Presentation 2 SARS point one

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Public Health Lessons from SARS: 

Public Health Lessons from SARS Team Time Zone September 16, 2008 PUBH 680

Ontario’s Public Health System: 

Ontario’s Public Health System SARS Commission Interim Report Numerous structural and capacity problems Opportunities to identify weaknesses

The SARS outbreak: 

The SARS outbreak 18 hours! Case report* Emergency department infectious disease control measures * Varia M, Wilson S, Sarwal S, et al. (2003) Investigation of a nosocomial outbreak of severe acute respiratory syndrome (SARS) in Toronto, Canada. CMAJ 169:285-292.

Leadership: 

Leadership Front line hospital and public health workers Legal action Amending legislation Issuing directives Image retrieved Sept. 14, 2008 from www.wpro.who.int

Legal Jurisdiction: 

Legal Jurisdiction Provincial vs. local Privacy concerns                vs.                information sharing

Public Health Law: 

Public Health Law Isolation Quarantine

Public Response: 

Public Response Fear of job loss Financial burden Lack of compliance Rumors

Role of the media: 

Role of the media Public health and government coordination Information system Pre-planned health communications Mass media

Lessons from Taiwan: 

Lessons from Taiwan Image retrieved Sept. 14, 2008 from www.wired.com

Recommendations: 

Recommendations Public compliance to isolation and quarantine C.3.1 Prohibit discrimination & provide job security C.3.2 Provide income replacement C.3.3 Provide financial protection Rothstein et al. (2003) Quarantine and Isolation, Lessons Learned from SARS, Executive Summary, 2003 p. 14.

References: 

References Bergeron, SL (2005) Media Effects on Students during SARS Outbreak. Emerg Infect Dis [serial on the Internet]. Accessed at http:// www.cdc.gov/ncidod/EID/vol11no05/04-0512.htm Campbell, JA. (2004) The SARS Commission Interim Report: SARS and Public Health in Ontario. Executive Summary, pp. 1-31. Learning from SARS: A report of the National Advisory Committee on SARS and Public Health, (October 2003) p.32. Accessed at http://www.phac-aspc.gc.ca/publicat/sars-sras/pdf/sars-e.pdf

References: 

References Mcneil, DG. Fight in Taiwan Is Impeded By Resistance to Isolation, New York Times, May 12, 2003. http://query.nytimes.com/gst/fullpage.html?res=9A00E4D9133FF931A25756C0A9659C8B63&scp=5&sq=SARS%20Taiwan%20McNeil&st=cse Moore, Jill, MPH, JD. (Presenter) (2003) Introduction to Communicable Disease Law, Part I and II. Chapel Hill, NC: Lecture for North Carolina Center for Public Health Preparedness training website. Rothstein et al. (2003) Quarantine and Isolation, Lessons Learned from SARS, Executive Summary, p. 14.

References: 

References SARS: When a global outbreak hits home. (Oct. 23, 2003) UNC Public Health Grand Rounds. Accessed at http://www.publichealthgrandrounds.unc.edu/sars/ondemand/view.cfm Turnock, B. (2004) Public Health: What it is and how it works. 3rd ed. Sudbury, MA. Jones and Bartlett Publishers. Varia M, Wilson S, Sarwal S, et al. (2003) Investigation of a nosocomial outbreak of severe acute respiratory syndrome (SARS) in Toronto, Canada. CMAJ 169:285-292. Accessed at http:// www.cmaj.ca/cgi/content/full/169/4/285?ijkey=735e85eb075d5c968fdaad1e8114d7ebabe097a5