2472CSTEforSaiminato send

Information about 2472CSTEforSaiminato send

Published on March 10, 2008

Author: Cubemiddle

Source: authorstream.com

Content

Slide1:  Elaine Cramer, MD, MPH Quarantine Medical Officer Presentation Outline National Quarantine Program :  Presentation Outline National Quarantine Program Brief History New Quarantine Act Screening program and protocols Epidemiology Case Studies Challenges and Initiatives Recommendations 19th Century Quarantine:  19th Century Quarantine Grosse Isle Quarantine Station:  Grosse Isle Quarantine Station Quarantine Service Capacity :  Quarantine Service Capacity 25 Quarantine Officers 2 Medical Quarantine Officers Coverage of marine ports and remote ports 94% of int’l flights through 6 airports Canada Border Services Agency screening officers Revision of Quarantine Act :  Revision of Quarantine Act Assent May 2005 In force December 12, 2006 Compliance with International Health Regulations June 2006 voluntary compliance (pandemic) June 2007 comes into force 2009 capacities must be in place Quarantine Act Authority:  Quarantine Act Authority Internationally arriving and departing travellers Goods Cargo Conveyances Schedule of Quarantinable Diseases (Section 2, subsections 15(2) and 34(1) and sections 45 and 63) :  Schedule of Quarantinable Diseases (Section 2, subsections 15(2) and 34(1) and sections 45 and 63) Active pulmonary tuberculosis Anthrax Argentine hemorrhagic fever Bolivian hemorrhagic fever Botulism Brazilian hemorrhagic fever Cholera Crimean-Congo hem.fever Diphtheria Ebola hemorrhagic fever Lassa fever Marburg hemorrhagic fever Measles Meningococcal meningitis Meningococcemia Pandemic influenza type A Plague Poliomyelitis Rift Valley fever Severe Acute Respiratory Syndrome Smallpox Tularemia Typhoid fever Venezualan hemorrhagic fever Yellow fever Enhanced authority under the new Quarantine Act (2005):  Enhanced authority under the new Quarantine Act (2005) Minister can designate quarantine facilities at any location A QO can require any person to undergo health assessment Deny a conveyance entry into Canada Order a conveyance to divert Exit screening Public health measures necessary at all ports Power to add additional communicable diseases Additional Public Health Measures:  Additional Public Health Measures Screening based on emerging case definition/risk profile Canada Border Services Agency screening (E311 card) Health Alert Notices (HAN) General Health Declaration, Annex 9 (conveyance ops) Screening devices (e.g., thermoscanners, biomarkers) Pre-boarding assessments Syndromic Case Definition for reporting ill travellers to Quarantine Program:  Syndromic Case Definition for reporting ill travellers to Quarantine Program Multiple ill travellers aboard conveyance Documentation of disease on Quarantine Schedule 3. Traveler or crew member with: Appearing obviously unwell Cough with blood Fever (38oC or greater ) with any of the following: Shortness of breath or difficulty breathing (recent onset) Persistent coughing Persistent diarrhea Persistent vomiting Headache Confusion (recent onset) Skin rash Bruising or bleeding (without previous injury) Guidelines for Requirement for Medical Examination under Canadian Quarantine Act:  Guidelines for Requirement for Medical Examination under Canadian Quarantine Act Cough with blood Cutaneous or mucous membrane hemorrhaging Fever of > 38 C lasting > 48 hours plus one or more of the following symptoms: Cough with sputum New onset rash Neck stiffness Diarrhea > 3 episodes in 24 hours New onset confusion Deplaning Air Passengers, by Canadian Airport (2006), millions:  Deplaning Air Passengers, by Canadian Airport (2006), millions Traveller Health Assessments, by Presenting Complaint Vancouver Int’l Airport, 2005-2006, n = 219:  Traveller Health Assessments, by Presenting Complaint Vancouver Int’l Airport, 2005-2006, n = 219 Diagnoses associated with Medical Examinations of Arriving Travellers:  Diagnoses associated with Medical Examinations of Arriving Travellers Tuberculosis (M. tuberculosis) Gastroenteritis Meningitis (N. meningitidis) Influenza A Sporadic cases/outbreaks: Meales (rubeola) Legionnaire’s disease (legionella pneumophila) Epidemiology of Infectious Diseases Associated with Cruise Ships:  Epidemiology of Infectious Diseases Associated with Cruise Ships Top Ten U.S. Cruise Ship Port Embarkations :  Top Ten U.S. Cruise Ship Port Embarkations Vancouver (4.5%) Pathogens associated with waterborne cruise ship outbreaks: 1970-2003:  Pathogens associated with waterborne cruise ship outbreaks: 1970-2003 Pathogens associated with food borne cruise ship outbreaks: 1970-2003:  Pathogens associated with food borne cruise ship outbreaks: 1970-2003 Slide25:  Case Studies Case Study 1:  Case Study 1 26 y.o. male arrived Toronto Pearson on Feb 16,2007 Asymptomatic Found in possession of illegal substance Appeared in court, 10-day detention for drug possession Deportation Order Detained in provincial facility (Correctional Complex) Case Study 1:  Case Study 1 26 y.o. male arrived Toronto Pearson on Feb 16,2007 Asymptomatic Found in possession of illegal substance Appeared in court, 10-day detention for drug possession Deportation Order Detained in provincial facility (Correctional Complex) Case Study 1:  Case Study 1 Case Study 1:  Case Study 1 Discussed with Provincial TB Director Citizenship Immigration medical detention for 48 hours Sputum induction chamber 2 AFBs –ve; 1 AFB weakly positive M. TB AMTD (Amplified Mycobacterium tuberculosis Direct Test for M. tuberculosis rRNA) Quarantine Detention considered AMTD negative Traveller deported on Day 13 Case Study 2 : Biologic Importation:  Case Study 2 : Biologic Importation Notified by Canada Border Services Agency December 6, 2006 Briefcase containing vials Remedies labelled: Smallpox, tularemia, typhoid Case Study 2 : Biologic Importation:  Case Study 2 : Biologic Importation Canadian Dentist Returning from US homeopathic convention Misplaced case Remedies for diagnosing patients CBSA requested traveller charged under Qurantine Act Challenges:  Challenges Challenges:  Challenges Reliance on regional and provincial diagnostic services Med exam results relayed to Fed Quarantine Surge capacity during pandemics Olympics preparedness for 2010 Winter Games Training key partners in remote locations Denominator data for evidenced-based decision making Initiatives:  Initiatives Operations Manual Quarantine Database (THAD) International Health Regulations Border Health Initiatives Security and Prosperity Partnership Global Public Health Information Network (GPHIN) Recommendations:  Recommendations Quarantine is a net not a shield Enhance communication strategies Use traveller data to inform syndromic definitions Create port risk assessment tool Identify essential key partners for training Border Services Cruise Lines and Airlines Establish International Quarantine Working Group Contact Information:  Contact Information Elaine Cramer, MD, MPH Public Health Agency of Canada Quarantine Services: 604-317-1720 Direct line: 604-666-2404 [email protected]

Related presentations


Other presentations created by Cubemiddle

Nuclear Energy
26. 03. 2008
0 views

Nuclear Energy

Jeopardy Template
01. 10. 2007
0 views

Jeopardy Template

Vujic IEEEMarch06
07. 10. 2007
0 views

Vujic IEEEMarch06

Fallacy
12. 09. 2007
0 views

Fallacy

how to write an introduction
06. 09. 2007
0 views

how to write an introduction

zero tolerance
06. 09. 2007
0 views

zero tolerance

Pande ICRISAT
04. 10. 2007
0 views

Pande ICRISAT

04 05 knowitall
09. 10. 2007
0 views

04 05 knowitall

intro CS p2p
27. 11. 2007
0 views

intro CS p2p

BestWorstPractices presented
04. 12. 2007
0 views

BestWorstPractices presented

Alcohol Presentacón
15. 11. 2007
0 views

Alcohol Presentacón

HIS European Exploration
15. 11. 2007
0 views

HIS European Exploration

GraphicsAtStanford mar05 san
16. 11. 2007
0 views

GraphicsAtStanford mar05 san

MCOR 384 Presentation Gallipoli
23. 11. 2007
0 views

MCOR 384 Presentation Gallipoli

Workplace Violence
14. 12. 2007
0 views

Workplace Violence

cfo presentation year end
17. 12. 2007
0 views

cfo presentation year end

Top10
25. 12. 2007
0 views

Top10

NGWA SHOW PRESENTATION
28. 12. 2007
0 views

NGWA SHOW PRESENTATION

roadmap for recovery
29. 12. 2007
0 views

roadmap for recovery

UN1001 Galvanic Corrosion
02. 01. 2008
0 views

UN1001 Galvanic Corrosion

Lec01 BASIC COUNTING
12. 09. 2007
0 views

Lec01 BASIC COUNTING

profmarins 140307
16. 11. 2007
0 views

profmarins 140307

2Monday Session3 Mulu Ketsela
29. 11. 2007
0 views

2Monday Session3 Mulu Ketsela

ECS 2 RIO Europe Lipids
30. 11. 2007
0 views

ECS 2 RIO Europe Lipids

302 01
12. 09. 2007
0 views

302 01

SPS and SEDS Meeting 090606
06. 11. 2007
0 views

SPS and SEDS Meeting 090606

AZAASF1 POL SAFETY MAR 05
08. 11. 2007
0 views

AZAASF1 POL SAFETY MAR 05

g7x85l0kr5ko47g
07. 01. 2008
0 views

g7x85l0kr5ko47g

Sentinel1 M Davidson
07. 11. 2007
0 views

Sentinel1 M Davidson

BR ROTARY MTG 1
02. 11. 2007
0 views

BR ROTARY MTG 1

Samuels
12. 03. 2008
0 views

Samuels

schleichAPS meeting
18. 03. 2008
0 views

schleichAPS meeting

2b mobile
27. 03. 2008
0 views

2b mobile

MHSRL 20070125 backgrounder
06. 09. 2007
0 views

MHSRL 20070125 backgrounder

gnews dec
28. 11. 2007
0 views

gnews dec

2PlateTectonics
30. 03. 2008
0 views

2PlateTectonics

lecture3 351
09. 04. 2008
0 views

lecture3 351

AES Summit 4 07
10. 04. 2008
0 views

AES Summit 4 07

03forfut
17. 04. 2008
0 views

03forfut

AI 070503
22. 04. 2008
0 views

AI 070503

Pizza Fractions
12. 09. 2007
0 views

Pizza Fractions

pizza point
12. 09. 2007
0 views

pizza point

14 Howard Haimes
19. 11. 2007
0 views

14 Howard Haimes

Germany Bonn Aug 2006
02. 01. 2008
0 views

Germany Bonn Aug 2006

ENC1101 8
12. 09. 2007
0 views

ENC1101 8

Cpt4
12. 09. 2007
0 views

Cpt4

Lecture 110501
07. 11. 2007
0 views

Lecture 110501

The City of Refuge
28. 12. 2007
0 views

The City of Refuge

CS374 2004 Lecture8 Haplotypes
19. 02. 2008
0 views

CS374 2004 Lecture8 Haplotypes

mathi03
26. 02. 2008
0 views

mathi03

CN14HO
24. 02. 2008
0 views

CN14HO

PeloponnesianWar
11. 12. 2007
0 views

PeloponnesianWar

bridgedecoder
30. 12. 2007
0 views

bridgedecoder

SL Proj1b
28. 11. 2007
0 views

SL Proj1b

P416 Lec1 S07
12. 09. 2007
0 views

P416 Lec1 S07