Class #9 - Emergency prepardness Flashcards
MERV-CoV?
Middle East Respiratory Syndrome. Coronarovirus. Not a public emergency.
Ebola?
- Publuc Emergency
WHO public Health Definition?
“The art and science preventing disease, prolonging life, and promoting mental and physical health and efficiency through organized community efforts for: Sanitation, communicable disease, education on hygiene, early diagnosis and preventing disease,
What are WHO: International Health regulation (IHR)?
Created 1969: Laws that helps countries work together to save lives caused by the international spread of diseases and other health risks.
Public Health Emergencies of International Concern? Citerias?
Seriousness of the impact
Unusual or unexpected nature of the event
Potential to spread interna.
Risk that restrictions to travel may result b/c of event
Health Canada 7 roles
- Administration of Canada Health Act
- Service provider of First Nations
- Provide grants to organizations
- regulate products
- Conduct programs and services in envir. health and services, substance abuse, tobacco policy
- Monitors and track diseases and take actions if necessary
- Provide information through research
Public Health Agency of Canada (PHAC) 7 roles?
- Promote health
- Prevent/control chronic diseases
- prevent/control infectious diseases
- Prepare and respond to public health emergencies
- Share Canadas expertise to the world
- Apply international research to Canada’s pubic health program
- Strengthen intergovernmental collaboration
Qc Public Health Program (santé public) five orientations?
- Surveillance of pop. health status
- Child/youth overall development
- Create secure living environment
- Infectious disease prevention
- Health treats risks and emergency preparedness
How many public health directors?
1 provincial. 1 per regions (CIUSSS) and on per region: mtl, Qc and Monteregie
Public directors mandates?
Intersectoral actions to prevent diseases
Inform public
Identifying situations that could pose a threat to the population and implementing emergency measures
MADO/Reportable intoxications, infections and diseases criterias? Who can declare?
Risk of causing new cases
Medical threat
Surveillance/epidemiological investigation
capacity to prevent new cases/outbreak
All health prof.
Mado true or false? Ebola
T
Mado true or false? CO intox.
T
Mado true or false? Measles
T
Mado true or false? Varicella
F
Mado true or false? Lime disease
T
Mado true or false? Tuberculosis
T
Mado true or false? Food Poisoning
T
Mado true or false? Asbestos
T
Mado true or false? HIV
True, only if personne gave or received blood, tissues or organes
Public Health Act - chapter IX: Treatment and prophylactic measures
Obligated to submit for treatment is pathology on the minister list, Called compulsory treatment.
Isolation for max period of 30 days
Public Health Act - chapter XI: Power of public authorities in the event of public health emergency
May:
Order compulsory vaccination
Order closing of educational institutions or other places of assembly
Secure a perimeter where people cant exit or enter
Measles period of infectiousness?
4 days prior to 4 days after Sx
Organisation de la sécurité civil du Qc (Part of ministers sécurité public) roles?
Prevention/prepardness
Response
recovery
Each ministrer is responsible
Crisis vs Emergency vs Disaster?
Crisis: needs serious attention
Emergency: Immediate actions
Disaster: Happens suddenly and causes much suffering
Surge capacity (influenced by?) vs capability?
ability to manage increased patient care volume, human resource pool and preparedness of individual nurses
Ability to manage unusual patients care
4 Pillars of Emergency Management?
Prevention and mitigation
Preparedness:
Response
Recovery
Prevention and mitigation, what is that about?
Identify risk,
Evaluate risk through a matrix of impact vs likelihood, if not enough data select higher risk option Take action to reduce impact
Preparedness, what is it about?
+Haddon Matrix?
Planning before ER.
It is an International Health Regulation
Plan for emergent or know infection disease before outbreak. Then develop ER response plan
Identify priorities
Haddon Matrix: Y axis: Prevent Event Postevent. X axis: Host, vector/agent, physical environment, Social organizations
Risk Communication to the public:
- Outrage management?
- Precaution advocacy?
- Crisis Communication?
- Reassure excessively upset people about small risks.
- Alerting insufficiently upset people about serious risks
- Helping appropriately upset people about coping with the serious risk
Recovery aspects?
demobilize, debrief, learn, prepare for next
Epidemiology definition?
Study of distribution (patterns) and determinants (causes) of health-related states and events (not just diseases) in specific population and the application of the learned knowledge to the control of health problems.
Outbreak vs Epidemic vs pandemic?
localized and controlled epidemic
Cases of illnesses in a population with a clear excess in frequency
Worldwide epidemic
Epi. Principles?
5W’s: what, who, where, when, why/how
Epi. Objectives?
Decribe the event and stop transmission
Epi. Interventions?
Remove source, screen and prophylaxis, quarantine, vaccination
Index case definition?
First documented case of epidemic
Resiliency def. in nurses role?
Capacity to fulfill their ER response functions.
Incubation period?
Time between infected and 1st Sx.
