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Ebola Planning and Preparedness on the National Level CAPT Dana Hall CAPT Scott Lee

Ebola Planning and Preparedness on the National Level CAPT Dana Hall CAPT Scott Lee CAPT Chris Kates. Resources & Guidance. www.cdc.gov. Important Clinical Guidance (www.cdc.gov). Case Definition of Ebola Virus Disease (EVD)

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Ebola Planning and Preparedness on the National Level CAPT Dana Hall CAPT Scott Lee

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  1. Ebola Planning and Preparedness on the National Level CAPT Dana Hall CAPT Scott Lee CAPT Chris Kates

  2. Resources & Guidance • www.cdc.gov

  3. Important Clinical Guidance (www.cdc.gov) • Case Definition of Ebola Virus Disease (EVD) • Interim Guidance for Specimen Collection, Transport, Testing, & Submission for Persons Under Investigation for EVD in the US • Fact Sheet: Interim Guidance for Specimen Collection, Transportation, Testing, and Submission for Patients with Suspected Infection with EVD • Interim Guidance for Monitoring and Movement of Persons with EVD Exposure • Guidance: Air Medical Transport with Ebola • Sequence for Putting On and Removing PPE

  4. Important Clinical Guidance (www.cdc.gov) • Ebola virus disease Information for Clinicians in U.S. Healthcare Settings • Interim Guidance: EMS Systems & 9-1-1 PSAPs: Management of Patients in the U.S. • Safe Management of Patients with Ebola Virus Disease (EVD) in U.S. Hospitals • Infection Prevention and Control Recommendations for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals • Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries • Interim Guidance for Environmental Infection Control in Hospitals for Ebola Virus

  5. CDC Approved Reference Labs • Currently 13 states have an Approved Reference Lab • Texas is one of the 13 states. Missouri is currently not. • Process is Rigorous but can Completed. • Presumptive Diagnosis is done through a “Split Sample” – one sample done at Approved State Reference Lab; Second sent to CDC. If both +, then presumptive Ebola +

  6. Epi Team Interviews • Once a presumptive Ebola + case determined, contact interviews completed • Risk Stratification Done • High Risk (Dallas Case = 10; 3 family and 7 health care workers) • Low Risk (Dallas Case = 38) Monitor for 21 Days • Complex cases – homeless and folks not wanting to stay in place

  7. Texas Case What is Working Well • Decision made at onset to get the right people as close as possible. Remains in the hands of Local Public Health. • Multi-agency, multi-discipline Public Health and Medical Task Force Set up in Dallas County led by Dallas County Deputy Commissioner for Health. • This task force ties into the Dallas County Emergency Response Operations. • State, Federal, and other appropriate representatives are liaisons to the Dallas County Task Force.

  8. Texas CaseFocus Areas • Recommend reviewing: 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings • Surveillance • Standard Precautions • Transmission-Based Precautions • Protective Environment

  9. Medical Waste Management • Texas Hospital utilizes contract with Stericycle • Approved Vendor • Follows DOT Guidelines • Materials placed in DOT containers and transported to KS for incineration

  10. Questions

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