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Version1 As at: 15/08/15 Patient Management Pathway Guideline: Suspected Ebola Virus Disease (EVD) Implement appropriate infection prevention and control measures Community Arrival Aircraft or at Customs TRANSFER PROCESS Notification of ill traveller by Captain Notify Ministry of Health National Focal Point - ring 0800 GETMOH Local Public Health Unit notified (in Akld via AIAL Ops) St Johns [Akld] or Border Officer determines traveller fits suspected EVD case definition SUSPECTED EVD CASE Yes Traveller from affected country identified at Customs Customs identify symptoms as per questionnaire Patient call to Healthline If suspect EVD, advised to call ahead & notify GP of symptoms and travel history Passenger health card provided No Fits suspected EVD case definition? Yes Transfer organised to receiving facility in consultation with Ambulance (WFA/St John), Medical Officer of Health & Infectious Disease Physician NOT A SUSPECTED EVD CASE GP alerts local Medical Officer of Health & 0800 GETMOH SUSPECTED EVD CASE No Primary Care or Pharmacy Manage as per non-EVD case Patient calls ahead Patient presents at facility Fits suspected EVD case definition? Yes Facility alerts local Medical Officer of Health & 0800 GETMOH SUSPECTED EVD CASE No Medical Officer of Health organises transfer with Ambulance (WFA/StJohn) & receiving facility in consultation with Infectious Disease Physician Secondary & Tertiary Care Manage as per non-EVD case Patient presents at facility Fits suspected EVD case definition? No Manage as per non-EVD case Yes Facility alerts local Medical Officer of Health & 0800 GETMOH SUSPECTED EVD CASE Hospital care provided – ideally transferred to tertiary facilities: Akld, Middlemore, Wgtn or Chch