Infection control: Responding to measles outbreak Atoifi Hospital Christopher Jimuru, RN, PHC...
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- Infection control: Responding to measles outbreak Atoifi Hospital Christopher Jimuru, RN, PHC Coordinator James Asugeni, RN, Ronald Oleka, RN Mike Puia, RNA John Maomatekwa, RN
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- Atoifi Hospital serves the population of East Kwaio. Aprproximately 10,00 people including inpatient, outpatient and outreach Measles is a very infectious viral illness that causes rash and fever. Complications include ear infection, pneumonia and encephalitis. Rash from measles on face
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- Outbreak first reported in Honiara in June 2014 First case was a 21 year old female acquired infection in Papua New Guinea (PNG) People from East Kwaio area often go to Honiara First case in area was a 1 year old from a village south of Atoifi on 28/7/2014. Outbreak response commenced (Measles Taskforce Team).
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- Background Routine immunisation is provided by PHC- outreach and clinic Immunisation coverage for catchment area is about 48% for measles in 1 year olds for 2014
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- Method Epidemiological review of the measles outbreak 2014: Case definition Epi- curve Demographics Vaccination status of cases Hospitalisation
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- Case definition used Case definition- clinical -fever, rash, plus cough, conjunctivitis or koplick spot No Lab confirmation available
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- Gender and Hospitalisations Hospitalisation: 71/123 (57.7%) were hospitalised, at a rate of 746/100,000 population for catchment In New South Wales Australia the hospitalisation rate was 0.20 per 100,000 population over a 10 year period to 2012
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- Location Vaccination status cases is unknown because data were not collected
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- Outbreak response 1 st step Photo staff being vaccinated
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- Vaccines given during the response Staff and families 264 doses given Community 1734 doses given, over 2 weeks
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- Outbreak response Outbreak response include: -organise a measles response team - Immunize high risk 6mnth-5years, OPD staff, ward staff and kids - Immunize immediate family members of suspected cases - Mass immunization first to the villages of suspected cases and to the whole catchment -establish two isolation ward to admit measles cases -conduct health awareness talk on measles to schools and surrounding communities - Develop guide lines, case definitions, form for reporting cases during outbreak - Use of pineapple juice as home remedy to help recovery
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- Infection control Infection control - Measles is very infectious - Increased hand washing, staff wearing mask, isolation of the case, separate entrance, restrict visitors and vaccinate family members. - But best infection control is immunisation beforehand - Measles vaccine twice gives 98% of people protection
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- Conclusion Immunisation at very high levels is essential because measles is very infectious. Outreach clinics need to occur to achieve this. This is an area for further research. Data collection during outbreak to be improved e.g. vaccination status Use an Excel spread sheet daily to enter data Infection control is best done by infection prevention. Immunise!
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- Thank you