scholarly journals Experience and Challenges in Establishing Quarantine Facility for Suspected COVID-19 Cases: Field Briefing

2021 ◽  
Vol 06 (03) ◽  
pp. 1-8
Author(s):  
Shubha Garg ◽  

Introduction: Due to the unprecedented SARS-CoV-2 pandemic, in late January 2020, many countries in the world imposed a travel ban. Governments across the world initiated repatriation operations for stranded nationals. It was important to instantly develop quarantine facilities for evacuees. As the disease was fairly new, data on it was sparse to fulfil the requirement. Objectives: We are sharing our experience of establishing and managing India’s first quarantine facility for repatriate nationals focusing on key parameters including infection prevention and control, environmental cleaning, and bio-medical waste management along with basic living requirements. Results: The facility housed a total of 617 evacuees from China and Italy. Among them, 17 were found to be positive on initial testing and one tested positive on the 14th day of testing. 25 contacts were traced and prescribed an additional quarantine period of fourteen days in the facility, and were discharged accordingly. All evacuees were put on community surveillance. Supply of logistics, manpower management, and ensuring compliance to protocols were some of the major challenges faced, for which appropriate actions were taken. Conclusion: Impeccable collaboration and coordination among different stakeholders is the most essential ingredient for the successful operation of any quarantine facility in the context of the current pandemic.

2020 ◽  
Author(s):  
Shubha Garg ◽  
Akshay Kumar ◽  
Tushar Nale ◽  
Navin Verma ◽  
Meera Dhuria ◽  
...  

Abstract Due to unprecedented SARS-CoV2 pandemic, in late January 2020, many countries in the world imposed travel ban. The governments across the world initiated repatriation operations for stranded nationals. It was important to instantly develop quarantine facilities for evacuees. As the disease was fairly new, data on it was sparse to fulfil the requirement. With this article, we are sharing our experience of establishing and managing India’s first quarantine facility for repatriate nationals focusing on key parameters including infection prevention & control, environmental cleaning and bio-medical waste management along with basic living requirements. The facility housed a total of 617 evacuees from China and Italy out of who 17 turned out positive on initial testing constituting 27.55% and one tested positive on the 14th day testing. Mindful of the level of exposure 25 contacts were traced and were prescribed additional quarantine period of fourteen days in the facility and discharged accordingly. All evacuees were put on community surveillance under State Surveillance Units by the Integrated Disease Surveillance Programme. Supply of logistics, manpower management and ensuring compliance to protocols were some of the major challenges faced. Appropriate actions were designed and taken to address them. In conclusion, impeccable collaboration and coordination between different stakeholders is most essential ingredient for successful operation of any quarantine facility in the context of current pandemic.


Author(s):  
RAVI PRAKASH SHARMA ◽  
SIDDHARTHA DUTTA ◽  
GOVIND MISHRA ◽  
HINA LAL ◽  
TARUN KUMAR ◽  
...  

The ongoing Coronavirus disease (COVID-19) pandemic has affected the almost entire world and has hit the healthcare and economic sector with a hard blow. The Government imposed lockdowns in almost all part of the world has not only affected the global economy but also has harsh effects on physical and mental health of people around the world. To date, there is no specific and defined treatment or vaccine available for its prophylaxis and treatment; hence preventive strategies like Infection prevention and control (IPC) practices and proper disposal of biomedical waste (BMW) play key role in preventing transmission of the infection in the healthcare sector among healthcare professionals. Ethically, we all should follow the IPC and BMW guidelines soulfully to prevent ourselves and fellow workers from getting infected. The review highlights the salient features of the IPC and BMWM (Biomedical waste management) practices in concise manner for better understanding and implementation at this crucial period of COVID-19 pandemic.


2009 ◽  
Vol 48 (11) ◽  
pp. 1585-1595 ◽  
Author(s):  
Laura E. Johnson ◽  
Katherine Reyes ◽  
Marcus J. Zervos

2020 ◽  
Vol 41 (S1) ◽  
pp. s286-s287
Author(s):  
Loyce Kihungi ◽  
Mary Ndinda ◽  
Samantha Dolan ◽  
Evelyn Wesangula ◽  
Linus Ndegwa ◽  
...  

Background: Little is known about how best to implement infection prevention and control programs in low-resource settings. The quality improvement approach using plan-do-study-act (PDSA) cycles provides a framework for data-driven infection prevention and control implementation. We used quality improvement techniques and training to improve infection prevention and control practices in 2 model hospitals in Kenya. Methods: The 2 hospitals were chosen by the Kenya Ministry of Health for capacity building on infection prevention and control. At each site, the project team (the University of Washington International Training for Education and Training in Health, Ministry of Health, and Centers for Disease Control) conducted infection prevention and control training to infection prevention and control committee members. Infection prevention and control quality improvement activities were introduced in a staggered manner, focusing on hand hygiene and waste management practices. For hand hygiene, the project team’s technical assistance focused on facility hand hygiene infrastructure, hand hygiene practice adherence, hand hygiene supply quantification, and monitoring and evaluation using WHO hand hygiene audit tools. Waste management technical assistance focused on availability of policy, guidelines, equipment and supplies, waste segregation, waste quantification, and monitoring and evaluation using a data collection tool customized based on previously published tools. Regular interactive video conference sessions between the project team and the sites that included didactic sessions and sharing of data provided ongoing mentorship and feedback on quality improvement implementation, data interpretation, and data use. Results: Hand hygiene data collection began in April 2018. In hospital A, hand hygiene compliance increased from a baseline of 3% to 51% over 9 months. In Hospital B, hand hygiene compliance rates increased from 23% at baseline to 44% after 9 months. Waste management data collection began in November 2018. At hospital A, waste segregation compliance scores increased from 73% at baseline to 80% over 6 months, whereas hospital B, waste segregation compliance went from 44% to 80% over 6 months. Conclusions: A quality improvement approach appears to be a feasible means of infection prevention and control program strengthening in low resource settings.Funding: NoneDisclosures: None


2021 ◽  
pp. 92-95
Author(s):  
Saumya Srivastava ◽  
Vandana Sardana

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections and the resulting disease, the coronavirus infectious disease 2019 (COVID-19), have spread to millions of persons worldwide resulting in pandemic.The cases of Covid 19 doesn't seem to end to soon.There are about sixty-two million six hundred nineteen thousand three hundred ninety-ninecases at present in the world with India ranking second after USA with nine million three hundred ninetythree thousand thirty-nine cases.Adoption of infection prevention and control practices such as hand hygiene, respiratory etiquettes, and maintaining social distance are the important strategies for the containment of this deadly and stubborn novel corona virus.The multiple vaccine candidates are under trials,to evaluate their clinical efficacy.The vaccination aims is to generate immunity against COVID-19 and to protect oneself against the disease and limits the spread of disease to close contact


2020 ◽  
Vol 41 (S1) ◽  
pp. s471-s471
Author(s):  
Maureen Kesande ◽  
Mohammed Lamorde ◽  
Elizabeth Bancroft ◽  
Carolyn Herzig ◽  
Judith Nanyondo ◽  
...  

Background: In June 2019, 3 people were diagnosed with Ebola virus disease (EVD) in Kasese district, Uganda, all of whom had come from the Democratic Republic of Congo (DRC). Although no secondary transmission of Ebola occurred, an assessment of infection prevention and control (IPC) using the WHO basic IPC facility assessment checklist revealed significant gaps. Robust IPC systems are critical for the prevention of healthcare-associated infections like EVD. A rapid intervention was developed and implemented in Kasese to strengthen IPC capacity in high-risk facilities. Methods: Of 117 healthcare facilities, 50 were considered at high risk of receiving suspected EVD cases from DRC based on population movement assessments. In August 2019, IPC mentors were selected from 25 high-risk facilities and assigned to support their facility and a second high-risk facility. Mentors ensured formation of IPC committees and implemented the national mentorship strategy for IPC preparedness in non-EVD treatment facilities. This effort focused on screening, isolation, and notification of suspect cases: 4 mentorship visits were conducted (1 per week for 1 month). Middle and terminal assessments were conducted using the WHO IPC checklist 2 and 4 weeks after the intervention commenced. Results were evaluated against baseline data. Results: Overall, 39 facilities had data from baseline, middle, and end assessments. Median scores in facility IPC standard precautions increased from baseline 50% (IQR, 39%–62%) to 73% (IQR, 67%–76%) at the terminal assessments. Scores increased for all measured parameters except for water source (access to running water). Greatest improvements were seen in formation of IPC committees (41% to 75%), hand hygiene compliance (47% to 86%), waste management (51% to 83%), and availability of dedicated isolation areas (16% to 42%) for suspect cases. Limited improvement was noted for training on management of suspect isolated cases and availability of personal protective equipment (PPE) (Fig. 1). No differences were noted in scores for facilities with nonresident mentors versus those with resident mentors at baseline (48% vs 50%) and end assessments (72% vs 74%). Conclusions: This intervention improved IPC capacity in health facilities while avoiding the cost and service disruption associated with large-scale classroom-based training of health workers. The greatest improvements were seen in activities relying on behavior change, such as hand hygiene, IPC committee, and waste management. Smaller changes were seen in areas requiring significant investments such as isolation areas, steady water source, and availability of personal protective equipment (PPE). Mentorship is ongoing in moderate- and lower-risk facilities in Kasese district.Funding: NoneDisclosures: Mohammed Lamorde reports contract research for Janssen Pharmaceutica, ViiV, Mylan.


2021 ◽  
Vol 5 (1) ◽  

The COVID-19 pandemic has caused great panic across the globe because of its rapid spread across the globe causing excessive morbidity and mortality. Governments in different parts of the world are imposing various infection control practices in order to contain the spread. Healthcare providers are at high risk of transmission of disease because of indulgence in close patient care. Among these, ophthalmologists further have increased risk because of close proximities to the patient during examination. In this paper we present various infection prevention and control practices during COVID-19 pandemic specially pertaining to ophthalmology.


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.


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