SlidesTechnical Guidelines[1]

8/9/2019 SlidesTechnical Guidelines[1]

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Department of Health

DOH Interim Guidelines

Influenza A/H1N1


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Technical Guidelines

1. Clinical Management and the Use of Anti-Virals for Influenza A H1N1

Virus Infection

2. Infection Control and Use of Personal Protectie !"ui#ment for

Influenza A H1N1 Virus Infection

$. %a&orator' (iagnosis of Influenza A H1N1

). *n Pu&lic +atherings in ,es#onse to Influenza A H1N1 Virus /hreat


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I. Clinical Management and the

Use f Anti!"irals

Priorit' +rou# for Pro#h'la0is

- Health or3ers

- 4irst res#onders- 5or3ers #roiding essential serices

- Household contacts of #ro&a&le6confirmed

case


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Clinical Management and the Use f Anti!"irals

Antiiral /reatment

- confirmed case7 #ro&a&le case7 sus#ected case athigh ris3 of seere disease

-gien 6in 1st )8 hours of illness7 09 da's or 2) to )8hrs after acute s0 resole

-/0 *seltamiir :9 mg ;I( 0 9 da's


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Clinical Management and the Use f Anti!"irals

Infection control #recautions

- 4or adults to remain in #lace : da's after resolutionof feer> for children 21 da's after onset of illness

- !ducate famil' on #ersonal h'giene and infectioncontrol measures handashing7 use of surgical mas3of #0 still coughing

- Children should not attend school during this #eriod


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II. Infectin Cntrl and Use f

#ersnal #rtecti$e %&ui'ment

A. ,ational Use of PP! &' Health Care Personnel

- ?tandard and dro#let #recaution for staff #roiding careto sus#ects6confirmed case

- Use medical or surgical mas3- !m#hasize hand h'giene and #roide hand h'giene

facilities

- Infection control #recautions N@9 mas37 e'e #rotection7clean nonsterile long sleeed gon7 sterile gloes

- If PP!s are limited7 use medical or surgical mas3 for thecare of all A6H1N1 and #ractice hand h'giene


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#ersnal #rtecti$e %&ui'ment

(##%)

Ca#

+on

N-@9 ,es#irator Mas3

+loes

+oggles

?hoe coers

Infectin Cntrl and Use f #ersnal

#rtecti$e %&ui'ment


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#ersnal #rtecti$e %&ui'ment Infectin Cntrl and Use f #ersnal#rtecti$e %&ui'ment


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#rinci'les fr Using ##%

PP! reduces7 &ut does not com#letel' eliminatethe #ossi&ilit' of infection.

PP! is onl' effectie if used correctl'.

/he use of PP! does not re#lace &asic h'gienemeasures such as hand ashing B hand ashing

is still essential to #reent transmission ofinfection.


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#rtecti$e %&ui'ment

;. Infection Control for +eneral Pu&lic

5ell Indiiduals

- (istance at least 1 m. fr indiidual 6 flu-li3e s0

- Aoid croded situations- ,efrain from touching mou'h and nose

- 4re"uent hand h'giene

- ,educe close contact 6 #eo#le ho might &e ill

- Im#roe airflo in liing s#aces- ?elf "uarantine if in contact ith influenza cases


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#rtecti$e %&ui'ment

;. Infection Control for +eneral Pu&licIndiiduals 6 4lu-li3e ?0

- ?ee3 Consult if unell> ear mas3 in going to healthfacilit'

- 4ollo medical adice and #u&lic healthrecommendations

- ee# distance from ell indiiduals

- Coer mouth and nose hen coughing>dis#ose of soiled

materials immediatel' and clean hands after contact ithres#irator' secretions

- Im#roe airflo in liing s#aces


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#rtecti$e %&ui'ment

+uidelines on the Use of mas3s

- Place mas3 carefull' to coer mouth and nose> tiesecurel' to minimize ga#s &eteen the face and mas3

- Aoid touching the mas3> clean hands ith soa# andater or alcohol &ased handru& hen touching used

mas3

- ,e#lace used mas3 6 ne7 clean7 dr' mas3 as soon

humid6dam#- (o not reuse single use mas3> dis#ose used mas3

immediatel' u#on remoing


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#rtecti$e %&ui'ment

Personal H'giene

- 4re"uent and #ro#er handashing

- Cough eti"uette


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III. *a+ratr, Diagnsis f H1N1


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I". On #u+lic Gatherings

I. 4or Persons Attending aPu&lic +athering

(os

- Pro#er cough mannersand ash hands after

- Maintain #ersonalh'giene regularhandashing ith soa#and ater7 sanitizer

- (efer attendinggatherings if 6 flu-li3es0> see3 consult


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On #u+lic Gatherings

High ,is3 for com#lications

- D chronic medical condition and6orimmunocom#romised

- E 9 '6o or FG= '6o

- Pregnant omen


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II. 4or !ent *rganizers or Hosts

- (etermine time re"uired for the #ur#ose>aoid e0tending

- Proide alternatie o#tions and enues ie.o#en s#aces s. outdoors

- Ade"uatel' aaila&le &asic facilitieshandashing facilities7 gar&age &ins7 on-sitemedical assessment teams


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III. 4or %ocal *fficials7 Health *fficers and otherofficials

-,einforce guidelines

-Proide 3e' educational messages7 healthalerts7 adisories on #reention and controlof A6H1N1

-Com#lement #re#arations of eent organizersade"uate facilities and serices


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III. 4or %ocal *fficials7 Health *fficers and otherofficials

- Plan for #roision of on-site medical

assistance for #ossi&le medical emergencies

- ,e#ort I%I in the communit' here #u&licgatherings are #lanned


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,e#u&lic Act No. @2:16uarantine Act of 2==)

-(*H authorized to inestigate7 recommendand assist communit' to contain the

infection


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/he ff measures can &e recommended to the?ecretar' of Health

- a##rehension7detention6isolation orsureillance of sus#ect6cases

- #lace under actie or #assie sureillance

indiiduals e0#osed to the infection - declare an area under "uarantine here

#u&lic health emergenc' occurs


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-hats net0-hats net0

Coordination ith other concernedCoordination ith other concerned

agencies regarding national res#onseagencies regarding national res#onse

in the eent of a #andemicin the eent of a #andemic

B *P7 (A7 (I%+7 (4A7 N(CC*P7 (A7 (I%+7 (4A7 N(CC

Natinal Center fr Health #rmtin DOH


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Department of HealthNatinal Center fr Health #rmtin DOH


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Health %mergenc, Management 2tructure

CENTRAL

COMMAND

Surveillance

HospitalOperations

FieldOperations

Quarantine

OPERATIONS LOGISTICS

FINANCE

PLANNING

!0#ert Panel

DOH CentralOfce Directors

CHD Directors

Secretariatand Liaison

DOH Hospitals

Admin

MMD

ProcurementCoBAC

Transport

Budget

Saet! Team

Pu"lic #no Oc

$tc%


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-hat t d 3ith a sus'ect A/H1N1


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Infectin cntrl in trans'rt4

B (rier and assist should ear PP!

B Ade"uate &arrier #lastic sheet or curtain

&6 #0 and drier

B (isinfect am&ulance after trans#ort of #0>

clean surfaces 6 sodium h'#ochlorite and

s#ra' ehicles interior 6 %'sol.


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5eferral Centers

I. National ,eferral Center

B ,esearch Institute for /ro#ical Medicine ,I/M

Ala&ang7 Muntinlu#a7 Metro Manila

/el No. 8=@-:9@@

II. ?u&national ,eferral Center

A. %uzon and Metro Manila

B ?an %azaro Hos#ital

uiricada ?t.7 ?ta. Cruz7 Manila

/el No. =2 :$2-$::G to :8

B %ung Center of the Phili##ines

uezon Aenue7 C

/el No. =2 @2)-G1=16@2)-=:=:


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;. Visa'as B Vicente ?otto Medical Center

Ce&u Cit'

/el. No. =$2-29$-@8@1629)-==9:

C. Mindanao

(aao Medical Center

;aJada7 (aao Cit'

/el No. =82 221-G9:)

III. ?atellite ,eferral Hos#itals

,egional Hos#itals6Medical Centers of 1G ,egions

5eferral Centers

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