Cover Image
close this bookCommunicable Disease Control in Emergencies - A Field Manual (WHO - OMS, 2003, 223 p.)
View the document(introduction...)
View the documentACKNOWLEDGEMENTS
View the documentINTRODUCTION
Open this folder and view contentsCHAPTER 1: RAPID ASSESSMENT
Open this folder and view contentsCHAPTER 2: PREVENTION
Open this folder and view contentsCHAPTER 3: SURVEILLANCE
Open this folder and view contentsCHAPTER 4: OUTBREAK CONTROL
Open this folder and view contentsCHAPTER 5: DISEASE PREVENTION AND CONTROL
View the documentANNEX 1: WHO REFERENCE VALUES FOR EMERGENCIES
View the documentANNEX 2: SAMPLE HEALTH SURVEY FORMS
View the documentANNEX 3: NCHS/WHO NORMALIZED REFERENCE VALUES FOR WEIGHT FOR HEIGHT BY SEX
View the documentANNEX 4: SAMPLE WEEKLY SURVEILLANCE FORMS
View the documentANNEX 5: RECOMMENDED CASE DEFINITIONS
View the documentANNEX 6: OUTBREAK INVESTIGATION FORMS
View the documentANNEX 7: ORGANIZATION OF AN ISOLATION CENTRE
View the documentANNEX 8: BASIC LABORATORY SERVICES
View the documentANNEX 9: LABORATORY INVESTIGATION KIT
View the documentANNEX 10: TREATMENT GUIDELINES
View the documentANNEX 11: MANAGEMENT OF THE CHILD WITH COUGH OR DIFFICULTY IN BREATHING6
View the documentANNEX 12: ASSESSMENT AND TREATMENT OF DIARRHOEA
View the documentANNEX 13: FLOW CHARTS FOR SYNDROMIC MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS
View the documentANNEX 14: SAMPLE HEALTH CARD
View the documentANNEX 15: LIST OF WHO GUIDELINES ON COMMUNICABLE DISEASES
View the documentANNEX 16: LIST OF PUBLISHERS
View the documentANNEX 17: GENERAL REFERENCES

ANNEX 7: ORGANIZATION OF AN ISOLATION CENTRE


Figure A7.1. Organization of an Emergency Treatment Centre and Patient-Flow

Table A7.1. Essential rules in a cholera treatment centre

Mode of transmission

Essential Rules in the CTU

Additional recommended rules

People

· Access limited to patient +one family member +staff
· One way flow of people

· Ideally one carer per patient only
· 3 separate spaces within CTC (see box 1)

Water

· Safe water (chlorination concentration according to specific use; see box 2)
· Large quantity needed (minimum 10 liters/person/day)

· Ideally 50 liters per patient and per day

Hands

· Hand washing stations with safe water and soap in sufficient quantities
· Wash hands with water and soap
· before and after taking care of patients
· after going to the latrines
· before cooking or eating
· after leaving the admission ward

Cut and clean nails

Food

· Cooked food
· Health care workers should not handle food or water

Food provided by CTC (preferably not by families)

Large stocks of food may be "tempting "and may lead to security problems

Clothes

Wash clothes and linen with the appropriate chlorine solution

If no chlorine available, wash clothes with soap and dry them in the sun

Environmental contamination (faeces and waste)

· Ensure exclusive latrines for the CTC
· Disinfect buckets, soiled surfaces and latrines regularly with the appropriate chlorine solution (see box 2)
· Incinerator for medical waste

· Latrines at least 100 metres away from wells or surface sources
· Special cholera beds

Corpses

· Separate morgue
· Disinfect corpses (see Box 2)

· Find ways to have safe funeral practices
· Bury corpses as soon as possible

Table A7.2. Preparation and use of disinfectants

Starting with:

2% SOLUTION

0.2% SOLUTION

0.05% SOLUTION

Calcium hypochlorite at 70% active chlorine
("high-test hypo-chlorite", "HTH")

30g / litre or
2 tablespoons / litre

30g / 10 litres or
2 tablespoons / 10 l

7g / 10 litres or
½ tablespoon / 10 l

Chlorinated lime at 30% active chlorine
("bleaching powder")

66g / litre or
4 tablespoons / litre

66g / 10litres or
4 tablespoons/10 l

16g / 10litres or
1 tablespoon / 10 l

Sodium hypochlorite solution at 6% active chlorine
("household bleach")

333ml / litre or
22 tablespoons /litre

333ml / 10 litres
or 22 tablespoons / 10L

83ml / 10 L or
5 tablespoons / 10l

USE FOR DISINFECTION OF:

Excreta
Corpses
Shoes

Floor
Utensils
Beds

Hands
Skin
Clothes

Measurements used: 1 teaspoon=5 ml 1 tablespoon = 15 ml 1 cup = 200ml
Do not use metallic bucket for preparation and storage of chlorinated solutions