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

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The Management of Viral Haemorrhagic Fevers in Ireland • HPSC • 2013References and AppendicesReferences 66Appendices 69Appendix A: Search Strategies for VHF 70Appendix B: Distribution List for Consultation Document 71Appendix C: Published Reports on Responses to Imported Cases of VHF 72C.1 Introduction 72C.2 Marburg haemorrhagic fever 72C.3 Lassa fever 73C.4 Crimean-Congo haemorrhagic fever 77C.5 Novel Arenavirus infection (Lujo virus) 77References 79Appendix D:Annex 2: Decision Instrument for the assessment and notification of events that mayconstitute a Public Health Emergency of International Concern 80Appendix E: Clinical Risk Assessment Form 81Appendix F: VHF Risk Assessment Algorithm for use in all acute medical settings 83Appendix G: Summary of VHF Risk Categories 84Appendix H: Review of evidence for mode of transmission 85Appendix I: Checklist of supplies for acute hospitals in preparation for High Risk or Confirmedcases of VHF 91Appendix J: VHF Risk Assessment for use by ambulance service personnel at airports 92Appendix K: VHF Case Exposure Assessment & Contact Identification Form 93Appendix L: VHF Contact Assessment Form 103Appendix M: VHF Contact Surveillance Form 109Appendix N: Case Definitions for Viral Haemorrhagic Fevers 113Appendix O: VHF Checklists of actions for Director of Public Health 114References and Appendices The Management of Viral Haemorrhagic Fevers in Ireland/HPSC 2012Appendix P: Campus Map, Mater Misericordiae University Hospital, Dublin 116Glossary of Terms 117- 3 -
The Viral Haemorrhagic Fever Sub-CommitteeDr. Derval Igoe (Chair)Specialist in Public Health Medicine, Health Protection Surveillance CentreDr. Suzie CoughlanSenior Clinical Scientist, National Virus Reference LaboratoryMs. Gillian CullenSurveillance Scientist, Health Protection Surveillance CentreMr. Martin DunneArea Operations Manager, National Ambulance Service - North LeinsterProfessor William HallDirector, National Virus Reference LaboratoryDr. Julie HeslinFaculty of Public Health Medicine, Royal College of Physicians in IrelandMr. Lawrence KennaEducation and Competency Assurance Officer, National Ambulance Service - North LeinsterDr. Jack LambertConsultant in Infectious Diseases and Director, National Isolation Unit, Mater MisericordiaeUniversity HospitalDr. Ronan LeahyFaculty of Paediatrics, Royal College of Physicians in IrelandMs. Celine O’CarrollNational Isolation Unit, Mater Misericordiae University Hospital and Infection Prevention SocietyDr. Cathal O’DonnellConsultant in Emergency Medicine, Midwestern Regional Hospital, Limerick and National MedicalDirector, National Ambulance ServiceThe Viral Haemorrhagic Fever Sub-Committee The Management of Viral Haemorrhagic Fevers in Ireland /HPSC 2012Ms. Kirsty McKenzieHealth Protection Surveillance Centre (Secretariat)- 4 -
Page 1 and 2: The Management ofViral Haemorrhagic
Page 3: 3.5 Infection prevention and contro
Page 9 and 10: • As soon as VHF is being conside
Page 11 and 12: BackgroundIntroductionViral haemorr
Page 13 and 14: The search strategy for these guide
Page 15 and 16: 1.3 Overview of VHFsVHFs share a nu
Page 17 and 18: 1.6 Marburg haemorrhagic feverMarbu
Page 19 and 20: 1.9 FlavivirusesThe flaviviruses ca
Page 21 and 22: 1.10 Requirement to notify VHF to t
Page 23 and 24: Table 3. Clinical presentation of C
Page 25 and 26: Patient Risk Assessment Key Points
Page 27 and 28: 2.4 Initial management of patient c
Page 29 and 30: If the malaria test is positive:•
Page 31 and 32: 3. Infection Prevention and Control
Page 33 and 34: 3.5 Infection prevention and contro
Page 37 and 38: - All acute hospitals should have a
Page 41 and 42: - For larger spills, cover the area
Page 43 and 44: 3.8 Handling human remainsThe gener
Page 45 and 46: 4.3 Packaging and transport of biol
Page 47 and 48: 4.5 Laboratory testing for High Ris
Page 49 and 50: 5. Public Health Management of Impo
Page 51 and 52: In the case of suspected Lassa feve
Page 53 and 54: Box 1Risk CategorisationCasual/no-r
Page 55 and 56:
5.4.4 Management of contactsThis is
Page 57 and 58:
5. Public Health Management of Impo
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Figure 3 Summary of notification pr
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should be identified in a bid to av
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The procedure for cleaning and disi
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1. covert release of a biological a
Page 67 and 68:
References1. Scientific Advisory Co
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55. Department of Health and Childr
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Appendix A: Search Strategies for V
Page 73 and 74:
Appendix C: Published Reports on Re
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available 24 hours a day to answer
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coughing. They advise that the stag
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This was the first highly pathogeni
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Appendix D: Annex 2: Decision Instr
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Has the patient...Clinical Risk Ass
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Appendix G: Summary of VHF Risk Cat
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longer thus increasing the risk of
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In April 1990, CDC reported on filo
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24. CDC Special Pathogens Branch. K
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Appendix J: VHF Risk Assessment for
Page 95 and 96:
Malaria Test Results:Malaria test 1
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Port of Arrival:Name:Via:Arrived by
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VHF Case Exposure Assessment & Cont
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Healthcare workers:1234567891011121
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Total number of contactsVHF Case Ex
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Category of worker:CleanerDoctorIf
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Relationship to case:PassengerIf ot
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Are you currently well?Have you fev
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VHF High Risk Contact Surveillance
Page 113 and 114:
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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