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WHO Centre Imperial College London - Imperial College Faculty of ...

WHO Centre Imperial College London - Imperial College Faculty of ...

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Table of ContentsAcknowledgments .............................................................................................................. 3List of Figures ..................................................................................................................... 6List of Abbreviations .......................................................................................................... 71 SUMMARY .................................................................................................................... 82 INTRODUCTION AND BACKGROUND ...................................................................... 103 FEBRUARY 2010 OUTBREAK DESCRIPTION .......................................................... 124 THE REVIEW METHODS ............................................................................................ 135 THE REVIEW FINDINGS ............................................................................................. 135.1 Public Health Department .................................................................................................... 135.1.1 Public Health Department Response – February 2010 ................................................. 135.1.2 Key Findings .................................................................................................................. 165.1.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 175.2 The Public Utility Company ................................................................................................... 185.2.1 Public Utility Company Response – February 2010 .................................................... 185.2.2 Key Findings .................................................................................................................. 195.2.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 215.3 The Construction Company ASCON ...................................................................................... 225.3.1 The ASCON Response – February 2010 ........................................................................ 225.3.2 Key Findings .................................................................................................................. 225.3.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 225.4 Health Services ...................................................................................................................... 235.4.1 Health Service Response – February 2010 .................................................................... 235.4.2 Key Findings .................................................................................................................. 235.4.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 245.5 Laboratories .......................................................................................................................... 245.5.1 Diagnostic and Public Health Laboratories Response – February 2010 ....................... 245.5.2 Key Findings .................................................................................................................. 255.5.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 255.6 The Seychellois Government ................................................................................................ 255.6.1 Government Response – February 2010 ...................................................................... 255.6.2 Key Findings .................................................................................................................. 265.6.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 264

5.7 Environmental Health Site Visits ........................................................................................... 265.7.1 WHO Team Site Visits – August 2010............................................................................ 265.7.2 Key Findings .................................................................................................................. 275.7.3 WHO Team Assessment of Response and Findings – August 2010 .............................. 285.8 Public and Patient Experience............................................................................................... 295.8.1 Key Findings .................................................................................................................. 295.8.2 WHO Team Assessment of Public and Patient Experience – August 2010 ................... 306 THE CURRENT SITUATION – AUGUST 2010 ............................................................ 316.1 Water Supply ......................................................................................................................... 316.2 Monitoring and Surveillance ................................................................................................. 326.3 The Public .............................................................................................................................. 336.4 The Government ................................................................................................................... 337 RECOMMENDATIONS ................................................................................................ 348 LIMITATIONS .............................................................................................................. 389 LESSONS LEARNT .................................................................................................... 3810 CONCLUSIONS .......................................................................................................... 3911 APPENDIX .................................................................................................................. 4011.1 Appendix A ............................................................................................................................ 4011.2 Appendix B ............................................................................................................................ 4311.3 Appendix C ............................................................................................................................ 4411.4 Appendix D ............................................................................................................................ 4711.5 Appendix E ............................................................................................................................ 495

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