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STAFF HEALTH and EBOLA. BEFORE – DURING – AFTER your mission: YOUR HEALTH IS AND MUST REMAIN YOUR PRIORITY. BEFORE your mission BE READY ! « PHYSICALLY and MENTALLY ». BEFORE your mission BE R EADY! PHYSICALLY. MEDICAL ADVISE. ALL VACCINATIONS UPDATED.
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STAFF HEALTH and EBOLA BEFORE – DURING – AFTER your mission: YOUR HEALTH IS AND MUST REMAIN YOUR PRIORITY
BEFORE your missionBE READY! PHYSICALLY MEDICAL ADVISE ALL VACCINATIONS UPDATED
BEFORE your missionBE READY! MENTALLY « Be rested, bewellinformed, foresee your return » Population not welcoming you Stigmatization Fear of beingcontaminated Schokingsymptoms Feeling to be a ‘drop in the ocean’ No treatment Familythinking corpses
BEFORE you go READ ALL THE BRIEFINGS DOCUMENTS !!!!! And… talk with your family and friends
DURING YOUR MISSIONSTAY HEALTHY: Avoidalldiseases (Ebola and not Ebola) No contact no handshakes - no kiss – no hug – no sex – no sharedobjects (glasses, plates…) – no…no … no one …. Clean water - food FollowSpecificprecautions PPE … Care givers/Patients flow…. Malaria prophylaxismandatory
SICK ON MISSION? ROLE OF HEALTH REFERENT HEALTH REFERENT IN EVERY PROJECT (Liaisewith Coordination and BXL) 24/7 « you‘ll all have someebolasymptoms » Report him/herallhealthproblems you have Report all ‘fluids’ incidents: yours and others’
DURING YOUR MISSIONSTAY HEALTHY !!MEDEVAC of Ebola positive NOT GUARANTEED!! • Evacuatebeforesymptoms (< 48h) Informimmediately your healthreferent in case of incident
DURING YOUR MISSIONSTAY HEALTHY AVOID INCIDENTS YOUR BEST PROTECTION = YOUR CONCENTRATION LISTEN TO YOURSELF: REST - ASK FOR REST – SHORTEN/DO NOT EXTEND if you do not feelit « You are not in a hurry to die » « Betterfiredthandead »
AFTER YOUR MISSIONface to face debriefings 2 steps: 21 daysfollow up: evaluation of the risk NO QUARANTINE NEEDED Systematic return talk withpsychologist
AFTER YOUR MISSIONSTAY HEALTHY 21 daysfollow up « If you have followed the specificprotection measures » PROBABILITY TO DEVELOP EBOLA IS +/- 0 PROBABILITY TO PANIC in case of fever IS HIGH • Avoidfallingsick (Rest, malaria prophylaxis, >< sickpersons and crowds…. ) • Stay close to referencehospitalidentified – (see organisation or MOH recommendation)
LASSA FEVEREndemic zoneGUEKEDOU – FOYA – BO - KAILAHUN Up to now, ‘no’ identified cases in Guinea and Liberia Transmission: Direct/indirect throughfluids of sick patient Rats Excreta (urine – stools) Dust – Stocks - Existingtreament (Ribavirin) Same protection than for Ebola + Hygiene (food / stocks)
« Up to now, more than 200 expat staff went on ebola mission, No incident »