PUBHLTH 2 Lecture 9: Case 1 The Toronto Sars II Experience

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7 Feb 2017
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6"step"Analysis:"
Toronto,"Canada"was"hit"by"SARS."Symptoms"included"fever"and"respiratory"
infection"and"was"easily"spread"through"close"contact
1.
SARS"was"declared"public"health"crisis"and"affected"20,000"there"has"been"a"
decline"in"SARS"cases
2.
SARS"pneumonia"and"pneumonia"had"the"same"symptoms."There"were"no"
diagnostic"tests"for"SARS."People"forgot"about"SARS
3.
Dr."Osler"urged"for"Toronto"hospitals"to"continue"strict"isolation"procedures"
of"SARS."Quarantine"and"Case"Isolation"became"procedures"to"protect"
others"from"SARS
4.
SARS"treatment"and"prevention"still"needed"to"be"implemented
5.
Strict"hospital"policies"and"screening"took"place"and"all"hospitals"had"
specialized"SARS"unit
6.
Step"1:"Gather"Info"and"Identify"Preliminary"Issues
SARS:"Severe"Acute"Respiratory"Syndrome
§
Highly"contagious"when"in"close"contact"with"a"SARS"victim"
§
Total"of"140"probable"cases,"178"suspect"cases,"24"deaths
In"April"2003,"20,000"people"possible"exposed"to"SARS
Step"2:"Analyze"Present"Situation
Toronto"was"one"of"the"only"cities" to"be"hit"with"SARS"outside"of"EAST"
Asia
April"2003:"WHO"urged"community"to"not"travel"to"Toronto"during"
SARS"outbreak
April-May"2003:"announced"a"PH"crisis
Step"3:"Finalize
PH"officials"announced"that"no"new"SARs"case"was"found
Community"forgot"about"SARs,"and"therefore"forgot"about"SARs"
prevention"and"treatment
There"was"no"diagnostic"test"for"SARs
WHO"shortly"lifted"Toronto"travel"advisory
Step"4:"Analysis
Dr."Bill" Osler,"chief"staff"of"North"Toronto"General" Hospital
Still"concerned"about"SARs"due"to"troubling"cases"of"pneumonia"
amongst"hospital"staff"and"patients
Quarantine"and"Case"Isolation"was"to"be"implemented"as"preventative"
measures"and"treatment
Step"5:"Recommendations
Better"public"health"communication"between"hospitals"and"
community"could"have"decrease"SARs"1"case
PH"response"and"info"sharing"campaign
Protective"gear"for"hospital"staff"-gowns,"respirator"N95"masks,"gloves
Step"6:"Develop"Action"Plan
Strict"new"infection"control"measures"implemented"for"all"Toronto"
hospitals
All"Toronto"hospitals"developed"specialized"SARs"unit"to"decrease"
SARs"cases"
Quarantine"and"Isolation"was"used"as"preventative"measures"during"SARs"
outbreak
When"SARs"cases"decreased,"the"Toronto"community"forgot"about"SARs""and"
SARs"prevention"treatment."
Case%1:%The%Toronto%Sars%II%Experience
Monday,"February"6,"2017
9:48"AM
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