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Military Health Stressors > Communicable Disease Control (Case Study) > Flashcards

Communicable Disease Control (Case Study) Flashcards

1
Q

Who is the defence consultant advisor for communicable disease control?

A

SO2 Health Protection

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2
Q

Who is the single service focal point for disease control in the RAF?

A

Unit EH practitioner to SO1 health protection/RAF PH consultant air command

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3
Q

What form do we use to notify of suspected notifiable diseases?

A

FMed85

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4
Q

Who should receive the FMed 85?

A

SO2 Health protection
Local Authority proper officer
One copy retained on patients record

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5
Q

Why do we investigate an outbreak?

A

To confirm that an outbreak has taken place

To assess scale and extent

To prevent further spread

To investigate point of origin

Fulfil stationary duty

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6
Q

What are the initial facts to establish when investigating an outbreak?

A

Time
Person
Place

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7
Q

What are the initial actions to take on being notified of a possible outbreak?

A

Confirm known details

Offer initial advice

Inform superiors, local health protection team (CCDC), single service communicable disease focus, media ops

Prepare to visit unit

Establish and maintain Comms

Start log of events

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8
Q

What does CCDC stand for?

A

Consultant in communicable disease control

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9
Q

What are the actions on visiting the site.

A

Establish Comms with:
CoC
Medical staff
Caterers

Possibly set up an outbreak / incident control team

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10
Q

What action is required by the med centre during an outbreak?

A

Isolate / segregate
Identify separate accom and facilities
Exclude infected food handler’s
Collect details of sick staff
Patients fill in a questionnaire
Location list of patients
Dispersed feeding arrangements for the sick
FMED85 produced
Estimating PAR (population attributable risk)
Consult SMO

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11
Q

What do you need to establish a case definition?

A

Symptom, time, event / meal.

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12
Q

What is the aim of case finding an outbreak?

A

To establish the true extent of the outbreak and account for all cases

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13
Q

What methods can be used to gather information on cases and potential carriers/contacts?

A

Medical centre records
Orders / notices
Questionnaires
Lab results

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14
Q

Why should all those potentially exposed be interviewed or fill in a questionnaire?

A

To establish a commonality over time / person / place

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15
Q

What data could you gather from a questionnaire

A

Demographic
Illness details
Food/exposure history
Income
Marital status
Employment status
Nationality

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16
Q

What is meant by a cohort being identified in disease investigation?

A

A group of people with commanality e.g. share the same block corridor, sports team, social nights etc.

17
Q

What can be a useful tool to brief non medical personnel?

A

Graphics representation (epi-curve)?

18
Q

Why types of epidemic curves are there in graphical representation

A

Point source
Continuous source
Propagated source
Intermittent source

19
Q

What is a point source epidemic curve?

A

Persons are exposed to the same common source over a brief period of time, such as through a single meal or event attended by all cases.

Graph shows rapid rise and gradually falls off over 1 incubation period

20
Q

What is a continuous source in an epidemic curve?

A

Exposure is not confined to one point in time. Cases are spread over a long period of time with multiple incubation periods.

21
Q

What is a propagated source in an epidemic curve?

A

No common source but spread from person to person. Can have irregular peaks

22
Q

What is an intermittent source in an epidemic curve?

A

Similar to continuous but exposure is intermittent with multiple peaks. Reflects intermittent times of exposure e.g. contaminated food products sold over longer period of time

23
Q

If food hygiene is a suspected source what actions should be taken?

A

Collection of menu cards
Interview catering staff
Preserve food samples
Audit records and check food safety policies
Check policies
Audit/inspect kitchen

24
Q

What should you do to complete your investigation?

A

Write a report to single service CDC focal point

Identify what happened

Identify what went wrong

Make recommendations to prevent recurrence or further spread

Military Health Stressors (10 decks)

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