The Management of Viral Haemorrhagic Fevers in Ireland - Health ...

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VHF High Risk Contact Surveillance Form v1.0Page 3 of 4Section C - Daily surveillanceDate: Day No.: Time (HH:MM): :HeadacheNeck rigidityMood changesMuscle painJoint painBackacheComments:Yes No UnknownYes No UnknownChest painAbdominal painJaundiceSore throatNauseaVomitingDate: Day No.: Time (HH:MM): :Yes No UnknownHeadacheNeck rigidityMood changesMuscle painJoint painBackacheComments:SignatureYes No UnknownChest painAbdominal painJaundiceSore throatNauseaVomitingDate: Day No.: Time (HH:MM): :Yes No UnknownHeadacheNeck rigidityMood changesMuscle painJoint painBackacheComments:SignatureYes No UnknownChest painAbdominal painJaundiceSore throatNauseaVomitingSignatureTemperature:DiarrhoeaRashBruisingBleedingOther, please specifyTemperature:DiarrhoeaRashBruisingBleedingOther, please specifyTemperature:DiarrhoeaRashBruisingBleedingOther, please specifyoCYes No Unknowno CYes No UnknownoCYes No UnknownAppendix M: VHF Contact Surveillance Formm The Management of Viral Haemorrhagic Fevers in Ireland/HPSC 2012Date: Day No.: Time (HH:MM): :Temperature:o CYes No UnknownHeadacheNeck rigidityMood changesMuscle painJoint painBackacheComments:Yes No UnknownChest painAbdominal painJaundiceSore throatNauseaVomitingSignatureDiarrhoeaRashBruisingBleedingOther, please specifyYes No UnknownFor High Risk Contacts only- 111 -
VHF High Risk Contact Surveillance Form v1.0Page 4 of 4Section D - OutcomeSurveillance of OutcomePlease tick as appropriatePatient remained wellPatient diagnosed with VHFPatient lost to follow-upPatient diagnosed with illness other than VHFIf patient diagnosed with illness other than VHFDiagnosis:DateIf patient diagnosed with VHF, date of diagnosisCIDR Event IDCIDR Outbreak IDCommentsAppendix M: VHF Contact Surveillance Formm The Management of Viral Haemorrhagic Fevers in Ireland/HPSC 2012SignatureDateFor High Risk Contacts only- 112 -
Page 1 and 2:
The Management ofViral Haemorrhagic
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3.5 Infection prevention and contro
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The Viral Haemorrhagic Fever Sub-Co
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• As soon as VHF is being conside
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BackgroundIntroductionViral haemorr
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The search strategy for these guide
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1.3 Overview of VHFsVHFs share a nu
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1.6 Marburg haemorrhagic feverMarbu
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1.9 FlavivirusesThe flaviviruses ca
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1.10 Requirement to notify VHF to t
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Table 3. Clinical presentation of C
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Patient Risk Assessment Key Points
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2.4 Initial management of patient c
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If the malaria test is positive:•
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3. Infection Prevention and Control
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- All acute hospitals should have a
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- For larger spills, cover the area
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3.8 Handling human remainsThe gener
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4.3 Packaging and transport of biol
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4.5 Laboratory testing for High Ris
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5. Public Health Management of Impo
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In the case of suspected Lassa feve
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Box 1Risk CategorisationCasual/no-r
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5.4.4 Management of contactsThis is
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5. Public Health Management of Impo
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Figure 3 Summary of notification pr
Page 61 and 62: should be identified in a bid to av
Page 63 and 64: The procedure for cleaning and disi
Page 65 and 66: 1. covert release of a biological a
Page 67 and 68: References1. Scientific Advisory Co
Page 69 and 70: 55. Department of Health and Childr
Page 71 and 72: Appendix A: Search Strategies for V
Page 73 and 74: Appendix C: Published Reports on Re
Page 75 and 76: available 24 hours a day to answer
Page 77 and 78: coughing. They advise that the stag
Page 79 and 80: This was the first highly pathogeni
Page 81 and 82: Appendix D: Annex 2: Decision Instr
Page 83 and 84: Has the patient...Clinical Risk Ass
Page 85 and 86: Appendix G: Summary of VHF Risk Cat
Page 87 and 88: longer thus increasing the risk of
Page 89 and 90: In April 1990, CDC reported on filo
Page 91 and 92: 24. CDC Special Pathogens Branch. K
Page 93 and 94: Appendix J: VHF Risk Assessment for
Page 95 and 96: Malaria Test Results:Malaria test 1
Page 97 and 98: Port of Arrival:Name:Via:Arrived by
Page 99 and 100: VHF Case Exposure Assessment & Cont
Page 101 and 102: Healthcare workers:1234567891011121
Page 103 and 104: Total number of contactsVHF Case Ex
Page 105 and 106: Category of worker:CleanerDoctorIf
Page 107 and 108: Relationship to case:PassengerIf ot
Page 109 and 110: Are you currently well?Have you fev
Page 111: VHF High Risk Contact Surveillance
Page 115 and 116: Appendix O:VHF Checklists of action
Page 117 and 118: Appendix P:Campus Map, Mater Miseri
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