Hand Hygiene Rewards Program at William Osler Health System
|
|
|
- Bonnie Kelley
- 9 years ago
- Views:
Transcription
1
2 Hand Hygiene Rewards Program at William Osler Health System
3 A Canadian study done in 2003 stated patients are afflicted with hospital acquired infections in Canada every year
4 8,000 to 12,000 of those individuals will die as a result of acquiring a hospital acquired infection
5 Hand Hygiene Compliance Hand hygiene is very important to prevent and control the transmission of infections. Our data analysis from daily hand hygiene audits indicated our compliance rates were low when compared to the Ontario provincial average
6 Hand Hygiene Compliance Hand hygiene is very important to prevent and control the transmission of infections. Our data analysis from daily hand hygiene audits indicated our compliance rates were low when compared to the Ontario provincial average
7
8 What can we do??? Introduction of Wash to Win rewards Campaign May 7 th 2012
9 Phase I ran from May 2012 to September 2012 and targets were 75% before patient/patient environment contact and 80% after patient/patient environment contact.
10 Phase II ran from October 2012 to December 2012 and targets were raised to 85% before patient/patient environment contact and 90% after patient/patient environment contact.
11 Phase lll of the wash to win is being implemented. A random draw will take place amongst the units that meet and sustain the targets for two consecutive months between January 2013 to December 2013.
12 The program was implemented in partnership with regular staff education, daily auditing and monthly circulation of compliance rates among staff.
13
14 Why do it? To bring about behavioural and cultural change in order to sustain improved hand hygiene among staff.
15 Prizes All inpatient units and emergency departments which met and sustained hand hygiene targets for two consecutive months won a monetary prize.
16 Results There was a sustained increase in Osler s hand hygiene compliance rates in phase I. During phase II the targets were increased. At this point the compliance rate dropped
17 Hand Hygiene Compliance (%) Corporate Hand Hygiene Compliance Rates Before initial patient/patient environment contact Median = Rewards Program Phase 1 Month Rewards Program Phase 2
18 Hand Hygiene Compliance (%) Corporate Hand Hygiene Compliance Rates After initial patient/patient environment contact Median = Rewards Program Phase 2 Rewards Program Phase 1 Months
19 Total units Participated & Total Gifts: A total of 37 units participated in the wash to win rewards program. The IPAC team gave out 60 awards to the various units during May and September 2013
20 Lesson learned Positive reinforcement does change people s behaviour. Rewards are most effective when it occurs immediately after the compliance rates have been published.
21 When the program was started the targets should have been set to 100% for both before and after patient/patient environment contact The program should continue for months.
22 In order to increase public and staff awareness, monthly hand hygiene compliance posters have been placed on every unit. These are updated on a monthly basis.
23 Monthly Hand Hygiene posters
24 Conclusion When staff wash before patient contact everybody wins! Patient, staffs and visitors are kept safe and infection-free!
25 References World Health Organization Patient Safety: WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge, Clean Care is Safer Care. Geneva Switzerland: World Health Organization; Klevens RM, Edwards JR, Richards CL Jr, Horan TC, Gaynes RP, Pollock DA, Cardo DM. Estimating health care-associated infections and deaths in U.S. hospitals, Public Health Rep Mar-Apr;122(2): Zoutman DE, Ford BD, Bryce E, Gourdeau M, Hébert G, Henderson E, Paton S; Canadian Hospital Epidemiology Committee; Canadian Nosocomial Infection Surveillance Program; Health Canada. The state of infection surveillance and control in Canadian acute care hospitals. Am J Infect Control Aug;31(5):266-72; discussion Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, Etchells E, Ghali WA, Hebert P, Majumdar SR, O Beirne M, Palacios- Derflingher L, Reid RJ, Sheps S,Tamblyn R: The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada. CMAJ 2004, 170: Samraj S, Westbury J, Pallett A, Rowen D. Compliance with hand hygiene in a genitourinary medicine department. Int J STD AIDS Nov;19(11):782-3 Pittet D, Dharan S, Touveneau S, Sauvan V, Perneger TV. Bacterial contamination of the hands of hospital staff during routine patient care. Arch Intern Med Apr 26;159(8):821-6 Centre for Disease Control: Guideline for Hand Hygiene in Health-CareSettings-Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR Morb Mortal Wkly Rep 2002, mmwr/pdf/rr/rr5116.pdf.boyce JM, Pittett D: Guideline for hand hygiene in health-care settings:recommendations of the healthcare infection control practices advisory committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. Infection Control and Hospital Epidemiology 2002, 23:1 45. Public Health Ontario: Just Clean Your Hands - Your 4 Moments for HandHygiene. Public Health Ontario: Ontario Agency for Health Protection andpromotion; Earl ML, Jackson MM, Rickman LS: Improved rates of compliance with hand antisepsis guidelines: a three phase observational study. Am J Nurs 2001, 101: Rosenthal VD, McCormick RD, Guzman S, Villamayor C, Orellano PW: Effect of education and performance feedback on handwashing: the benefit of administrative support in Argentinian hospitals. Am J Infect Control 2003,31: Stern C, Gibb H: The use of behavioural reinforcement in the management
St. Joseph s Healthcare Hamilton (SJHH) is a publicly. From Boardroom to Bedside: How to Define and Measure Hospital Quality. governance.
governance From Boardroom to Bedside: How to Define and Measure Hospital Quality Michael Heenan, Haajra Khan and Dorothy Binkley Abstract Following the release of its strategic plan, in which patient safety
NURSE DRIVEN FOLEY CATHETER PROTOCOL
NURSE DRIVEN FOLEY CATHETER PROTOCOL BACKGROUND There are over 1.7 million hospital-acquired infections in US hospitals annually, 40% of which are urinary tract infections. 80% of hospital-acquired UTIs
Best Practices for Environmental Cleaning for Prevention and Control of Infections In All Health Care Settings: Time for Review
Best Practices for Environmental Cleaning for Prevention and Control of Infections In All Health Care Settings: Time for Review Provincial Infectious Diseases Advisory Committee on Infection Prevention
Classification and Workload, Nursing Time of Advanced Nursing Practices by Infection Control Nurse Practitioners
, pp.221-230 http://dx.doi.org/10.14257/ijbsbt.2015.7.6.22 Classification and Workload, Nursing Time of Advanced Nursing Practices by Infection Control Nurse Practitioners JinHyun Kim 1, KyungSook Kim
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
Improving Infection Control Practice What Can RNs Do? www.nurses.ab.ca PAGE 16. New President-Elect Announced
www.nurses.ab.ca IN THIS ISSUE 4 6 8 14 17 18 19 Letter to the Editor CARNA Education Sessions Discipline Decisions NEPAB Update Med-Surg Nurses Recognized Notice Board In Memoriam SEPTEMBER 2007 VOLUME
Ki m b e r l y-cl a r k* 72-Hour Closed-Suction Systems. Ba l l a r d* Tr a c h Ca r e* System. A unique design. A new standard in clean.
Ki m b e r l y-cl a r k* 72-Hour Closed-Suction Systems Ba l l a r d* Tr a c h Ca r e* System A unique design. A new standard in clean. Ki m b e r l y-cl a r k* 72-Hour Closed-Suction Systems Ba l l a
Increasing Hand Hygiene Compliance with a Continuous Fully-Automated Monitoring System at Three Hospitals
Increasing Compliance with a Continuous Fully-Automated Monitoring System at Three Hospitals Abstract Hospital-acquired infections have a significant impact on patient safety and are a financial burden
Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals, 2002
Research Articles Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals, 2002 R. Monina Klevens, DDS, MPH a Jonathan R. Edwards, MS a Chesley L. Richards, Jr., MD, MPH a,b,c,d Teresa
Hand Hygiene Self-Assessment Framework 2010
Hand Hygiene Self-Assessment Framework 21 Introduction and user instructions The Hand Hygiene Self-Assessment Framework is a systematic tool with which to obtain a situation analysis of hand hygiene promotion
Ontario Pandemic Influenza Plan for Continuity of Electricity Operations
Planning Guideline GDE-162 Ontario Pandemic Influenza Plan for Continuity of Electricity Operations Planning Guideline Issue 4.0 October 13, 2015 Emergency Preparedness Task Force This planning guide provides
Objective. Suggested Reading: WHO Aide-Memoire: Hand Hygiene How to Hand Rub / How to Hand Wash Poster. Hand out/materials See activities
Hand Hygiene Objective Objectives Demonstrate correct Hand Hygiene technique Knowledge of multi-faceted plans to improve hand hygiene Understand appropriate Hand Hygiene practices when caring for patient
lead to death, disability at the time of discharge or prolonged hospital stays (Baker, et al., 2004, p. 1678).
NUMBER 19 JANUARY 2005 Nursing Staff Mix: A Key Link to Patient Safety The statistics are startling. Of patients 1 admitted to Canadian acute care hospitals in 2000, an estimated 7.5 per cent experienced
Provincial Hand Hygiene Campaign 2012. Clean Hands Across the Land
Provincial Hand Hygiene Campaign 2012 Clean Hands Across the Land 1 Overview Welcome/Introduction History Hand Hygiene: the basics Definitions Technique Monitoring Hand Hygiene in the Schools Hand Hygiene
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
Infection Prevention and Control
PR ACTICE Standard Infection Prevention and Control Table of Contents Introduction 3 Standard Statements 4 Application of evidence-based measures 4 Application of professional judgment 4 Risk reduction
Using Online Delivery for Workplace Training in Healthcare
JOURNAL OF DISTANCE EDUCATION REVUE DE L ÉDUCATION À DISTANCE 2008 VOL. 22, No. 3, 149-156 Using Online Delivery for Workplace Training in Healthcare Elizabeth Bryce, Peter Choi, Margaret Landstrom, and
associated Urinary Tract Infection Case Definitions
CDC/NHSN Cather-associated associated Urinary Tract Infection Case Definitions Chaz M. Rhone, MPH Regional HAI Epidemiologist Florida Department of Health *all information is directly from the NHSN site
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,
GRADUATE COURSE OUTLINE
85T WINTER CUMMING SCHOOL OF MEDICINE GRADUATE COURSE OUTLINE 9TMDCH 58T643 85TResearch in Healthcare Epidemiology and Infection Control 2015 Course Coordinator Elizabeth A. Henderson, PhD Telephone: (403)
Errors in the Operating Room. Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN)
Errors in the Operating Room Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN) What What We All We Strive All Strive For: For: Patient Patient Safety Safety
Menu Case Study 3: Medication Administration Record
Menu Case Study 3: Medication Administration Record Applicant Organization: Ontario Shores Centre for Mental Health Sciences Organization s Address: 700 Gordon Street, Whitby, Ontario, Canada, L1N5S9 Submitter
Where do the germs live in your environment? April 2010 Shelly Padgett, BSN, RN Nurse Educator, 7N, Central Monitoring, and Cardiac Access Center
Where do the germs live in your environment? April 2010 Shelly Padgett, BSN, RN Nurse Educator, 7N, Central Monitoring, and Cardiac Access Center Survey Thank you for your participation in a recent survey
ESCMID Online Lecture Library. by author
Do statins improve outcomes of patients with sepsis and pneumonia? Jordi Carratalà Department of Infectious Diseases Statins for sepsis & community-acquired pneumonia Sepsis and CAP are major healthcare
Certification A License to Save Lives
Certification A License to Save Lives Linda Jakeman, CRCST, ICP, MDR Consultant, Nova Scotia Welcome South Health Campus Team These are your new Neighbours 2 Medical Device Reprocessing Technicians SHC
Management of Extended Spectrum Beta- Lactamase (ESBL) Producing Enterobacteriaceae in health care settings
Management of Extended Spectrum Beta- Lactamase (ESBL) Producing Enterobacteriaceae in health care settings Dr. Mary Vearncombe PIDAC-IPC February 2012 Objectives: To provide an overview of the RP/AP Annex
Influenza Control Program. Frequently Asked Questions Wearing a Mask
Influenza Control Program Frequently Asked Questions Wearing a Mask Influenza or the flu can be a serious contagious disease, which is spread by droplet transmission through close contact with an infected
HAND HYGIENE Quality improvement toolkit for Infection Prevention & Control in General Practice
HAND HYGIENE Quality improvement toolkit for Infection Prevention & Control in General Practice : : October 2008 Version: Wales (Intranet) / NPHS (Intranet) / LHB /General Practice Purpose and Summary
Orientation Program for New Infection Control Professionals
Orientation Program for New Infection Control Professionals Module 1: Introduction and Four-Week Schedule Table of Contents Module 1: Introduction... 2 Note to Managers... 2 IPC Orientation Program...
Using Theoretical Frameworks to Tailor Error Prevention Strategies to the Type of Task Being Performed
Using Theoretical Frameworks to Tailor Error Prevention Strategies to the Type of Task Being Performed P.L. Trbovich [email protected] A. L. Cassano-Piche andrea.cassano-piche @uhn.ca C. Colvin
Environmental Services Business Case Development. Presentation to CHICA Saskatchewan Mark Heller
Environmental Services Business Case Development Presentation to CHICA Saskatchewan Mark Heller September 20 th, 2013 My Background Sector Experience 25 years of healthcare experience Led environmental
Hobbs+Black Healthcare Research Initiative
S t u d y to Solutions Vol. II: Evidence Based Design - An Investment in Excellence Hobbs+Black Healthcare Research Initiative The future of healthcare facilities depends not only on the technological
Introduction to Infection Control
CHAPTER 3 Introduction to Infection Control George Byrns and Mary Elkins Learning Objectives 1 Define terms used in infection control. 2. Review significant risk factors for infection. 3. Identify the
Diploma of Practice Management
Diploma of Practice Management Assessment Tasks Module 3 Part A Covering Units: HLTIN301A HLTIN403B Comply with Infection Control Policies and Procedures in Health Work (Prerequisite) Implement and Monitor
A Safe Patient. Commonwealth Nurses Federation. Jill ILIFFE Executive Secretary. Commonwealth Nurses Federation
A Safe Patient Jill ILIFFE Executive Secretary Commonwealth Nurses Federation INFECTION CONTROL Every patient encounter should be viewed as potentially infectious Standard Precautions 1. Hand hygiene 2.
Infection Control for Non Clinical Healthcare Workers
Infection Control for Non Clinical Healthcare Workers Member Price $197.00 Non member Price $247.00 CHESP Contact Hours: 10 Weeks: 10 Materials: Reading Material included electronically with the purchase
Organisation of hospital infection control and prevention programmes.
The infection control practitioner Organisation of hospital infection control and prevention programmes. Our primary goal is to prevent nosocomial infections and ensure that patients, visitors and staff
Energy Awareness for Success
Insert logo here Energy Awareness for Success Presented by Leeanne Timony MSc Environmental Engineer Nypro Healthcare Ireland COMMUNICATION ENCOURAGEMENT ENGAGEMENT LISTENING SUPPORT Effective Awareness
TYSABRI Risk Management Plan. Carmen Bozic, MD Vice President Drug Safety and Risk Management Biogen Idec Inc
76 TYSABRI Risk Management Plan Carmen Bozic, MD Vice President Drug Safety and Risk Management Biogen Idec Inc 77 Presentation Outline Overview and Goals of Plan Risk Minimization Plan Risk Assessment
Canadian Diabetes Association. Patients First Submission. Ministry of Health and Long-Term Care. Government of Ontario.
Canadian Diabetes Association Patients First Submission Ministry of Health and Long-Term Care Government of Ontario February 29, 2016 1 The Canadian Diabetes Association (CDA) is a registered charitable
Traffic Patterns in the OR: Has it Become a Super Highway?
Traffic Patterns in the OR: Has it Become a Super Highway? Joan Blanchard RN BSN MSS CNOR CIC Movement of patients and personnel Signage Design of the perioperative suite Unrestricted Area Semi-restricted
INTERPROFESSIONAL COLLABORATION
INTERPROFESSIONAL COLLABORATION CNA POSITION The Canadian Nurses Association (CNA) believes that interprofessional collaborative models for health service delivery are critical for improving access to
Influenza Vaccine Frequently Asked Questions. Influenza Control Program
Influenza Vaccine Frequently Asked Questions Influenza Control Program Influenza or the flu can be a serious contagious disease, which is spread by droplet transmission through close contact with an infected
C HAPTER 4 O RAL AND M AXILLOFACIAL S URGERY
C HAPTER 4 O RAL AND M AXILLOFACIAL S URGERY I. TREATMENT PLANNING GUIDELINES As part of informed consent, the clinician should carefully explain the risks and benefits of oral and maxillofacial surgery
INFLUENZA IMMUNIZATION OF REGISTERED NURSES
INFLUENZA IMMUNIZATION OF REGISTERED NURSES CNA POSITION CNA recognizes that influenza is a serious illness that affects certain populations disproportionately. Vulnerable groups, such as infants, seniors,
Risk Management and Patient Safety Evolution and Progress
Risk Management and Patient Safety Evolution and Progress Madrid February 2005 Charles Vincent Professor of Clinical Safety Research Department of Surgical Oncology & Technology Imperial College London
healthcare associated infection 1.2
healthcare associated infection A C T I O N G U I D E 1.2 AUSTRALIAN SAFETY AND QUALITY GOALS FOR HEALTH CARE What are the goals? The Australian Safety and Quality Goals for Health Care set out some important
Diabetes Action Now. a joint World Health Organization (WHO) - International Diabetes Federation (IDF) Programme
Diabetes Action Now a joint World Health Organization (WHO) - International Diabetes Federation (IDF) Programme Overview of the presentation Introduction and rationale for the programme Overview of the
Prevention of healthcare associated (nosocomial) infection : Safer surgery overview of strategies
Prevention of healthcare associated (nosocomial) infection : Safer surgery overview of strategies Assoc. Professor John Ferguson May 2011 [email protected] www.tinyurl.com\nepal68 Also see
DRAFT. CUNY Pandemic Influenza Response Plan Incident Level Responsibilities
CUNY Incident Criteria Situation Characteristics No current hazard to students, faculty and staff. Requires internal CUNY preparedness, but no outside agency assistance. Human infections with a new subtype,
Eliminating Pressure Ulcers in Ascension Health
Eliminating Pressure Ulcers in Ascension Health Cissy Shanks RN BSN CEN & Pam Kleinhelter RN MSN CNA-BC Nursing Managers St Vincent s Health System Jacksonville, Florida Objectives Participants will be
Comparative Efficacy of Hand Rubs Containing Alcohol or Quaternary Ammonium Compounds
Comparative Efficacy of Hand Rubs Containing Alcohol or Quaternary Ammonium Compounds Sarah Edmonds 1, Collette Duley 2, Robert McCormack 2, David Macinga 1 1 GOJO Industries, Inc, 2 BioScience Laboratories,
Case Study: A Practical Approach To Managed Shared Drives. Joan Sparkes, Senior Consultant - TAB Canada Oct. 14, 2010
Case Study: A Practical Approach To Managed Shared Drives Joan Sparkes, Senior Consultant - TAB Canada Oct. 14, 2010 Practical Approach to Managed Shared Drives: Agenda The Challenge Background Vision
Implementing a Self Assessment and Continuous Quality Improvement Approach to Improve Hospital Infection Control Practices in
Implementing a Self Assessment and Continuous Quality Improvement Approach to Improve Hospital Infection Control Practices in Africa and Latin America Wonder Goredema, 1 Mupela Ntengu, 2 Jane Briggs, 1
The American Health Care System
2 HISTORICAL OUTLOOK OF PATIENT EDUCATION IN AMERICAN HEALTH CARE Objectives After completing Chapter 2, the reader will be able to: Describe the development of patient education in health care. Identify
BIBLIOGRAPHICAL REVIEW ON COST OF PATIENT SAFETY FAILINGS IN NOSOCOMIAL INFECTIONS. SUMMARY.
BIBLIOGRAPHICAL REVIEW ON COST OF PATIENT SAFETY FAILINGS IN NOSOCOMIAL INFECTIONS. SUMMARY. Bibliographical review on cost of Patient Safety Failings in nosocomial s. Summary This study has been conducted
Healthcare workers report that various factors contribute to poor compliance with hand hygiene. These include:
RISKTOPICS Hand hygiene in the healthcare setting January 2013 Proper hand hygiene is the best way to keep from getting sick and prevent germs from being spread to others. For hospitals, nursing homes
making a difference where health matters Canadian Primary Care Sentinel Surveillance Network
making a difference where health matters Canadian Primary Care Sentinel Surveillance Network Copyright Notice January 20, 2015: Except where otherwise noted, all material contained in this publication,
How-to Guide: Improving Hand Hygiene
How-to Guide: Improving Hand Hygiene A Guide for Improving Practices among Health Care Workers This guide was prepared in collaboration with the Centers for Disease Control and Prevention (CDC), the Association
5 Measuring the performance
5 Measuring the performance of antimicrobial stewardship programs Authors: David Looke and Margaret Duguid 5.1 Key points Part I Measuring the performance of antimicrobial stewardship programs Monitoring
Recreational Water Protocol, 2016
Ministry of Health and Long-Term Care Recreational Water Protocol, 2016 Population and Public Health Division, Ministry of Health and Long-Term Care May 2016 Preamble The Ontario Public Health Standards
NURSING PRACTICE & SKILL
NURSING PRACTICE & SKILL Hand Hygiene: Hand and Arm Drying following Surgical Scrub What is Hand and Arm Drying following Surgical Scrub? Hand hygiene, also known as hand antisepsis, in the healthcare
Safety of HPV vaccination: A FIGO STATEMENT
Safety of HPV vaccination: A FIGO STATEMENT July, 2013 Human papillomavirus vaccines are used in many countries; globally, more than 175 million doses have been distributed. Extensive pre- and post-licensure
APIC Practice Guidance Committee: Implementation Insights Prevention & Control of Pertussis
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 [email protected] www.apic.org APIC Practice Guidance Committee: Implementation Insights Prevention & Control
Improving Safety: Developing Safety Metrics and Improving Error Reporting. Petra Khoury, Pharm D Adnan Tahir, MD
Improving Safety: Developing Safety Metrics and Improving Error Reporting Petra Khoury, Pharm D Adnan Tahir, MD Learning Objectives List Prevalent patient safety issues reported within hospitals Identify
Adapting the Fall Prevention Tool Kit (FPTK) for use in NHS Acute Hospital settings in England: Patient and Public Involvement evaluation
Adapting the Fall Prevention Tool Kit (FPTK) for use in NHS Acute Hospital settings in England: Patient and Public Involvement evaluation Authors: Dawn Dowding PhD RN Professor of Applied Health Research,
CLINICAL AUDIT: WHERE TO START?
CLINICAL AUDIT: WHERE TO START? Gillian Whyte Clinical Audit Facilitator (RGN, RNT, DipN, BNS, H.Dip, MSc, PgDip NurEd) Honorary Teaching Associate Faculty of Nursing and Midwifery RCSI Definition of Clinical
How To Become A Clinical Epidemiologist
CHS Graduate Student & in Description Additional Admission MSc PhD MSc Healthcare MSc Clinical is the study of the distribution of diseases in populations and of factors that influence the occurrence of
Vaccines in Pregnancy MARK H. SAWYER, MD UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO
Vaccines in Pregnancy MARK H. SAWYER, MD UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO 1 Objectives List vaccines that should be given either during pregnancy or immediately post-partum in
Cholera / Response / 1. Response to an Epidemic of Cholera
Cholera / Response / 1 Response to an Epidemic of Cholera Goal of Response Activities Reduce deaths good case management mobilizing staff and supplies increasing access to care Prevent new cases intensive
