This guest commentary examines a series of well-documented nosocomial viral hemorrhagic fever outbreaks, including the October 2014 Dallas Ebola index case, to provide guidance for future preparedness and response in the health care setting. Hazard vulnerability assessments, occupational safety, relevant and appropriate personal protective equipment, and biosurveillance topics are discussed through the all-hazards preparedness lens.
Fumigation techniques such as chlorine dioxide, vaporous hydrogen peroxide, and paraformaldehyde previously used to decontaminate items, rooms, and buildings following contamination with Bacillus anthracis spores are often incompatible with materials (e.g., porous surfaces, organics, and metals), causing damage or residue. Alternative fumigation with methyl bromide is subject to U.S. and international restrictions due to its ozone-depleting properties.
Norovirus outbreaks are becoming common and environmental health professionals are trained and experienced in environmental controls, such as proper cleaning procedures, to halt outbreaks. But what happens when the environmental controls are not preventing the spread? What other methods of transmission should you consider? Learn in this session how one county investigated and halted a Norovirus outbreak that resulted from contaminated well water.
Presented at NEHA 2015 AEC
How does a tourism-dependent community respond to an environmental pathogen found in its water? This session will introduce the basic ecology and pathogenicity of Legionella. A local engineer will share how a large hotel developed and implemented a waterborne pathogen control plan and the local health district will cover their approach to investigating single cases of Legionellosis. Detection and monitoring methods will also be addressed, including a rapid bacteria screening method which provides a means for risk assessment and outbreak mitigation without waiting for a bacterial culture.
Norovirus is the most common cause of acute gastroenteritis and the most common cause of food-borne illness in the United States affecting 19-21 million people and costing over $2 billion in healthcare costs every year.