The Control of Emerging Infectious Diseases: What Can We Actually Do? Tim Hilderman, MD FRCPC Medical Officer of Health, Vaccines MHSAL
|
|
- Charla Morton
- 6 years ago
- Views:
Transcription
1 The Control of Emerging Infectious Diseases: What Can We Actually Do? Tim Hilderman, MD FRCPC Medical Officer of Health, Vaccines MHSAL
2 DISCLOSURE STATEMENT Tim Hilderman, MD FRCPC The Control of Emerging Infectious Diseases: What Can We Actually Do? Type of relationship Modest (less than 10K) Please specify organization name Significant (greater than $10K) Please specify organization name A - Consulting Fees/Honoraria B - Speaker s Bureau C - Equity Interests/Stock Options/Royalty Income/Non Royalty Payments D - Officer, Director, Or In Any Other Fiduciary Role E - Ownership/Partnership/Principal F- Research Grants/Educational Grants G- Fellowship Support H Salary I - Intellectual Property Rights J - Other Financial Benefit There are no relationships to disclose X 2
3
4
5 Objectives 1) Utilize the basic principles of communicable disease control in travel health practice 2) Critique the strengths and limitations of Manitoba s Public Health Act as it pertains to infectious disease 3) Select the appropriate intervention in the control efforts designed to mitigate a travel acquired communicable disease threat
6
7
8 The Principles of Communicable Disease Control in Emergencies Rapid Assessment Prevention Surveillance Outbreak Control
9 Rapid Assessment Identify the communicable disease threat faced by the population Assess for epidemic potential Assess susceptibility of the population Estimate morbidity and mortality Identify mitigation measures
10 Prevention Control Vectors (Malaria) Implement Vaccination Campaigns (Measles) Provide essential clinical services Provide essential laboratory services Establish Infection Prevention and Control Protocols
11 Surveillance Detect outbreaks early Report diseases of epidemic potential immediately Monitor disease trends
12 Control Outbreaks Prepare outbreak response team/stockpiles/laboratory support/standard treatment protocols Detect surveillance/early warning system Confirm laboratory tests Respond investigation/control measures Evaluate
13
14
15 International Health Regulations The International Health Regulations (IHR) are an international legal instrument that is binding on 196 countries across the globe, including all the Member States of WHO. Their aim is to help the international community prevent and respond to acute public health risks that have the potential to cross borders and threaten people worldwide.
16
17 Purpose and Scope IHR (2005) to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade.
18 10 Things you need to know* Know the IHR; purpose, scope, principles and concepts Update national legislation Recognize shared realities and the need for collective defences Monitor and report on IHR implementation progress Notify, report, consult and inform WHO Understand WHO s role in international event detection, joint assessment and response Participate in the PHEIC determination and WHO recommendationsmaking processes Strengthen national surveillance and response capacities Increase public health security at ports airports and ground crossings Use and disseminate IHR health documents at points of entry
19 What the HECK is a PHEIC? A public health emergency of international concern an extraordinary event which is determined to constitute a public health risk to other States through the international spread of disease and to potentially require a coordinated international response. serious, sudden, unusual or unexpected; carries implications for public health beyond the affected State s national border; and may require immediate international action.
20 The Emergency Committees Determine if the event constitutes a public health emergency of international concern (PHEIC); Temporary Recommendations that should be taken by the country experiencing an emergency of international concern, or by other countries, to prevent or reduce the international spread of disease and avoid unnecessary interference with international trade and travel The WHO Director-General makes the final decision re: PHEIC and Temporary Recommendations to address the situation, based on advice from the Emergency Committee, information provided by the State Parties, scientific experts and an assessment of risk to human health, risk of international spread of disease and of risk of interference with international travel.
21 IHR Emergency Committees Review Committee on the role of IHR IHR Emergency Committee on Ebola IHR Emergency Committee on MERS-CoV IHR Emergency Committee on poliovirus IHR Emergency Committee on yellow fever IHR Emergency Committee on Zika virus
22
23 Public Health Agency of Canada Prevent and control infectious diseases; Prepare for and respond to public health emergencies; Serve as a central point for sharing Canada's expertise with the rest of the world; Apply international research and development to Canada's communicable disease programs; and Strengthen intergovernmental collaboration on public health and facilitate national approaches to public health policy and planning.
24 Canadian Border Services! Ensure the free flow of legitimate people and goods by monitoring, investigating, detaining and removing those people or goods in violation of the relevant laws. Ensure trade security, manage access to Canada and work together with business and other government organizations.
25 Quarantine Program To prevent the introduction and spread of communicable diseases that are of significant harm to public health, the Quarantine Program collaborates with border health partners, such as the Canadian Border Services Agency, to administer the Quarantine Act, 24 hours per day, 7 days per week, at all Canadian international points of entry. Through this program, Quarantine Officers provide services (in person or remotely) to all points of entry through six quarantine stations, which are located in the following cities: Calgary, Halifax, Montréal, Ottawa, Toronto, and Vancouver.
26 Quarantine Officers Train border health partners (including Canadian Border Services Agency officers) to screen arriving international travellers for signs and symptoms of communicable disease of significant harm to public health; Collaborate with partners (such as point of entry authorities, other government departments, and local emergency medical and public health authorities) to ensure efficient notification and response to communicable disease events; Perform health assessments on ill travellers arriving in or in the process of departing from Canada;
27 Quarantine Officers Refer ill travellers to hospitals or local public health authorities for further measures, as appropriate; Notify CBSA and airlines of travelers who may pose a risk to public health in order to prevent them from departing Canada and to be identified when entering Canada, so they may be referred to a Quarantine Officer for assessment; Work in collaboration with the International Health Regulations to communicate potential public health risks globally. The Quarantine Act authorizes quarantine officers to implement various control measures to prevent the introduction and spread of communicable disease. Under the Act, failure to comply can carry fees and penalties
28 Isolation vs. Quarantine Isolation and quarantine are public health practices used to stop or limit the spread of disease. Isolation is used to separate ill persons who have a communicable disease from those who are healthy. Isolation restricts the movement of ill persons to help stop the spread of certain diseases. Quarantine is used to separate and restrict the movement of well persons who may have been exposed to a communicable disease to see if they become ill. Quarantine can also help limit the spread of communicable disease. Isolation and quarantine are used to protect the public by preventing exposure to infected persons or to persons who may be infected.
29
30
31
32 Ebola Virus Disease Situation report EVD ,616 Ebola cases reported in Guinea, Liberia and Sierra Leone 11,310 deaths.
33 EVD The outbreak in West Africa was the largest and most complex Ebola outbreak since the virus was first discovered in There were more cases and deaths in this outbreak than all others combined. It also spread between countries, starting in Guinea then moving across land borders to Sierra Leone and Liberia
34 MB EVD PH Response Driven by MHSAL CDC Protocol Protocol intended to support the work of public health staff that are dealing with travelers who are coming from Ebola affected countries, as well as managing the contacts of domestic cases of Ebola Virus Disease (EVD) and potential laboratory Level 4 exposures at the National Microbiology Laboratory (NML) in Winnipeg, Manitoba.
35 EVD Risk Manitoba categorized the risk status of EVD affected countries into three categories: 1. Those with ongoing, widespread, and intense EVD transmission, or; 2. Those with an initial case or cases and/or localized transmission, or; 3. Those with a previous EVD case or cases, now declared free of EVD.
36 Step 1 Travelers to Canada from countries with ongoing, widespread, and intense EVD transmission will be screened at their port of entry by Canadian Border Services and referred immediately to a Quarantine Officer (QO) who will do an EVD risk assessment. Travelers classified as risk Group 5 will be given a federal order to report to the public health authority at their port of entry into Canada (the majority being in Montreal and Toronto) and will be restricted from any onward travel.
37 Group 5 Direct contact with blood/body fluids of a confirmed EVD case (including HCW using PPE with breach).
38 Order to Report Travelers classified as risk Group 2/3 or 4 for EVD during the screening risk assessment will be given a federal order to report within 24 hours to the appropriate regional public health authority.
39 Step 2 All travelers from countries with ongoing, widespread, and intense EVD transmission returning to Manitoba who do not have Winnipeg as a final destination will be requested by a port of entry QO to contact the Medical Officer of Health prior to, or immediately after, arrival in Winnipeg and before any onward travel beyond city limits. This process will allow the Medical Officer of Health, in consultation with regional public health staff, to assess the final destination for public health follow-up. Guidelines for remote or rural areas where public health followup of EVD contacts during the 21 day symptom monitoring period could be difficult were also developed
40 Public Health Practice Grp. 5 Teach symptom recognition twice daily temperature checks (supply thermometer if necessary) avoid antipyretics Instruct individual to postpone elective medical visits and other elective procedures Instruct individual to maintain good respiratory and hand hygiene Instruct individual to self-isolate and call 911 or local emergency number if signs or symptoms occur Active Monitoring (Direct Active Monitoring if compliance and competency cannot be assured) Restrict Travel using no fly list Restrict Movement (no public conveyance {plane/bus/taxi} individual cannot come within 2 metres (6 ft) of another individual in a public
41
42 The Public Health Act Consider use of statutory powers under the Public Health Act if compliance cannot be assured
43 EVD PH Measures To ensure an appropriate and consistent approach to the public health management of an asymptomatic yet high risk contact of Ebola virus disease (EVD) who is non-compliant with the appropriate public health (PH) interventions and follow up measures (referred to in this document as EVD PH measures ) as outlined in the Manitoba Health EVD Public Health (PH) Management Interim Guidelines.
44 Non-Compliant! Has been deemed by public health to be a high risk EVD contact (Group 5) Has been informed by public health of appropriate EVD PH measures as defined by the EVD Public Health Management Interim Guidelines; Has been counseled on the virulent and communicable nature of EVD, and the importance of appropriate EVD PH measures; Has been offered assistance in addressing barriers that may prevent client from complying with the appropriate public health interventions and follow up; Is non-compliant with appropriate EVD PH measures
45 Underlying Principles The primary concern of public health officials should be to reduce the risk of EVD transmission to others; Public health interventions must balance the rights of the individual with the duty to protect the public, where risk to public safety may override the rights of the individual; Public health officials should exercise good judgment in employing the set of available options taking into consideration the context of the client and the specifics of the case.
46 Involuntary Measures If after exploring all reasonable available supportive non-coercive voluntary avenues to facilitate compliance, public health determines that traveller is, or will be, non-compliant with appropriate EVD PH measures, an Advisory Team should be convened.
47 Issuing a Communicable Disease Order for Quarantine Issued by the Medical Officer of Health under Section 43(1) Communicable Disease Order under The Public Health Act (C.C.S.M. c. P210), a Should include the plan of action should this order be violated, (i.e. preparing a Section 53(1) Emergency Detention Order under The Public Health Act (C.C.S.M. c. P210))
48 Emergency Detention Order s. 53(1) Emergency Detention Order issued verbally to appropriate law enforcement agency (e.g., WPS), and confirmed in writing within 72 hours (s. 100) (Form 3A, see below and template)
49 Application to Continue Detention Application to Continue Detention (s. 54) must be submitted to Justice for a hearing as soon as possible but no later than 72 hours after client is apprehended: 1: Contact Civil Legal Services for assistance; 2: Ensure necessary arrangements to have client participate by telephone, teleconference, or similar means (see s. 48, s. 49, s. 52 for details related to hearing); 3: Present the following documents to Law Courts: A: s. 43 CD Order (Form 1A, see template); B: s. 53 Emergency Detention Order (Form 3A, see template) C: s. 54 Application to Continue Detention or For Order Under Section 49 for Virulent Disease (CRT20118, see template) D: Any additional supporting documents (e.g., evidence of client non-compliance
50 Order to Continue Detention Order to Continue Detention for Virulent Disease (s. 54) will be issued by the court and signed by the Judicial Justice of the Peace (Form CRT20119)
51
Middle East Respiratory Syndrome (MERS): Is It a Health Emergency?
Middle East Respiratory Syndrome (MERS): Is It a Health Emergency? Sarah A. Lister Specialist in Public Health and Epidemiology June 4, 2014 Congressional Research Service 7-5700 www.crs.gov R43584 Contents
More informationCDC Support for Exit Screening & Lessons Learned for Preparedness
CDC Support for Exit Screening & Lessons Learned for Preparedness Nina Marano DVM MPH Dipl ACVPM Division of Global Migration and Quarantine Centers for Disease Control and Prevention National Center for
More informationQuestions and Answers on Ebola
Updated: August 26, 2014 The 2014 Ebola outbreak is the largest Ebola outbreak in history and the first in West Africa. The current outbreak is affecting four countries in West Africa: Guinea, Liberia,
More informationPublic Health Perspectives: Coordination the Response to Imported Infectious Disease Threats in New York City
Public Health Perspectives: Coordination the Response to Imported Infectious Disease Threats in New York City Marci Layton, MD New York City Department of Health Factors leading to (re-)emergence of new
More informationPreventing disease Promoting and protecting health
Preventing disease Promoting and protecting health CONTENTS Context Global Health Security what is it? Health security the perfect storm Regional Health Security what is it? Caribbean Regional Health Security:
More informationDallas/Fort Worth International Airport 2014 Ebola Response
Dallas/Fort Worth International Airport 2014 Ebola Response Agenda 1. Reset Time to 2014 2. Review how DFW manages through Public Health Emergencies using Ebola as the example 3. Walk through 3 cases all
More informationCase Scenario 2: Exit Screening at Airport
EVD Event Management Workshops FACILITATOR GUIDE Case Scenario 2: Exit Screening at Airport Implementing exit screening at an airport of a country, with initial cases of Ebola Virus Disease transmission
More informationJOINT STATEMENT OF ASEAN PLUS THREE HEALTH MINISTERS SPECIAL MEETING ON EBOLA PREPAREDNESS AND RESPONSE Bangkok, Thailand, 15 December 2014
JOINT STATEMENT OF ASEAN PLUS THREE HEALTH MINISTERS SPECIAL MEETING ON EBOLA PREPAREDNESS AND RESPONSE Bangkok, Thailand, 15 December 2014 We, the Health Ministers of Brunei Darussalam, Cambodia, Indonesia,
More informationU.S. CDC s Response to the Ebola Outbreak
U.S. CDC s Response to the Ebola Outbreak CAPSCA Global Meeting Cairo, Egypt November 17-19, 2014 Susan Lippold, MD, MPH Ebola Response, Global Migration Task Force Division of Global Migration and Quarantine
More informationWHO Emergency Committees
WHO Emergency Committees Dr Anthony Evans Chief, Aviation Medicine Section Air Navigation Bureau aevans@icao.int +1 514 954 8150 15 July 2014 Page 1 Plan What are WHO Emergency Committees (EC)? Relation
More informationInternational Health Regulations (2005)
IHR07 3/23/07 8:31 AM Page 1 International Health Regulations (2005) Basic information for national policy-makers and partners IHR07 3/23/07 8:31 AM Page 2 NEW OBLIGATIONS, NEW OPPORTUNITIES The revised
More informationRole of the Public Health Agency of Canada in Providing Border and Travel Health Advice
Role of the Public Health Agency of Canada in Providing Border and Travel Health Advice Jennifer Geduld Office of Border and Travel Health Centre for Emergency Preparedness and Response Health Security
More informationRisk assessment group (RAG), between
Risk assessment group (RAG), between event identification and risk management. How is Belgium dealing with a crisis? Sophie Quoilin, MD SsID, 21 May 2015 Brussels Rue Juliette Wytsmanstraat 14 1050 Brussels
More informationHealth security and the IHR: a humanitarian perspective
Health security and the IHR: a humanitarian perspective European Health Forum Gastein 2 October 2015 Forum 8: Securing health - Importance of the implementation of the IHR Philippe Calain, MD, PhD, MSc,
More information12 June The average EVD case fatality rate has been around 50 per cent.
12 June 2015 Ebola virus was first identified in Sudan and Zaire in 1976. It belongs to the family of Filoviridae. It causes Ebola Virus Disease (EVD), formerly known as Ebola Hemorrhagic Fever. EVD is
More informationCAPSCA MID. Template for a National Aviation Pandemic Preparedness Plan. Cairo, 11 th to 16 th Dec. 2011
CAPSCA MID Template for a National Aviation Pandemic Preparedness Plan Cairo, 11 th to 16 th Dec. 2011 ICAO World Health Org. UN Specialized Agencies ICAO HQ and Regional Offices ICAO HQ Montreal Paris
More informationMedia centre Statement on the 7th IHR Emergency Committee meeting regarding the international spread of poliovirus
Media centre Statement on the 7th IHR Emergency Committee meeting regarding the international spread of poliovirus WHO statement 26 November The 7th meeting of the Emergency Committee under the International
More informationCounty of Los Angeles Department of Health Services Public Health
Biological Incident Plan PANDEMIC INFLUENZA GUIDELINES County of Los Angeles Department of Health Services Public Health January 2006 Executive Summary Page 1 The Los Angeles County (LAC) Department of
More information2013 British Columbia/Washington State Cross Border Infectious Disease/Pandemic Tabletop Exercise
2013 British Columbia/Washington State Cross Border Infectious Disease/Pandemic Tabletop Exercise After-Action Report Dec 2013 1 EXERCISE OVERVIEW Exercise Name 2013 British Columbia/Washington State Cross
More informationTravel and transport risk assessment. Preparedness for potential outbreak of
Travel and transport risk assessment Preparedness for potential outbreak of Ebola Interim virus guidance disease: for A public framework health for authorities and action the transport in the Western sector
More informationINOVIO PHARMACEUTICALS, INC. INVESTIGATOR CONFLICT OF INTEREST POLICY
INOVIO PHARMACEUTICALS, INC. INVESTIGATOR CONFLICT OF INTEREST POLICY August 24, 2012 1. Purpose Public confidence and the reputation of the company are valuable business assets that Inovio strives to
More informationWHO: Forum Issue #02 Student Officer Position:
WHO: Topic B Forum : World Health Organization Issue #02 : Topic B: Preparing for a Global Health Crisis Student Officer : Samantha Portillo Position: Chair of the United Nations World Health Organization
More informationGenus Ebolavirus is 1 of 3 members of the Filoviridae family (filovirus), along with genus Marburgvirus and genus Cuevavirus.
EBOLA VIRUS Ebola virus disease (EVD) is a severe, often fatal illness, with a case fatality rate of up to 90%. It is one of the world s most virulent diseases.the infection is transmitted by direct contact
More informationThere are four important ways in which frontline workers can work together with Peel Public Health to prevent illness due to outbreaks.
Chapter 4 Outbreaks What is an outbreak? Preparing for an outbreak Identifying an outbreak Outbreak identification process Managing and controlling an outbreak 11 steps Outbreak control measures Outbreak
More informationKey Points Ebola Virus Disease, West Africa Newly updated information is indicated in red
Key Points Ebola Virus Disease, West Africa Newly updated information is indicated in red In this document: Summary Key Messages Ebola Cases and Deaths (West Africa) Ebola in U.S. Health Workers (in Liberia)
More informationEBOLA VIRUS DISEASE. Democratic Republic of Congo. External Situation Report 2 Date of issue: 16 May Situation update
EBOLA VIRUS DISEASE Democratic Republic of Congo External Situation Report 2 Date of issue: 16 May 2017 1. Situation update WHO continues to monitor the outbreak of Ebola virus disease (EVD) in Likati
More informationPROFESSOR DAME SALLY C DAVIES CHIEF MEDICAL OFFICER CHIEF SCIENTIFIC ADVISER
Richmond House 79 Whitehall London SW1A 2NS Tel: +44 (0)20 7210 4850 http://www.info.doh.gov.uk/contactus.nsf/memo?openform 7 October 2014 For Action General Practitioners, England Accident and Emergency
More informationTechnical note for Ebola virus disease preparedness planning for entry screening at airports, ports and land crossings December 2014
Technical note for Ebola virus disease preparedness planning for entry screening at airports, ports and land crossings December 2014 WHO/EVD/Guidance/PoE/14.3 1 World Health Organization 2014 All rights
More informationProcedures for all Medical Emergencies
Norfolk State University Emergency Medical Procedure The Director of the Spartan Health Center practices general oversight on public health issues concerning the campus community and advises the university
More informationCommunicating About Ebola: A Guide for Leaders. Produced by the Pan American Health Organization
Communicating About Ebola: A Guide for Leaders Produced by the Pan American Health Organization Communicating About Ebola: A Guide for Leaders Pan American Health Organization/World Health Organization
More informationEbola: preparedness and solidarity. Ebola virus disease has claimed more than lives. and infected more than people in West Africa
Ebola: preparedness and solidarity Introduction 1. Testing outbreak preparedness 2. Introducing a team approach for the global response 3. WEST stories from the field 4. What we have learnt Ebola virus
More informationAnalysis on the Risk of Ebola
and An approach to Modeling the Potential Impact Cecil Bykerk Vice Chair IAA Health Committee March 27, 2015 International Actuarial Association About the IAA Worldwide association of professional actuarial
More informationMedical electrical equipment Deployment, implementation and operational guidelines for identifying febrile humans using a screening thermograph
TECHNICAL REPORT ISO/TR 13154 Second edition 2017-03 Medical electrical equipment Deployment, implementation and operational guidelines for identifying febrile humans using a screening thermograph Équipement
More informationHow Infectious Disease Reporting Systems are Redrawing Our Sense of Nationhood
In association with Simon Fraser University & the Vancouver Coastal Health Research Institute NOT FOR CIRCULATION FOR INTERNAL CIRCULATION FOR PUBLIC CIRCULATION X On Citizenship How Infectious Disease
More informationEBOLA INFORMATION KIT 20 to 26 October 2014 MEMBERS NEWS HUNTING SERVICES FUND LEGISLATION CALENDAR GENERAL SHOP POPULAR ARTICLES
HOME ABOUT PHASA MEMBERS NEWS HUNTING SERVICES FUND LEGISLATION CALENDAR GENERAL SHOP DOWNLOAD: PROFESSIONAL HUNTER STATUS SECTION 16A (click to download) DOWNLOADS NEWSLETTERS F.A.Q TWITTER FACEBOOK Home
More informationSanitary Quarantine Bureau activities at Estonian Borders in Northern region
Sanitary Quarantine Bureau activities at Estonian Borders in Northern region Natalja Võzelevskaja 03 June 2010 Tallinn, Estonia 6/11/2010 Activities at Estonian Borders In Estonia 44 international border
More information6. SURVEILLANCE AND OUTRBREAK RESPONSE
6. SURVEILLANCE AND OUTRBREAK RESPONSE The main objective of surveillance is to detect, in a timely manner, cases of CHIK in the Americas. Early detection will allow for proper response and characterization
More informationDistribution: As Appendix 1 Dr Ruth Hussey, Chief Medical Officer, Welsh Government Date: 10 October Ongoing Ebola outbreak in West Africa
Public Health Link From the Chief Medical Officer for Wales Distribution: As Appendix 1 From: Dr Ruth Hussey, Chief Medical Officer, Welsh Government Date: 10 October 2014 Reference: Category: Title: What
More informationIMMEDIATE ACTIONS. 1. Reduce the risk of infection in travellers to affected areas. 2. Limit importation of infection
Participants to the Communicable Disease Network Committee met on 9 and 10 April 2003 and agreed the following actions for Member States and the Commission for the surveillance and control of SARS in Europe.
More informationImplementation of the International Health Regulations (2005)
SIXTY-NINTH WORLD HEALTH ASSEMBLY A69/20 Provisional agenda item 14.1 18 May 2016 Implementation of the International Health Regulations (2005) Annual report on the implementation of the International
More informationEBOLA VIRUS DISEASE. Democratic Republic of the Congo. External Situation Report 25. Date of information: 19 June
EBOLA VIRUS DISEASE Democratic Republic of the Congo External Situation Report 25 Date of information: 19 June 2017 1. Situation update WHO, UN Agencies, international organizations, non-governmental organizations
More informationCAA Meeting COMMUNICABLE DISEASE CONTROL. 20 July 2016
CAA Meeting COMMUNICABLE DISEASE CONTROL 20 July 2016 Middle East respiratory syndrome coronavirus (MERS-CoV) Globally, since September 2012, WHO has been notified of 1,782 laboratory-confirmed cases of
More informationGlobal Alert and Response Against Emerging and Reemerging Infectious Diseases an Overview
63 Global Alert and Response Against Emerging and Reemerging Infectious Diseases an Overview Tomimasa SUNAGAWA Infectious Disease Surveillance Center, National Institute of Infectious Diseases 1-23-1 Toyama,
More informationEBOLA: A TEST OF THE DECISION ON SERIOUS CROSS-BORDER THREATS TO HEALTH Health Policy Forum 19 March Brussels
EBOLA: A TEST OF THE DECISION ON SERIOUS CROSS-BORDER THREATS TO HEALTH Health Policy Forum 19 March 2015 - Brussels Charles Price, Policy Officer, Unit C3 Health Threats http://www.africaguinee.com/articles/2014/03/14/sante-une-etrange-fievre-se-declaremacenta-plusieurs-cas-de-morts-signales
More informationEBOLA & OTHER VIRUSES IN THE NEWS EBOLA VIRUS, CHIKUNGUNYA VIRUS, & ENTEROVIRUS D68
EBOLA & OTHER VIRUSES IN THE NEWS EBOLA VIRUS, CHIKUNGUNYA VIRUS, & ENTEROVIRUS D68 PRESENTERS Patricia Quinlisk, MD, MPH, Medical Director /State Epidemiologist Samir Koirala, MBBS, MSc Epidemic Intelligence
More informationSITUATION REPORT YELLOW FEVER 20 MAY 2016 SUMMARY
ZIKA VIRUS SITUATION REPORT YELLOW FEVER 20 MAY 2016 SUMMARY A yellow fever outbreak was detected in Angola late in December 2015 and confirmed by the Institut Pasteur Dakar (IP-D) on 20 January 2016.
More informationEBOLA VIRUS DISEASE. Democratic Republic of the Congo. External Situation Report 28. Date of information: 30 June
EBOLA VIRUS DISEASE Democratic Republic of the Congo External Situation Report 28 Date of information: 30 June 2017 1. Situation update The Ebola virus disease (EVD) outbreak in Likati Health Zone, Bas
More information8. Public Health Measures
8. Public health measures are actions taken to prevent, control or mitigate the effects of a pandemic. These decisions will range from population based recommendations to individual measures. The type
More informationUPDATE ON INFECTIOUS DISEASES 2015
UPDATE ON INFECTIOUS DISEASES 2015 William Schaffner, MD Professor of Preventive Medicine, Department of Health Policy Professor of Medicine (Infectious Diseases) Vanderbilt University School of Medicine
More informationAudit of the Management of Non- Enteric Zoonotic Infectious Disease Activities at the Public Health Agency of Canada. Final Report.
Audit of the Management of Non- Enteric Zoonotic Infectious Disease Activities at the Public Health Agency of Canada Final Report October 2016 Table of Contents Executive summary... i A - Introduction...
More informationEBOLA RESPONSE PROJECT
EBOLA RESPONSE PROJECT PRODUCED BY: DEICHSEL EL, MUNI KM, VEENAPANI A, MCCLELLAND RS Agenda START Team Objectives Approach Results Discussion Shortcomings of Recommendations Current State of Implementation
More informationImplementation of the International Health Regulations (2005)
SIXTY-FIRST WORLD HEALTH ASSEMBLY A61/7 Provisional agenda item 11.4 3 April 2008 Implementation of the International Health Regulations (2005) Report by the Secretariat 1. In resolution WHA58.3, the Fifty-eighth
More informationClinical Practice Guideline. APPROVED BY: Healthy Sexuality and Harm Reduction Working Group
1 of 18 Purpose To ensure an appropriate and consistent approach to the public health management of HIV-positive clients who do not disclose their HIV status before engaging in activities that put others
More informationMIAMI CHILDREN S HOSPITAL POLICY AND PROCEDURE
ISSUED BY: Research PAGE: 1 of 6 REPLACES POLICY DATED: EFFECTIVE DATE: 08/09/2012 DISTRIBUTION: Departmentwide APPROVED BY: Andrews, April (SVP/CECO), BOD Audit and Compliance Committee, Perdomo, Jose
More informationDisease Prevention, Detection & Response During Public Health Emergencies
Centers for Disease Control and Prevention Disease Prevention, Detection & Response During Public Health Emergencies Tom Frieden, MD, MPH Director, Centers for Disease Control and Prevention Global Disaster
More informationMedia centre Ebola virus disease
1 of 6 10/15/2014 10:59 AM Media centre Ebola virus disease Fact sheet N 103 Updated September 2014 Key facts Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal
More informationPANDEMIC INFLUENZA PLAN
PANDEMIC INFLUENZA PLAN August 13, 2009 Credits: We wish to acknowledge and thank Saskatoon Public Schools for their willingness to share information which served as the basis for this document. 1 Pandemic
More informationHIBA ABDALRAHIM Capsca Focal Point Public Health Authority
HIBA ABDALRAHIM Capsca Focal Point Public Health Authority Introduction Definition Symptom Transmission Global situation Local situation Control Content Introduction Yellow fever (YF) is a mosquito-borne
More informationNews in Review December 2014 Teacher Resource Guide EBOLA: A Deadly Virus Outbreak
News in Review December 2014 Teacher Resource Guide EBOLA: A Deadly Virus Outbreak Note to Teachers The classroom must promote a safe place for students to discuss sensitive issues such as illness and
More informationTRAVEL ADVISORY TO PREVENT THE IMPORTATION OF EBOLA INTO SOUTH AFRICA
TRAVEL ADVISORY TO PREVENT THE IMPORTATION OF EBOLA INTO SOUTH AFRICA The purpose of this advisory is to notify travellers about the Ebola disease outbreak and inform them about preventative measures they
More informationInternational Health Regulations for U.S. Public Health Practitioners
International Health Regulations for U.S. Public Health Practitioners Updates for CSTE of the Implementation of the IHR January 2013 2012 CSTE Survey In early 2012, states surveyed on experience with International
More informationSITUATION REPORT YELLOW FEVER 26 MAY 2016 SUMMARY
ZIKA VIRUS SITUATION REPORT YELLOW FEVER 26 MAY 2016 SUMMARY A yellow fever outbreak was detected in Luanda, Angola late in December 2015. The first cases were confirmed by the National Institute for Communicable
More informationYELLOW FEVER UPDATE. DPGH Meeting Dr. Grace Saguti NPO/DPC 13 July 2016
YELLOW FEVER UPDATE DPGH Meeting Dr. Grace Saguti NPO/DPC 13 July 2016 Outline Introduction Yellow fever situation report & Risk Assessment: Angola WHO Recommendations Vaccination TZA status & Action Undertaken
More informationPorts, Airports and Ground. Crossings, Lyon Office. 25 June 2009
WHO response to pa andemic (H1N1) 2009 Daniel L. Menucci, Technical Advisor Ports, Airports and Ground Crossings, Lyon Office International Health Regulations Coordination (IHR) Health Security and Environment
More informationCOMMUNITY HOSPICE & PALLIATIVE CARE NOTICE OF PRIVACY PRACTICES
COMMUNITY HOSPICE & PALLIATIVE CARE NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
More informationAnnually,est 700 airlines transport over 3 billion travelers between 4000 airports.
Annually,est 700 airlines transport over 3 billion travelers between 4000 airports. Contributing Factors:Urbination, Increases in international travel and trade, Climate change,ect While growth in air
More informationProvider Health & Safety Alert Ebola Virus Disease September 30, 2014
Provider Health & Safety Alert Ebola Virus Disease September 30, 2014 With the announcement of the first confirmed case of Ebola Virus Disease (EVD) in Dallas Texas, there could be interactions with individuals
More informationEbola Virus Disease. Global Epidemiology and Surveillance in Hong Kong. as of 13 August 2014
Ebola Virus Disease Global Epidemiology and Surveillance in Hong Kong as of 13 August 2014 Ebola Virus Disease (EVD) Ebola virus disease (EVD), (formerly known as Ebola haemorrhagic fever) is a severe,
More informationGOVERNMENT OF ALBERTA. Alberta s Plan for Pandemic Influenza
GOVERNMENT OF ALBERTA Alberta s Plan for Pandemic Influenza November 2003 What is pandemic influenza? The word pandemic is used to describe diseases that cause worldwide outbreaks of illness involving
More informationEmerging & re-emerging infections on the African Continent-the Public Health Aspect: Is Africa Prepared?
Emerging & re-emerging infections on the African Continent-the Public Health Aspect: Is Africa Prepared? International Conference on (Re) Emerging Infectious Diseases, 12-14 March, African Union Commission,
More informationPrevention and Control of Communicable Diseases at the Airport Hong Kong Experience
Prevention and Control of Communicable Diseases at the Airport Hong Kong Experience Dr Kenneth Chan, MBChB, DTMH, MPH, FHKCCM Senior Port Health Officer Hong Kong Department of Health Hong Kong is one
More informationBritish Columbia Ebola Virus Disease (EVD) Contact Investigation and Management Guideline
British Columbia Ebola Virus Disease (EVD) Contact Investigation and Management Guideline Provincial Ebola Expert Working Group UPDATED: Contents Introduction... 3 Contact Classification, Definitions and
More informationContent. Introduction. Overview of reported outbreaks in WHO African Region. Disease Surveillance and Response. Vol. 4 Issue 3, 23 May 2014
Vol. 4 Issue 3, 23 May 2014 Content Overview of major outbreaks in the WHO African Region Cholera Ebola Virus Disease in West Africa Ongoing outbreaks Dengue in Mozambique and Tanzania Lassa Fever in Nigeria
More informationVol. 5 Issue 2, 31 May 2015
Vol. 5 Issue 2, 31 May 2015 Content Overview of Ebola virus disease epidemic in West Africa Overview of cholera outbreaks Overview of meningitis outbreaks Major outbreaks in selected countries EDITOR:
More informationExperiences on Workforce Development in Other Regions
Experiences on Workforce Development in Other Regions The USA Experience John MacArthur, MD, MPH (EIS 98) Director Thailand MOPH US CDC Collaboration CDC/Southeast Asia Regional Office Epidemic Intelligence
More informationEvents detected by national surveillance system (see Annex 1)
WHA58.3 ANNEX 2 DECISION INSTRUMENT FOR THE ASSESSMENT AND NOTIFICATION OF EVENTS THAT MAY CONSTITUTE A PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN Events detected by national surveillance system
More information5 th Islamic Conference of Health Ministers. Resolution. Istanbul, Turkey November 2015 (5-7 Safar 1437H)
5 th Islamic Conference of Health Ministers Resolution Istanbul, Turkey 17-19 November 2015 (5-7 Safar 1437H) Draft Resolution No. 2/5-ICHM On Healthy Life Style, Prevention and Control of Communicable
More informationWHAT S NEW WITH OSHA AND INFECTION CONTROL?
WHAT S NEW WITH OSHA AND INFECTION CONTROL? Injury reports Affects employers with >15 employees If worker loses a limb or an eye, or is hospitalized, must report directly to OSHA/MIOSHA Mary Govoni, CDA,
More informationEmerging Infectious Disease Threats. Margaret A. Hamburg M.D. Foreign Secretary, U.S. National Academy of Medicine
Emerging Infectious Disease Threats Margaret A. Hamburg M.D. Foreign Secretary, U.S. National Academy of Medicine Plagues and History Leading causes of global deaths from infectious diseases Infectious
More informationEBOLA VIRUS EPIDEMICS. FACTS AND CONTROL CHALLENGES IDENTIFIED DURING GUINEA CONAKRY OUTBREAK.
EBOLA VIRUS EPIDEMICS. FACTS AND CONTROL CHALLENGES IDENTIFIED DURING GUINEA CONAKRY OUTBREAK. Olimpia de la Rosa Vázquez. Emergency Unit, MSF OCBa. June 5th, 2014. 2014. Ebola outbreak in West Africa
More informationCanadian Produce Marketing Association (CPMA)
Canadian Produce Marketing Association (CPMA) Pandemic Planning in the CBSA May 15, 2008 Stuart MacPherson Director Emergency Preparedness, Health & Safety Division Canada Border Services Agency Canada
More informationMETROLINX ADMINISTRATIVE FEE DISPUTE RESOLUTION PROCESS RULES OF PRACTICE
METROLINX ADMINISTRATIVE FEE DISPUTE RESOLUTION PROCESS RULES OF PRACTICE Overview The Metrolinx Act, 2006, gives Metrolinx ( Metrolinx ) the authority to establish a system of administrative fees to ensure
More informationISO/TR TECHNICAL REPORT
TECHNICAL REPORT ISO/TR 13154 First edition 2009-04-01 Medical electrical equipment Deployment, implementation and operational guidelines for indentifying febrile humans using a screening thermograph Équipement
More informationEbola Epidemic in Coastal West Africa Overall Situation
Ebola Epidemic in Coastal West Africa Overall Situation Report given at Caritas Internationalis Briefing Meeting 05 November 2014 Dr and Deacon Timothy Flanigan MD Professor of Medicine and Infectious
More informationTHE 2014 EBOLA VIRUS DISEASE OUTBREAK: LESSONS LEARNT AND WAY FORWARD. Report of the Secretariat
24 October 2015 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-fifth session N Djamena, Republic of Chad, 23 27 November 2015 Provisional agenda item 14 THE 2014 EBOLA VIRUS DISEASE OUTBREAK: LESSONS
More informationHealth Task Force Workplan
2006/SOM 3/HTF/021 Agenda Item: VI Health Task Force Workplan 2006-2007 Purpose: Information Submitted by: Chair Health Task Force Meeting Da Nang, Viet Nam 14 15 September 2006 APEC HEALTH TASK FORCE
More informationTRAVEL ADVISORY TO PREVENT THE IMPORTATION OF EBOLA INTO SOUTH AFRICA
TRAVEL ADVISORY TO PREVENT THE IMPORTATION OF EBOLA INTO SOUTH AFRICA The purpose of this advisory is to notify travellers about the Ebola disease outbreak and inform them about preventative measures they
More informationMedia centre Global infectious disease surveillance
Media centre Global infectious disease surveillance Fact sheet N 200 Increased movements of people, expansion of international trade in foodstuffs and medicinal biological products, social and environmental
More informationIHR and Asia Pacific Strategy for Emerging Diseases. Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO)
IHR and Asia Pacific Strategy for Emerging Diseases Health Security and Emergencies (DSE) Global distribution of relative risk of an Emerging Infectious Disease Event Maps are derived for EID events caused
More informationEbola Virus Patient Advisory
22 September 2014 Ebola Virus Patient Advisory Introduction Ebola virus was first identified in Sudan and Zaire in 1976. It belongs to the family of Filoviridae. It causes Ebola Virus Disease (EVD), formerly
More informationEBOLA FACTS. During this outbreak, most of the disease has spread through human-to-human transmission.
EBOLA FACTS Ebola virus disease (formerly known as Ebola haemorrhagic fever) is a severe and often fatal illness, with a fatality rate of up to 90%. It is one of the world s most dreaded diseases. However,
More informationWORLD HEALTH ORGANIZATION
WORLD HEALTH ORGANIZATION FIFTY-FOURTH WORLD HEALTH ASSEMBLY A54/9 Provisional agenda item 13.3 2 April 2001 Global health security - epidemic alert and response Report by the Secretariat INTRODUCTION
More informationNCCID RAPID REVIEW. 1. What are the case definitions and guidelines for surveillance and reporting purposes?
NCCID RAPID REVIEW 1. What are the case definitions and guidelines for surveillance and reporting purposes? Middle East Respiratory Syndrome Coronavirus: Ten Questions and Answers for Canadian Public Health
More informationAlberta Outbreak Response Protocol (AORP) December Government of Alberta
Ministry of Health, Government of Alberta December 2018 Alberta Outbreak Response Protocol ISBN 978-1-4601-4265-3 https://open.alberta.ca/publications/9781460142653 All rights reserved. No part of this
More informationContents. Flu and Infectious Disease Outbreaks Business Continuity Plan
Contents What is a business continuity plan?... 1 Is a plan for an infectious disease different than... 1 regular business resumption plan? Why will people be off work?... 2 If there is a pandemic flu,
More informationResolution 59/8 Promotion of measures to target new psychoactive substances and amphetamine-type stimulants
Resolution 59/8 Promotion of measures to target new psychoactive substances and amphetamine-type stimulants The Commission on Narcotic Drugs, Deeply concerned about the combination of the diversity of
More informationUNICEF s Response to the Ebola Crisis. Presenta(on to the Execu(ve Board, Informal Session, 11 September 2014
UNICEF s Response to the Ebola Crisis Presenta(on to the Execu(ve Board, Informal Session, 11 September 2014 Overview Over 2,200+ deaths and over 4,200 confirmed / probable cases in Guinea, Sierra Leone,
More informationPreparing For Pandemic Influenza: What the CDC and HHS Recommend You Can Do
Preparing For Pandemic Influenza: What the CDC and HHS Recommend You Can Do Based on current data and information from the Centers for Disease Control (CDC) and the U.S. Department Health and Human Services
More informationGuideline for the Surveillance of Pandemic Influenza (From Phase 4 Onwards)
Guideline for the Surveillance of Pandemic Influenza (From Phase 4 Onwards) March 26, 2007 Pandemic Influenza Experts Advisory Committee 31 Guidelines for the Surveillance of Pandemic Influenza From Phase
More informationFACT SHEET FOR ADDITIONAL INFORMATION CONTACT
FACT SHEET FOR ADDITIONAL INFORMATION CONTACT Caroline Calderone Baisley, MPH, RS Michael S. Long, MS Director of Health Director of Environmental Services Tel. 203-622-7836 Tel: 203-622-7838 FREQUENTLY
More information