Priorities for Intervention Flashcards

1
Q

What are the top 11 priorities for intervention?

A
  1. Initial assessment (Section 1)
  2. Measles immunisation (Section 2)
  3. WASH (Section 2)
  4. Food & Nutrition (Section 2)
  5. Shelter & site planning (Section 2)
  6. Health care in the emergency phase (Sections 3 & 4)
  7. Control of communicable diseases & epidemics (Sections 3 & 4)
  8. Public Health Surveillance (Section 1)
  9. Human resource training (Section 6)
  10. Co-ordination (Section 5 & 6)
  11. Security
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2
Q

What are the minimum quantities of essential hygiene items?

A

Two water containers per household (10–20 litres; one for collection, one for storage);
• 250 grams of soap for bathing per person per month;
• 200 grams of soap for laundry per person per month;
• Soap and water at a handwashing station (one station per shared toilet or one per household)
• Potty, scoop or nappies to dispose of children’s faeces.

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3
Q

What are the minimum supplies for menstrual hygiene?

A

Either absorbent cotton material (4 square metres per year), disposable pads (15 per month) or reusable sanitary pads (six per year), as preferred by women and girls;
• underwear (six per year);
• extra soap (250 grams per month)

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4
Q

Name some key indicators for water quality

A

<10 CFU/100ml at point of delivery (unchlorinated water)
• ≥0.2–0.5mg/l FRC at point of delivery of delivery (chlorinated water)
• Turbidity of less than 5 NTU

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5
Q

What is the ideal ratio of shared toilets?

A

1: 50 in the initial phase but 1:20 as quickly as possible
3: 1 F:M ratio

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6
Q

What is the maximum distance between a dwelling a shared toilet?

A

50m

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7
Q

What percentage of chlorine solution should be used for washing the dead bodies of cholera victims?

A

2%

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8
Q

Name some types of latrine

A

Pit latrine
Trench latrine
Aqua privy
Most basic, i.e. bucket, cathole

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9
Q

Name the 6 stages of waste disposal

A
  1. Marked off area
  2. Trench latrine
  3. Pit latrine
  4. Ventilated pit latrine
  5. Ecological sanitation
  6. Septic tank
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10
Q

Name some methods of water extraction

A

Bore hole, well, surface water, spring

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11
Q

Name some important parameters for latrine creation

A

Bottom of latrine at least 1.5m above the water table

At least 30m away from a water source

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12
Q

What are the overall dimension requirements inside a camp?

A

45m^2 per person in a camp with sanitary facilities

30m^2 per person in a camp without

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13
Q

What are the personal space requirements in a camp?

A

3.5m^2 per person

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14
Q

What are the fire safety requirements in a camp?

A

30m firebreak every 300m of built up area

Minimum of 2m between each tent (preferably twice the height of the building)

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15
Q

What is the recommended fat intake per person?

A

17%

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16
Q

What is the recommended protein intake per person?

A

10%

17
Q

What is the definition of triage?

A

A system for sorting casualties, cascading down from the most urgent to the non-urgent, in order to prioritise them for treatment (non-treatment) or evacuation, and repeating this at each echelon (handover) of care

18
Q

What is the aim of triage?

A

To address medical resources towards those who have the best chance of survival

19
Q

Underlying principles of triage

A

Simple
Rapid
Reproducible
Safe

20
Q

Items to consider during triage

A
‘Tactical’ situation aka scene management
Is there a plan? Rehearsed?
Numbers of  casualties
Numbers of  staff & quality
Resources
Equipment available
Availability of transport
Time lines 
Clinical findings
Salvageability
Safety of staff
Environmental risks
Security risks
Access
21
Q

What are the different types of mass gathering?

A

Spontaneous

Planned

  1. One off
  2. Recurrent different locations
  3. Recurrent same location
22
Q

How do you plan for a mass gathering?

A

Detailed planning
Infrastructure development
institutional adaptation
development of SOPs for a range of potential threats
advance testing of plans, procedures, systems and personnel training

23
Q

What is the definition of a MASCAL?

A

An incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties

24
Q

Definition of a major incident

A

A major incident is defined as a significant event, which demands a response beyond the routine, resulting from uncontrolled developments in the course of the operation of any establishment or transient work activity.

25
Q

What are the principles of medical force protection?

A

Prepare, sustain, recover

26
Q

Components of the volunteer

A
Motivation
Availability
Psychological profile
Physical Health
Team Work
27
Q

Examples of volunteer preparation

A

Oral cholera vaccine (Dukoral)

Yellow fever vaccination

28
Q

Individual considerations

A
Clinical skills
Ethics
Environment
Equipment
Training
29
Q

Examples of screening questions

A

Effects on them?
Effects on home life?
Effects on career?

30
Q

Key areas regarding sustaining a volunteer

A
Training
SOPs
Malaria
Sexual Health
Mental Health
Families
Resilience
31
Q

Key areas regarding recovery

A
Screening
Quarantine
Management of cases
Mental health
Follow up