Live Chat feature of this webinar
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bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 3
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COVID-19 Return to the Workplace Toolkit Contact Your Service Team for Access bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 5
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bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 6
Disclaimer
The information in this program is based upon the very dynamic and evolving outbreak of seeking legal, tax, or medical advice from a professional in your area. Only your individual
respiratory disease caused by a novel (new) coronavirus that was first detected in China attorney, tax advisor, or health care professional can provide assurances that the
and which has now been detected in more than 100 locations internationally, including in information contained herein – and your interpretation of it – is applicable or appropriate to
the United States. The virus has been named “SARS-CoV-2” and the disease it causes has your particular situation. Use of, and access to, this live stream program or any of the links
been named “coronavirus disease 2019” (abbreviated “COVID-19”). The information or resources contained within this program do not create an attorney-client relationship, or
presented is current as of the date of this program, but it may change in the coming hours doctor-patient relationship, between the participant, user, or browser and program
and days ahead. Participants are encouraged to refer to information from the U.S. Centers presenters, authors, contributors, contributing third party organizations, or their
for Disease Control and Prevention (“CDC” at www.cdc.gov). employees/agents. All liability with respect to actions taken or not taken based on contents
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contains links and references to other third-party websites. Such links are only for the insurance coverage or other policy implications are intended solely for informational
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bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 7
Today’s Presenters
Rory Murray Taylor van Dam Frank Santini
Bob Lloyd
Vice President, Business
Executive Vice President Executive Sponsor Workplace/Experience Lead
Development & Strategic Initiatives
& General Counsel Cushman & Wakefield Cushman & Wakefield
Pure Air Control Services, Inc.
Brown & Brown, Inc.
Debra Moritz Alex Beacham Troy Raszka
Dr. Louise Short, MD, MSc
Vice President, Marketing
National Clinical Leader Consulting Lead Senior Director
Pure Air Control Services, Inc.
Brown & Brown, Inc. & Cushman & Wakefield Cushman & Wakefield
Strategic Benefit Advisors
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 8
Clinical and Medical
Response Update
With Dr. Louise Short
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 9Q&A
with Dr. Louise Short
What does the phrase “twindemic” mean
and how can we decrease the risk of being
in this situation?
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 10Q&A
Twindemic Influenza COVID-19
Vaccine & Treatment The Race for the Vaccine &
Available Therapeutic Treatments
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 11Q&A
with Dr. Louise Short
What do we know about post-recovery
symptoms or the long-term health effects
of COVID-19?
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 12Q&A
Long-Term Health Effects of COVID-19
Common Impact to Impact to Impact to Additional
Symptoms Lungs Heart Brain Effects
Fatigue, Damage to the Imaging tests COVID-19 can COVID-19
Cough, tiny air sacs after recovery cause strokes, may also cause
Shortness of (alveoli) in the have shown seizures and long-lasting
breath, lungs. The lasting damage Guillain-Barre blood clots and
Headache resulting scar to the heart. syndrome. It may blood vessel
Joint pain tissue can lead This may also increase the problems, as
to long-term increase the risk of developing well as
breathing risk of heart Parkinson's problems with
problems. failure or other disease and mood and
heart Alzheimer's fatigue
complications. disease.
Source: https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 13Q&A
with Dr. Louise Short
Can you give an update on vaccines?
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 14Q&A
Vaccine Update
For this chart:
Solid dots indicate events which have
occurred, while striped bars indicate
company estimates for when an event
will occur.
Updated 9/8/20
Source: https://www.biopharmadive.com/news/coronavirus-vaccine-pipeline-types/579122/
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 15Q&A
Vaccine Update
To find out how to volunteer, visit coronaviruspreventionnetwork.org
Source: https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html
bbinsurance.com/covid19 | September 11, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 16DELIVERING VALUE IN TIMES OF CRISIS Debra Moritz Leader, Strategic Consulting
ASSESSING THE LANDSCAPE
PREPARE ESTABLISH A
FOR RE-ENTRY REVISED STRATEGY
SEAMLESS TRANSITION MAXIMUM BUSINESS VALUESHORT TERM: THE SAFE SIX
Workplace Readiness Essentials
1. PREPARE THE BUILDING
2. PREPARE THE WORKFORCE
3. CONTROL ACCESS
4. CREATE A SOCIAL DISTANCING PLAN
5. REDUCE TOUCH POINTS & INCREASE CLEANING
6. COMMUNICATE FOR CONFIDENCE
© 2020 CUSHMAN & WAKEFIELD RECOVERY READINESS: PLATFORM SOLUTIONS / 19UNDERSTANDING & MANAGING
Experience Per Square Foot
XSF@HOME
UNDERSTAND MANAGE
Employee feelings, challenges Employee communications,
HOW THE CURRENT and productivity perception and return strategy
WFH STATUS AFFECTS
How PRODUCTIVE Are you
THE BUSINESS are employees in COMMUNICATING
today’s COVID-19 in the way employees
Engagement environment? need?
Collaboration
What are the biggest What should you consider
Innovation CHALLENGES facing as you plan the RETURN
Mentorship employees while to the office strategy?
Diversity & Inclusion working from home?
Learning & Growth
How do you COMPARE
How are employees
Speed against your peers?
FEELING right now?
Client SatisfactionWHY
Reimagining the future workplace through an evidence-based evaluation of
remote work: Cushman & Wakefield’s proprietary XSF@home survey
We Are Still Personal Connections & People Don’t Feel “Well” Younger Generations A TOTAL WORKPLACE
Working Learning are Suffering Struggle More ECOSYSTEM
75% 50% 54% 70% 73%
Feel they effectively Struggle to connect Have a sense of Of younger generations Want remote working policies
focus and collaborate to company culture wellbeing have WFH Challenges expanded and the flexibility to
Productivity has Colleague bonding is Employees report low Millennials & Gen Z work across office, home and
remained consistent down and only half of levels of energy, struggle with caregiver third places.
and strong. respondents feel wellbeing and are not responsibilities and
personally connected taking enough time inadequate workspace. The office will remain a critical
to their company away from work. driver of culture, learning, &
culture. personal connections.
Experience per Square Foot™
@home Survey Scope:
2.5 million data points 50,000 people 99 countries 38 companies
21Life-stage plays a key role in
challenges of WFH
GEN Z
XSF@home proportions reporting challenges
Inadequate workspace
No Challenges Challenges
Gen Z 30% 70%
Millennial 31% 69% Millennial 26%
Caregiver
Gen X 37% 63%
Baby
Avge = 18%
Boomer 45% 55%
TOTAL 36% 64% 26% ALL
Gen X Sub-par connectivity
Caregiver
Avge = 22%
36%
29%
Avge = 22% Source: Cushman & WakefieldWORKFORCE
Re-entry Scenario Planning Elements & Tools
RECOMMENDED READING
C&W Launches Global Recovery
Readiness Task Force and
www.SixFeetOffice.comSIX FEET OFFICE (6FO) Re-entry Scenario Planning Elements & Tools 6 Feet Quick Scan: Analysis of current work environment 6 Feet Rules: A set of simple and clear agreements that puts safety first 6 Feet Routing: A visually displayed circulation route 6 Feet Workstation: Addressing distances, surfaces and panels 6 Feet Facility Manager: Training to operate a safe facility
Capacity When Social Distancing & Reducing Touchpoints
ENTRY | EGRESS CONFERENCE ROOMS
1 Distancing: elevator lobby – coordinate entrance 6 7 6 Distancing: capacity reduction from 12 to 5 people.
/egress. Consider elevators reset for up and down
transport only; consider pinch points. Circulation: clockwise flow into the conference room;
Note: freight elevator could be used but creates a occupants take the furthest seat first; consider queuing
pinch point for bathroom access. protocol prior to entering the room.
Occupant volume: avoid high occupancy; support Touchpoints: doors propped open or removed. Shared
2
reduced traffic by staggering arrival/departures. tech and writing materials only to be used with gloves.
Touchpoints: new gloves to be worn in elevators 5
4
Hygiene: employees to wear masks upon entering
and while circulating on the floor. Pick up/disposal
of PPE to be available upon entering the space. INDIVIDUAL SEATS
7 Distancing: workstation seats reduced for distancing and
secondary circulation capacity; install vertical dividers at
COMMUNITY SPACE 3
spine of workstations; eliminate guest seating. Convert
3 7
Distancing: significant seat reduction: seats used as workplaces. 7 large offices to accommodate two work seats that
3
Circulation: clockwise; respect seated individuals upon arrival. maintain required distance from each other. Doors to be
Touchpoints: disinfectant wipes available for cleaning of surfaces. propped open or removed.
OPEN SEATING BATHROOMS
8 Occupant Volume: each bathroom to be considered
4 Distancing: significant furniture reduction --6
single occupant and possibly unisex.
seats can be used simultaneously while
*pinch point for occupants exiting the space.
respecting distancing.
Hygiene: trash receptacles within reach of doors. Masks
Touchpoints: disinfectant wipes available for 2 to be worn.
cleaning of surfaces.
2 8
PANTRY PINCH POINTS
5 Distancing: remove stools; consider single use Indicates friction points with higher traffic volume and
occupancy. proximity to adjacent traffic flow which will need to be
Touchpoints: wear gloves when using shared 1 considered and resolved.
equipment; support with a day porter; single 6
use supplies
Cushman & Wakefield | Fossil 25ESTABLISH
Scenario Planning Elements
RETURN DISTANCING SPACE PORTFOLIO
TO REMAINS & PLACE PLANNING
BASICS REALITY MATTERS REIGNS
Business Continuity Work from Home Place has a Purpose Labor
Health, Wellness & Desk Sharing Experience Matters Markets/CBD vs.
Safety Suburbs
Dedensification Right Shoring /
Re-Shoring Coworking
Decision SupportWORKPLACE
Defining the New-Normal through integrated People, Place & Technology
EXPERIENCE
I can be productive anywhere. I go to the
I go to the office to be
office for cultural connection, access to
productive.
colleagues and a great experience.
PRE-COVID19 THE NEW NORMAL
PREDICTIVE
I design through smart technology and
I program and create
predictive analytics orchestrating great
great workplaces
experiences and wellbeing where
aligned with the work.
people can thrive.
FLEXIBILITY Workspaces are more like
The average life of a theatres…space evolves for the project at
workplace strategy is 8 years. hand and is then repositioned in a
different light for the next “project/show”.“This office has
exceeded my
C&W expectations on
Choreographing the Employee Experience things that really
mattered to me.”
Improved the experience “Building amenities and
the overall environment
21.8% is a great change for the
Reduced cost better. Thank you!”
18.1%
Chicago Pre-Move Experience | Post-Move Experience
Overall
Experience
Team
Index Score Focus Bond
Renew Learn
80.4
76.5 76.9 77.7
73.5 73.9
69.6 69.1
62.8
59.6 59.3
56.3
Experience Index Learn Renew Focus Bond Team
Pre-Move Post-MoveYour Healthy Buildings
Scorecard
Frank Santini, VP, Business Development
Troy Raszka, VP, Marketing
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 800 422-7874 • PureAirControls.comAgenda
• Areas to Add to Risk Mitigation Strategy
• Pre-Existing Building Health Conditions
• Questions to ask your Facilities/Risk Mgmt. Team
• Creating a Healthy Buildings Scorecard
• Questions & Answers
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 30 800 422-7874 • PureAirControls.comWhere do you fall on a Healthy Building Scorecard?
• Focus on Air Quality & Hygiene
• Covid-19 Viral Spread &
Addressing Other IAQ Issues
• Disclaimer: Ever-changing
Research & Field Observations
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 31 800 422-7874 • PureAirControls.comThe Key is Minimizing Risk
• No Guarantee for a Building Free
from Covid-19
• Minimizing Risk Includes Additional
Steps with Far-reaching Benefits
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 32 800 422-7874 • PureAirControls.comMinimizing Risks
• Temperature Checks
• Work-Place Arrangements
• Social Distancing
• Masks & Hand Washing
• Touch-less Features
• Work-from-Home Policies
• Quarantine
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 33 800 422-7874 • PureAirControls.comMinimizing Risk
Air Flushing & Filtration
• Increase Volume of Air Flow in
Building, Including Outside Air,
When Applicable
• Better HVAC Filters
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 34 800 422-7874 • PureAirControls.comCovid-19 Building Hygiene Timeline
• Initially – Please Clean my
Building Before we Come Back!
• Evolved into Implementation of
Multiple Cleanings in Conjunction
with Risk Mitigation
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 35 800 422-7874 • PureAirControls.com2 Key Things We Now Understand
• Particles/Indoor Contaminants
Correlates with Viral Spread
• Covid-19 Virus is Airborne
What are the implications?
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 36 800 422-7874 • PureAirControls.comAddress Pre-Existing Conditions
Particulates
• Sourced from Indoors (carpets,
poor janitorial, etc.)
• Sourced from the HVAC System
Specific Contaminants
• Mold, Allergens, Legionella, etc.
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 37 800 422-7874 • PureAirControls.comConcern of Small Particles
• Less Than 2.5 Microns in Size
• Bypass our Natural Defenses
• Absorbed Directly into our Blood
Stream
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 38 800 422-7874 • PureAirControls.comHVAC Contaminant Transmission
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 39 800 422-7874 • PureAirControls.comSARS-CoV-2 Environmental Testing
University of Oregon Study
Institute for Health in the Built Environment
• 56 samples from 3 different AHUs
• All 3 had positive results
• Sample locations:
• Pre-Filters (MERV 10)
• Final Filters (MERV 15)
• Supply Air Dampers
• 25% positive (14 samples)
• 21% in Supply Air Damper Positive
Identification of SARS-CoV-2 RNA in Healthcare HVAC Units
doi: https://doi.org/10.1101/2020.06.26.20141085
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 40 800 422-7874 • PureAirControls.comSARS-CoV-2 Environmental Testing
Conclusions:
1. HVAC can contribute to the
transmission of SARS-CoV-2
2. Higher efficiency filters capture some
SARS-CoV-2 virion but should not be
the sole solution to preventing
transmission via HVAC
3. Authors cite previous studies
demonstrating SARS-CoV-2 in
droplets 0.25 – 4.0 microns with
*This study is not yet peer reviewed and draws from previous studies showing
long-term aerosolization and migration of SARS-CoV-2 through the air.
infectivity between 1 to 16 hours
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 41 800 422-7874 • PureAirControls.comQuestions to Ask Your Facilities/Risk
Team
• How are we reducing particles?
• Cleaned Air Ducts?
• Have we completed a baseline IAQ
exam?
• What air purification options are
out there?
• Testing for Covid (in building)?
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 42 800 422-7874 • PureAirControls.comAre we cleaning focused on particles?
• Disinfecting vs. Cleaning
• Carpets, Furniture
• HEPA Vacuums
• Air Scrubbing
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 43 800 422-7874 • PureAirControls.comHave we done any baseline testing?
HVAC Health
• Visual Conditions
• Environmental Testing
• Maintenance Prioritization
Building Health
• Indoor Environmental Testing
• Contaminant Source & Risk
• Allergens, Bacteria, Fungi, Viruses, etc.
• Building Envelope & Roof
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 44 800 422-7874 • PureAirControls.comWhy aren’t we testing for Covid-19 in our buildings?
Coronavirus Environmental Test
• Sample Proactively (Peace of Mind) & Post
Disinfection
• Environmental Surface Validation
• Present (positive) or Absent (negative)
• RT-qPCR Detects SARs-CoV-2 RNA
• 12-72 Hour Turnaround Time
• Air Sampling Method Also Available
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 45 800 422-7874 • PureAirControls.comHave we cleaned our HVAC systems?
Duct Cleaning
• 7-10 years in Rotation
• Mechanical Experience
• Detailed Specification
Steam Coil Cleaning
• High Temps Disinfect
• Improves Performance
& Saves Energy
• Eco-Friendly
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 46 800 422-7874 • PureAirControls.comInside the HVAC System
Duct Before Duct After
Coil Before Coil After
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 47 800 422-7874 • PureAirControls.comHVAC System Restoration
Drain Pan Before Drain Pan After
Blower Before Fan Wall Retrofit
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 48 800 422-7874 • PureAirControls.comAre we looking into air purification?
• Air Changes
• Filter Viruses & Contaminants
• Peace of Mind
• Employees, Guests, Customers
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 49 800 422-7874 • PureAirControls.comHave we looked at bipolar ionization?
• Airborne particles charged ions cluster &
are caught more easily by the filter.
• Bacteria & virus cells are destroyed.
• Odorous aerosols oxidize on contact with
oxygen ions & are neutralized.
• Oxygen ions cause a chemical reaction
with VOCs breaking down their molecular
structure.
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 50 800 422-7874 • PureAirControls.comHVAC Mounted BPI Covid-19 Efficacy
• Field Study in Facility transitioned into
a temporary hospital by Spanish Govt.
• Installation into fan coil unit serving
mock patient room
• 99% air reduction of Covid-19 virus
surrogate in 10 minutes
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 51 800 422-7874 • PureAirControls.comWhy aren’t we monitoring air quality?
• Nodes (sensors) Placed in Facility
• CO2, Particulate, VOC, RH, Temp
• Sends to Cloud with Dashboard
• Set Parameters & Send Alerts
• Logs Data & Generates Reports
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 52 800 422-7874 • PureAirControls.comVisualize Scorecard Results
The HVAC units are hygienically Supply & return ductwork is hygienically
cleaned with PURE-Steam™ using cleaned with the PURE-Duct service
350° F steam. Then restore them incorporating negative air machines with
with anti-microbial paint as part of HEPA filtration. Fiberglass duct board is also
the HVAC New Life™ process. encapsulated to prevent degradation.
Baseline environmental (including PURE-Decon building disinfection is
for COVID-19 or Coronavirus) and conducted using EPA registered
HVAC testing is done to verify disinfectants to neutralize all bacteria,
building safety. mold & viruses (including coronavirus)
prior to the facilities being certified.
IAQ Guard is installed to
HEPA Air purifiers with monitor/alert the facility 24/7 for
EnviroSmart™ technology particles, temperature, RH,
and/or PURE-Plasma bipolar CO2 & VOC.
ionization are installed in the
building for the continuous
cleaning of the air to remove
allergens, microbes, odors &
particles.
©2020 Pure Air Controls Services, Inc. 53 800 422-7874 • PureAirControls.comIndoor Environmental & HVAC Hygiene Expertise
• Founded in 1984
• 3 Specialized Divisions
• Building Sciences, EDLab, Building Remediation
• 700 Million+ Square Feet of Experience
• 12,000+ Buildings Serviced
• PhD Microbiologists & Building Scientists
• Certified Environmental Lab
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 54 800 422-7874 • PureAirControls.comQuestions & Follow-up
Frank Santini
VP of Business Development
1-800-422-7873 extension: 804
(727) 515-2960
fsantini@pureaircontrols.com
Troy Raszka
VP of Marketing
1-800-422-7873 extension: 403
trazska@pureaircontrols.com
Healthy Buildings, Healthy People
©2020 Pure Air Controls Services, Inc. 55 800 422-7874 • PureAirControls.comSave
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Friday, September 25, 2020
2pm ET
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