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Outbreak Management SUMMARY
Updated 11/03


Introduction

Notify HEIC when a cluster of nosocomial infections or communicable diseases or epidemiologically significant organism is identified among patients, staff, or visitors.

With some diseases and infections, one case may require a response. Diseases highlighted in red should be reported to HEIC immediately.

  • 5-8384
  • pager 410-283-3855
  • after hours: 410-283-3850.
Anthrax Botulism
Chickenpox Group A Streptococcus
Hepatitis A, B,C,D,E,F,G Influenza A or B
Legionnaires Disease Measles
Meningitis Meningococcal
Pertussis Plague
Polio Resistant Organisms
(MRSA,VRE, VISA/VRSA)
Respiratory Syncytial Virus (RSV) Rubella
SARS Scabies
Small Pox Tuberculosis
Tularemia Viral Conjunctivitis
Viral gastroenteritis
(Rotavirus, Norwalk or related viruses)
Viral Hemorrhagic Fevers
(eg. Ebola, Marburg, Lassa Fevers)

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Procedures

Hospital Epidemiology
The Hospital Epidemiologist acts as the focal point for the flow of information. He/She will coordinate the investigation, communicate required control measures, consolidate and analyze data and prepare a final report. This information is disseminated to a number of departments as necessary including the HEIC Chairperson, VP for Medical Affairs, Public Affairs, the Physician/ Nursing Director and Unit Administrators, etc.

Outbreak Investigation Management Team (OIMT)
The Hospital Epidemiologist may convene an outbreak management team. Physicians with expertise in the suspected disease process or organism may be consulted when a disease with potential mass exposure is identified in a patient or staff member and when the potential exposure to other patients and staff members is beyond that which would normally be addressed by routine infection control practices.

HEIC Staff Responsibilities
HEIC staff will develop a working case definition, direct Nursing Units to identify exposed persons, identify cases, evaluate previous hospital experiences with the disease/organism, list cases, plot the epidemic (epidemic curve), and develop a working hypothesis for initiating reasonable control measures. The department will also report the cluster/organism to the appropriate public health authorities.

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