Re: Egypt - Council Member Accuses Namru- 3 of "Monopoly" in Analysis of Swine Flu Samples
toward the very bottom of the Egyptian Plan (article) it speaks a bit about the relationship between the central labs ,(whom are responsible for the primary detection/classifications) then namru confirms findings, it mentions six facilities which can do the testing.
Again in another section it mentions the (who directly) but fails to mention the regional office located within Egypt.which indicates clearly to me some type of political process is under way.
its worth noting the plan below was prepared for the bf.
heres the linked article
Plan of the Ministry of Health to deal with pandemic influenza .. 4 stages of the invasion and vaccination of only the leaders and the closure of schools and universities, and the measurement of the epidemic situation on the basis of rates of absence
Sunday, June 14, 2009 - 10:21
Minister of Health
Written by Amira Abdel-Salam
Won the seventh day of a plan of the Ministry of Health to deal with the swine flu epidemic after the sixth stage of readiness and preparedness of the virus by the World Health Organization.
The plan was formulated for each scenario, the most important stages of the pandemic alert period the current outbreak of the virus invasion, which starts with the sixth phase.
Based plan of the Ministry of Health, which came in a huge booklet of 145 on several axes, mainly including the invasion of command and control, and control the epidemic situation, the measures of preventive and therapeutic procedures, training, information and communication, monitoring, evaluation and bait we offer in detail in the next report.
Invasion
According to the ministry's plan there are 4 stages of the first warning is the sixth sense of the limited invasion of infection in the region and one in Egypt, and the second is the widespread, and the third sweep begins to fade, and the fourth start of the next wave of the virus, which is the obligation of all actions involving the application of the plan from all ministries and at all levels .
The plan includes the diagnosis of the disease Boaradh analysis of influenza during the first four days of the disease, isolate the patient with sending samples to the lab.
In the sweep is the author of the cases by the police for help and community-based organizations and health units, hospitals, clinics, health departments and the local council and the Directorate of Security of the province and the Central Committee and the operating rooms, as well as the Ministry of Health and of the same leaders to end the Ministerial Committee.
Control the epidemic situation
Control the epidemic situation and the plan provides for the cooperation with all ministries concerned by the Supreme National Committee to combat bird flu to prevent risks to public health, and the continued control of seasonal influenza in order to determine the type of the virus that causes the disease, monitor the situation and the continuation of the global epidemic, disease surveillance during a pandemic to determine the numbers of patients, mortality rates and to take necessary action in a timely manner to protect the citizens access to data on the pandemic from all health facilities on a regular basis.
Preventive action
The plan provides for the preparation of a complete database of health facilities at the level of the Republic, an increase in the number and quality factor for the early diagnosis of a pandemic is the central laboratory is responsible for determining the quality of the virus now has been provided already and the preparation of manuals for the infection control procedures for health facilities, and to take necessary action to fortify members of the team healthy seasonal influenza vaccine, and when the availability of vaccine virus, a pandemic will be the primacy of vaccination for groups with a preference state leaders and officials, and health team workers, defense and police, working through the transportation, facilities and services, and the media.
Antiretroviral drugs
With regard to anti-retroviral medicines, it is the provision of a strategic stockpile of antiviral drugs by the Ministry of Health for use in the treatment of cases of pandemic influenza will be used for prevention in the small-scale private service providers to clients directly with the health of patients, in addition to providing strategic stocks masks and high-efficiency masks and protective clothing and take other necessary action to protect citizens from disease and injury, including raising health awareness among the citizens about the disease and how to prevent it and the spacing of the meeting with the closure of schools and universities, theaters, cinemas, clubs, and stop the sports activities and the reduction of transport and methods of health Assembly.
Remedial action
The plan includes the preparation of manuals for the treatment of clinical cases and contacts and distribution to health facilities, and provision of strategic storage of medicines and other therapeutic requirements necessary for a pandemic, and the implementation of health facilities to cope with a pandemic plan and the continued provision of services without interruption and covered the necessary arrangements for the external clinics, and special services patients.
Training
The plan includes the training of personnel at all levels to collect data of health facilities to them, and the training of the various sectors of the central Ministry of Health national plan, the training of personnel at all levels on how to develop a plan of response to the pandemic, members of the training hotline on how to provide this service.
Information and communication
Be declared a pandemic in the Republic by the Spokesman for the Central National Committee for a pandemic has been prepared by the Ministry of Health in the line of communications for the health facilities to do its part during the pandemic, and to provide information to health workers,
And distribution of a manual and periodic bulletins in order to raise awareness and create a community to deal with the proliferation and the epidemic and reduce the risk of the spread of the pandemic in Egypt by changing behavior, and increase confidence in the public health system and its capacity in the management of a pandemic crisis, and dealing with rumors.
Surveillance
The plan on the surveillance of the virus, one of the key components of effective in the fight against influenza, which shows the result of a surveillance and the importance of the disease in the periods between epidemics to the early detection of epidemics, the World is very important to identify new strains of the virus, and there are regional centers for avian up to 114, located in 85 countries around the world implement global programs for influenza surveillance in collaboration with WHO reference laboratories, including 4 in Atlanta, USA, Tokyo, Japan, London, England and Melbourne, Australia, and relate to the laboratory network to monitor influenza activity in the world, and send virus isolated centers of cooperation of the World Health Organization to ensure the early identification of new strains of the virus.
The Ministry of Health Central Laboratory is the reference laboratory of the Republic responsible for the discrimination of viruses in cooperation with the U.S. Naval Research Unit
(Namro 3) and
confirm the diagnosis and there are 6 sites of surveillance and sample collection in Egypt.
Analysis of epidemic situation
This is based on days of absence from school when the absence of more than 10% of the school in the province of human infection with a similar result with the flu one week, officials would be informed decision makers are taking samples to the laboratory of clinical cases at least two possible and sent to the central laboratory to analyze the virus, while taking all necessary preventive measures.
The national surveillance system in the event of a pandemic in the Republic depends on the collection of all data on the number of confirmed and suspected cases and deaths from all health facilities with the control activity of the virus.
Laboratory services
In the invasion phase of the epidemic, the role of the laboratory examination of all suspect samples to the follow-up and control the spread of the disease through analysis of a particular gene mutation and control of the virus, surveillance of patients respond to treatment and the seriousness of the virus, and then prepare for the next wave.
The plan includes methods of sampling for clinical laboratories depend on the type of sample number 2 was tempered by the throat and eye serum of blood, as well as a way to maintain the throat and media Bmshat own.
Vaccination
The availability of bait plan identified target groups, preparation and target groups are the leaders of the State and the team officials and health workers, police and defense personnel the means of transportation, facilities and services, the media, and the second category of persons are exposed to the risk of severe complications, and the third category of persons are at risk of infection.
For personal protective equipment, are specified in the plan related to health care providers and suspected and confirmed cases and contacts with the use of surgical face mask to reduce the spread of the virus during the cough, speak, provision and use of surgical masks in public institutions with more than 10 workers to reduce the rate of infection and prevention tools, including personal glasses, protective mask and the mask of surgical and high-efficiency and non-latex gloves and sterile plastic Mraiyl medical robes.
Infection control procedures
Requirements must be met at this stage of personal protective equipment, disinfectants of surfaces and the working environment and the allocation of tools and supplies, especially the patient.
Upon arrival to the patient's home or outpatient hospital, it must be evaluated in a separate place to the test, if possible, to determine whether the definition of the disease in the case of a suspected pandemic influenza case or not. Is the development of surgical mask in the patient, and must be adhered to hand hygiene using soap and water or alcohol Aldlk, and attention must be given to washing hands before and after any contact with the patient.
Hospital plan
The plan provides for the hospitals during a pandemic spread of the Declaration of the epidemic (the scenario of reporting), and the transfer of patients, either ground or air ambulance, call personnel and allocation of responsibilities, and emergency reception, testing and transport the sick and injured, and the secretariats of the sick, and dealing with the detention and deaths, and support services, supplies, and the difference rapid deployment, and dealing with the media, and after a pandemic is to codify the whole of the process, and to re-evaluate and revise plans, and modifications, and begin the new training.
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