Airborne Pathogens and Respirator UseSlide 2
Objectives â The Illnesses Discuss Airborne Diseases and the medicinal services supplier How they spread Who is at danger Possible reasons Symptoms SAINT BARNABAS HEALTH CARE SYSTEMSlide 3
Objectives â EMS Transport What you ought to do to secure yourself General contemplations Infection control Waste transfer Cleaning and Disinfection Follow-up of EMS work force SAINT BARNABAS HEALTH CARE SYSTEMSlide 4
Objectives - The N95 Respirator What is it? Why do I require it? How would I utilize it? Fit testing What are the confinements? Holy person BARNABAS HEALTH CARE SYSTEMSlide 5
Airborne Pathogens Tuberculosis Influenza Avian Influenza Smallpox SARS SAINT BARNABAS HEALTH CARE SYSTEMSlide 6
Tuberculosis Famous individuals who have had TB Fredric Chopin* Eleanor Roosevelt* Nelson Mandela Ringo Starr Tom Jones Tina Turner *Died of TBSlide 7
What is tuberculosis (TB)? Malady brought on by microorganisms called Mycobacterium tuberculosis Chronic bacterial contamination Was previously the main source of death in US The quantity of cases declined in the 1940âs when medications were created to treat TB is still an issue around the world (NIAID) 8 million individuals create TB yearly 3 million bite the dust SAINT BARNABAS HEALTH CARE SYSTEMSlide 8
How is TB spread? Through the air from individual to person by hacking Usually assaults lungs Two stages Latent TB asymptomatic and not infectious can take solution to anticipate advancement of sickness Active TB Disease May spread to others May have unusual mid-section x-beam Usually have constructive skin test SAINT BARNABAS HEALTH CARE SYSTEMSlide 9
Symptoms of TB Chills Fever Weakness or exhaustion Sweating while dozing, Night sweats Cough that keeps going longer than 2 weeks Pain in mid-section Coughing up blood or sputum SAINT BARNABAS HEALTH CARE SYSTEMSlide 10
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Risk Factors Close contact with somebody who is contaminated with TB Traveling to a nation where TB is normal Immune bargained Foreign-conceived people and minorities have a higher rate of creating TB 2002: half of US cases were in outside conceived people (CDC) 2002: 80% of all US TB cases were in ethnic and racial minorities (CDC) SAINT BARNABAS HEALTH CARE SYSTEMSlide 12
Multi-drug safe TB (MDR TB) Bacteria get to be impervious to anti-microbials Arose from shameful utilization of anti-toxins in the treatment of TB Treatment of one case can cost up to $1.3 million (CDC) 45 states and Washington, DC have affirmed instances of MDR TB (CDC) SAINT BARNABAS HEALTH CARE SYSTEMSlide 13
MDR TB proceeded with Treatment is troublesome and expensive Can create from not taking legitimate course of anti-infection agents for TB MDR TB can be spread by a tainted individual SAINT BARNABAS HEALTH CARE SYSTEMSlide 14
How to ensure yourself BCG immunization for TB is given in numerous nations, yet not the US Not suggested for social insurance specialists unless a high rate of patients are tainted with MDR TB (CDC) PPD test if introduction is suspected USE fitting PPE when in contact with patients who may have TB SAINT BARNABAS HEALTH CARE SYSTEMSlide 15
Tuberculosis Summary Chronic bacterial disease spread through the air Fever, chills, sweating while resting, industrious hack, hacking up blood or sputum MDR TB Use legitimate PPE and get PPD test if uncovered SAINT BARNABAS HEALTH CARE SYSTEMSlide 16
Influenza âI had a little winged animal, His name was Enza, I opened the window and in flew Enza.â -Childrenâs nursery rhyme about this season\'s cold virus pestilence of 1918Slide 17
What is flu (âthe fluâ)? Ailment brought about by an infection Respiratory More extreme than a cool 10%-20% of US inhabitants will get this season\'s flu virus every year (CDC) Can prompt confusions for a few individuals 36,000 individuals kick the bucket every year from complexities (CDC) SAINT BARNABAS HEALTH CARE SYSTEMSlide 18
Types of flu infection Influenza A Most regular and most genuine Can prompt plagues Influenza B Can likewise bring about pestilences Symptoms are milder Influenza C Never joined with vast scourges SAINT BARNABAS HEALTH CARE SYSTEMSlide 19
How is flu spread? Influenza season is from November to March Respiratory beads Coughing Sneezing Droplets on articles Contagious from 1 day before indications begin to 7 days after side effects begin (CDC) SAINT BARNABAS HEALTH CARE SYSTEMSlide 20
Symptoms Cough and clog Fever Headache Body Aches General disquietude Sore throat SAINT BARNABAS HEALTH CARE SYSTEMSlide 21
Vaccine-The Flu Shot Administered yearly Injection or nasal shower (FluMist) New immunization made consistently Can counteract sorts An and B SAINT BARNABAS HEALTH CARE SYSTEMSlide 22
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Who ought to get an influenza shot? (CDC) >50 years old Diabetic Live or work in a nursing home Compromised invulnerable framework Chronic heart, lung, or kidney infection Will be over 3 months pregnant amid influenza season SAINT BARNABAS HEALTH CARE SYSTEMSlide 24
Protecting yourself Get influenza shot Use legitimate PPE around patients associated with having this season\'s flu virus Disinfect surfaces routinely Keep yourself solid amid seasonal influenza season! Get enough rest Eat well SAINT BARNABAS HEALTH CARE SYSTEMSlide 25
Influenza Summary Flu season is from November to March Use PPE Disinfect Get an influenza shot SAINT BARNABAS HEALTH CARE SYSTEMSlide 26
Avian Influenza February 2004: 72,000 chickens were butchered in Delaware after two instances of Avian Influenza were found at a poultry ranch under contract for Perdue Farms, Inc.Slide 27
What is Avian Influenza? Flu infection that can taint feathered creatures and people Type A flu 3 Type An infections and every have 9 subtypes H5: can be high or low pathogenic; can bring about serious sickness or demise H7: can be high or low pathogenic; contaminations are uncommon and side effects are gentle H9: low pathogenic; exceptionally uncommon in people SAINT BARNABAS HEALTH CARE SYSTEMSlide 28
Transmission Contact with tainted poultry or debased surfaces No archived instances of managed human to human transmission Have been disengaged occurrences of human to human transmission Monitoring is critical Influenza infections can change May pick up the capacity to spread from individual to individual SAINT BARNABAS HEALTH CARE SYSTEMSlide 29
Symptoms Same as run of the mill influenza like manifestations Conjunctivitis Pneumonia Severe respiratory misery SAINT BARNABAS HEALTH CARE SYSTEMSlide 30
Incidents of H5 Avian Influenza 1997: Hong Kong-First recorded transmission of fowls to people 18 individuals hospitalized 6 kicked the bucket 1.5 million chickens butchered to avert further spread of malady Person to individual transmission was likewise reported SAINT BARNABAS HEALTH CARE SYSTEMSlide 31
Incidents of H5 Avian Influenza 2003: China and Hong Kong 2 individuals tainted in the wake of flying out to China 1 passed on Source of disease not recognized 2004: Thailand and Vietnam WHO reported instances of H5 flu among fledgling populaces Ongoing subsequent to January 2003 Human cases found in Thailand and Vietnam (WHO) 37 reported cases 26 kicked the bucket Most late cases were accounted for August 12, 2004 SAINT BARNABAS HEALTH CARE SYSTEMSlide 32
Avian Influenza Summary Can be transmitted from winged creatures to people Typical influenza like indications in addition to Conjunctivitis Respiratory trouble Pneumonia Use PPE SAINT BARNABAS HEALTH CARE SYSTEMSlide 33
Questions? Holy person BARNABAS HEALTH CARE SYSTEMSlide 34
Smallpox In 1972, a solitary instance of little pox in Yugoslavia prompted the contamination of 150 individuals, 34 passings, 10,000 individuals isolated and 20 million inoculated. - World Health OrganizationSlide 35
What is Smallpox? Variola Virus Contagious irresistible illness Eliminated in human populaces Laboratory stockpiles exist Concern that it might be utilized as an operators of bioterrorism No treatment Only aversion is immunization Two sorts Variola significant Variola minor SAINT BARNABAS HEALTH CARE SYSTEMSlide 36
Variola Major Most normal Severe Very high fever Large ill-advised 4 sorts Ordinary: most successive Modified: happens in individuals who have been inoculated; gentle Flat: uncommon and extreme Hemmorhagic:rare and serious Fatality rate of 30% (CDC) SAINT BARNABAS HEALTH CARE SYSTEMSlide 37
SAINT BARNABAS HEALTH CARE SYSTEMSlide 38
Variola Minor Less regular Less extreme manifestations Fatality rate of <1% SAINT BARNABAS HEALTH CARE SYSTEMSlide 39
From World Health Organization SAINT BARNABAS HEALTH CARE SYSTEMSlide 40
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Transmission Person to individual Prolonged contact with tainted individual Contact with contaminated body liquids or polluted items Can be spread through the air in encased settings, yet this is uncommon SAINT BARNABAS HEALTH CARE SYSTEMSlide 43
Vaccine Complete assurance if given before introduction If given inside of 3 days after presentation, will avert or extraordinarily reduce seriousness 4-7 days after introduction: diminishes seriousness of malady No security if given after rash shows up Not broadly accessible to the general population right now Stockpiles are set up if there should be an occurrence of an episode SAINT BARNABAS HEALTH CARE SYSTEMSlide 44
Vaccine contraindications (CDC) Vaccinia infection can be spread to others from the infusion site of an inoculated individual Eczema and other exfoliative skin conditions May create dermatitis vaccinatum Inadvertent autoinnoculation of influenced range Could create vaccinia Immune traded off people Pregnancy Infants and kids Not given to newborn children <12 months of age Only in crisis circumstances to kids <18 years old Breastfeeding moms ought not get the antibody Heart sickness SAINT BARNABAS HEALTH CARE SYSTEMSlide 45
Protecting yourself Vaccine Use PPE when in contact with tainted patient or debased liquids Watch for signs/indications of smallpox in the event that you trust you were uncovered Early immunization afte
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