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Transcript
Summary Table of Precautionary Measures in Each SARS Mobilization Level Shu Sho Ji Tzi No. 0940000238, Department of Health, Executive Yuan, April 21, 2005 Work Item Control on international travel Precautions Arriving passengers showing symptoms fill in the Communicable Disease Survey Form. Arriving passengers have their body temperature taken. Bureau of Immigration provides the list of passengers arriving from SARS foci areas to the CDC, Department of Health. Arriving passengers from China, Hong Kong and Macau will be sent to hospitals to take blood sample and throat swap sample if their ear temperature is higher Preparedness Level Level Level Level Phase O A B C ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ — — ˇ ˇ ˇ — — ˇ ˇ ˇ — — — ˇ ˇ than 38 ℃ and the cause of fever is unknown. Departing passengers with fever(ear temperature 38C) should obtain a diagnosis certificate issued by local hospitals or higher. Those who are not contracting SARS are allowed to leave the country. 1 Note International Travel Advisory Level Self-Health Management and Home Quarantine Announce travel advisory level to SARS foci areas Arriving passengers from SARS foci areas must carry out Self-Health Management measures. Activate the online database of persons who are under home quarantine. Infection Take heed of staff and inmates at the control and institute. If they develop symptoms of surveillance at fever, cough and sore throat that require densely timely notification, persons in charge populated should immediately notify authorities institutions online. — — ˇ ˇ ˇ — — ˇ ˇ ˇ — — ˇ ˇ ˇ ˇ ˇ 2 ˇ ˇ ˇ The travel advisory levels are as follows: 1. Travel advisory: When there is sudden epidemic breakout in certain nations or areas, the government authority will release the information and advice travelers to pay attention to their own health and take necessary precautions to avoid contracting infectious diseases. 2. Travel alert: When there is sudden epidemic breakout in certain nations or areas, the government authority will release the information and advice travelers to postpone or suspend their trip. 3. Travel warning: When there is sudden epidemic breakout in certain nations or areas, the government authority will call on its nationals not to visit there based on WHO’s travel recommendation. Densely populated institutions refer to: nursing homes for senior citizens, long-term care institutions, senior citizen apartments, welfare institutions for mentally and physically challenged, shelters and midway schools for children and juveniles, veteran homes, correction facilities, nursing homes, rehabilitation centers, etc. Online registration website: http://203.65.72.97/isolation/HospReport/ Regularly confirm case numbers whose symptoms met the standard of timely notification last week. Report and monitor unexplained pneumonia Control epidemic prevention materials Inspect infection control in hospitals Take body temperature of inmates and staff everyday. Follow the “Suggested Principles for Managing Patients with Fever in SARS Outbreak.” ˇ ˇ ˇ ˇ ˇ * * ˇ ˇ ˇ — ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ ˇ Stockpile and check materials. Hospitals conduct preventive measures in the following categories such as training on infection control staff, notification of infection cases, nosocomial infection surveillance, staff health management, epidemic prevention materials reserves, crisis management mechanism of cluster incident, etc. Take body The general public adopt self-health temperature management. 3 Adjust notification frequency according to different levels.(Level O: Confirm every Monday; Level A and B: Confirm every Monday and Thursday; Level C: Confirm everyday.) *Encourage institutions to have their members take body temperatures. 1.The procedure will be activated in Level O (and above). 2.Those who have fever should wear surgical masks and avoid going to workplaces or schools. As for the management of patients with fever, follow the principles of general medical treatment and infection control. 1. Heath authorities in each level irregularly check the stockpile of epidemic prevention materials in local hospitals and higher under their jurisdiction. 2. The CDC irregularly inspect the stockpile of epidemic prevention materials in heath bureaus and task force hospitals for infection control. Health authorities in each level conduct inspection according to the “Nosocomial Infection Control Inspection and Surveillance Form.” Suggest nationals to maintain the good habit of taking their body temperature regularly. ※ Institutions and groups adopt the measures of taking body temperature of their members. — ※ ※ ˇ ˇ 1. Institutions and groups decide on their own whether they will regularly check the body temperature of their members or put thermometers at the workplaces for members to take their own temperature based on the characteristics of their members and environments as well as manpower and material resources. 2. Check and replenish temperature equipments in case the outbreak of epidemic is escalated. 3. If cluster fever occurs, the institutions should have their members take their body temperature regularly. * Fever consultation All junior high schools, elementary schools, kindergartens and day-care centers follow the regulations to take temperature of their students everyday. * * * ˇ ˇ Activate 177 fever consultation hotline. — — — ˇ ˇ ˇ refers to the measure to be taken at that stage. 4 1. Include “Do not go to school if you have fever” into the health norms of schools. 2.During influenza season, the central health authorities will announce to compulsorily take body temperature of the nationals if necessary.