1、Module 2,Training Program on Prevention and Control of Ebola Virus Disease,Strategy on prevention and control of Ebola,Learning Objectives,Training Program on Prevention and Control of Ebola Virus Disease,At the end of this course, you will know: Why concern individuals attitude and behavior How to

2、reduce the risk of human-to-human transmission in the community How to respond to patients with Ebola in community How to reduce the risk of wildlife-to-human transmission How to do when have patients with symptoms and signs of EVD Successful experience of Nigeria and Senegal in controlling Ebola Ex

3、perience on Infectious diseases control in China,General strategy to control Ebola virus disease outbreak,Behavior and social interventions,Behavior and social interventions,Medias,Women, associations Traditional healers Opinion leaders,Formal and informal modes of communication,Social and Cultural

4、practices,Communication Press Journalist,Anthropological evaluation,Reduce human infection and death through raising awareness Risk factors for Ebola infection Protective measures individuals can take For individual Listen to and follow directives on Ebola control and prevention understand the natur

5、e of the disease how it is transmitted how to prevent it from spreading further Not too panic/overreact, nor neglect,Why concern individuals attitude and behavior,Close physical contact with Ebola patients should be avoided Gloves and appropriate personal protective equipment should be worn when tak

6、ing care of ill patients at home Regular hand washing is required after visiting patients in hospital , as well as after taking care of patients at home Do not touch the body of someone who has died of Ebola People who have died from Ebola should only be handled using appropriate protective equipmen

7、t and should be buried immediately by public health professionals who are trained in safe burial procedures Do not have sexual intercourse within three months after recovery.,How to reduce the risk of human-to-human transmission in the community,If you suspect someone close to you or in your communi

8、ty of having Ebola virus disease encourage and support them in seeking appropriate medical treatment in a health-care facility,Patients with Ebola in community,Notify public health officials Get trainedt the end of this course, you will know: Get appropriate gloves and personal protective equipment

9、(PPE) gloves, impermeable gown, boots/closed shoes with overshoes, mask and eye protection for splashes Instructions reminder on how to properly care for the patient, protect yourself and your family, and properly dispose of the PPE after use,Caring for patient at home - NOT recommended,Avoid contac

10、t with fruit bats or monkeys/apes consumption of their raw meat Animals should be handled with gloves and other appropriate protective clothing Animal products (blood and meat) should be thoroughly cooked before consumption,Reducing the risk of wildlife-to-human transmission,what to do when you have

11、 contacted with patient,According to the rules and regulations Individuals check for signs and symptoms of Ebola for 21 days Measure temperature every morning and evening Watch for other Ebola symptoms, like severe headache, muscle pain, vomiting, diarrhea, stomach pain, or unexplained bleeding or b

12、ruising Go to the nearest health facility with any of the above symptoms Doctor can evaluate the exposure level and any symptoms consult with public health authorities to determine if actions are needed Contacts can continue their normal activities, including going to work,Prompt medical care is ess

13、ential to improving the rate of survival from the disease People seek credible health advice about Ebola from their public health authority Before patients go to the doctors office or emergency room Tell doctor about recent contact with a person who was sick with Ebola and your symptoms It will help

14、 the staff care for you and protect other people,What to do when a person has signs and symptoms,Ebola virus has been detected up to 15 days after symptom onset in breast milk With safe alternatives to breastfeeding and infant care Mothers with probable or confirmed Ebola virus disease should not ha

15、ve close contact with their infants Weighing between starvation and EVD in resource-limited settings,Reducing the risk of mother to child transmission of Ebola virus,Focus on reducing the risk of animal-to-human transmission Communities affected by Ebola could Inform the population about the nature

16、of the disease Outbreak containment measures, including burial of the dead,Communities could provide educational public health messages to the population,The first-ever UN emergency public health mission Strategic priorities Stop the spread of the disease Treat infected patients Ensure essential ser

17、vices Preserve stability Prevent the spread of EVD to countries currently unaffected by EVD,UN Mission for Ebola Emergency Response (UNMEER),Case management Safe and dignified burials Case confirmation Contact tracing, community engagement,Work area of the UNMEER,Experience Strong political leadersh

18、ip Early detection and response Public awareness campaigns Strong support from partner organizations,Successful experience of Nigeria and Senegal in controlling Ebola,Increase the density and network of safe beds and effective care in Ebola treatment and care centers to cover all administrative regi

19、ons, District and chiefdoms. Increase the number of clinical and non-clinical national and international personnel to meet the needs of the new centers and beds being established.,Strategies of Sierra Leone,Increase the proportion of safe burials. Strengthen the operational and logistical capacity o

20、f the national and district operational co-ordination structures. Enhance other operational pillars of the Emergency Response to meet the increase challenges posed by the current scale of the epidemic.,Strategies of Sierra Leone,Training Program on Prevention and Control of Ebola Virus Disease,China

21、s experience on infection disease control,Severe acute respiratory syndrome (SARS) is a disease caused by SARS coronavirus (SARS-CoV). Presenting symptoms include fever, malaise, myalgia, headache, and rigors. No individual symptom or cluster of symptoms has proven specific. Cough (initially dry), d

22、yspnoea and diarrhoea may be present in the early stage. Severe cases develop rapidly progressing respiratory distress and oxygen desaturation with about 20% requiring intensive care.,Outbreak of Severe acute respiratory syndrome in China, 2003,25 Provinces have reported SARS Probable Cases as of Ju

23、ne 16, 2003,Development of the SARS epidemic in China,WHO Officials Declare End to SARS Outbreak in China in July 5,2003,Control measures: Enhance Government Leadership and Legislation,President Health education, not contact infested water,Control Strategies and Programs (2003-present),Enviornment m

24、odification,Snail control using pesticide,Social mobilization,Health education,Premier,Program management and Leadership,National conference,Training of Regulation on the Prevention and Control of Schistosomiasis,Legislation,Regulation on the Prevention and Control of Schistosomiasis,Progress of nat

25、ional program,290 000 estimated cases in 2011, 61% reduction compared with 2003; 3 acute cases were reported in 2011, 99% reduction compared with 2003.,Figure2 The numbers of estimated cases and acute cases from 2002-2011,The main strategies of control: Strong government leadership Improving legisla

26、tions Relying on science & technology Mobilizing whole society Extensive cooperation,Summary from the control of SARS and schistosomiasis,Control infection source is key, remember 5 earliers Earlier detection, earlier report, earlier diagnosis, earlier isolation earlier treatment,Experience on Infec

27、tious diseases control in ChinaKey message for community health workers,Infection diseases control depend on law Government-leading Integrated system for case reporting Surveillance and emergency response Mechanism for joint prevention and control of infectious disease，standardizing measures Social

28、mobilization and community engagement,Chinas experience of infectious diseases control,Infectious Diseases Prevention and Treatment Act Enacted by National Peoples Congress Issued in 1989, revised in 2004 Three-category list of notifiable diseases Category A, B, and C Mandatory report and management

29、 Disease-specific diagnostic criteria or guideline issued by MOH,Infection diseases control according to law,Government-leading,Integrated system for case reporting,China Information System fro Diseases Control and Prevention was improved of Nov. 2003 and implemented of Jan. 2004.,The system run by

30、levels from township, county, province and nation. This website show the report content of infectious disease.,The Web-based infectious-disease reporting system has been playing a vital role in the response to H1N1, H7N9 and other emerging diseases in the recent years in China. Another benefit of the system is that in the build-up to the system being introduced, many ordinary public-health workers received improved comprehensive training in disease survei