This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
1020 – Welcome from FICO: introduction/administration Brian Kinch1030 – Welcome from BCISEE Chairman Jim Barrow1040 – Medical background to Ebola Danny Showell1110 – NHS planning and continuity precautions Phil Read1140 – Refreshments break1155 – Practical case study Philip Russell1225 – Setting the scene for the exercise Richard Verrinder1230 – Exercise part 11300 – Lunch1330 – Exercise part 21400 – Feedback session and discussion Richard Verrinder1500 - Close
Ebola Viral Disease
Basic facts for business continuity
Danny ShowellConsultant in Public Health Medicine
4
Background
Viral infection
First described: 1976, Ebola river (Democratic Republic Congo)
Phase 3 (recovery or deterioration)• Neurological • Bleeding
7
Transmission
No asymptomatic spread
No small droplet spread (coughs and sneezes)
Direct with bodily fluids of symptomatic person• Vomit, diarrhoea, blood, sputum
No infection through intact skin
8
Control
Medical facilities• Infection control procedures
Contact tracing and monitoring• Twice daily monitoring of temperature
Decontamination of environment• Using appropriate precautions
Summary
Not infectious before symptoms start
Highly infection once symptoms start
Not spread via the airborne route
9
Thank you
10
BCI South East of England (BCISEE)
Ebola EventFriday 23rd January
Phil ReadHead of Emergency Preparedness Resilience & Response (EPRR)
NHS England Essex Area Team (EAST Sub Region)
11
12
Content
• How is the Essex NHS preparing for an Ebola case?, and
• How is the Essex NHS preparing for an Ebola outbreak?
• What sensible BC precautions is the NHS taking?
• Healthcare resilience issues to be considered?
• What were the learning points from the ERF exercise/s?
13
Foreword
• (CMO stated for some time) ‘It is expected that we will see a ‘case’ of Ebola in the UK at some time in the future’, no one could be sure…, but….(returning worker from Scotland)
• (Specialists / Microbiologists state) ‘It is not expected that we will see an ‘outbreak’ in the UK at some time in the future’, but no one can be sure….
• The UK (and western world) is different, but we are not complacent…
• There is some intelligence that the ‘outbreak’ in West Africa has peaked/ been contained, but no one can be sure….
• UK planning has focused on initial isolation of a ‘case’ not an ‘outbreak’
• This is different to an ‘seasonal influenza’ epidemic, but has similarities to a ‘pandemic flu’ outbreak’ (not airborne)
14
How is the Essex NHS preparing for an Ebola case?
• Wealth of guidance made available via PHE and DH since early 2013 https://www.gov.uk/government/collections/ebola-virus-disease-clinical-management-and-guidance
• All Local Health Resilience Partnerships (LHRP) required to conduct a local OTSE exercise in October 2014
• National safety alerts, including posters, clinical algorithm and clinical setting specific guidance issued (DH CAS system)
• 2 multi agency LRF level exercises conducted, acute trust local exercises conducted and ongoing (Essex Romero 1&2)
• Teams of specialist staff re / trained in FFP3 mask / PPE donning and doffing (high risk undertaking)
• Increase in national (Royal Free lvl 4/ HLIU) and review of local isolation facilities in acute setting, we are assured
• Ambulance Trust HART training and review of conveyance and isolation procedures
► How could we learn about this?►Social media: Facebook, Twitter►Local/national radio. LBC – 30 minutes►Phone. Personal contacts – almost immediate►Web/TV/visitors/drivers
► Communications►Internal
►Staff rumour. Unnecessary fear►Reassure staff►Facts about incident
►External►Strategic. Agreed message. PR crisis communications group►Operations. ►Satellite TV►Internet site
► Heightened Alert Level►Escalation arrangements in business varies►Social media monitoring/action►Confidence in information/communications to staff►Advice to first aiders?►COBRA – UK instruction/decision??►Cleaning companies. Training? GDS contractors►LEA. LA advice to business/school workplace►Instruction/LA – cleaners – PPE?►IMT established. Managing worried well►Would have detailed contingency plans►What’s the triggers for “different”
► Heightened Alert Level (cont….)►There will be differences in organisational response
►Policy decisions►Company decision?
►Experience/learning from swine ‘flu. Who in UK?►Union engagement??►Universities. Monitoring of travel. Escalate
► Accept:►There will be different sources of information. Policy decision►Senior leadership to agree trusted information source►Working with stakeholders
►What do we tell them?►What do they need?
► Actions►Will be asked for names for contact tracing►Advice to contaminated persons