Procedures on Prevention and Surveillance of Contagious Diseases at I-Shou University

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Procedures on Prevention and Surveillance of Contagious Diseases at
I-Shou University
Adopted in 1994
Amended on April 30, 2009
Amended on January 4, 2011
I.
Legal Basis:
1. Communicable Disease Control Act
2. School Hygiene Act
II. Purpose:
1. To prevent any contagious diseases on campus and achieve effective self health
management.
2. To strengthen cooperation among all the units of the University and bring the functions of
prevention of contagious diseases into full play.
3. To eliminate any potential sources of infection, control means of infection and protect
compromised hosts.
III. Responsibilities:
1. Individuals:
a. Self Health Management:
(1) having a healthy diet, making exercise a habit and keeping physical fitness;
(2) developing a habit of hand washing before eating or after using the bathroom;
(3) staying away from places where you could easily get sick (e.g. medical institutes)
as possible as you can;
(4) avoiding traveling to an area known to have a contagious disease; before you or
relatives visit such an area for official necessities, it is highly recommended to
get vaccinated and keep in close contact with the health authorities;
(5) proactively reporting to the Health Section in case of symptoms, such as acute
respiratory infection, a fever of 38 degrees Celsius or higher, vomiting, diarrhea
for more than three times with the presence of mucous membrane or blood in the
stool, headache, severe fatigue, muscle soreness, blisters all over the body, small
blisters or rash inside the mouth/in the palm or sole/on the knee or the hips,
acute unilateral/bilateral mumps, self-limited swelling for two days, and the like;
(6) wearing a mask in public places in case of respiratory symptoms, such as
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coughing, running nose and sore throat;
(7) avoiding touching blood, seminal fluid, or other fluids coming from another
person;
(8) avoiding multiple sex partners; using condoms if you have intercourse with more
than one person;
(9) seeking help from teachers or the Health Section if you or any family members
have contagious diseases.
b. Faculty:
(1) knowing well about students’ attendance and health conditions;
(2) teaching students good hygiene habits by using incidental teaching;
(3) keeping an eye on students’ health conditions, and reporting to the Health
Section when any students feel unwell;
(4) understanding the reason why students have applied for sick leave, and reporting
to the Health Section for follow-ups if it is suspected that they have contagious
diseases;
(5) knowing whether there are students whose family members have contagious
diseases or take care of patients with contagious diseases to prevent household
infection.
c. Nurses of the University:
(1) understanding the reason why teachers, staff or students have applied for sick
leave to discover suspected cases of contagious diseases as early as possible;
(2) offering the faculty, staff and students correct information on prevention of
contagious diseases;
(3) helping the faculty, staff or students infected with contagious diseases or
suspected of having contagious diseases to seek medical advice;
(4) keeping detailed records of how the Health Section has discovered cases of
contagious diseases, taken care of patients with contagious diseases, and helped
with patient referral, and reporting to superiors;
(5) collaborating with health authorities on preventive measures for contagious
diseases;
(6) collaborating with health authorities on prophylactic administration to contacts;
(7) conducting follow-ups on suspected cases and making investigations on the
development of an epidemic;
(8) showing consideration to the faculty, staff or students who have contagious
diseases, are suspected of having contagious diseases or are subject to home
quarantine;
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(9) purchasing the equipment, drugs and supplies required for prevention of
contagious diseases.
2. Grouping and Division of Labor: The President serves as the chairperson, the Dean of
Student Affairs the vice chairperson, and the section chief of the Health Section the
executive secretary. The members to each task force and respective responsibilities are as
follows:
Unit
President
Responsibilities
1. supervise preventive measures for contagious diseases and corresponding
responses
2. preside at emergency meetings
3. decide on announcements to the public and appoint a spokesperson
4. decide on suspension and resumption of classes
1. draw up and implement projects for prevention of contagious diseases
2. have a full understanding of the development of an epidemic and call
Dean of Student
Affairs
emergency management meetings
3. report to the competent authority
4. have a full understanding of the whole situation and explain to students
and their families
Office of
Secretariat
Make sure that the Communicable Disease Control Act of the Republic of
China is applicable to international students, overseas compatriot students and
mainland Chinese students
Office of
Accounting
Raise fund and make reimbursement for the equipment, drugs and supplies
required for prevention of contagious diseases
Office of
Personnel
1. understand the reason why the faculty or staff have applied for personal
leave or sick leave, and report to the Health Section for surveillance and
follow-ups if it is suspected that they or their families have contagious
diseases
2. help the faculty or staff infected with contagious diseases or subject to
home quarantine to apply for leave
3. help the faculty or staff who have collaborated on prevention of contagious
diseases with stress adjustment
4. handle applications for consolation payment to the faculty or staff who
died of contagious diseases
5. handle applications for staff rewards or punishments in association with
prevention of contagious diseases
Office of
International
Affairs
1. act as the bridge between international students’ families and the
University
2. proactively investigate whether there are any international students coming
from an area known to have an outbreak of a contagious disease, have a
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complete understanding of such international students’ health conditions, if
any, and report to the Health Section if any international student feels
unwell
3. offer any possible assistance to international students who do not manage
to go to class because of illness
Computer Center
1. assist in promoting information on prevention of contagious diseases
2. posting real-time announcements and relevant information in case of an
outbreak of contagious diseases
Registration
Section
help students who need convalescence for a long time to apply for suspension
or resumption of schooling
1. draw up regulations and rules for suspension and resumption of schooling
as per Article 35 of the Communicable Disease Control Act
Curriculum
Section
2. help students infected with contagious diseases or subject to home
quarantine with remedial teaching
3. help teachers infected with contagious diseases to look for substitutes
4. help classes which need sampling or a clinical examination to reschedule
classes
General Affairs
Section (Office of
General Affairs)
1. collaborate with health and environmental protection authorities on
campus disinfection
2. purchase the equipment, drugs and supplies required for prevention of
contagious diseases
3. control animals that can transmit contagious diseases (e.g. dogs, cats or
rats)
Student Campus
Life Guidance
Section
1. understand the reason why students have applied for sick leave, and report
to the Health Section for follow-ups if it is suspected that they have
contagious diseases
2. report to the Health Section without delay when any students have been
diagnosed as having contagious diseases
3. help dormitory residents infected with contagious diseases to seek medical
advice and disinfect the dormitory area
4. prepare private rooms for those infected with contagious diseases
5. take measures to prevent a contagious disease from spreading within the
dormitory
6. take care of students infected with contagious diseases and help such
students to apply for student insurance coverage
Counseling and
Guidance Section
1. offer counseling to the faculty or students infected with contagious
diseases, considered as contacts or subject to home quarantine
2. offer counseling to all the faculty and students for fear of students infected
with contagious diseases, considered as contacts or subject to home
quarantine being rejected
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3. show consideration and offer any possible assistance to students infected
with contagious diseases through advisors
Health Section
1.
2.
3.
4.
5.
implement projects for prevention of contagious diseases
set up a schedule for all prevention projects to achieve the goals
collaborate health authorities on preventive measures
collect and promote information on prevention of contagious diseases
conduct follow-ups on suspected cases and make investigations on the
development of an epidemic
6. coordinate patient referral with hospitals
7. help health authorities collecting samples
8. purchase the equipment, drugs and supplies required for prevention of
contagious diseases
IV. Flowcharts
1. Flowchart on Prevention and Control of Contagious Diseases at I-Shou University
(Appendix 1)
2. Flowchart on Management and Follow-ups of Tuberculosis Contacts (Appendix 2)
3. Flowchart on Sending People with a Fever to Hospitals During the Epidemic of a
Contagious Disease (Appendix 3)
4. Flowchart on Handling Cases of Novel Influenza on Campus (Appendix 4)
5. Flowchart on Handling Cases of Novel Influenza at Dormitories (Appendix 5)
6. Flowchart on Management of Cholera Cases on Campus (Appendix 6)
Note: In the event of any disputes or misunderstanding as to the interpretation of the language or
terms of these Procedures, the Chinese language version shall prevail.
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Appendix 1
Flowchart on Prevention and Control of Contagious Diseases at I-Shou
University
A suspected case of contagious
diseases on campus
Report to Health Section (6577711 ext.2241-5) to
activate preventive measures
Help the suspected case to
Report to health authorities
Notify the University
as per Communicable
Unit: Disease Control Section
Unit: Health Section, Office of
Disease Control Act
of Public Health Bureau
International Affairs and
Unit: medical institutes
seek medical advice
Yes
medical institutes
Report to Campus Security
Report Center of Ministry
No
1. A name list of teachers, staff and
Stop preventive measures
Unit: Health Section
students having contact with the
patient
of Education
(02) 23343-7855
Unit: Office of Military
2. Have
suspected
cases
Education
hospitalized or undergo home
quarantine
3. Local
Contact the family of the
public
conduct
health
daily
centers
follow-ups
on
suspected cases and contacts
and follows doctor’s advice, and
returns to the University after
the
course
Unit: Office of Military
Education and Health Section
4. The patient signs an affidavit
completing
confirmed case
(International students: Office
of International Affairs contacts
the family or school)
of
treatment
5. The patient suspends schooling
for convalescence
Unit: Health Section, Office of
Academic Affairs, Office of
International Affairs, medical institutes
and health authorities
1. Investigate
development
on
of
the
an
epidemic, and clean and
disinfect the campus
2. Conduct daily interviews
with teachers and students
Units: Office of Military
Education and Health Section
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Reviewed by Centers for
Disease Control
Unit: health authorities and
Health Section
Eliminate the possibility of
Suspected or probable
infection
cases
Unit: health authorities and Health
Unit: Health Section
Section
Delisting by Public Health
Bureau (Center)
Unit: health authorities and
Health Section
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Appendix 2
Flowchart on Management and Follow-ups of Tuberculosis Contacts at I-Shou
University
Notified by health authorities of a
tuberculosis case
Health Section immediately contacts his/her family to
investigate on the contact history, and compiles data
into a file
Open Tuberculosis
Active Non-open Tuberculosis
Have contacts undergo a chest X-ray
Have roommates undergo a chest
immediately (those who have lived with
X-ray immediately (those who
the case in the same household for a long
live with the case)
time)
Normal
Abnormal Chest X-ray or Symptoms
Normal
of Tuberculosis
Undergo another chest X-ray within one
The chest X-ray shows cases of
Health Section
year; in case of any TB symptoms (e.g.
non-old-tuberculosis; have more
offers health
chronic cough, night sweat or weight
persons undergo a chest X-ray
education on
tuberculosis
loss), please undergo a chest X-ray
without delay
Normal Chest X-ray and No TB Symptoms

End
Contacts with tuberculosis shall undergo a chest X-ray as instructed by the University. Alternatively, they
can submit a report on chest X-ray issued by a public hospital or regional hospital (or above) to the
University.

Contacts with tuberculosis shall undergo a chest X-ray within three months of occurrence of the incident,
and another chest X-ray within one year of occurrence of the incident.

If the patient with tuberculosis is an international student, the Office of International Affairs is responsible
for contacting his/her family or school.
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Appendix 3
Flowchart on Sending People with a Fever to Hospitals During the Epidemic of a
Contagious Disease
A person with a fever
(ear/oral temperature of > 37.5℃ or armpit temperature of > 37℃)
1. take a day off from work or school
2. wear a mask at all times and rest at home
3. contact Health Section (Main Campus:2241-5; Yanchao Campus: 3224),
Office of Personnel (2045), the military training instructor on duty (2885), or
the dormitory management office (male residents: 2401; female residents:
2403)
Fever of Unknown
Origin or Suspected of
Being Infected with a
Contagious Disease
Influenza or Upper
Respiratory
Phone Counseling
Infection
1. wash hands and wear a mask
2. seek medical advice from Health Section,
Syuecheng Clinic or clinics/hospitals
nearby
3. rest at home for at least three days, and
return to the University only after having
no fever without taking antipyretics
1. wash hands and wear a mask
2. Health Section sends a suspected case to a
hospital for emergency care
3. Heath Section follows up the diagnosis
results and treatment outcomes
※ Please do not use public transportation to
see a doctor.
or
or
Those not infected with a
contagious disease or no
longer being contagious
shall follow doctor’s advice
without being quarantined,
and they can return to the
University. They must visit
Health Section every day
for health education.
Those infected with a mild
contagious disease (no need
for
hospitalization;
possibilities of infection)
shall be subject to home
quarantine or isolation in a
private dorm room, and
return to the University only
after they are no longer
contagious.
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Those infected with a
contagious disease and
hospitalized shall be subject
to home quarantine or
isolation in a private dorm
room after leaving the
hospital, and return to the
University only after they
are no longer contagious.
Appendix 4
Flowchart on Handling Cases of Novel Influenza on Campus
A suspected case of novel influenza on campus
(having such symptoms as a fever, coughing, running nose, sneezing, muscle
soreness, headache or severe fatigue)
Immediate Reporting
Health Section
Main Campus: 6577711 ext. 2241-5
Yanchao Campus: 6151100 ext. 3224
Campus Security Report Center: 6577711 ext. 2885
Help the suspected case to seek medical advice (E-Da
Hospital or Jiannren Hospital), and contact his/her family
(taking him/her back home if he/she is diagnosed as having
novel influenza); if he/she is diagnosed as having novel
influenza but cannot go home, the University will send
him/her to a private dorm room for convalescence.
No
Meeting the laboratory criteria or
guidelines for evaluating suspected or
confirmed cases (decided by health
authorities)
Yes
Eliminate the
possibility of getting
infected of novel
influenza
1. fill in relevant forms according to the
Influenza Pandemic Level Chart
2. make investigations on the development
of a flu epidemic every day and require
contacts of novel influenza to conduct
self health management
3. clean and disinfect the campus
The confirmed case recovers and is delisted by
the local Public Health Bureau (Center)
Return to the University to resume studies
Offer remedial teaching and counseling services to the student
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Appendix 5
Flowchart on Handling Cases of Novel Influenza at Dormitories
A suspected case of novel influenza at the dormitory
Dormitory
Resident
Environment
Dormitory Area
1. seek medical advice from Syuecheng
Clinic
2. Health Section sends the suspected
case to a hospital
3. The military training instructor on duty
sends the suspected case to a hospital
Negative
Positive
Self Health Management for
7 Days
(including his/her
roommates)
Report to Campus Security
Report Center and the local
Public Health Center
Unable to return home
for convalescence
Notify his/her family to take
him/her back home for
convalescence
Stay at a private dorm room
After all the
symptoms are
relieved
Return to the University 24
hours after all the symptoms
are relieved
Take good care of the
confirmed
case
(Health
Section provides masks,
alcohol for disinfection, a
clinical thermometer and
bleach)
1. Contact General Affairs Section of Office of
General Affairs to clean and disinfect the dorm
floor with bleach (500ppm)
2. Check whether residents of the same floor have
a fever or feel unwell
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Appendix 6
Flowchart on Management of Cholera Cases on Campus
A suspected case of cholera on
campus
Report to Health Section (6577711 ext.2241-5) to
activate preventive measures
Help the suspected case to
Report to health authorities
Notify the University
seek medical advice
as per Communicable
Unit: Disease Control Section
Unit: Health Section
Disease Control Act
of Public Health Bureau
No
Yes
Unit: medical institutes
Report to Campus Security
Stop preventive measures
Unit: Health Section
Report Center of Ministry
Confirmed Case:
 place the confirmed case under
isolation in a designated isolation
care institution
 collect samples: stool, vomit or
environmental/food samples
 have the confirmed case recall
what he/she has eaten and where
he/she has gone over the past week
 the local Public Health Center
conducts follow-ups on the
confirmed case every day
 the stool test result is negative one
month after the treatment
 the confirmed case undergoes
treatment for three days; after
suspended from taking medicine
for 48 hours, collect stool samples
or use the Anal tape for three
consecutive days (three time a
day); the confirmed case can be
delisted or released from isolation
when all the results are negative
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of Education
(02) 23343-7855
Unit: Office of Military
Education
Contact the family of the
confirmed case
Unit: Office of Military
Education, Health Section and
Office of International Affairs
Environment:
 collect samples: stool,
vomit
or
environmental/food
samples
 make investigations on the
development
of
an
epidemic university-wide,
and clean and disinfect the
campus (bleach: 0.5%)
Contacts:
 When there is a suspected case
from an area known to have
cholera entering Taiwan, people
who take the same airplane/ship or
join the same travel group shall be
subject to examination
 supervise contacts for seven days
(including those from an area
known to have cholera)
 make an investigation on the
faculty, staff or students who have
had meals with the confirmed case
or who are highly suspected of
being infected of cholera
 source of infection: looking for
water or food that may be
contaminated; using stool culture
to look for confirmed cases
 the local Public Health Center
conducts follow-ups on contacts
every day
 offer relevant health education to all
faculty and students
 conduct daily interviews with
teachers and students
Reviewed by Centers for
Unit: Health Section, Office of
Disease Control
Unit: health authorities and
Academic Affairs, medical institutes and
health authorities
Health Section
Eliminate the possibility of
Suspected or Probable
infection
Cases
Unit: medical institutions, Health
Unit: Health Section
Section and health authorities
Delisting by Public Health
Bureau (Center)
Unit: Health Section and health
authorities
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 take emergency measures
to ensure water safety, add
chlorine to water, and
prevent water from being
contaminated; add chlorine
to water or boil drinking
water
 supervise the preparation
process of food and
drinking water: preventing
boiled water or food from
being contaminated by
flies or improper methods
 If the test results of
environment samples are
positive, it is necessary to
collect
samples
and
disinfect every day until
the
results
become
negative
Units: Office of Military
Education and Health Section
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