อีโบล่า update เข้าข่าย high risk exposure ผู้เดินทางจากพื้นที่เสี่ยง ถึงแม้ไม่มีไข้แต่สัมผัสสิ่งคัดหลั่งติดเชื้อ หรือศพแน่ๆ และเริ่มมีอาการรวมทั้งมีเกร็ดเลือดต่ำ Shorelands Travax News Alert Service Ebola Virus Disease Update New information for August 4, 2014. According to WHO, there have been 163 new cases of Ebola virus disease (EVD) and 61 deaths reported from Guinea, Liberia, Nigeria, and Sierra Leone between July 31 and August 1, 2014, with Liberia reporting increasing numbers of cases for the third week in a row (108) while Sierra Leone is reporting a sudden increase from last week (89); in contrast, Guinea is reporting decreasing number of cases (18). This brings the global total to 1,603 cases (including 887 deaths) since February 2014. Additionally, WHO also reports 2 new probable cases (1 health care worker who is an apparent contact of an imported case and 1 Nigerian who traveled to Guinea) and 1 suspected case in Nigeria. There is no evidence of community-based or sustained transmission in Nigeria. U.S. CDC has issued guidance for specific Ebola testing of individuals within 21 days of visiting EVD-affected counties. Testing should be guided by risk level of exposure as follows: High risk exposure (specific known exposure to infected fluids or human remains) Any fever No fever but symptoms AND abnormal blood findings (platelets < 150,000 and/or elevated transaminases) Low risk exposure (health care workers or household members without specific direct contact with infected fluids) Fever AND abnormal blood findings Travel to an affected area but no specific exposure Fever AND symptoms AND abnormal blood findings AND no other apparent cause (consider testing only) Patients with known or suspected EVD should be placed in a single patient room, and infection control procedures including standard, contact, and droplet precautions should be followed. = = = = = = = = = = = = = = = = = = = As of July 31, 2014, U.S. CDC recommends avoiding all nonessential travel to Guinea, Liberia, and Sierra Leone due to the ongoing Ebola virus disease (EVD) outbreak. Inbound travelers from these countries to the United States are not being systematically screened by CDC, though as always any obviously ill traveler may be detained for investigation and quarantined if necessary. Liberia has closed all but 2 major airports and 3 major land crossings with Sierra Leone and Guinea in order to perform strict health checks at those locations. Both Liberia and Sierra Leone have invoked the force of martial law to quarantine affected dwellings, restrict human movement to and from the most impacted communities, and restrict public and mass gatherings. Civil unrest is occurring in some areas and foreigners may be targeted. Air passengers to and from affected areas can expect enhanced health monitoring, which may include temperature checks by airlines and airport officials. The airlines Arik Air and Asky have suspended flights to Monrovia (Liberia) and Freetown (Sierra Leone) following the arrival in Nigeria of the first probable EVD case by air. Emirates airline has suspended flights to Conakry (Guinea). Shoreland is monitoring airlines for any additional flight suspensions to affected areas. Travelers to affected areas should be advised that transmission is via direct contact with blood or body fluids (including sweat) of infected primates or acutely ill patients. Health care workers are at very high risk, and infections are occurring despite stringent precautions. The presence of infection control standards sufficient to protect travelers presenting to hospitals with unrelated illnesses cannot be assumed. EVD should be considered in any traveler presenting with abrupt onset of fever or extreme malaise within 2-21 days of returning from affected areas. Travelers returning from affected areas should self-monitor for 21 days after return and telephone ahead before presenting to any medical facility if they become ill. These travelers should placed in a single patient room with standard, contact, and droplet precautions in place, and evaluated based on risk level of exposure as follows: High risk exposure (specific known exposure to infected fluids or human remains) Any fever No fever but symptoms AND abnormal blood findings (platelets < 150,000 and/or elevated transaminases) Low risk exposure (healthcare workers or household members without specific direct contact with infected fluids) Fever AND abnormal blood findings Travel to an affected area but no specific exposure Fever AND symptoms AND abnormal blood findings AND no other apparent cause (consider testing only) Since February 2014, 1,603 cases (including 887 deaths) of EVD have been reported from Guinea, Liberia, Nigeria, and Sierra Leone. Liberia is reporting increasing numbers of cases for the third week in a row (108) while Sierra Leone is reporting a sudden increase from last week (89); in contrast, Guinea is reporting decreasing number of cases (18). The epicenter remains in the border area among the 3 countries, where populations are very mobile and thus contribute to continued transmission of the virus. Air courier services are refusing to carry blood samples to the WHO reference laboratory in Senegal for confirmation, which may hamper epidemic tracking. See Travax Destinations for individual country details, including each affected countrys Ebola Outbreak Map under Event Resources. ========================== Nigeria: Ebola Virus Disease According to WHO, 2 probable imported cases of Ebola virus disease (EVD) have been reported in travelers from endemic areas in Liberia and Guinea since July 20, 2014. Two additional cases (1 probable and 1 suspected) have been reported in health care workers who presumably provided care to the first imported case. There is no evidence of community-based or sustained transmission in Nigeria. © 2014 Shoreland, Inc. All rights reserved. Travax News Alert items are incorporated into Shorelands subscriptions. Travax content represents decision-relevant, expert synthesis of real-time data reconciled with new and existing available advice from authoritative national and international bodies.
Posted on: Tue, 05 Aug 2014 03:01:16 +0000
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