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Module2,TrainingProgramonPreventionandControlofEbolaVirusDisease,StrategyonpreventionandcontrolofEbola,LearningObjectives,TrainingProgramonPreventionandControlofEbolaVirusDisease,Attheendofthiscourse,youwillknow:WhyconcernindividualsattitudeandbehaviorHowtoreducetheriskofhuman-to-humantransmissioninthecommunityHowtorespondtopatientswithEbolaincommunityHowtoreducetheriskofwildlife-to-humantransmissionHowtodowhenhavepatientswithsymptomsandsignsofEVDSuccessfulexperienceofNigeriaandSenegalincontrollingEbolaExperienceonInfectiousdiseasescontrolinChina,GeneralstrategytocontrolEbolavirusdiseaseoutbreak,Behaviorandsocialinterventions,Behaviorandsocialinterventions,Medias,Women,associationsTraditionalhealersOpinionleaders,Formalandinformalmodesofcommunication,SocialandCulturalpractices,CommunicationPressJournalist,Anthropologicalevaluation,ReducehumaninfectionanddeaththroughraisingawarenessRiskfactorsforEbolainfectionProtectivemeasuresindividualscantakeForindividualListentoandfollowdirectivesonEbolacontrolandpreventionunderstandthenatureofthediseasehowitistransmittedhowtopreventitfromspreadingfurtherNottoopanic/overreact,norneglect,Whyconcernindividualsattitudeandbehavior,ClosephysicalcontactwithEbolapatientsshouldbeavoidedGlovesandappropriatepersonalprotectiveequipmentshouldbewornwhentakingcareofillpatientsathomeRegularhandwashingisrequiredaftervisitingpatientsinhospital,aswellasaftertakingcareofpatientsathomeDonottouchthebodyofsomeonewhohasdiedofEbolaPeoplewhohavediedfromEbolashouldonlybehandledusingappropriateprotectiveequipmentandshouldbeburiedimmediatelybypublichealthprofessionalswhoaretrainedinsafeburialproceduresDonothavesexualintercoursewithinthreemonthsafterrecovery.,Howtoreducetheriskofhuman-to-humantransmissioninthecommunity,IfyoususpectsomeoneclosetoyouorinyourcommunityofhavingEbolavirusdiseaseencourageandsupporttheminseekingappropriatemedicaltreatmentinahealth-carefacility,PatientswithEbolaincommunity,NotifypublichealthofficialsGettrainedttheendofthiscourse,youwillknow:Getappropriateglovesandpersonalprotectiveequipment(PPE)gloves,impermeablegown,boots/closedshoeswithovershoes,maskandeyeprotectionforsplashesInstructionsreminderonhowtoproperlycareforthepatient,protectyourselfandyourfamily,andproperlydisposeofthePPEafteruse,Caringforpatientathome-NOTrecommended,Avoidcontactwithfruitbatsormonkeys/apesconsumptionoftheirrawmeatAnimalsshouldbehandledwithglovesandotherappropriateprotectiveclothingAnimalproducts(bloodandmeat)shouldbethoroughlycookedbeforeconsumption,Reducingtheriskofwildlife-to-humantransmission,whattodowhenyouhavecontactedwithpatient,AccordingtotherulesandregulationsIndividualscheckforsignsandsymptomsofEbolafor21daysMeasuretemperatureeverymorningandeveningWatchforotherEbolasymptoms,likesevereheadache,musclepain,vomiting,diarrhea,stomachpain,orunexplainedbleedingorbruisingGotothenearesthealthfacilitywithanyoftheabovesymptomsDoctorcanevaluatetheexposurelevelandanysymptomsconsultwithpublichealthauthoritiestodetermineifactionsareneededContactscancontinuetheirnormalactivities,includinggoingtowork,PromptmedicalcareisessentialtoimprovingtherateofsurvivalfromthediseasePeopleseekcrediblehealthadviceaboutEbolafromtheirpublichealthauthorityBeforepatientsgotothedoctorsofficeoremergencyroomTelldoctoraboutrecentcontactwithapersonwhowassickwithEbolaandyoursymptomsItwillhelpthestaffcareforyouandprotectotherpeople,Whattodowhenapersonhassignsandsymptoms,Ebolavirushasbeendetectedupto15daysaftersymptomonsetinbreastmilkWithsafealternativestobreastfeedingandinfantcareMotherswithprobableorconfirmedEbolavirusdiseaseshouldnothaveclosecontactwiththeirinfantsWeighingbetweenstarvationandEVDinresource-limitedsettings,ReducingtheriskofmothertochildtransmissionofEbolavirus,Focusonreducingtheriskofanimal-to-humantransmissionCommunitiesaffectedbyEbolacouldInformthepopulationaboutthenatureofthediseaseOutbreakcontainmentmeasures,includingburialofthedead,Communitiescouldprovideeducationalpublichealthmessagestothepopulation,Thefirst-everUNemergencypublichealthmissionStrategicprioritiesStopthespreadofthediseaseTreatinfectedpatientsEnsureessentialservicesPreservestabilityPreventthespreadofEVDtocountriescurrentlyunaffectedbyEVD,UNMissionforEbolaEmergencyResponse(UNMEER),CasemanagementSafeanddignifiedburialsCaseconfirmationContacttracing,communityengagement,WorkareaoftheUNMEER,ExperienceStrongpoliticalleadershipEarlydetectionandresponsePublicawarenesscampaignsStrongsupportfrompartnerorganizations,SuccessfulexperienceofNigeriaandSenegalincontrollingEbola,IncreasethedensityandnetworkofsafebedsandeffectivecareinEbolatreatmentandcarecenterstocoveralladministrativeregions,Districtandchiefdoms.Increasethenumberofclinicalandnon-clinicalnationalandinternationalpersonneltomeettheneedsofthenewcentersandbedsbeingestablished.,StrategiesofSierraLeone,Increasetheproportionofsafeburials.Strengthentheoperationalandlogisticalcapacityofthenationalanddistrictoperationalco-ordinationstructures.EnhanceotheroperationalpillarsoftheEmergencyResponsetomeettheincreasechallengesposedbythecurrentscaleoftheepidemic.,StrategiesofSierraLeone,TrainingProgramonPreventionandControlofEbolaVirusDisease,Chinasexperienceoninfectiondiseasecontrol,Severeacuterespiratorysyndrome(SARS)isadiseasecausedbySARScoronavirus(SARS-CoV).Presentingsymptomsincludefever,malaise,myalgia,headache,andrigors.Noindividualsymptomorclusterofsymptomshasprovenspecific.Cough(initiallydry),dyspnoeaanddiarrhoeamaybepresentintheearlystage.Severecasesdeveloprapidlyprogressingrespiratorydistressandoxygendesaturationwithabout20%requiringintensivecare.,OutbreakofSevereacuterespiratorysyndromeinChina,2003,25ProvinceshavereportedSARSProbableCasesasofJune16,2003,DevelopmentoftheSARSepidemicinChina,WHOOfficialsDeclareEndtoSARSOutbreakinChinainJuly5,2003,Controlmeasures:EnhanceGovernmentLeadershipandLegislation,PresidentHealtheducation,notcontactinfestedwater,ControlStrategiesandPrograms(2003-present),Enviornmentmodification,Snailcontrolusingpesticide,Socialmobilization,Healtheducation,Premier,ProgrammanagementandLeadership,Nationalconference,TrainingofRegulationonthePreventionandControlofSchistosomiasis,Legislation,RegulationonthePreventionandControlofSchistosomiasis,Progressofnationalprogram,290000estimatedcasesin2011,61%reductioncomparedwith2003;3acutecaseswerereportedin2011,99%reductioncomparedwith2003.,Figure2Thenumbersofestimatedcasesandacutecasesfrom2002-2011,Themainstrategiesofcontrol:StronggovernmentleadershipImprovinglegislationsRelyingonscience&technologyMobilizingwholesocietyExtensivecooperation,SummaryfromthecontrolofSARSandschistosomiasis,Controlinfectionsourceiskey,remember5earliersEarlierdetection,earlierreport,earlierdiagnosis,earlierisolationearliertreatment,ExperienceonInfectiousdiseasescontrolinChinaKeymessageforcommunityhealthworkers,InfectiondiseasescontroldependonlawGovernment-leadingIntegratedsystemforcasereportingSurveillanceandemergencyresponseMechanismforjointpreventionandcontrolofinfectiousdisease，standardizingmeasuresSocialmobilizationandcommunityengagement,Chinasexperienceofinfectiousdiseasescontrol,InfectiousDiseasesPreventionandTreatmentActEnactedbyNationalPeoplesCongressIssuedin1989,revisedin2004Three-categorylistofnotifiablediseasesCategoryA,B,andCMandatoryreportandmanagementDisease-specificdiagnosticcriteriaorguidelineissuedbyMOH,Infectiondiseasescontrolaccordingtolaw,Government-leading,Integratedsystemforcasereporting,ChinaInformationSystemfroDiseasesControlandPreventionwasimprovedofNov.2003andimplementedofJan.2004.,Thesystemrunbylevelsfromtownship,county,provinceandnation.Thiswebsiteshowthereportcontentofinfectiousdisease.,TheWeb-basedinfectious-diseasereportingsystemhasbeenplayingavitalroleintheresponsetoH1N1,H7N9andotheremergingdiseasesintherecentyearsinChina.Anotherbenefitofthesystemisthatinthebuild-uptothesystembeingintroduced,manyordinarypublic-healthworkersreceivedimprovedcomprehensivetrainingindiseasesurveillance.,Surveillancean