Humans and healthcare facilities Ian M. Mackay, PhD Public and Environmental Health – Virology Forensic & Scientific Services | Health Support Queensland Department of Health & Associate Professor, The University of Queensland [email protected]Opinions expressed here are my own; citations available upon request Middle East respiratory syndrome (MERS)
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Middle east respiratory syndrome: humans and healthcare facilities
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Humans and healthcare facilities
Ian M. Mackay, PhD Public and Environmental Health – Virology
Forensic & Scientific Services | Health Support Queensland
Department of Health
& Associate Professor, The University of Queensland
• 20% compared to 41% in KSA • due to the mutation? • lower % underlying comorbidities in general community -
opportunistic?
26 ICTMM SEPT 2016
27 ICTMM SEPT 2016 1-Choi. Yonsei Med J. 2015 56(5):1174-76
South Korea outbreak, May-Dec 2015
South Korea outbreak fallout
•Quarantine limited to close contacts • casual contacts needed to be included as well
• 4 beds/room
• Family members responsible for some of care • prolonged, close contact
• Patients easily moved between hospitals • Hospitals didn’t share past disease history on patients
28 ICTMM SEPT 2016
29 ICTMM SEPT 2016
Preventing large healthcare outbreaks • Identify symptomatic patients early; test & re-test
• Strong contact tracing, monitoring and quarantine
• Strong infection, prevention and control measures • PPE – selection, use, donning/doffing, disposal • distance between beds • be aware of aerosol generating procedures • cleaning & disinfection • treat/manage patients in isolation
•Communicate with public to build/maintain trust 30 ICTMM SEPT 2016