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Communicable Disease Outbreak

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Communicable disease outbreak

Severe acute respiratory syndrome or commonly referred to as SARS is advanced form of Pneumonia. This viral respiratory ailment originates from a coronavirus. SARS is highly infectious and lethal type of of Pneumonia. On November 2002, the first case of SARS was diagnosed in a towns in China. The disease is easily spread throughout the world via mass transit hubs such as airports. The illness has spread to various parts of the world. Over two dozen countries in North America, South America, Europe and Asia have reported cases. The numbers of cases related to SARS were increasing at exponential rates. In March 2003, the World Health Organization (WHO) issued global alerts. (CDC-SARS-Infection Control)
Infection of SARS viral causes acute respiratory distress, severe difficulty in breathing, and death. Initial symptom with SARS are flu-like symptoms may includes myalgia, cough, lethargy, cough and sore throat. The commom symptom in all patients was a fever above 38 degree Celsius. The patient may show symptoms initially similar to a cold in the 1st stage but later mimic influenza symptoms. (Severe Acute Respiratory Syndrome)
SARS occurrences increase in people who have had sexual or casual (including tattoos) contact with an infected person or if they traveled to highly infected regions were SARS was diagnosed in a 10-day period. As of May 2003, these areas included China, Singapore and Canada (Ontario).
Route of transmission for SARS is infected people cough, sneeze, infected droplets get into the air. Other people can catch SARS if they breathe in the particle or touch the infected surface. SARS virus may live on hand, tissues or other surface up to 6 hours. SARS spreads by touch or when the droplets touch other objects. Live viruses have been found in the stool of people with SARS. The virus may live up to months if the temperature drops to freezing or below. (Severe Acute Respiratory Syndrome)
There are no vaccines for SARS. Someone who is suspected of being infected with SARS should be placed in isolation room. SARS should be treated with antibiotics to treat bacteria that cause pneumonia, antiviral medications, high dose of steroids and oxygen and breathing support (ventilator) may also be recommended. (Severe Acute Respiratory Syndrome) Probable cases of SARS by country, 1 November 2002 – 31 July 2003. | | Country or Region | Cases | Deaths | SARS cases dead due to other causes | Fatality (%) | China * | 5,328 | 349 | 19 | 6.6 | Hong Kong * | 1,755 | 299 | 5 | 17 | Canada | 251 | 44 | 0 | 18 | Taiwan ** | 346 | 37 | 36 | 11 | Singapore | 238 | 33 | 0 | 14 | Vietnam | 63 | 5 | 0 | 8 | United States | 27 | 0 | 0 | 0 | Philippines | 14 | 2 | 0 | 14 | Mongolia | 9 | 0 | 0 | 0 | Macau * | 1 | 0 | 0 | 0 | Kuwait | 1 | 0 | 0 | 0 | Republic of Ireland | 1 | 0 | 0 | 0 | Romania | 1 | 0 | 0 | 0 | Russian Federation | 1 | 0 | 0 | 0 | Spain | 1 | 0 | 0 | 0 | Switzerland | 1 | 0 | 0 | 0 | South Korea | 4 | 0 | 0 | 0 | Total | 8273 | 775 | 60 | 9.6 |

SARS is a dramatic example, how quickly the disease can spread and travel from countries to countries.

Corda's SARS worldwide infections/recoveries/deaths time line graph. Web browser screenshot by this author of Corda's SARS worldwide infections/recoveries/deaths time line graph of May 2003.
International pattern of movement of SARS

Figure 7
Map representation of epidemic pathways. Arrows show the paths followed by the virus in the transmission of the infection from Hong Kong to the other countries. The thickness of the arrows represents the probability associated to a given path, where all ...

When there is an outbreak of SARS in Merced County, it could be devastating to the community. Merced County has highest rate for poverty, unemployment and poor family management in the State of California. It could be too late before the symptoms are recognized and people may not see the physician because lack of knowledge and understanding. If there is an outbreak of disease in the Merced County, the community health nurse will have to place people in isolation those infected with the virus and suspected to have SARS. Traveling may be restricted locally or internationally. Outbreaks may cause chaos in the community due to closeness of schools, businesses and social events. (George Van Order) Many procedures and activities are similar to other infectious diseases such as influenza, plague or chickenpox when dealing with SARS. Some of the guidelines are prepared by the CDC SARS prepared committee, which are designed to prepare for the future outbreaks of SARS. Some of the guidelines for reporting the possible outbreaks of SARS are: * Act fast; quickly identify cases related to SARS disease and their exposed contacts. * Make sure communication get exchanged between public health officials, health care facilities, clinicians and administrators about potential SARS cases. * Effectively and quickly implement measures to prevent SARS spread out. * Prevent the transmission of SARS by educating the public through media, community officials, and healthcare communities. Effective communication and rapid communication exchange is very important. (CDC-SARS-Public Health)
Potential SARs cases should immediately be reported to the local health department by the healthcare providers. SARS reporting criteria will be based on worldwide SARS activities. During possible outbreak of SARS, healthcare providers should ask the patient presenting with respiratory infection, fever, recent travel history. Local health department should immediately be notified when somebody meets criteria of having SARS, which may include fever, resp. infection, within 10 days of onset history of travel. (Reporting potential SARS cases, department of health) It there is a situation arises while the air quality is poor, the community nurse may have many obligation toward public. Especially, the nurse may have more obligations toward those people who have respiratory problems. The nurse need to make sure people who are immune are not compromised; people with respiratory diseases or illness are taking extra precautions during bad air quality days. These people with respiratory problems need to be frequent monitoring and encourage them to stay hydrated and require them to take extra medication if needed. If the symptoms related to respiratory problems get worse which may include difficulty breathing, wheezing, running nose and fever these patients may needs to be evaluated and treated as needed. All potential allergens in the air may need to be reduced or eliminated. Community health nurses need to encourage the population not to smoke and not to burn wood in their homes and vacuum/dust the house for pet dander; all the pets in peoples home need to be bathe regularly. The community health nurse may need to advise the public to use disposable mask, N95 recommended. Encourage the public to stay home and educate the public on how to read air quality report online. (Public Health Nurse Knowledge And Attitude Regarding Climate Change) Community health nurse would have many responsibilities and obligations during the outbreaks and environmental issues. Public health nurse should be trained and competent to handle these emergent situations in the community. The lives of many can be improved with teamwork, education and community health nurse’s knowledge and role can help recover the community faster.

Bibliography
(n.d.). Retrieved from CDC-SARS-Infection Control: www.cdc.gov
Discriptive Review of Geographic Mapping of Severe Acute Respiratory Syndrome. (n.d.).
George Van Order, p. h. (n.d.). Public Health Outbreaks Roles and Responsibilites.
Public Health Nurse Knowledge And Attitude Regarding Climate Change. (n.d.).
SARS Outbreaks Graphs-Google. (n.d.). Retrieved from www.google.com/sars+outbreak+graphs
Severe Acute Respiratory Syndrome. (n.d.). Retrieved from Wikipedia, The Free Encyclopedia.

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