P P H S N - R O S S P 

Pacific Public Health Surveillance Network 

Réseau océanien de surveillance de la santé publique

 

 

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Outbreak preparedness & control

PPHSN Guidelines

For the Preparedness, Surveillance And 

Response To Severe Acute Respiratory Syndrome (SARS) 

in Pacific Island Countries And Territories

  April 9th 2003 

SARS is a new disease syndrome. Our knowledge about the best way to prevent and treat it is constantly evolving. These guidelines will be continuously updated. Please regularly check PPHSN website for the most up to date guidance. These guidelines have also been ‘harmonised’ with the WHO WPRO guidelines published on 4th April. 

Table of Contents 

BASIC DISEASE FACTS (Updated 09.04.2003)

Background 

Description of disease 

Epidemiology 

Agent and infectious dose

Source

Occurence

Mode of transmission

Period of communicability

Incubation period

Vulnerable population sub-groups

Risk in the Pacific

SURVEILLANCE (Updated 09.04.2003)

PPHSN Case Definitions for hospital based surveillance 

Suspected case

Probable case

Surveillance and reporting 

Minimum dataset 

PREPAREDNESS - INITIAL ACTION AND RESPONSIBILITIES (Updated 09.04.2003)

Staff responsibilities for the various actions 

Clinical assessment of suspected patients 

Enhanced surveillance 

Communications (between members of team and with outside bodies, media etc.) 

Laboratory diagnosis 

Initial community interventions 

External (international) reporting, requests for support, and coordination among agencies 

CASE MANAGEMENT - the clinical response (Updated 09.04.2003)

Investigations

CXR

FBC

Other

Management of suspect cases

In-flight care of suspected case of SARS

General care of suspected case of SARS 

Management of probable cases 

Specific Treatment 

Hospital discharge and follow-up 

HOSPITAL INFECTION CONTROL (Updated 09.04.2003)

Care for patients with probable SARS

General Principles

Principles of isolation

Principles of Personal Protective Equipment (PPE)

Who should use PPE?

Minimum PPE to be worn

How should PPE be used?

Linen, cleaning and clinical waste

MANAGEMENT OF CONTACTS OF SUSPECTED AND PROBABLE CASES (Updated 09.04.2003)

General 

Contact tracing

Contacts of probable cases

Contacts of suspected cases

Contacts of suspected cases on aircraft 

 

REDUCING THE RISK OF IMPORTING SARS THROUGH INTERNATIONAL TRAVEL (Updated 09.04.03)

WHO recommendations to limit the spread of SARS by international travel

Travellers' Alert

Advice to airline staff and national airport health authorities

Disinfection of aircraft

REFERENCES AND FURTHER SOURCES OF INFORMATION (Updated 09.04.2003)

ANNEXES (Updated 09.04.2003)

HISTORY OF GUIDELINES (Updated 09.04.2003)

 

PPHSN SARS Guidelines - 09/04/2003

 

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