For all infected and high risks areas

Statement on the 1st meeting of the IHR Emergency Committee on the 2014 Ebola outbreak in https://www.moncleroutletsite.com West Africa

moncler outlet sale the Ebola outbreak in West Africa constitutes an ‘extraordinary event’ and a public health risk to other States; moncler outlet sale

moncler outlet uk the possible consequences of further international spread are particularly serious in view of the virulence of the virus, the intensive community and health facility transmission moncler sale patterns, and the weak buy moncler jackets health systems in the currently affected and most at risk countries. moncler outlet uk

moncler outlet The current EVD outbreak began in Guinea in December 2013. This outbreak now involves transmission in Guinea, Liberia, Nigeria, and Sierra Leone. As of 4 August 2014, countries have reported 1 711 cases (1 070 confirmed, 436 probable, 205 suspect), including 932 deaths. This is currently the largest EVD outbreak ever recorded. cheap moncler outlet In response to the outbreak, a number of unaffected countries have made a range of cheap moncler travel related advice or recommendations. moncler outlet

moncler sale outlet In light of States Parties’ presentations and subsequent Committee discussions, several challenges were noted for the affected countries: moncler sale outlet

cheap moncler outlet their health systems are fragile with significant deficits in human, financial and material resources, resulting in compromised ability to mount an adequate Ebola outbreak control response; cheap moncler outlet

inexperience in dealing with Ebola outbreaks; misperceptions of the disease, including how the disease is transmitted, are common and continue to be a major challenge in some communities;

high mobility of populations and several instances of cross border movement of travellers with infection;

moncler factory outlet several generations of transmission have occurred in the three capital cities of Conakry (Guinea); Monrovia (Liberia); and Freetown (Sierra Leone); and moncler factory outlet

a high number of infections have been identified among health care workers, highlighting inadequate infection control practices in many facilities.

The Committee provided the following advice to the Director General for her consideration to address the Ebola outbreak in accordance with IHR (2005).

States with Ebola transmission

The Head of State should declare a national emergency; personally address the nation to provide information on the situation, the steps being taken to address the outbreak and the critical role of the community in ensuring its rapid control; provide immediate moncler outlet access to emergency financing to initiate and sustain response operations; and ensure all necessary measures are taken to mobilize and remunerate the necessary health care workforce.

cheap moncler jackets sale Health Ministers and other health leaders should assume a prominent leadership role in coordinating and implementing emergency Ebola response measures, a fundamental aspect of which should be to meet regularly with affected communities and to make site visits to treatment centres. These measures must include infection prevention and control (IPC), community awareness, surveillance, accurate laboratory diagnostic testing, contact tracing and monitoring, case management, and communication of timely and accurate information among countries. For all infected and high risks areas, similar mechanisms should be established at the state/province and local levels to ensure close coordination across all levels. cheap moncler jackets sale

cheap moncler jackets States should ensure that there is a large scale and sustained effort to fully engage the community through local, religious and traditional leaders and healers so communities play a central role monlcer down jackets in case identification, contact tracing and risk education; the population should be made fully aware of the benefits of early treatment. cheap moncler jackets

moncler outlet store It is essential that a strong supply pipeline be established to ensure that sufficient medical commodities, especially personal protective equipment (PPE), are available to those who appropriately need them, including health care workers, laboratory technicians, cleaning staff, burial personnel and others that may come in contact with infected persons or contaminated materials. the cross moncler outlet online border area of Sierra Leone, Guinea, Liberia), the provision of quality clinical care, and material and psychosocial support for the affected populations should be used as the primary basis moncler sale outlet for reducing the movement of people, but extraordinary supplemental measures such as quarantine should be used as considered necessary. moncler outlet store

cheap moncler coats States should ensure health care workers receive: adequate security measures for their safety and protection; timely payment of salaries and, as appropriate, hazard pay; and appropriate education and training on IPC, including the proper use of PPEs. cheap moncler coats

States should ensure that: treatment centres and reliable diagnostic laboratories are situated as closely as possible to areas of transmission; that these facilities have adequate numbers of trained staff, and sufficient equipment and supplies relative to the caseload; that sufficient security is provided to ensure both the safety of staff and to minimize the risk of premature removal of patients from treatment centres; and that staff are regularly reminded and monitored to ensure compliance with IPC.

States should conduct exit screening of all persons at international airports, seaports and major land crossings, for unexplained febrile illness consistent with potential Ebola infection. The exit screening should consist of, at a minimum, a questionnaire, a temperature measurement and, if there is a fever, an assessment of the risk that the fever is caused by EVD. Any person with an illness consistent with EVD moncler outlet store should not be allowed to travel unless the travel is part of an appropriate medical evacuation.

There should be no international travel of Ebola contacts or cases, unless the travel is part of an appropriate medical evacuation. To minimize the risk of international spread of EVD:

moncler sale Confirmed cases should immediately be isolated and treated in an Ebola Treatment Centre with no national or international travel until 2 Ebola specific diagnostic tests conducted at moncler outlet sale least 48 hours apart are negative; moncler sale

moncler outlet online Contacts (which do not include properly protected health workers and laboratory staff who have had no unprotected exposure) should be monitored daily, with restricted national travel and no international travel until 21 days after exposure; moncler outlet online

cheap moncler Probable and suspect cases should immediately be isolated and their travel should be restricted in accordance with their classification as either a confirmed case or contact. cheap moncler

States should ensure funerals and burials are conducted by well trained personnel, with provision made for the cheap moncler jackets presence of the family and cultural practices, and in accordance cheap moncler coats with national health regulations, to reduce the risk of Ebola infection.

moncler jacket sale States should ensure that appropriate medical care is available for the crews and staff of airlines operating in the country, and work with the airlines to facilitate and harmonize communications and management regarding symptomatic passengers under the IHR (2005), mechanisms for contact tracing if required and the use of passenger locator records where appropriate. moncler jacket sale

moncler jackets outlet States with EVD transmission should consider postponing mass gatherings until EVD transmission is interrupted cheap Moncler Outlet moncler sale moncler jackets outlet.

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