甲型h1n1流感大流行预防和控制庄臣泰华施.ppt

甲型H1N1流感大流行预防控制预案,PandemicInfluenzaH1N1PreventionandControlProcedure,JohnsonDiverseyChina庄臣泰华施中国Nov2009,SwineFluH1N1-AhighlycontagiousnewviralinfectionofSwine甲型H1N1流感是一种畜类的高度传染性新的病毒感染症Causativeagent:anewswineinfluenzaviruses,Orthomyxoviruses,InfluenzaBranch病原体:是一种新型猪流感病毒，属正粘病毒科，流感病毒属Transmission：Primarilybyrespiratorydroplets传播方式:飞沫传播（0.31.0m）Incubation:1-4days潜伏期：14天Property:Sensitivetooxidants,ethanol,iodophor,iodine,andheat理化特性:对氧化剂（过氧化氢、含氯消毒剂）、乙醇、碘伏、碘酊敏感；对热敏感，5630分钟可灭活,症状Symptoms,发烧Fever咳嗽Cough喉咙痛Sorethroat肌肉痛、頭痛Bodypainandheadache发抖与无力Chillsandfatigue部份出現腹泻、呕吐等Diarrhea,vomiting,etcinsomecases,与一般流感非常相似Similartoseasonalflu,甲型H1N1流感可以治疗吗?CaninfluenzaA(H1N1)betreated?,容易治愈，患者应充足休息，多喝水Getplentyofsleepanddrinkplentyoffluids特敏福(Tamiflu)及乐感清(Relenza)可用作治疗及预防甲型H1N1流感的感染TamifluandRelenzamaybeusedfortreatmentandpreventionofinfluenzaA(H1N1),疫苗Vaccine,疫苗是預防流感的最佳方法Vaccineisthemosteffectiveprevention中国已开始制造针对该病毒的疫苗，但产量尚不能满足全国需要ChinahasalreadystartedproducingvaccinesagainstthecurrentinfluenzaA(H1N1),buttherearenotenoughforallofthepeople.,预防措施,PreventiveMeasures,引起感染传播的三个环节：,传染源,甲型H1N1流感病人,医疗,传播途径,飞沫、接触,易感人群,普遍易感,加强营养,增强体质,中药预防,标准预防,飞沫传播预防,接触传播预防,庄臣全方位预防控制方案,PreventionandControlProcedures,做好H1N1大流行预防和控制措施，包括:Followingpreventivemeasuresshouldbeobserved:注重个人卫生Enhancedpersonalhygienewithfrequenthand-washing环境卫生控制Enhancedenvironmentalhygiene合理使用个人防护用品Rationaluseofpersonalprotectiveequipments监测体温BodyTemperaturemonitoring,庄臣H1N1预防控制预案,PersonalHygieneisBestTool！,健康生活：均衡饮食、注意休息、规律运动、戒烟Healthylifestyle:balanceddiet,adequaterest,regularexercise&smokingcessation打喷嚏或咳嗽時应用紙巾掩口鼻Coveryournose&mouthwithatissuewhenyoucough/sneeze用过的纸巾须妥善弃置Properlydiscardthetissueinthetrashafterusing不要与他人共用毛巾Donotsharetowelswithothers避免接触眼、鼻、口，病毒通常由此途径传播。Avoidtouchingyoureyes,noseormouth.Theviruscanspreadthisway.尽量避免和病人接触。Trytoavoidclosecontactwithsickpeople,注意个人卫生,保持双手清洁是重要的预防方法Keepingyourhandscleanisthemostessentialprevention用正确的方法洗手Washyourhandsintherightway使用温和的消毒洗手液并彻底过水Useamilddisinfectantsoap，rinsethoroughly在某些没有水的场所，使用免过水洗手液，如丝洁免过水除菌洗手液Intheeventthatwaterisnotavailable,youcanuseSoftCareMed(alcoholbased)fordisinfection,手部卫生控制,经常洗手是个人卫生控制中最关键的！,当进入公共场所或设施时，请主动用免过水洗手液洗手WhenEntrypublicArea,Washhandswithnorinsehandsoap.推荐产品：丝洁手除菌凝露（免过水）SoftCareantibacterialgel丝洁免过水除菌洗手液SoftCareMedHandSoap,在接触了潜在污染的表面或口鼻眼的分泌物后，需经常洗手，最好选用有抗菌功能的洗手液。Alwayswashhandsaftertouchingpotentialcontaminatedsurfacesoraftercontactwithsecretionsfromnose,mouthandeyes.推荐产品：丝洁除菌洗手液SoftCareBacHandSoap强诺牌抗菌洗手JonCleanHandsoap,庄臣手部卫生控制建议,何时洗手？,Whenwashhands?,进厨房时EntertheKitchenRoom上厕所后Afterusingthewashroom吃东西后Aftereating打喷嚏后Aftersneezing接触垃圾后Aftertouchingjunk,抽烟后Aftersmoking清洁后Aftercleaning触摸嘴巴后Aftertouchingmouth接触钱后Aftertouchingmoney在生的和熟的食品之间BetweenFresh&cookedfoods,正确的洗手流程强诺抗菌洗手液,RecommendedProperHandWashProcedure-withJoncleanHandsoap,正确的手部消毒流程丝洁免过水除菌洗手液,RecommendedHandSanitizingProcedures-WithSoftCareMed(alcoholbased),规范的清洁消毒可以有效减少交叉感染Standardsanitationprocedurescanreducetheriskofcrosscontaminationeffectively.尽可能的经常打开窗户，保持空气流通Trytokeepwindowsopen，Ensuregoodventilation经常清洁和维护通风系统，必要时可以采用循环空气消毒机进行空气消毒。Ensureproperfunctioningoftheventilationsystembyfrequentmaintenance,cleaning,anddisinfectantwhennecessary甲型H1N1病毒比一般的病毒更容易摧毁.正确的清洁和消毒可以有效杀灭该病毒。TheswinefluH1N1virusismoresimpletodestroythanmanyviruses。Propercleaninganddisinfectcankilltheiteffectively,环境卫生,EnvironmentalHygieneControl,保持环境清洁Keeptheenvironmentclean,经常被人触摸的物件和地方应每日最少清洁消毒一次Cleananddisinfectatleastonceadayfacilitiesorarticlesfrequentlytouchedbypeople被分泌物/排泄物弄污的地方/物件，应立即清洁消毒Immediatelycleananddisinfectfacilitiesorarticlescontaminatedwithhumansecretionorexcretion一次性使用的物品开启后绝不可再供他人使用，应适当地包裹和扔掉Donotrecycledisposablearticlesafteruse.Instead,wrapanddiscardthemproperly.多次使用的物品在供客人使用前必须严格清洁和消毒Alwaysstrictlycleananddisinfectreusablearticlesbeforeprovidingtotheguests.,保持洗手间清洁，通风良好Keeptoiletscleanandwell-ventilated,根据卫生状况，安排清洁消毒数次，但不可少于每日一次Cleaninganddisinfectionshouldbedoneaccordingtosanitaryconditions,butnolessthanonceaday.确保卫生间内备有肥皂、洗手液，一次性的纸巾或者干手设备等Provideeverytoiletwithliquidsoap&disposabletissuesorhanddryers.切忌提供公用毛巾Neverprovidetowelsforpublicuse.,垃圾处理WasteDisposal,Properdisposalofallwasteiscritical.正确地处理垃圾至关重要.Allwasteproductsshouldbedisposedofimmediately.所有垃圾必须及时处理.Wipeallsurfaceswithdisinfectant(andrinseifafoodcontactsurface).用消毒液擦拭所有表面(如果是直接接触食物的表面，请以饮用水过洗).Plasticbagsshouldlinethetrashcan.垃圾桶内必须放置塑料垃圾袋Tieplasticbagclosedbeforeemptyingthetrash.清理垃圾桶前务必扎紧垃圾袋.Whentransferringtooutdoorreceptacle,besurecontaineristightlyclosed.在运送垃圾至户外途中，必须盖紧垃圾桶.Disinfectionofthetrashcansisadvised.建议对垃圾桶进行喷雾消毒.,高接触表面清洁消毒：每天至少1次Hightouchsurfacedisinfectant:atleastonetimeperday1.奥维表面消毒液：直接使用，含0.5过氧化氢，时间1min2.TaskiR2特洁牌清洁消毒剂，1：10，使用浓度1000ppm3.快活消毒清洁液：1：17稀释，使用浓度850ppm，时间=1min4.Divosan有机氯消毒粉，1：600，使用浓度250ppm,地面清洁消毒：每天12次Floordisinfectant:1or2timesperday1.快活消毒清洁液：1：17稀释，使用浓度850ppm，时间1min2.Divosan有机氯消毒粉，1：600，使用浓度250ppm,庄臣环境卫生控制建议,垃圾消毒：每天12次Wastedisposaldisinfectant:1or2times/dayDivosan有机氯消毒粉，1：150，使用浓度1000ppm，时间30min,庄臣公共区域清洁卫生建议JDPublicAreaRecommendations,Cleananddisinfecthardsurfacesregularly定期清洁并消毒硬表面Virusescansurviveonhardsurfacesfor2hoursorlonger,somakesureyourpremisesarethoroughlycleanedonadailybasis.Cleaningschedulesshouldexist.病毒可以在手部表面存活2小时以上，确保在日常基础上已彻底清洗。清洗时间表必需设定。Washroomsandtoiletsshouldbecleananddisinfectedatleastonceadaypayingattentiontocommontouchareas洗手间和厕所至少每天清洗消毒一次，经常接触的区域则需要更多关注。Clothes,mopsandlinenshouldbewasheddaily.KitchenandFoodservicelaundryshouldbemachinewashed.抹布，拖把和布草每天都需清洗，厨房和食品用布料需用机器洗涤。Surfacesthatarefrequentlytouchedbyhands(doorknobs,knobsforadjustmentoropening,countertops,desks,elevatorbuttonsandpanels,etc),maybecleanedmorefrequently经常用手触碰的表面（门把手，调节/开关把手，工作台面，桌子，电梯按钮和操作面板，等）需要更频繁地清洁。Householdutilityglovesshouldbewornduringcleaning/disinf