Public Health Monitoring of Returning Travellers

Size: px
Start display at page:

Download "Public Health Monitoring of Returning Travellers"

Transcription

1 Introduction Ebola virus disease (EVD) is associated with a high fatality rate, and is currently affecting several countries in West Africa. Although the risk in Canada is very low, Ontario s health care system must be prepared for the possibility of persons with the disease, or incubating the disease, entering the province. In Ontario, those most at risk are individuals recently returned from affected countries/areas in West Africa and health workers that provide care for suspect and confirmed cases in Ontario health care settings. The Ministry of Health and Long-Term Care maintains a list of the affected countries/areas on its EVD Website at This Directive provides instructions to primary health care settings 1, and their management and employees, concerning precautions and procedures necessary to protect the health of patients and workers and significantly reduce the risk of spreading infectious diseases. The Chief Medical Officer of Health has issued directives on precautions and procedures related to EVD for acute care settings and emergency medical services. Further directives and guidance for other settings, including laboratories, will follow. Public Health Monitoring of Returning Travellers Public Health Agency of Canada s Quarantine Services Program identifies travellers returning from affected countries/areas at the Canadian border. Asymptomatic travellers receive a quarantine order requiring them to report to their local public health unit. The public health unit monitors the travellers health for the 21 days since departure from the affected countries/areas. The public health unit advises travellers to monitor their temperature twice daily and if symptoms become apparent, to notify the public health unit and seek care at a hospital emergency department. Travellers are advised not to present at a primary health care setting. The public health monitoring process should limit the number of returning travellers that present at primary health care settings for EVD-related care. Symptoms of Ebola Virus Disease The symptoms of EVD include: fever (38 C or greater) severe headache muscle pain diarrhea 1 Primary health care settings may include family health teams, community health centres, Aboriginal health access centres, walk-in clinics, nurse-practitioner led clinics and solo practitioners such as family physicians, general practitioners and paediatricians. 1

2 vomiting sore throat abdominal pain unexplained bleeding Precautions and Procedures Education and Training Primary health care settings must ensure that staff members (including primary health care providers 2 and other staff) are familiar with the risk posed by the EVD outbreak in West Africa. Primary health care settings must provide staff members with education and training on the following topics: symptoms of EVD process to screen patients for EVD (by telephone, through signage, at the reception desk) recommended occupational health & safety (OHS) and infection prevention & control (IPAC) measures to stop the transmission of EVD in primary health care settings, including Routine Practices and Additional Precautions process to refer a suspect case to the nearest hospital emergency department Screening Telephone screening Staff members must ask patients that telephone the primary health care setting about symptoms compatible with EVD and travel history to an affected country/area. Staff members may use the sample screening tool provided in Appendix A to screen patients over the phone. Patients who have symptoms compatible with EVD and travel history must be told not to visit the office they should be connected with a primary health care provider (during the initial phone call or a phone call back). The primary health care provider must review the patient s symptoms and travel history. If the primary health care provider suspects the patient may have EVD, he/she must advise the patient to go to the nearest hospital emergency department for further assessment. The primary health care provider can support the patient to arrange transportation to the nearest hospital emergency department, either by private vehicle or ambulance. The patient must be instructed to avoid physical contact with others and not to take public transportation to the hospital emergency department. Passive screening Signs 3 must be posted at all entrances to the primary health care settings, as well as at the reception desk, asking patients about symptoms compatible with EVD and travel 2 A primary health care provider is a regulated health care professional such as a family physician, nurse practitioner or registered nurse. 3 Sample signage will be available on the Ministry of Health and Long-Term Care's EVD Website at 2

3 history to an affected country/area. Patients meeting both criteria should be instructed to use alcohol-based hand rub, put on a surgical mask and proceed to the reception desk. Reception desk screening Staff members must ask patients that were not already screened over the phone about symptoms compatible with EVD and travel history to an affected country/area. Staff members should be at least one metre (three feet) away from the patient during the screening process, preferably behind a suitable structural barrier (e.g., glass or Plexiglass shield). Staff members may use the sample screening tool in Appendix A to screen patients at the reception desk. Results of In-Person Screening Patients with symptoms compatible with EVD and travel history Primary health care settings must take the following actions for patients who have symptoms compatible with EVD and travel history to an affected country/area: The patient should use alcohol-based hand rub and put on a surgical mask. Staff should maintain at least one metre distance from the patient and avoid any physical contact. The patient must be advised to go to the nearest hospital emergency department (see the section on Patient Referral to a Hospital Emergency Department for additional information). Further assessment to confirm the diagnosis of EVD, including taking laboratory specimens, must be done at a hospital. Blood must not be drawn from these patients in primary health care settings or by a private laboratory. Patients with no symptoms compatible with EVD and travel history If the patient has travel history to an affected country/area and no relevant symptoms, the primary health care provider may check the patient s temperature prior to further assessment: The patient should be moved to a private room with the door closed. If the patient has a temperature of 380C or greater, the primary health care provider must advise the patient to go to the nearest hospital emergency department (see the section on Patient Referral to a Hospital Emergency Department for additional information). If the patient has no fever, the primary health care provider can provide usual care in the primary health care setting. The primary health care provider can verify that the returning traveller has been linked with the public health unit (see the section on Public Health Monitoring of Returning Travellers for more information) Patient Referral to a Hospital Emergency Department If EVD is suspected based on symptoms compatible with EVD and travel history to an affected country/area, health workers at the primary health care setting must advise the patient to go immediately to the nearest hospital emergency department. The patient 3

4 must avoid physical contact with others. To facilitate referral to a hospital emergency department, health workers at the primary health care setting must: Inform the patient of the location of the nearest hospital emergency department. Advise the patient not to use public transportation the patient must use a private vehicle or an ambulance. If an ambulance is called, alert the ambulance that the patient is suspected of having EVD, as well as the presence of symptoms such as vomiting, diarrhoea or bleeding. Alert the hospital emergency department as to the arrival of the patient, the suspected diagnosis of EVD, the patient s symptoms, and the method by which the patient will arrive. If the patient needs to remain in the primary health care setting until the arrival of the ambulance, he/she must be placed in a private room, separate from other patients and staff, with the door closed. This room should be cleared of removable items to reduce the environmental cleaning and decontamination that will be required should the patient be confirmed to have EVD. Staff members entering the patient s room must wear the following PPE: gown gloves surgical mask After the Patient Leaves the Primary Health Care Setting After the patient is transported to the nearest hospital emergency department, the primary health care setting must: cordon off any areas that the patient contaminated with body fluids (e.g., vomit, blood, feces) post a do not enter sign on the door of the private room ensure that no one enters the private room or any contaminated areas record the names and contact information of all staff, patients and visitors that were in the reception area and/or had contact with the patient in the event that contact management activities are required by the public health unit contact the public health unit for guidance on the cleaning and decontamination of the private room and contaminated areas Reporting Primary health care providers must inform their public health unit of patients referred to the nearest hospital emergency department for further assessment. Primary health care settings can locate their public health unit by using the Ministry of Health and Long-Term Care s public health unit locator tool. Questions Health sector employers and health workers may contact the ministry s Health Care Provider Hotline by phone at or by at 4

5 with questions or concerns about this Directive. Health sector employers and health workers are also required to comply with applicable provisions of the Occupational Health and Safety Act and its Regulations. Dr. David L. Mowat, MBChB, MPH, FRCPC Interim Chief Medical Officer of Health 5

6 Draft version 3 of the CMOH Primary Health Care Directive for consultation by health Appendix A. EVD Screening Tool for Primary Health Care Settings Staff members in primary health care settings can use this tool to screen patients by the phone or in person. Staff members should ask patients both questions (question 1 and question 2). The answers can determine the appropriate actions to manage the patient. 1. Is the patient feeling unwell with symptoms such as: fever of 38 o C (101 o F) or greater feeling feverish severe headache muscle pain diarrhea vomiting sore throat stomach pain unexplained bleeding YES to ANY of the above NO to ALL of the above 2. In the past 21 days or within 21 days before symptoms started (if symptoms are present), has the patient been to any of the following countries/areas4: Guinea Sierra Leone Liberia Democratic Republic of Congo (Equateur Province) YES NO Actions by Primary Health Care Settings If the answer is yes to both questions, the patient has failed screening and should be referred to the nearest hospital emergency department. The staff member provider should follow the procedures outlined in this Directive. If the patient answers yes to only question 2, the staff member should follow the procedures in the Directive. 4 For the current list of updated list of geographic areas, visit the Ministry of Health and Long- Term Care s EVD Website at 6

Recommendations for Emergency Departments in Caring for Potential Ebola Virus Disease (EVD) Patients

Recommendations for Emergency Departments in Caring for Potential Ebola Virus Disease (EVD) Patients Recommendations for Emergency Departments in Caring for Potential Ebola Virus Disease (EVD) Patients Provincial Ebola Expert Working Group March 10, 2015 Contents A. Preamble... 3 B. Guiding Principles...

More information

Advice for Colleges, Universities, and Students about Ebola in West Africa For Colleges and Universities

Advice for Colleges, Universities, and Students about Ebola in West Africa For Colleges and Universities Advice for Colleges, Universities, and Students about Ebola in West Africa For Colleges and Universities Advice for Study Abroad, Foreign Exchange, or Other Education-related Travel Is it safe to travel

More information

WHEREAS, Ebola Virus Disease (EVD) is a rare and potentially deadly disease caused

WHEREAS, Ebola Virus Disease (EVD) is a rare and potentially deadly disease caused STATE OF NEW YORK : DEPARTMENT OF HEALTH --------------------------------------------------------------------------X IN THE MATTER OF THE PREVENTION AND CONTROL OF EBOLA VIRUS DISEASE ORDER FOR SUMMARY

More information

Ebola virus disease. Filoviridae: enveloped RNA viruses

Ebola virus disease. Filoviridae: enveloped RNA viruses Ebola Conference Call for Healthcare Providers Wednesday, December 3, 2014 10:00 a.m. - 11:00 a.m. Central Call in Number: 866-644-4188 Passcode: 41002632. Agenda Welcome - Overview; Doneen Hollingsworth,

More information

TECHNICAL ALERT No. 14-15

TECHNICAL ALERT No. 14-15 Technical Alert No. 14-15 Issue Date 03 Sept 2014 TECHNICAL ALERT No. 14-15 Ebola Virus 1. Introduction 1.1. As has been widely reported, there is currently an outbreak of Ebola Virus Disease (EVD or Ebola)

More information

Interim Ebola Protocol: Inmate Screening and Management

Interim Ebola Protocol: Inmate Screening and Management Federal Bureau of Prisons Interim Ebola Protocol: Inmate Screening and Management May 2015 This protocol is made available to the public for informational purposes only. The Federal Bureau of Prisons (FBOP)

More information

Travel and transport risk assessment: Recommendations for public health authorities and transport sector

Travel and transport risk assessment: Recommendations for public health authorities and transport sector Travel and transport risk assessment: Recommendations for public health authorities and transport sector Correct at 01 August 2014 1. Summary of epidemiological facts and experience The incubation period

More information

Interim Illinois Department of Public Health Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure

Interim Illinois Department of Public Health Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure Interim Illinois Department of Public Health Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure Updated: November 10, 2014 The world is facing the biggest and most complex

More information

Employee/Occupational Health Management of Healthcare Workers who are Close Contacts or Contacts of Ebola Virus Disease (EVD)

Employee/Occupational Health Management of Healthcare Workers who are Close Contacts or Contacts of Ebola Virus Disease (EVD) Employee/Occupational Health Management of Healthcare Workers who are Close Contacts or Contacts of Ebola Virus Disease (EVD) Version 2.0: 17-December-2014 Approval: Provincial EVD Preparedness Task Group

More information

Infection Prevention and Control Recommendations for Hospitalized Patients. with Known or Suspected Ebola Virus Disease in U.S.

Infection Prevention and Control Recommendations for Hospitalized Patients. with Known or Suspected Ebola Virus Disease in U.S. Appendix D October 10, 2014 Infection Prevention and Control s for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals Standard, contact, and droplet precautions are recommended

More information

EBOLA RESPONSE ROADMAP ROADMAP SITUATION REPORT

EBOLA RESPONSE ROADMAP ROADMAP SITUATION REPORT HIGHLIGHTS EBOLA RESPONSE ROADMAP ROADMAP SITUATION REPORT SITUATION REPORT 3 OCTOBER 204 There have been 3 567 reported Ebola cases in eight affected countries since the outbreak began, with 495 reported

More information

Your Institution Logo Here. Your Division Logo Here. Audience Banner Here EBOLA. Location and Date Here

Your Institution Logo Here. Your Division Logo Here. Audience Banner Here EBOLA. Location and Date Here Your Institution Logo Here Audience Banner Here Your Division Logo Here EBOLA Location and Date Here 2014 Ebola Outbreak, West Africa This is the largest Ebola outbreak in history and the first Ebola epidemic

More information

COMMONWEALTH of VIRGINIA Department of Health

COMMONWEALTH of VIRGINIA Department of Health COMMONWEALTH of VIRGINIA Department of Health MARISSA J. LEVINE, MD, MPH, FAAFP PO BOX 2448 TTY 7-1-1 OR STATE HEALTH COMMISSIONER RICHMOND, VA 23218 1-800-828-1120 Dear Colleague: Emerging Infections

More information

AN EBOLA CENTER? 11/14/2014. What does it take to be

AN EBOLA CENTER? 11/14/2014. What does it take to be What does it take to be AN EBOLA CENTER? Dr. Alexander Tomach DNP, RN, CIC Director, Infection Prevention & Control Amelia Bumsted, BA, BSN, RN, CRRN, CIC DNP student: Population-Based Infection Prevention

More information

Ambulance Service. Patient Care. and. Transportation Standards

Ambulance Service. Patient Care. and. Transportation Standards Ambulance Service Patient Care and Transportation Standards Ministry of Health and Long-Term Care Emergency Health Services Branch Patient Care A. General Each operator and each emergency medical attendant

More information

ECDC INTERIM GUIDANCE

ECDC INTERIM GUIDANCE ECDC INTERIM GUIDANCE Interim ECDC public health guidance on case and contact management for the new influenza A(H1N1) virus infection Version 3, 19 May 2009 ECDC intends to produce a series of interim

More information

Ebola: Teaching Points for Nurse Educators

Ebola: Teaching Points for Nurse Educators Ebola: Teaching Points for Nurse Educators Heightened media attention on emerging disease outbreaks such as Ebola may raise concerns among students. During outbreaks such as Ebola, nursing faculty are

More information

WHO Interim Guidance for International Meetings Attended by Individuals from Ebola Virus Disease-affected countries

WHO Interim Guidance for International Meetings Attended by Individuals from Ebola Virus Disease-affected countries INTERIM GUIDANCE WHO Interim Guidance for International Meetings Attended by Individuals from Ebola Virus Disease-affected countries 3 October 2014 World Health Organization 2014. All rights reserved.

More information

Guidance for public health units August 27, 2015

Guidance for public health units August 27, 2015 Management of Cases of Ebola and their Contacts in Ontario Guidance for public health units August 27, 2015 1 Ministry of Health and Long-Term Care Emergency Management Branch 1075 Bay Street, Suite 810

More information

Ebola Virus Disease Preparedness in Saskatchewan. Pacific Northwest Border Health Alliance Annual Workshop April 30, 2015

Ebola Virus Disease Preparedness in Saskatchewan. Pacific Northwest Border Health Alliance Annual Workshop April 30, 2015 Ebola Virus Disease Preparedness in Saskatchewan Pacific Northwest Border Health Alliance Annual Workshop April 30, 2015 Select Milestones Mar 23, 2014 Jul 28, 2014 Jul 29, 2014 Jul 31, 2014 Aug 6, 2014

More information

Air and ship traffic regulations and recommendations applicable to Ebola

Air and ship traffic regulations and recommendations applicable to Ebola Air and ship traffic regulations and recommendations applicable to Ebola I. IATA guidelines of October 2011 Accessible at: http://www.iata.org/whatwedo/safety/health/documents/health-guidelinescabin-crew-2011.pdf

More information

Policies and Procedures as of 10/29/14. Subject to Change. Screening Operations at JFK International Airport

Policies and Procedures as of 10/29/14. Subject to Change. Screening Operations at JFK International Airport Screening Operations at JFK International Airport 1 Current Situation Ebola has been identified in New York State (NYS). Ebola is a virus that has worldwide consequences. Confirmed or suspected cases of

More information

THIS IS AN OFFICIAL NH DHHS HEALTH ALERT

THIS IS AN OFFICIAL NH DHHS HEALTH ALERT THIS IS AN OFFICIAL NH DHHS HEALTH ALERT Distributed by the NH Health Alert Network Health.Alert@nh.gov December 11, 2014; 1030 EST (10:30 AM EST) NH-HAN 20141211 Start of Norovirus Season in New Hampshire

More information

Risk Assessment for all Healthcare workers. Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control

Risk Assessment for all Healthcare workers. Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control Risk Assessment for all Healthcare workers Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control 1 Every healthcare worker has a role to play in ensuring the health, safety and welfare of

More information

Sierra Leone Emergency Management Program Standard Operating Procedure for Safe, Dignified Medical Burials

Sierra Leone Emergency Management Program Standard Operating Procedure for Safe, Dignified Medical Burials Sierra Leone Emergency Management Program Standard Operating Procedure for Safe, Dignified Medical Burials Approved By: Burial Pillar Date Approved: 24 February 2015 Version 2 Page 1 of 8 Table of Contents

More information

Advice if you are placed in home quarantine.

Advice if you are placed in home quarantine. Advice if you are placed in home quarantine. Why have I been asked to go into home quarantine? You have been asked to go into home quarantine because you have symptoms that make us suspect you may have

More information

Exercise 3: Infection Control and Personal Protective Equipment (PPE)

Exercise 3: Infection Control and Personal Protective Equipment (PPE) Exercise 3: Infection Control and Personal Protective Equipment (PPE) Part 1: Group Discussion/Brainstorming Activity Accessing and Prioritizing PPE during an Avian Influenza Pandemic Objectives: Know

More information

Ebola Virus Disease Directive # 2 November 7, 2014 Issued under Section 77.7 of the Health Protection and Promotion Act, R.S.O. 1990, c. H.

Ebola Virus Disease Directive # 2 November 7, 2014 Issued under Section 77.7 of the Health Protection and Promotion Act, R.S.O. 1990, c. H. Ebola Virus Disease Directive # 2 November 7, 2014 Issued under Section 77.7 of the Health Protection and Promotion Act, R.S.O. 1990, c. H.7 ( HPPA ) WHEREAS under section 77.7 of the HPPA, if the Chief

More information

Airport preparedness guidelines for outbreaks of communicable disease

Airport preparedness guidelines for outbreaks of communicable disease Airport preparedness guidelines for outbreaks of communicable disease Issued by ACI and ICAO (Revised April 2009) 1. Introduction 1.1 In the event of an outbreak of communicable diseases on an international

More information

Ebola Preparedness: Staff Education and Training. Ebola Preparedness 10/2014 Page 1

Ebola Preparedness: Staff Education and Training. Ebola Preparedness 10/2014 Page 1 Ebola Preparedness: Staff Education and Training Ebola Preparedness 10/2014 Page 1 Current Situation: Ebola Virus Disease (EVD) epidemic continues to rage in the West African Countries of Liberia. Sierra

More information

Planning for an Influenza Pandemic

Planning for an Influenza Pandemic Overview It is unlikely that a new pandemic influenza strain will first emerge within Elgin County. The World Health Organization (WHO) uses a series of six phases, as outlined below, of pandemic alert

More information

Swine Flu FREQUENTLY ASKED QUESTIONS

Swine Flu FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS Swine Flu We know people are concerned about the swine flu situation and we share that concern. At this early stage of this outbreak, there is a lot of uncertainty and the situation

More information

Ebola Virus Precaution guidelines

Ebola Virus Precaution guidelines Ebola Virus Precaution guidelines 1 Introduction Who is this guidance for? The guidance is designed for crew to protect themselves, their colleagues, guests and others around them. The guidance focuses

More information

Myth If someone with Ebola sneezes or sweats on you you will catch it

Myth If someone with Ebola sneezes or sweats on you you will catch it EBOLA MYTH BUSTER General myths Myth There could be an Ebola outbreak in the UK at any time Fact We are not expecting a major outbreak in this country. The Chief Medical Officer has been clear that she

More information

Ebola Virus Disease Directive #2 for Paramedic Services (Land and Air Ambulance) Revised April 13, 2015

Ebola Virus Disease Directive #2 for Paramedic Services (Land and Air Ambulance) Revised April 13, 2015 Ebola Virus Disease Directive #2 for Paramedic Services (Land and Air Ambulance) Revised April 13, 2015 THIS DIRECTIVE REPLACES REVISED DIRECTIVE #2 ISSUED ON DECEMBER 9, 2014. DIRECTIVE #2 ISSUED ON DECEMBER

More information

General information and infection prevention and control precautions to prepare for and manage norovirus in care homes

General information and infection prevention and control precautions to prepare for and manage norovirus in care homes General information and infection prevention and control precautions to prepare for and manage norovirus in care homes Norovirus season starts every year usually in October. So that everyone is prepared

More information

GUIDANCE DOCUMENT ON THE PREPAREDNESS BY THE AVIATION SECTOR FOR EBOLA PREVENTION

GUIDANCE DOCUMENT ON THE PREPAREDNESS BY THE AVIATION SECTOR FOR EBOLA PREVENTION GUIDANCE DOCUMENT ON THE PREPAREDNESS BY THE AVIATION SECTOR FOR EBOLA PREVENTION AVSEC/FAL Section CASAS IN COLABORATION WITH THE SURINAMESE PUBLIC HEALTH AUTHOIRITY (BOG) INTRODUCTION Concerning the

More information

Hospital Preparation and Team Development

Hospital Preparation and Team Development Hospital Preparation and Team Development Kate Boulter BAN (HONS) RN Nurse Manager, The Nebraska Biocontainment Unit Nebraska Medicine Nate Link, MD, MPH Medical Director Bellevue Hospital Center Aneesh

More information

Norwalk-Like Viruses Decontamination Guidelines for Environmental Services

Norwalk-Like Viruses Decontamination Guidelines for Environmental Services Norwalk-Like Viruses Decontamination Guidelines for Environmental Services This document has been developed in accordance with current applicable infection control and regulatory guidelines. It is intended

More information

MARBURG VIRUS Incubation: Symptoms in humans:

MARBURG VIRUS Incubation: Symptoms in humans: MARBURG VIRUS Incubation: 5 to 10 days (Source: CDC) Symptoms in humans: Disease s onset is sudden and is marked by fever, chills, headache, and myalgia. Around the 5th day after onset of symptoms, a maculopapular

More information

PORT HEDLAND PORT AUTHORITY. Human Influenza Pandemic Plan OHS-PL001

PORT HEDLAND PORT AUTHORITY. Human Influenza Pandemic Plan OHS-PL001 PORT HEDLAND PORT AUTHORITY Human Influenza Pandemic Plan OHS-PL001 Document Users : Harbour Master Senior Safety and Security Officer Safety and Security Officer Position Responsible For Keeping Document

More information

Norovirus Outbreak Among Residents of an Assisted Living Facility, Houston County, Alabama 2010 (AL1003NRV 35a)

Norovirus Outbreak Among Residents of an Assisted Living Facility, Houston County, Alabama 2010 (AL1003NRV 35a) Norovirus Outbreak Among Residents of an Assisted Living Facility, Houston County, Alabama 2010 (AL1003NRV 35a) Introduction On March 9, 2010, Public Health Area (PHA) 10 surveillance nurse contacted the

More information

H1N1 Swine Flu. The H1N1 flu is also called the Swine Flu. Here is some important. how it is spread, how to protect yourself and others

H1N1 Swine Flu. The H1N1 flu is also called the Swine Flu. Here is some important. how it is spread, how to protect yourself and others H1N1 Swine Flu The H1N1 flu is also called the Swine Flu. Here is some important information about this flu: how it is spread, how to protect yourself and others what to do if you get it. What is H1N1?

More information

Requirements for Prevention and Detection of Influenza Outbreaks Aide Memoire 2015-2016 Season

Requirements for Prevention and Detection of Influenza Outbreaks Aide Memoire 2015-2016 Season Requirements for Prevention and Detection of Influenza Outbreaks Aide Memoire 2015-2016 Season Liz Forde, Cork Community Services Patricia Coughlan, Cork & Kerry Disability Services Outline Guidelines

More information

Ambulance Service Patient Care and Transportation Standards

Ambulance Service Patient Care and Transportation Standards Ambulance Service Patient Care and Transportation Standards Patient Care A. General Each operator and each emergency medical attendant and paramedic employed by the operator, shall: (a) Ensure that each

More information

Quick Reference H1N1 Flu (swine flu)

Quick Reference H1N1 Flu (swine flu) Quick Reference H1N1 Flu (swine flu) The United States declared a public health emergency in response to the recent reports of swine flu. UMR wants to help you understand some important facts about H1N1

More information

People who are likely to have swine flu may be offered antiviral medicines.

People who are likely to have swine flu may be offered antiviral medicines. Patient information from the BMJ Group Swine flu There's been a lot of concern about the spread of swine flu, a new strain of flu virus that emerged in 2009. However, there are treatments that can help

More information

Ebola Virus Disease Directive # 2 Revised December 9, 2014

Ebola Virus Disease Directive # 2 Revised December 9, 2014 Ebola Virus Disease Directive # 2 Revised December 9, 2014 THIS DIRECTIVE REPLACES DIRECTIVE #2 ISSUED ON NOVEMBER 7, 2014. DIRECTIVE #2 ISSUED ON NOVEMBER 7, 2014 IS REVOKED AND THE FOLLOWING SUBSTITUTED.

More information

Zika Virus. History of Zika virus

Zika Virus. History of Zika virus Zika Virus Zika fever is caused by the Zika virus (ZIKV), an arthropod-borne virus (arbovirus). The Zika virus is a member of the Alphavirus genus in the family Togaviridae. It is related to dengue, yellow

More information

Further information on foodborne illness is available at and

Further information on foodborne illness is available at  and Hepatitis A Epidemiology in New Zealand The incidence of hepatitis A in New Zealand has decreased sharply since the 1960s, and currently about half the cases notified have a history of overseas travel.

More information

Clinic Infectious Disease Control

Clinic Infectious Disease Control Chapter 2 - Lesson 4 Clinic Infectious Disease Control Introduction Infectious and parasitic disease control is important in veterinary clinics. The main objective is to prevent the spread of infections

More information

Ebola Virus Disease (EVD) Risk Assessment and Personal Protective Equipment

Ebola Virus Disease (EVD) Risk Assessment and Personal Protective Equipment Version 2.0: Nov. 6, 2014 Document will be updated as new information is available. Ebola Virus Disease (EVD) Risk Assessment and Personal Protective Equipment Transmission of Ebola virus occurs when non-intact

More information

DENGUE FEVER. This article was prepared to provide more information about Dengue Fever and Dengue Hemorrhagic Fever

DENGUE FEVER. This article was prepared to provide more information about Dengue Fever and Dengue Hemorrhagic Fever DENGUE FEVER This article was prepared to provide more information about Dengue Fever and Dengue Hemorrhagic Fever DENGUE FEVER WARNING An April 2011 news article cautioned that the Medical Science s National

More information

WHO technical advice for case management of Influenza A(H1N1) in air transport

WHO technical advice for case management of Influenza A(H1N1) in air transport WHO technical advice for case management of Influenza A(H1N1) in air transport Developed in cooperation with The International Civil Aviation Organization and The International Air Transport Association

More information

FREQUENTLY ASKED QUESTIONS SWINE FLU

FREQUENTLY ASKED QUESTIONS SWINE FLU FREQUENTLY ASKED QUESTIONS SWINE FLU Updated 5/6/09 ER FAQ What is swine flu? Swine flu is common disease of pigs and is caused by the same category of influenza virus (influenza A) that causes flu in

More information

AV1300 STAFF INFLUENZA IMMUNIZATION AND EXCLUSION POLICY

AV1300 STAFF INFLUENZA IMMUNIZATION AND EXCLUSION POLICY AV1300 STAFF INFLUENZA IMMUNIZATION AND EXCLUSION POLICY 1.0 PURPOSE To help ensure that those at greatest risk of complications and death from influenza are optimally protected through the appropriate

More information

Clostridium difficile (C. difficile)

Clostridium difficile (C. difficile) Clostridium difficile (C. difficile) UHN Information for patients and families Read this resource to learn about: What is C. difficile How people get infected with C. difficile Treatment and medicine How

More information

Indicate whether the case had jaundice. If not known or unavailable then select the Unknown option.

Indicate whether the case had jaundice. If not known or unavailable then select the Unknown option. HBC-1 HEPATITIS B, C, NOS Disease name Disease Indicate whether the case is hepatitis B, C or NOS (Not Otherwise Specified). Select hepatitis NOS for cases of hepatitis D, hepatitis E or if the type of

More information

INFECTION CONTROL OBJECTIVES... OBJECTIVES, cont.

INFECTION CONTROL OBJECTIVES... OBJECTIVES, cont. INFECTION CONTROL OBJECTIVES... Define nosocomial infection Identify infection control programs Demonstrate aseptic hand washing Demonstrate donning gloves OBJECTIVES, cont. Describe gowning, masking &

More information

INFECTION CONTROL POLICY MANUAL

INFECTION CONTROL POLICY MANUAL Page 1 of 7 POLICY MANUAL Key Words: personal protective equipment, PPE, safety equipment, infection control, standard precautions Policy Applies to: All staff employed by Mercy Hospital. Credentialed

More information

Kean University BS Degree Program in Athletic Training BLOOD BORN PATHOGENS POLICY

Kean University BS Degree Program in Athletic Training BLOOD BORN PATHOGENS POLICY Kean University BS Degree Program in Athletic Training BLOOD BORN PATHOGENS POLICY Effective September 2, 2014 The following policy will apply to students taking classes and faculty teaching those classes

More information

Bloodborne Pathogens

Bloodborne Pathogens Bloodborne Pathogens Learning Objectives By the end of this section, the participant should be able to: Name 3 bloodborne pathogens Identify potentially contaminated bodily fluids Describe 3 safe work

More information

51 st CONFERENCE OF DIRECTORS GENERAL OF CIVIL AVIATION ASIA AND PACIFIC REGIONS

51 st CONFERENCE OF DIRECTORS GENERAL OF CIVIL AVIATION ASIA AND PACIFIC REGIONS DGCA 51/DP/3.3A/2 51 st CONFERENCE OF DIRECTORS GENERAL OF CIVIL AVIATION ASIA AND PACIFIC REGIONS Hong Kong, China 24 27 November 2014 AGENDA ITEM 3.3A: EMERGING ISSUES IN AVIATION RECOGNIZING THE ROLE

More information

What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs viruses that causes regular outbreaks in pigs.

What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs viruses that causes regular outbreaks in pigs. Swine Flu H1N1 What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs caused by Type A influenza viruses that causes regular outbreaks in pigs. Swine flu viruses have been reported

More information

EVALUATING THE PATIENT WITH AN ACUTE, GENERALIZED VESICULAR OR PUSTULAR RASH ILLNESS AND DETERMINING THE RISK OF SMALLPOX

EVALUATING THE PATIENT WITH AN ACUTE, GENERALIZED VESICULAR OR PUSTULAR RASH ILLNESS AND DETERMINING THE RISK OF SMALLPOX EVALUATING THE PATIENT WITH AN ACUTE, GENERALIZED VESICULAR OR PUSTULAR RASH ILLNESS AND DETERMINING THE RISK OF SMALLPOX Many rash illnesses can present with vesicles and pustules. The purpose of this

More information

Ancillary Staff Training

Ancillary Staff Training Ancillary Staff Training Goals of Infection Prevention Protect the patients Protect the staff Prevent spread of diseases How Does The Virus Spread Between People? Direct contact through broken skin, mouth,

More information

Workforce Guidelines: H1N1 Influenza and Flu-like Illness

Workforce Guidelines: H1N1 Influenza and Flu-like Illness Workforce Guidelines: H1N1 Influenza and Flu-like Illness This document provides guidance to University supervisors and employees on how to handle H1N1 influenza (swine flu) and flu-like illness in the

More information

GUIDELINES TO PREVENT TRANSMISSION INFECTIOUS DISEASES IN SCHOOLS

GUIDELINES TO PREVENT TRANSMISSION INFECTIOUS DISEASES IN SCHOOLS GUIDELINES TO PREVENT TRANSMISSION OF INFECTIOUS DISEASES IN SCHOOLS May 1991 Precautions, Procedures and Instructions for Handling Body Fluids DUVAL COUNTY PUBLIC SCHOOLS CONTENTS PAGE Introduction...

More information

Chapter 5. INFECTION CONTROL IN THE HEALTHCARE SETTING

Chapter 5. INFECTION CONTROL IN THE HEALTHCARE SETTING Chapter 5. INFECTION CONTROL IN THE HEALTHCARE SETTING INTRODUCTION This chapter addresses infection control measures and practices in the healthcare setting and provides guidance to healthcare facilities

More information

IMPORTANT: PLEASE READ

IMPORTANT: PLEASE READ PART III: CONSUMER INFORMATION combined hepatitis A (inactivated) and hepatitis B (recombinant) vaccine This leaflet is part III of a three-part "Product Monograph" published when was approved for sale

More information

What Is. Norovirus? Learning how to control the spread of norovirus. Web Sites

What Is. Norovirus? Learning how to control the spread of norovirus. Web Sites Web Sites Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/norovirus/index.html Your Local Health Department http://www.azdhs.gov/diro/lhliaison/countymap.htm What Is Ocument dn Norovirus?

More information

Blood borne Pathogens

Blood borne Pathogens Blood borne Pathogens What Are Blood borne Pathogens? Blood borne pathogens are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people. Types of Blood borne

More information

Developed in response to: Health and Social Act 2008 Contributes to CQC Core Standard Outcome 8

Developed in response to: Health and Social Act 2008 Contributes to CQC Core Standard Outcome 8 Management of H1N1 (Swine Flu) Patients Policy Register No: 09061 Status: Public Developed in response to: Health and Social Act 2008 Contributes to CQC Core Standard Outcome 8 number: Consulted With Post/Committee/Group

More information

Guidelines for Hand Foot and Mouth Disease HFMD

Guidelines for Hand Foot and Mouth Disease HFMD Guidelines for Hand Foot and Mouth Disease HFMD Hand, foot, and mouth disease, or HFMD, is a contagious illness caused by different viruses. Infants and children younger than 5 years are more likely to

More information

Illinois Long Term Care Facilities and Assisted Living Facilities

Illinois Long Term Care Facilities and Assisted Living Facilities TO: FROM: RE: Illinois Long Term Care Facilities and Assisted Living Facilities Richard Dees, Chief, Bureau of Long Term Care Karen McMahon, Immunization Section Chief Craig Conover, MD, Medical Director,

More information

Frequently Asked Questions A(H1N1) Influenza (Swine Flu)

Frequently Asked Questions A(H1N1) Influenza (Swine Flu) Frequently Asked Questions A(H1N1) Influenza (Swine Flu) What is Swine Flu [A(H1N1) Influenza]? Swine flu is a respiratory illness caused by the type A flu (H1N1) virus. The current influenza pandemic

More information

Radioactive Ra 223 therapy. Information for patients Weston Park Hospital

Radioactive Ra 223 therapy. Information for patients Weston Park Hospital Radioactive Ra 223 therapy Information for patients Weston Park Hospital page 2 of 8 This leaflet contains information about radioactive Ra 223 therapy. If you have any questions about your treatment,

More information

Safety FIRST: Infection Prevention Tips

Safety FIRST: Infection Prevention Tips Reading Hospital Safety FIRST: Infection Prevention Tips Reading Hospital is committed to providing high quality care to our patients. Your healthcare team does many things to help prevent infections.

More information

SETRAC Regional Ebola Plan

SETRAC Regional Ebola Plan SETRAC Regional Ebola Plan Regional Ebola and Highly Infectious Patient Transport Plan and Special Considerations WHO YOU GOING TO CALL? PROJECT PARTNERS RETA SERVICE AREA DEVELOPMENT Early and frequent

More information

Bloodborne Pathogens. Scott Anderson CCEMTP. Materials used with permission from the Oklahoma State University

Bloodborne Pathogens. Scott Anderson CCEMTP. Materials used with permission from the Oklahoma State University Bloodborne Pathogens Scott Anderson CCEMTP Materials used with permission from the Oklahoma State University What is a Bloodborne Pathogen? Microorganisms that are carried in the blood that can cause disease

More information

Surveillance System in the Philippines

Surveillance System in the Philippines Surveillance System in the Philippines Outline 1. Brief Background Information IHR Surveillance Systems in the Philippines 2. Surveillance and Response for EVD Our world is changing as never before Populations

More information

FLORENCE TOWNSHIP BOARD OF EDUCATION FILE CODE: 4112.4/4212.4 Florence, New Jersey

FLORENCE TOWNSHIP BOARD OF EDUCATION FILE CODE: 4112.4/4212.4 Florence, New Jersey FLORENCE TOWNSHIP BOARD OF EDUCATION FILE CODE: 4112.4/4212.4 Florence, New Jersey Regulation Exposure Control Administration BLOODBORNE PATHOGENS A. The district safety and health program officer, district

More information

OHS preparedness for an influenza pandemic: A guide for employers

OHS preparedness for an influenza pandemic: A guide for employers OHS preparedness for an influenza pandemic: A guide for employers MAY 2009 1 CONTENTS 1. Introduction...3 1.1 Purpose... 3 1.2 Other relevant material and guidance... 3 1.3 Updates to this guidance...

More information

EBOLA MEDICAL EVACUATION

EBOLA MEDICAL EVACUATION EBOLA MEDICAL EVACUATION Mechanism for WHO, UN Agency and NGOs staff Presented by WHO Medevac Coordinator in SL Mathieu Vandal Work: 079.76.16.15 / Medevac Emergency only: 079.76.16.58 vandalm@who.int

More information

Roger Williams University. Bloodborne Pathogens Exposure Control Plan

Roger Williams University. Bloodborne Pathogens Exposure Control Plan Roger Williams University Bloodborne Pathogens Exposure Control Plan Revised 12/2010 ROGER WILLIAMS UNIVERSITY BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN I. STATEMENT OF POLICY It is the policy of Roger

More information

Work & Pregnancy Do Mix...

Work & Pregnancy Do Mix... Work & Pregnancy Do Mix... www.beststart.org PREGNANT AND WORKING Most women continue to work during their pregnancy, whether they work from home, or travel to a workplace. If you are pregnant or planning

More information

Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in

Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in humans. Norovirus was recently approved as the official

More information

VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE

VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE Summary This guidance provides background information on varicella zoster (VZ), chickenpox and shingles and sets out the infection control measures

More information

INFECTION CONTROL PRECAUTIONS

INFECTION CONTROL PRECAUTIONS INFECTION CONTROL PRECAUTIONS Outline Standard Precautions Droplet Precautions Contact Precautions Airborne Precautions References STANDARD PRECAUTIONS Use Standard Precautions, or the equivalent, for

More information

EBOLA VIRUS DISEASE OUTBREAK RESPONSE PLAN IN WEST AFRICA WORLD HEALTH ORGANIZATION AND THE GOVERNMENTS OF GUINEA, LIBERIA, AND SIERRA LEONE

EBOLA VIRUS DISEASE OUTBREAK RESPONSE PLAN IN WEST AFRICA WORLD HEALTH ORGANIZATION AND THE GOVERNMENTS OF GUINEA, LIBERIA, AND SIERRA LEONE EBOLA VIRUS DISEASE OUTBREAK RESPONSE PLAN IN WEST AFRICA WORLD HEALTH ORGANIZATION AND THE GOVERNMENTS OF GUINEA, LIBERIA, AND SIERRA LEONE July December 2014 WHO Affected Countries Ebola Virus Disease

More information

Recommendations for the Prevention and Control of Influenza in Nursing Homes Virginia Department of Health

Recommendations for the Prevention and Control of Influenza in Nursing Homes Virginia Department of Health Recommendations for the Prevention and Control of Influenza in Nursing Homes Virginia Department of Health Settings such as nursing homes that house persons at high risk for influenza-related complications

More information

It takes a planet: global implications/consequences of local vaccine refusal

It takes a planet: global implications/consequences of local vaccine refusal It takes a planet: global implications/consequences of local vaccine refusal Meg Fisher, MD Medical Director Disclosures I have no disclosures. I may be mentioning off label uses of vaccines. Objectives/Outcomes

More information

Appendix B: Provincial Case Definitions for Reportable Diseases

Appendix B: Provincial Case Definitions for Reportable Diseases Infectious Diseases Protocol Appendix B: Provincial Case Definitions for Reportable Diseases Disease: Hepatitis B Revised Hepatitis B 1.0 Provincial Reporting Confirmed, chronic and probable cases of disease

More information

Tuberculosis Exposure Control Plan for Low Risk Dental Offices

Tuberculosis Exposure Control Plan for Low Risk Dental Offices Tuberculosis Exposure Control Plan for Low Risk Dental Offices A. BACKGROUND According to the CDC, approximately one-third of the world s population, almost two billion people, are infected with tuberculosis.

More information

CONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM PANDEMIC INFLUENZA & HIGHLY COMMUNICABLE DISEASE PLAN

CONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM PANDEMIC INFLUENZA & HIGHLY COMMUNICABLE DISEASE PLAN CONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM PANDEMIC INFLUENZA & HIGHLY COMMUNICABLE DISEASE PLAN August 2009 Revised February 2015 Contents Introduction... Error! Bookmark not defined. Plan... 3 Immunization...

More information

Solid Organ Transplantation

Solid Organ Transplantation Solid Organ Transplantation Infection Prevention And Control Transplant Atlantic 2011 October 13/2011 Kathy Hart Introduction In the past several years, the drugs that we use, the surgeries themselves,

More information

PROTECT YOURSELF PROTECT YOUR FAMILY PROTECT YOUR COMMUNITY from Ebola

PROTECT YOURSELF PROTECT YOUR FAMILY PROTECT YOUR COMMUNITY from Ebola PROTECT YOURSELF PROTECT YOUR FAMILY PROTECT YOUR COMMUNITY from Ebola Things Everyone Should Know and Do gchv flipbook for Interpersonal Communication And Partners What are the signs and symptoms of Ebola?

More information

EMERGENCY MEDICAL SERVICES ROLE IN AN OUTBREAK RESPONSE TEAM Rudi Pretorius

EMERGENCY MEDICAL SERVICES ROLE IN AN OUTBREAK RESPONSE TEAM Rudi Pretorius EMERGENCY MEDICAL SERVICES ROLE IN AN OUTBREAK RESPONSE TEAM Rudi Pretorius GAUTENG EMS Management of Gauteng EMS recognised the need for a strengthened Outbreak response from within the department. 3

More information

INFECTION CONTROL GUIDELINES FOR MANAGEMENT OF SUSPECTED OR CONFIRMED EBOLA VIRUS DISEASE (EVD) 11 August 2014

INFECTION CONTROL GUIDELINES FOR MANAGEMENT OF SUSPECTED OR CONFIRMED EBOLA VIRUS DISEASE (EVD) 11 August 2014 INFECTION CONTROL GUIDELINES FOR MANAGEMENT OF SUSPECTED OR CONFIRMED EBOLA VIRUS DISEASE (EVD) 11 August 2014 1 TABLE OF CONTENTS NO. TITLE PAGE I Introduction. 3 II Background. 4 III Case definition.

More information

Information contained in this issue was checked on 27 th April 2009 OVERVIEW OF SWINE INFLUENZA

Information contained in this issue was checked on 27 th April 2009 OVERVIEW OF SWINE INFLUENZA SWINE INFLUENZA (FLU H1N1) PURPOSE The purpose of this document is to give you guidance on appropriate measures to be implemented should you or your staff be exposed to an outbreak or suspected contamination

More information