HCID Stuff

Question 1

What is in ACDP algorithm for VHF assessment (initial questions) INCOMPLETE

Answer 1

Visited country as risk
Tick bite or crushed tick

Question 2

MERS case fatality

Answer 2

20-40%

Question 3

MERS case definitions (there are three, because UKHSA just don’t seem to want to make our lives easier from this **** exam)

Answer 3

1) ARI needing hospitalisation, fever, lower parenchymal disease
+ travel to area
or an ICU worker looking after someone
2) Influenza like illness (inlcuding fever) with significant camel contact in specific countries (middle east or Kenya), or been in hospital in middle east
3) Resp illness with confirmed mers contact (i.e. don’t need to have fever in this scenario)

Question 4

Max incubation of
1) Lassa
2) CCHF

Answer 4

1) max 21 days
2) max 14 days

Question 5

Clinical features of lassa

Answer 5

Mild or asymptomatic in 80% (fatal in 1-2%)
Insidious onset of fever, sore throat, generalised aching
Characteristic mouth lesions
Nausea, vomiting, diarrhoea, or cough can accompany these symptoms

Second week
Face and neck swelling
Encephalopathy
pleural effusion + ascities
Circulatory failure
Bleeding

Long term- SNHL in 25%

particularly severe in pregnant women in the third trimester; the fetus dies in about 95% of cases

Question 6

Case of VHF confirmed by RIPL
Who needs to be informed

Answer 6

Locally: IPC, lab HPT
The RIPL clinician will also notify the UKHSA Emergency Response Department
HCID network
NHS Emergency Preparedness, Resilience and Response (EPRR)

Question 7

Comparison of presentation of ebola vs marburg

Answer 7

Location

Outbreaks and sporadic cases have been reported in Angola, Democratic Republic of Congo, Equatorial Guinea, Kenya, Ghana, Guinea, Uganda, South Africa (in a person who had recently travelled to Zimbabwe) and Tanzania.

Question 8

There are 6 species of Ebola virus, 4 of which are known to cause disease in humans: