scholarly journals Real-time virtual infection prevention and control assessments in skilled nursing homes, New York, March 2020—A pilot project

Author(s):  
Belinda E. Ostrowsky ◽  
Lauren M. Weil ◽  
R. Henry Olaisen ◽  
Rachel L. Stricof ◽  
Eleanor H. Adams ◽  
...  

Abstract Objective: To describe a pilot project infection prevention and control (IPC) assessment conducted in skilled nursing facilities (SNFs) in New York State (NYS) during a pivotal 2-week period when the region became the nation’s epicenter for coronavirus disease 2019 (COVID-19). Design: A telephone and video assessment of IPC measures in SNFs at high risk or experiencing COVID-19 activity. Participants: SNFs in 14 New York counties, including New York City. Intervention: A 3-component remote IPC assessment: (1) screening tool; (2) telephone IPC checklist; and (3) COVID-19 video IPC assessment (ie, “COVIDeo”). Results: In total, 92 SNFs completed the IPC screening tool and checklist: 52 (57%) were conducted as part COVID-19 investigations, and 40 (43%) were proactive prevention-based assessments. Among the 40 proactive assessments, 14 (35%) identified suspected or confirmed COVID-19 cases. COVIDeo was performed in 26 (28%) of 92 assessments and provided observations that other tools would have missed: personal protective equipment (PPE) that was not easily accessible, redundant, or improperly donned, doffed, or stored and specific challenges implementing IPC in specialty populations. The IPC assessments took ∼1 hour each and reached an estimated 4 times as many SNFs as on-site visits in a similar time frame. Conclusions: Remote IPC assessments by telephone and video were timely and feasible methods of assessing the extent to which IPC interventions had been implemented in a vulnerable setting and to disseminate real-time recommendations. Remote assessments are now being implemented across New York State and in various healthcare facility types. Similar methods have been adapted nationally by the Centers for Disease Control and Prevention.

1972 ◽  
Vol 2 (2) ◽  
pp. 139-147
Author(s):  
Marlene R. Slawson ◽  
Kenneth Kopacz

This article emphasizes the need for community involvement in controlling drug abuse. It illustrates the type of New York State legislation that gave rise to the creation of Narcotic Guidance Councils. It furthermore states the goals of NGC's and the means through five committees to accomplish these goals. These committees include publicity, youth activities, counseling, school education programs, and adult education. In some greater depth, this article traces the development of the Cheektowaga Narcotics Guidance Council and a survey of more than three hundred and fifty NGC's operating in New York State to obtain information concerning specific programs in different locales. Key approaches of this new program involve 1) knowing the problem; 2) finding out what your town is already doing; 3) knowing what you are talking about; 4) keeping the media involved; 5) educating youth and adults; 6) involving young people; 7) setting objectives; and 8) evaluating the program.


2020 ◽  
Vol 41 (S1) ◽  
pp. s301-s302
Author(s):  
Lisa Saiman ◽  
Erin Hanft ◽  
Sandhya Brachio ◽  
Maria Messina ◽  
Philip Zachariah ◽  
...  

Background: Measles can cause miscarriages and preterm birth in nonimmune pregnant women. During the 2018–2019 measles outbreak in New York, a woman with measles delivered an extremely low birth weight preterm infant at our Women and Children’s Hospital. We describe our measles preparedness strategies and infection prevention and control (IPC) management relevant to congenital measles. Methods: Because of the measles outbreak, in Q4 2018, IPC verified measles immunity in all obstetric and pediatric staff, per state regulations, and recommended determining the measles immune status of all pregnant women. To prevent measles exposure, visitor restrictions for the neonatal intensive care unit (NICU) were implemented (May 2019); only 3 visitors were permitted for each infant, including parents. All visitors had to provide written documentation of immunity to measles, regardless of epidemiologic risk factors or receive an MMR vaccine prior to visiting. New York state and New York City health departments performed measles diagnostic testing for maternal and infant specimens. Results: Our hospital was informed of the imminent transfer of a woman in preterm labor with suspected measles. To avoid any exposure, the mother was masked in the ambulance bay and taken by commandeered elevator to the obstetrical operating room suite, which was cleared of other patients. She delivered by C-section and was transferred to an airborne infection isolation (AII) room. The 25-week-gestation infant was transported by isolette to the NICU and was placed on AII. Testing confirmed measles in the mother (measles PCR- and IgM-positive) and congenital measles in the infant (Table 1). The mother was allowed to visit the NICU when her respiratory symptoms and rash resolved, as confirmed by her provider, ~10 days after discharge. The infant never developed a rash, pneumonia, or neurologic findings. AII was discontinued on day of life 61 in consultation with the health departments. The infant was discharged at ~36 weeks gestation. No secondary cases of measles occurred among patients, visitors, or staff. Conclusions: We safely cared for an extremely preterm infant with congenital measles. Laboratory testing suggested prolonged presence of measles virus, but it is unknown how long an infant in the NICU should remain on AII. The current Council of State and Territorial Epidemiologists case definition for measles requires the presence of rash. This case provides support to revise this case definition if laboratory findings are consistent with congenital measles.Funding: NoneDisclosures: None


2020 ◽  
Author(s):  
Jingyi Jiang ◽  
Lei Jiang ◽  
Gaorong Li ◽  
Jingxuan Luo ◽  
Meitang Wang ◽  
...  

Abstract The outbreak of 2019 novel coronavirus disease (COVID-19) has become a public health emergency of international concern. The purpose of this study was to propose an improved dynamic SEIR (ID-SEIR) model to predict the epidemic trends of novel COVID-19. Firstly, we obtain the values of parameters in ID-SEIR model by using the epidemic data of Wuhan as the training sample. Secondly, we predict the epidemic trends of COVID-19 for the three most serious USA, New York and Italy with our proposed ID-SEIR model, and we can apply the proposed method to predict the epidemic trends of other countries and areas. Finally, we find that the proposed ID-SEIR model established in this paper has strong reliability, which can reasonably reflect the changes in national policies and public behavior during the epidemic. Also, this model can make predictions in line with the actual development of the epidemic and provide reference for infection prevention and control.


2020 ◽  
Author(s):  
Daniel Poremski ◽  
Sandra Henrietta Subner ◽  
Grace Lam Fong Kin ◽  
Raveen Dev Ram Dev ◽  
Mok Yee Ming ◽  
...  

The Institute of Mental Health in Singapore continues to attempt to prevent the introduction of COVID-19, despite community transmission. Essential services are maintained and quarantine measures are currently unnecessary. To help similar organizations, strategies are listed along three themes: sustaining essential services, preventing infection, and managing human and consumable resources.


2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Walelegn Worku Yallew ◽  
Abera Kumie ◽  
Feleke Moges Yehuala

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.


Sign in / Sign up

Export Citation Format

Share Document