Transcript 1411201_ASEAN+3 Ebola_Japan_7

Communication to epidemiologists,
health care workers & public in Japan
: Ebola virus disease (EVD)
1 Dec 2014, ASEAN+3
Ministry of Health, Labor and Welfare
Kazuki Ohshima, MD
National Institute of Infectious Diseases
Takuya Yamagsihi, MD, PhD
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Communication to epidemiologists at local government
○ Pre-existing documents based on Infectious Disease Control Law
(available through MOHLW website)
• Sample collection
• Medical transferring
• Disinfection
• Releasing of isolation
○ Updated documents (available through NIID website)
• Risk assessment based on Japan context
• Investigation guidance for suspected/confirmed case
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Flow of active case finding and contact tracing of EVD
Suspected
case*
Test negative †
Test positive
Confirmed
case
Investigation
EVD ruled out
Investigation
Test positive
The contactSymptoms**
Suspected
Lab Test
(High risk,
#
case
Low risk)
Symptoms**
No symptoms**
Test negative †
Twice a day
health check‡
* Suspected case is a person
who developed fever after
having been back from the
three west African countries
** Symptoms; fever >38℃
† Retested as appropriate
‡ Contacts are checked for
their health by local health
officers for 21 days from the
last contact
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Ｒｉｓｋ ｃｌａｓｓｉｆｉｃａｔｉｏｎ ｏｆ the ｃｏｎｔａｃｔ to EVD case
Exposure
Infection precautions with
appropriate PPEs
Yes
No
(1) Needle stick injury, mucosal or wound
exposure to the body fluids of the case
(2) Skin exposure to the blood, saliva,
stool, semen, tear, breast milk of the case
Low risk
High risk
(3) Handling samples of the case
Low risk
High risk
Low risk
High risk
Low risk
Low risk
(4) Physical examination, medical
procedures, or transportation of the case
within a meter of the case
(5) A health care worker (HCW), a person
who got involved in transportation of the
case, a family member of the case who
does not fit the criteria above
High risk
Low risk: Twice daily health check
High risk: Voluntary ban on leaving home
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Infection precautions of epidemiologists
○ When having an interview with the case, use cellphone or interphone
to reduce the chance of exposure
○ When there is a need to interview with the symptomatic contact of
the case, use double gloves, gowns, surgical mask, eye protection (goggles
/face shield)
Training workshop (Nov-Dec 2014)
• Targets: public health officers at local government
to deal with investigation and medical transferring
• Lectures & exercise: how to investigate/ use PPE?
○ Specimen collection is only allowed at the designated hospitals with
trained staffs
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Communication to health care workers
○ Designate 47 hospitals where treatment for highly lethal infectios diseases
including EVD based on The Infectious Diseases Control Law
○ Create and distribute guidance that includes infection prevention for HCWs
○ Conduct workshop for municiparities and designated hospitals
○ Distribute flowchart to municiparities that indicates measures to be taken when
a patient suspisious of EVD appears
○ Launch an expert conference that gives suggestion to doctors of designated
hospitals
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Facebook:
https://www.facebook.com/ncgmdcc?ref=stream
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Communication to travelers
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Measures Taken by Quarantine
○ Call attention to the occurrence status of EVD
○ Encourage self-declaration about travel to the affected countries against all
people who are entering to Japan by multiple language poster and question by
quarantine officer
○ Conduct announcement in the airclaft that requests passengers to declare
travel history to the affected countries to quarantine officer
○ Oblige people who are comfirmed to have travelled to affected countries to
report their health status to quarantine officer twice daily
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Communication to General public
Open a website that dedicated to EVD and publish a message from minister
http://www.mhlw.go.jp/bunya/kenkou/kekkaku-kansenshou19/ebola.html
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