Ebola Virus Status Update;
Personal Protective Equipment
October 24, 2014
Outline
• Overview of Ebola situation
• Point of Care Risk Assessment process
• Personal Protective Equipment
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Ebola Update
• Ebola outbreak is of primary concern in Sierra Leone,
Liberia, and Guinea.
• Risk to Canadians is very low
• Transmission to humans:
• Contact with infected wild animals in West Africa (fruit bats,
non-human primates, rodents)
• Direct contact with infected humans
– Blood, other body fluids, tissues from infected individuals
– Environmental contamination
• Incubation is 2 to 21 days
• Communicable from symptom onset to symptom resolution
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Ebola Update
Roles of various Agencies:
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WHO is coordinating response in Africa
PHAC is coordinating response in Canada
Alberta Health and Alberta Health Services are coordinating
response in Alberta
– FNIHB AB Region is included in update meetings
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Ebola Update
PHAC Response
• Screening at ports of entry into Canada
• Quarantine for 21 days if required
• Assisting in international response
• Expert response teams on standby to support case
management anywhere in Canada if requested by
jurisdiction
• Development of Guidance Documents
• FNIHB working in coordination with PHAC nationally
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Ebola Update
Response in Alberta
• Screening occurring at airports
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•
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AHS developing guidance documents - with related training - for designated
hospitals, front line workers (doctors, first responders, community based
staff)
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Phased approach based on risk assessment
Purchasing appropriate PPE
Plan for regular communications:
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•
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Designated hospitals in Edmonton (2) and Calgary (2)
Process for notification to Public Health
Health care providers
Public
FNIHB AB Region working in coordination with AH/AHS.
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Ebola Update
Community Response
• Preference is for people to contact Health Link
where triage will occur vs coming into health centre.
If people present:
• Guidance for triage in patients with fever:
• Is temperature at least 380C?
• Any travel or residence in Guinea, Sierra Leone, or
Liberia within past 21 days?
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Ebola Update
• Where there is relevant travel and symptom
history:
• Does the person need immediate emergency treatment?
– Call 911, ensuring to notify dispatcher of potential risk
• If does not need immediate treatment:
– Separate room, implement droplet and contact
precautions
– Call on-call number: 780-218-9929
• If there is no relevant travel and symptom history,
not considered an Ebola risk.
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Ebola Update – Canadian Context
• Remember: fevers are associated with many disease
processes, including malaria, influenza, dehydration
(for any cause).
• The risk for Ebola to be present without history of
travel to affected countries is extremely low.
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Ebola Update
Key information websites:
World Health Organization:
http://www.who.int/csr/disease/ebola/en/
Public Health Agency of Canada: http://www.phacaspc.gc.ca/id-mi/vhf-fvh/ebola-eng.php
Alberta Health: http://www.health.alberta.ca/healthinfo/ebola-virus.html
Alberta Health Services:
http://www.albertahealthservices.ca/10289.asp
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POINT OF CARE RISK
ASSESSMENT
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Point of Care Risk Assessment
Algorithm and related resources were rolled out spring
2014.
PCRA Algorithm
Additional Precautions Overview
See: OneHealth, CDC Manual, under “CDC Manual Forms”
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PERSONAL PROTECTIVE
EQUIPMENT
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Personal Protective Equipment
Routine PPE:
• Gowns
• Current stock is not impermeable
• Gloves
• Masks
• Procedure mask
• N95 masks
• Face shields
• Don’t forget hand hygiene!
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Personal Protective Equipment
• N95 masks:
• Only required where respiratory precautions are indicated
(TB, measles, aerosol-generating medical procedures)
• Fit tests have been done in the past, during on-boarding
– FNIHB AB region does not currently have process to
update fit testing
– Remember to do seal test with N95 masks
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Personal Protective Equipment
• Ensure that there is supply of routine PPE.
• Ensure that there is a supply of procedure masks
available:
• For use with clients presenting in the health centre or clinic
with new cough
• Ensure that there is access to hand hygiene:
• soap and water is adequate for public
• Waterless hand gels is preferred product for HCWs
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Personal Protective Equipment
• It is important to understand principles behind PPE to
ensure best protection:
 area to be protected should be completely covered
 Prevent contamination during doffing
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Personal Protective Equipment
• Alberta Health Services Video – demonstrating
proper technique for donning and doffing PPE
• http://www.albertahealthservices.ca/6422.asp
• All staff should:
• review the PCRA tool as it is applicable to your practice and
various settings
• practice donning and doffing full PPE with a partner
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Environmental Cleaning
• During respiratory season, ensure that high touch
surfaces are regularly cleaned.
• ViroxTM products do inactivate viruses.
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Thank you!
Contacts:
Ruth Richardson
780-495-5439
ruth.richardson@hc-sc.gc.ca
Dr. Parminder Thiara
403-861-8447
parminder.thiara@hc-sc.gc.ca
Dr. Wadieh Yacoub
780-495-3391
wadieh.yacoub@hc-sc.gc.ca
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