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

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Appendix I: Checklist of supplies for acute hospitals in preparation forHigh Risk or Confirmed cases of VHFWaste supplies• Category A waste containers (x4)• Blood spill kits• Sharps boxes (
Appendix J: VHF Risk Assessment for use by ambulance service personnel at airports The Management of Viral Haemorrhagic Fevers in Ireland/HPSC 2012Viral Haemorrhagic Fever Risk Assessment for use by Ambulance Personnel at Airports Version 1.3 13062012Before entry on aeroplane, ensure Standard Precautions. See side panel for relevant Infection Control Precautions.Passengers, other than those sitting one seat from the ill patient, should be allowed to disembark from the plane.If possible passengers should not pass the ill patient when exiting the aeroplane (use front and rear exits).Contact details of the following should be taken:Passengers seated one seat, in all directions, from ill patient should be taken (see picture opposite*)Persons who reported direct contact with the patientThe crew who served that section of the plane.These contact details will be required by the Dept of Public Health.These passengers should then disembark.Assess the patient.CLINICAL: Does the patient have a fever (>38 o C ) or history of fever in previous 24hours?ANDTRAVEL HISTORY: Has the patient returned from (or is currently residing in) VHFendemic areas within 3 weeks? (Contact Control for up to-date list; www.hpsc.ie)Yes tobothRemove patient from aeroplane to assessment room in airport.Control to contact National Isolation Unit (NIU) for risk assessment 01-8032000.Initiate direct phone contact between Paramedics and NIU to facilitaterisk assessment.Infection ControlPrecautionsStandard Precautions (SP):As per SP, any patient withuncontrolled body fluid lossshould be managed withstandard & contactprecautions.Standard, Droplet & ContactPrecautions: Hand hygiene,gloves, fluid repellent facemask, apron (visor/goggles forpotential aerosolisation orsplash procedures)Standard, Droplet, Contact& Airborne Precautions:PPE, fluid repellant gown,gloves, visor, FFP3 maskNoRemote Risk Assessment by NIU physicianPublic Health ContactDetailsHSE E: 01 635 214501 670 9111*Assessment Outcome = No RiskAssessment Outcome = At RiskAssessment Outcome = High RiskHSE M: 057 935 8165057 935 8166*Ambulance Service VHF Procedures activatedControl to notify Director of Public Health/MOH of case At Risk of VHF**. See sidepanel for contact details.Ambulance Service VHF Procedures activatedControl to notify Director of Public Health/MOH of case at High Risk of VHF**. See sidepanel for contact details.HSE MW: 061 48 3338061 48 2215/2297*HSE NW: NE: 046 071 907 985 6412 2900087 086 953 606 7807 2537VHF very unlikely.Assess and treat asindicated.SYMPTOMS: Does the patient have bruisingOR bleeding OR diarrhoea OR vomiting ORcough?NoYesApply Standard, Droplet & ContactPrecautions; patients with respiratorysymptoms should wear a surgical mask.Apply Standard, Droplet, Contact & Airborneprecautions; patients with respiratorysymptoms should wear a surgical mask.HSE SE: 056 778 41421890 499 199*HSE S: 021 492 7601021 454 6418*HSE W: 091 775 200094 906 3000*Transport to nearest EmergencyDepartmentTransport patient to location as advised by NIU physician (may be local ED, NIU etc.)*Out of hours contact publichealth via ambulance control*Relevant area for trace-backs, viral haemorrhagic fevers (Lassa, Marburg, Ebola) ECDC Risk assessment guidelines for diseases transmitted on aircraft 2nd ed. Stockholm: ECDC;2010**Requirement to contact Director of Public Health/Medical Officer of Health under Infectious Disease Aircraft Regulations.- 92 -
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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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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
Page 59 and 60: 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: 24. CDC Special Pathogens Branch. K
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 and 112: 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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