Ɔyare a Ɛpae wɔ Dabere Mu (Meningitis, Measles, anaa Norovirus) ne Campus Quarantine¶

Sukuupɔn mu akwahosan kɔkɔbɔ a egye ntɛmpɛ anadwo fã a ɛbɔ amanneɛ sɛ wɔde osuani bi a ɔwɔ wo tenabea fam no akɔ ayaresabea wɔ ayarehwɛ a emu yɛ den a ɔwɔ invasive meningococcal disease (bacterial meningitis / meningococcemia), a wohu sɛ mframa mu measles a wɔde too wo ho no sii wɔ wo ɔkasa dan mu anaa ɔmanfo dabere aguaree mu, anaasɛ ɔsɔre kɔɔ baabi a ɛkɔ ntɛmntɛm norovirus akuwakuw a ɛreprapra mpa 400 atrae dan mu no yɛ aduruyɛ ne nhyehyɛe ho ntɛmpɛ a emu yɛ den. Sukuupɔn adan a wɔda mu, anuanom ne mmea akuw afie, ne sukuufo adan a wɔbom tra mu no ka atrae a ɛyɛ den (mpɛn pii no wɔde mpa abien kosi anan si baabi a ɛne wɔn ho wɔn ho ntam kwan yɛ mita 3 anaa anammɔn 10), HVAC akwan a wɔkyɛ, aguaree a nnipa pii wɔ, ne adidibea ahorow a nnipa pii wom bom, na ɛma tebea a eye a wɔde bɛma ɔyare mmoawa a wɔde ɔyare ba no yɛ kɛse.

Sɛ wubenya nkwa wɔ ɔyaredɔm a ɛpae gui wɔ ɔdan a wɔda mu mu dwoodwoo bere a wobɔ wo sukuu gyinabea ho ban no hwehwɛ sɛ woyɛ w’ade wɔ abɔde mu dɔn a emu yɛ den mu. Neisseria meningitidis a ɛba nipadua mu no betumi anya nkɔso afi tiyɛ a emu nyɛ den ne atiridiinini a ɛyɛ 38.5 degrees Celsius (101.3 degrees Fahrenheit) so akɔ septic shock a edi awu mu wɔ nea ennu nnɔnhwerew 12 kosi 24 mu, na ɛhwehwɛ sɛ wɔn a wɔbɛn wɔn ho wɔn ho no anya Post-Exposure Prophylaxis (PEP) nnuru a ekum ɔyare mmoawa wɔ nnɔnhwerew 24 akyi wɔ bere a wɔahu no. Akisikuru mmoawa a ɛwɔ mframa mu no kɔ so yɛ ɔyare mmoawa a wɔde asɛn dan mu mframa mu kɔsi nnɔnhwerew 2 bere a obi a ɔwɔ ɔyare no afi hɔ akyi na ɔde ** nnɔnhwerew 72 mfɛnsere a wɔde bɛma MMR vaccination wɔ bere a wɔde ahyɛ mu akyi** (anaasɛ nnafua 6 mfɛnsere ma Intramuscular Immune Globulin / IG). Norovirus ko tia nsa a wɔde tew nsa a wɔde nsa ayɛ a wɔahyɛ da ayɛ ne ammonium a wɔde popa nneɛma anan, na ɛhwehwɛ sɛ wɔde sodium hypochlorite (bleach) a wɔde kum mmoawa 1,000 kosi 5,000 ppm. Ɛdenam ayaresabea sɛnkyerɛnne a ɛyɛ frankaa kɔkɔɔ a wobehu ntɛm ara, agye bere a ɛho hia a wɔde siw ano afi Asuafo Akwahosan Dwumadibea hɔ, a wobedi ɔyare mmoawa pɔtee bi a wɔde yi efĩ ho nhyehyɛe ahorow akyi, ne wo Dean of Students Medical Absence and Disability Accommodation Rights a wobɛfrɛ wo bere a wɔhyɛ sɛ wɔatew wɔn ho anaasɛ wɔayi wɔn afi nnipa mu so no, asuafo ne awofo betumi afa sukuupɔn no mu ɔyare a ɛpae mu dwoodwoo.

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Yɛ eyi mprempren¶

1. Frɛ nnuruyɛfo a wɔhwɛ ntɛmpɛ so ntɛm ara na woanya frankaa kɔkɔɔ a ɛyɛ meningitis anaa sepsis sɛnkyerɛnne biara. Sɛ wo, wo hokafo a wo ne no te dan mu, anaa obi a wo ne no te dan mu nya atiridiinini kɛse mpofirim a wo kɔn mu yɛ den, wo ti yɛ wo yaw kɛse, wo ho te nka wɔ hann a ano yɛ den ho (photophobia), adwene a ɛyɛ basaa anaasɛ ɛyɛ den sɛ wobɛsɔre, wo nsa ne wo nan a ɛyɛ nwini, wo home ntɛmntɛm, anaasɛ wo ho yɛ wo pintinn a ɛyɛ tuntum/kɔkɔɔ akisikuru (petechiae/purpura) a ɛnsɛe bere a wode ahwehwɛ a emu da hɔ a wɔnom afã mia so no, frɛ wo mpɔtam hɔ nɔma a egye ntɛmpɛ (911 wɔ United States ne Canada, 112 wɔ Europa Aman Nkabom no nyinaa mu, 999 wɔ United Kingdom, anaa hwɛ ne nyinaa nɔma ahorow a egye ntɛmpɛ) prɛko pɛ. "Nda no" da anaasɛ ntwɛn nkosi anɔpa a wofa no sɛ ɛyɛ hangover anaa atiridiinini da; bacterial meningococcemia betumi akum obi wɔ nnɔnhwerew kakraa bi mu.
2. Hwɛ wɔ nnɔnhwerew 2 ntam sɛ wofata sɛ "Close Contact" a ɛhwehwɛ sɛ wɔyɛ Post-Exposure Prophylaxis (PEP) ntɛm ara. Kenkan Campus Health anaa Public Health Department amanneɛbɔ a ɛfa sɛnea wɔde wɔn ho ahyɛ mu no ho amanneɛbɔ a ɛyɛ aban de no yiye:
3. Meningococcal Yareɛ: Sɛ woyɛ obi a wo ne no te dan mu, wo ne wo te dan mu, wo hokafoɔ a ɔbɛn wo paa, anaasɛ wokyɛ anonneɛ/nkukuo/vapes anaasɛ wo ne index ɔyarefoɔ no dii anim ne anim bere tenten wɔ nnafua 7 ansa na sɛnkyerɛnne no refi aseɛ a, bɔ Campus Health anaa dwumadibea a ɛhwɛ ntɛmpɛ so amanneɛ nnɛ na woanya antibiotic chemoprophylaxis (Ciprofloxacin, Rifampin, anaa Ceftriaxone), sɛ ɛbɛyɛ yiye a, wɔ ** nnɔnhwerew 24** akyi a wɔahu index case no.
4. Akisikuru (Rubeola): Sɛ wunni MMR a wɔde di dwuma 2-dose immunity a wɔakyerɛw ho asɛm na na wowɔ dorm fam, adesuadan, anaa adidibea koro no ara mu (ɛkɔsi nnɔnhwerew 2 mpo wɔ osuani a ɔwɔ ɔyare no fii dan no mu akyi a), kɔ Public Health ntɛm ara na woanya MMR vaccine wɔ nnɔnhwerew 72 akyi wɔ nnɔnhwerew 72 akyi anaa Immune Globulin (IG) wɔ nnafua 6 ntam.
5. Mfa Campus Health twɛn dan mu da a wommɔ amanneɛ sɛ wowɔ akisikuru a wosusuw sɛ wowɔ akisikuru anaasɛ meningitis fever a. Sɛ wo nantew fa ayaresabea abrannaa a nnipa ahyɛ mu ma a akisikuru a ɛwɔ mframa mu wom mu a, ɛma asuafo du du pii a wɔn nipadua no tumi ko tia nyarewa no da adi. Frɛ Asuafoɔ Akwahosan Dwumadibea anaa ayaresabea ntɛmpɛ triage desk fi ɔdan no akyi anaa wo dan a woda mu di kan sɛdeɛ ɛbɛyɛ a ayarehwɛfoɔ bɛtumi afa abrannaa a ɛma nhyɛsoɔ bɔne tew wo ho a ɛwɔ N95 / FFP2 respirator mask so aba mu.
6. Sɛ Norovirus bɔ wo dorm suite a, to nsa nsa hohoro nsa to na dan kɔ samina-ne-nsu ne 5,000 ppm bleach so. Nsã nsa gel (60%-70% ethanol/isopropanol) ne benzalkonium chloride aduru a wɔde popa mmoawa a wɔtaa de di dwuma (te sɛ Clorox/Lysol a wɔde popa nneɛma a ɛnyɛ bleach daa) MMFA norovirus capsids a wɔankata so no nyɛ adwuma. Fa samina ne nsuo a ɛyɛ hyew hohoro wo nsa denneennen anyɛ yiye koraa no sikani 20, hyɛ nsateaa a wɔtow gu ne akataso bere a ɛbɛn ɔfe/akisikuru aerosols, na fa ofie chlorine bleach solution a wɔafrafra foforo (1:10 to 1:50 dilution, anaa 1,000 kosi 5,000 ppm sodium hypochlorite) a wogyaw no nsu wɔ nneɛma so anyɛ yiye koraa no simma 5.
7. Hu wo hokwan ansa na woatu akɔ Campus Quarantine / Isolation Dormitory. Sɛ sukuupɔn anaa County Health Department hyɛ wo sɛ kɔ isolation room anaa quarantine hotel a, hwɛ sɛ Residence Life de aduan mprɛnsa a wɔde kɔma wo da biara da (a ɛma aduane a ɛyɛ akisikuru ne aduane ho mmara), nnuru a wɔkyerɛw ma wo a wɔde bɛkɔ, nwura a wɔbɛfa, 24/7 clinical telehealth ma check-ins, ne Official Dean of Students Medical Quarantine Verification Notice a ɛkyerɛ akyerɛkyerɛfoɔ nyinaa sɛ wɔmma sɔhwɛ a wɔde bɛto nkyɛn a wɔmfa asotwe biara mma ne akyirikyiri ɔkasa kwan.
8. Hwɛ wo immunization kyerɛwtohɔ (MenACWY, MenB, ne 2-dose MMR) wɔ wo sukuuni akwahosan portal so nnɛ. Kɔlegefo ne awofo pii di mfomso gye di sɛ wɔabɔ wɔn vaccine koraa atia meningitis nyinaa efisɛ wonyaa MenACWY (Menactra / Menveo / MenQuadfi) vaccine bere a wadi mfe 16; nanso, Serogroup B (MmarimaB: Bexsero / Trumenba) de U.S., Canada, ne UK sukuupɔn sukuupɔn mu meningitis dodow no ara ba na ɛhwehwɛ sɛ wɔyɛ MenB vaccine series a ɛsono emu biara a sukuupɔn pii nhyɛ wɔ matriculation mu.

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Dormitory outbreak ne prophylaxis triage gyinaesi dua¶

flowchart TD
    Start["Dabere anaa Sukuudan mu Ɔyare a Ɛpae Ho Kɔkɔbɔ: Meningitis, Measles, anaa Norovirus"] --> SymptomCheck{"So osuani no wɔ RED-FLAG EMERGENCY SYMPTOMS mprempren?<br/>(Ne kɔn mu yɛ den, ne ti yɛ no yaw kɛse, photophobia, adwene a ɛyɛ basaa, akisikuru a ɛnyɛ blanching, ɛyɛ den sɛ ɔbɛhome, anaasɛ ontumi mma nsu nkɔ fam >24h)"}

    SymptomCheck -->|"YIW"| CallEMS["CALL 911 / 112 / 999 IMMEDIATELY<br/>1. Tell dispatcher: 'College dorm student with suspected [Meningitis / Measles / Severe Dehydration]'<br/>2. Put surgical/N95 mask on patient & keep room window cracked if tolerated<br/>3. Unlock dorm building exterior door to guide paramedics directly to room"]

    SymptomCheck -->|"DABI (Nsɛnkyerɛnne a Enni Nsɛnkyerɛnne anaasɛ Ɛnyɛ Den / GI Nsɛnkyerɛnne a Edi Kan) ."| PathogenType{"Ɔyare mmoawa bɛn na wohui wɔ Campus Health Alert no mu?"}

    PathogenType -->|"1. Mmoawa a Ɛma Adwene a Ɛyɛ Fɛ (Neisseria meningitidis) ."| MeningContact{"So na woyɛ Close Contact wɔ nnafua 7 a atwam no mu?<br/>(Roommate, suitemate, shared drinks/vapes/kissing, anaa >8 hrs wɔ mita 1 / anammɔn 3 mu)"}
    MeningContact -->|"Yiw"| GetPEP["NHYEHYƐEƐ: Nya Antibiotic Prophylaxis (PEP) Wɔ Nnɔnhwerew 24 mu<br/>(Ciprofloxacin a wɔde ma pɛnkoro 500mg a wɔnom, Ceftriaxone IM, anaa Rifampin a wɔde di dwuma nna abien)<br/>+ Hwɛ sɛ ɔyare no a ɛpae no yɛ Serogroup B (MenB) anaa ACWY & nya booster dose"]
    MeningContact -->|"Dabi (Casual classmate / ɔdan kɛse koro no ara a wɔda mu nkutoo)"| MeningWatch["Ɛho Nhia sɛ Wɔde Nnuru a Ekum ɔyare mmoawa PEP Di Nkitahodi a Wɔyɛ Bere Biara Mu:<br/>1. Hwɛ ɔhyew so mprenu da biara nnafua 10 a edi mũ<br/>2. Hwɛ sɛ MenB (Bexsero/Trumenba) & MenACWY vaccination tebea no te nnɛ"]

    PathogenType -->|"2. Akisikuru (Airborne Rubeola) anaa Akisikuru"| MeaslesImmune{"So woakyerɛw 2-dose MMR vaccine ANAA lab-confirmed immunity?"}
    MeaslesImmune -->|"Dabi / Unsure / Nkwammoaa a ɛko tia nyarewa no ayɛ basaa"| MeaslesPEP["BERƐ-A ƐHO HIA PEP WINDOW:<br/>1. Frɛ Campus/County Health wɔ telefon so (MMFA nantew nkɔ abrannaa so a wonkata wo ho)<br/>2. Nya MMR Vaccine wɔ NNƆNHWERE 72 akyi ANAA Immune Globulin (IG) wɔ NNANA 6 mu<br/>3. Siesie wo ho ma nnafua 21 sukuupɔn no mu a wɔbɛyi obi afi mu/wɔayi obi afi nnipa mu a ɛwɔ akyirikyiri adesuakuw dabere"]
    MeaslesImmune -->|"Yiw (Wɔakyerɛw MMR dodow 2) ."| MeaslesMonitor["Wɔayi wɔn afiri Quarantine mu wɔ Most Jurisdictions:<br/>Hyɛ N95 wɔ mmeaeɛ a wɔkyɛ & hwɛ sɛ atiridii/ɔfe/aniwa mu yareɛ anaa nnafua 21"]

    PathogenType -->|"3. Norovirus / Yafunu mu Yare a Ɛyɛ Hu Kuw"| NoroProtocol["Yɛ Dorm Suite Containment & Hydration Protocol:<br/>1. Tew obi a ɔne no te dan mu a ɔyare no fi afoforo ho bere tenten a sɛnkyerɛnne ahorow no bɛtra hɔ nyinaa + NNƆNHWƐR 48 KƆSI 72 wɔ adeyɛ a etwa to akyi<br/>2. Tow nsa a wɔde tew nsa ho gu -> Fa Samina & Nsu hohoro ho simma 20+<br/>3. Fa Chlorine Bleach 1,000-5,000 ppm (simma 5 bere a ɛyɛ nsu) de kum mmoawa gu suite tiafi/faucets/knobs mu<br/>4. Fa Oral Rehydration Salts (ORS) a 5 mL (1 tsp) nkɔanim mu simma 3 biara nom"]

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Ɔfã 1: Ɔyare mmoawa-ne-ɔyare mmoawa ayaresabea nkwa & akyi aduru a wɔde siw ano (PEP) akwankyerɛ¶

Dabere mu ɔyare mmoawa ahorow nam akwan horow a ɛsono emu biara a wɔfa so de nyarewa ba no so yɛ wɔn ade, nsu a ɛtɔ/nnompe (meningococcal yare), nokware mframa a ɛkɔ akyirikyiri aerosols (akisikuru, varicella/akokɔ, nsamanwaw), anaa fecal-oral / vomit-aerosol fomite surfaces (norovirus). Sɛ wode wo ho banbɔ pɔtee ne abɔde pɔtee no hyia a, egye nkwa na esiw ehu a ɛho nhia ano.

Ntotoe a ɛfa ɔyare mmoawa atitiriw 4 a wɔde ba sukuupɔn dan mu a ɛpae gui no ho¶

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Ɔfã 2: Nea enti a "Alcohol Hand Sanitizer & Clorox Wipe Myth" no ma Dorm Norovirus a ɛpae gui no yɛ kɛse¶

Awɔw bere ne ahohuru bere biara, sukuuni biako a ɔfe wɔ aguaree a ɛwɔ ɔmanfo atrae mu no ma sukuufo 200 nya norovirus a ɛpae gui wɔ nnɔnhwerew 72 ntam efisɛ wɔn a wɔne wɔn te dan mu ne adwumayɛfo a wɔhwɛ mmofra so no de nnuru a ɛnteɛ siesie hɔ.

5-Anamɔn Dorm Room Norovirus Decontamination & Nkwa Ho Nhyehyɛe¶

1. Nea Enti a Nsã Nsa Hohoro (Purell) ne Standard Disinfectant Wipes no Di nkogu Koraa:
2. Influenza, SARS-CoV-2 (COVID-19), ne herpesvirus yɛ yare mmoawa a wɔakata so a srade (srade) aduru a ɛyɛ mmerɛw atwa ho ahyia a nsa anaa quaternary ammonium ("quat") popa ɔha biara mu nkyem 60 popa amonom hɔ ara.
3. Norovirus yɛ mmoawa a wɔmfa nkata so a wɔde ahyɛ protein akorade a ɛyɛ den (capsid) a nsa ntumi nkɔ mu na ɛma ɛyɛ den ankasa. Sɛ wode wo ho to nsa hohoro aduru so bere a wode wo nsa aka dan mu aguaree pon nsa akyi a, ɛma norovirus a ɛde ɔyare ba a ɛyɛ nnam wɔ wo nsateaa so.
4. Fa Nokware Virucidal Bleach Solution (1,000 to 5,000 ppm Sodium Hypochlorite):
5. Hwɛ wo nnuru a wɔde kum mmoawa no din: gye sɛ ɛwɔ EPA List G Registration Number for Norovirus (te sɛ ayaresabea accelerated hydrogen peroxide / Oxivir anaa hypochlorous acid / Clorox Healthcare Hydrogen Peroxide / Bleach wipes) pefee, ɛrenkum norovirus wɔ adan a wɔda mu no so.
6. Sɛnea ɛbɛyɛ a wɔbɛyɛ aban CDC 5,000 ppm Norovirus Disinfectant Solution denam ofie nsu a wɔde yɛ bleach a ɛnyɛ huam a wɔahyɛ da ayɛ so (5% to 8.25% sodium hypochlorite): .
   • Fa ofie bleach mililita 150 kosi 240 (bɛyɛ kuruwa ⅔ kosi 1) fra nsu a ɛyɛ nwini lita 3.8 (galɔn 1) biara mu** (anaasɛ bleach nkaribo 2.5 wɔ nsu lita 1 / lita 1 biara mu ma toa a wɔde petepete so).
   • Hyɛ nitrile nsateaa a wɔtow gu ne aniwa ho banbɔ, bue mfɛnsere no, fa krataa mpopaho a wɔtow gu (a wɔatoto mu ntɛm ara wɔ plastic nwura kotoku mu) popa ɔfe/nsu mu nneɛma nyinaa di kan, fa bleach solution no gu so sɛnea ɛbɛyɛ a ne soro no bɛkɔ so ayɛ a ɛda adi sɛ ɛyɛ nsu simma 5 a edi mu a ɛbɛka ho, na afei fa nsu a ɛho tew hohoro mmeae a aduan di nkitaho.
7. Fa Wo Toothbrush, Mpopaho, ne Nsuo Filter Pitcher no To Quarantine Ntɛm ara:
8. Sɛ obi a ɔne no te dan mu anaa nea ɔne no te dan mu fe anaasɛ ɔhohoro tiafi a wɔbom tra mu a ne kataso abue a, aerosol plume a aniwa nhu no kɔtra **mita 1.8 (anammɔn 6) ** wɔ aguaree no mu.
9. Sɛ wo suitemate yare a yafunu mu yare a, tow brɔs biara a na ɛte aguaree counter so a ɛda adi no gu ntɛm ara, fa wo toothbrush foforo, contacts case, ne nsa mpopaho no to bag a zip-top wom mu wɔ w’ankasa wo mpa pon so drawer mu, na nsan nhyɛ wo nsu toa no mfi aguaree sink faucet no mu bio da kosi sɛ wɔbɛma ayɛ fitaa.
10. Sɛnea Wobɛgyae Nsuo a Ɛyɛ Fɛ a Ɛwɔ Mpa a Wɔda Mu ("5-Milliliter Every 3 Minutes" Oral Rehydration Mmara):
11. Nea enti a kɔlegefo a wɔwɔ norovirus no kowie ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu a wohia nkyene a wɔde fa ntini mu (IV) a ɛyɛ dɔla 2,000 ne sɛ wɔnom nsu a ɛnyɛ den anaa agumadi mu anonne a asikre wom mililita 250 (ɔuns 8) bere a wɔafe akyi pɛɛ, na ɛno trɛw yafunu no mu ntini a ɛho ayɛ hyew no mu na ɛkanyan ɔfe a ɛsan ba ntɛm ara wɔ simma 10 mu.
12. Clinical Emergency Medicine Protocol: Twɛn simma 30 kosi 45 wɔ ɔfe bere akyi a nsu biara nni mu na ama yafunu mu vagal reflex no adwo. Afei nom nokware WHO/CDC Oral Rehydration Solution (ORS) (te sɛ Pedialyte, Liquid I.V., DripDrop, anaa nsuo pa lita 1 a wɔde **asikre teaspoon 6 ne nkyene teaspoon 0.5 afra mu) a ɛyɛ katee mililita 5 (teaspoon 1 / sip ketewa 1) biara Simma 3 kosi 5. Nnuan nketenkete a ɛyɛ 5 mL no twe tẽẽ fa dwensɔtwaa a ɛwɔ soro no mu a ɛntrɛw yafunu no mu, na ɛma osuani bi tumi twe electrolytes a egye nkwa mililita 100 kosi 150 (ɔuns 3.5 kosi 5) dɔnhwerew biara a ɔfe.

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Ɔfã 3: Nea ɛsɛ sɛ woyɛ sɛ wo hokafo a wo ne no te dan mu no da ne ho adi anaasɛ ɔyare bi mprempren ara a¶

Sɛ wo hokafo a wo ne no te dan mu tẽẽ (ɔda mita 1.5 / anammɔn 5 fi wo mpa so) fi Campus Health ba a wosusuw sɛ ɔwɔ yare a ɛde ɔyare mmoawa ba anaasɛ bere a ɔretwɛn PCR nhwehwɛmu aba a ɛkyerɛ sɛ obi anya meningitis, akisikuru, COVID-19, influenza, anaa mononucleosis:

Ntɛm ara Roommate Separation & Mframa-Filtration Protocol¶

1. Besrɛ Bere Tiaa mu Isolation Room Dwumadi Ntɛm ara fi RA-on-Duty / Residence Life:
2. Suapɔn biara a wɔagye atom sɛ ɛwɔ hɔ no hwɛ Medical Isolation / Emergency Hold Rooms a wɔakyerɛ sɛ ɛwɔ sukuupɔn no mu.
3. Ɛnsɛ sɛ wɔhyɛ osuani a ɔyare anaasɛ obi a ɔne no te dan mu a ɔwɔ apɔwmuden ma ɔda a 3.5m x 4.5m (12ft x 15ft) dan a wɔda mu abien bere a obi a ɔne no te dan mu no wɔ mframa, nsu a ɛtɔ, anaa norovirus yare a wɔagye atom anaasɛ wosusuw sɛ ɛde ɔhaw kɛse ba no. Frɛ 24/7 Residence Life Duty Phone (ɛnyɛ freshman floor RA nko) ne Student Health On-Call Nurse na ma ɛnyɛ adwuma ntɛm ara isolation room transfer ma osuani a ɔyare no (anaasɛ bere tiaa mu dan a ɛho tew standby ma obi a ɔne no te dan mu a ne nipadua mu ahoɔden a ɛko tia nyarewa no).
4. Sɛ Woretwɛn Nnɔnhwerew 2 kosi 6 ama Pia a Wɔbɛsan Ahyɛ Mu:
5. Ɛsɛ sɛ wɔn a wɔne wɔn te dan mu baanu no nyinaa hyɛ N95, KN95, anaa FFP2 home afiri a ɛfata yiye bere biara a wɔwɔ dan a wɔbom tra mu no mu;
6. Bɔ One-Way Window Cross-Ventilation: Fa adaka mu fan to dorm mfɛnsere a wɔabue no mu tẽẽ bɔ mframa OUTWARD kɔ abɔnten bere a worepaapae ɔkwan no pon no mu sɛntimita 2 (inch 1) (gye sɛ wɔ nsɛm a wosusuw sɛ ɛwɔ akisikuru/mframa mu a ɛsɛ sɛ wɔto apon no mu denneennen na HEPA mframa hohoro afiri a ɛyɛ adwuma wɔ 5+ Air Changes Per Ɛsɛ sɛ dɔnhwerew / ACH tu mmirika kɔ soro wɔ dan no mu); na
7. Dada fi Ti kosi Wo nan: Sɛ wɔhyɛ wo ma wohome wɔ dan koro mu bere tiaa bi a, kyerɛ apɔw-mu-teɛteɛ a ɛwɔ mpa a ɛne ne ho di nsɛ no ano a ɛne ne ho bɔ abira (Head-to-Toe sleeping position, a wɔde di dwuma wɔ asraafo atrae ahorow mu de ma kwan a ɛda mmeae a wɔhome ntam no yɛ kɛse fi mita 1.5 / anammɔn 5 kosi bɛboro mita 3 / anammɔn 10).

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Ɔfã 4: Wo abasobɔde, wo kɔ, ne sukuupɔn dan hokwan ahorow a wobɛbɔ ho ban bere a wɔde wo to afiase¶

Asuafoɔ taa de atiridiinini a ano yɛ den, akisikuru, anaa ɔfe a ɛyɛ den sie na wɔtwe wɔn ho kɔ mfimfini sɔhwɛ anaa chemistry labs ɛfiri sɛ ɔbenfoɔ bi adesua nhyehyɛeɛ ka sɛ: "Zero makeup exams; missing more than 2 labs results in an automatic F."

Wɔ aban ne ahyehyɛdeɛ mmara ase no, enhia sɛ wopaw ɔmanfoɔ akwahosan a wɔde wɔn bɛto nnipa mu ne wo semester a wobedi nkoguo da:

1. Frɛ Asuafoɔ Panyin "Official Public Health Absence / Quarantine Directive".¶

• Ankorankoro akyerɛkyerɛfo taa pow asuafo email ahorow a wɔde nsa akyerɛw a wɔka sɛ "Na mewɔ yafunu mu mmoawa," nanso wontumi mmu asoɛe Ɔmanfo Akwahosan / Dean of Students Quarantine Directive.
• Bere a wɔde wo bɛto baabi a wɔatew wɔn ho anaasɛ wɔde wo akɔto baabi foforo (sɛ́ ɛyɛ Campus Health, ayaresabea a ɛwɔ sukuupɔn no akyi, anaasɛ wo dan a woda mu denam telehealth ɔyarehwɛfo so) no, bisa oduruyɛfo no sɛ ɔmfa Automated Medical Quarantine / Public Health Absence Notification mmra Dean of Students Office / Care Team so nkɔma w’akyerɛkyerɛfo nyinaa tẽẽ. Saa amanneɛbɔ yi di nna a wɔhyɛ sɛ wɔmfa mma ɔmanfoɔ akwahosan firi mu no yɛ nokware a ɛnka wo kokoam aduruyɛ mu nhwehwɛmu (ɛbɔ wo FERPA ne HIPAA kokoamsɛm ho ban).

2. Ɔfa 504 / ADA Bere Tiaa mu Mmofra a Wɔadi M dɛm & Dabere a Wɔde Ma Wɔn a Wɔyare Wɔ Viral Akyi¶

• Sukuupɔn mu nyarewa bi, titiriw Meningococcal Disease recovery, Epstein-Barr Virus (Infectious Mononucleosis), Influenza/Pneumonia a emu yɛ den, ne Long COVID, ma adapɛn pii yɛ mmerɛw wɔ ɔyare no akyi ɔbrɛ, atiridiinini, anaa ntini mu ahoɔden a ɛma obi ho tɔ no wɔ nnafua 5 a edi kan a atiridiinini a emu yɛ den no aba awiei.
• Wɔ ADA Nsakraeɛ Mmara (ADAAA) ne Ɔfa 504 a ɛwɔ Rehabilitation Act (34 CFR Ɔfa 104) (ne UK Equality Act 2010 ne Canadian Provincial Human Rights Codes) ase no, aduruyɛ mu dɛmdi a ɛyɛ hu anaa ɛba bere ne bere mu a ɛto asetra mu dwumadi atitiriw ano hye kɛse (a nea ɛka ho ne sɛ wode w’adwene besi biribi so, nantew wɔ baabiara sukuupɔn no mu, anaasɛ ɔkɔ adesua) fata ma Bere tiaa mu Mmofra a Wɔadi M dɛm Dabere denam Campus Office of Disability Services so, ne Incomplete (I) Grade Extensions anaa Retroactive Medical Withdrawal sɛ ɛho hia a (hwɛ sikasɛm mu mmoa SAP suspension, scholarship a wɔtwa, ne adesua ho ka a wɔde kɔdan asɛnnibea).

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Ɔfa 5: Nsɛmfua a wɔde kyerɛw nsɛm a egye ntɛmpɛ ma asuafo ne awofo¶

Script 1: Frɛ Campus Health / 911 Triage ma obi a ɔne no te dan mu a ɔwɔ Red-Flag Meningitis anaa Sepsis Nsɛnkyerɛnne¶

"Mefrɛ fi [University Name], [Residence Hall Name], Room [#], a ɛwɔ [Street Address]. Me yɔnko dan mu a wadi mfe [19] no anya atiridiinini kɛse mpofirim a ɛyɛ [39.2°C / 102.5°F] wɔ nnɔnhwerew [4] a atwam no mu a [kɔn a ɛyɛ den / tiyɛ a emu yɛ den / hann ho nkate / adwenem naayɛ kɛse / . nsensanee a ɛyɛ tuntum a ɛyɛ pinpoint wɔ wɔn honam ani a ɛnsɛe wɔ ahwehwɛ ase].Esiane sɛ yɛte kɔlege dan mu nti, mabue [Dorm Name] anim pon no ano na m’adamfo [Name] retwɛn wɔ curb no so wɔ jacket a ɛhyerɛn mu sɛ ɔde nnuruyɛfo a wɔboa nkurɔfo no bɛforo elevator no tẽẽ akɔ Room [#]."

Script 2: Abisade a Wɔhwehwɛ Ntɛmntɛm Post-Exposure Prophylaxis (PEP) ne Isolation Housing fi Asuafo Akwahosan & Tebea Asetra¶

Asɛmti: ƆMANFO AKWAHOSAN HO NSƐM A WƆDE NHYEHYƐ NSƐM: Close Contact Prophylaxis (PEP) & Isolation Housing Request, [Osuani Din, ID #], [Dorm & Room #].
"De kɔma Asuafoɔ Akwahosan Dwumadibea a Wɔfrɛ no Ayaresabea ne Residence Life Duty Director:

Mete [Dorm Name, Room #] na meyɛ [Riemate / suitemate / close contact] tẽẽ [Index Student Name anaa Case Reference #], a wohuu/wɔde no too ayaresabea nnɛ sɛ ɔwɔ [Confirmed/Suspected Meningococcal Disease / Measles / Acute Norovirus].

1. Ntɛmntɛm Prophylaxis Evaluation: Esiane sɛ me exposure sii wɔ mmara kwan so close-contact window ([na mewɔ immunocompromised tebea / 1 pɛ documented MMR dose / MenB vaccine biara nni fael so]), mesrɛ wo ma menhu bere pɔtee a ɛnnɛ ɛsɛ sɛ mebɔ amanneɛ kɔ ayaresabea afã abrannaa so sɛ menya post-exposure prophylaxis ([Ciprofloxacin/Rifampin PEP / MMR anaa Immune Globulin]).
2. Emergency Isolation / Standby Room Transfer & Environmental Disinfection: Yɛn suite no kyɛ [mpa biako / ɔmanfo aguaree a wɔato mu]. Yɛsrɛ sɛ wɔmfa bere tiaa mu isolation/standby dorm room dwumadi ne Environmental Health & Safety (EPA List G / 5,000 ppm hypochlorite) disinfection of Suite [#] enti ɔyare mmoawa no ntrɛw nkɔ yɛn fam."

Script 3: Adesua Dabere & Sɔhwɛ Deferral Email kɔma Akyerɛkyerɛfo wɔ Bere a Wɔhyɛ sɛ Wɔde Wɔn To Nnipa Mu¶

Asɛmti: Ɔmanfo Akwahosan a Wɔhyɛ sɛ Wɔde Wɔn Kɔ Hɔ / Aduruyɛ mu Tew Ho Amanneɛbɔ, [Adesua Nnɔmba & Ɔfã], [Wo Din Nyinaa, Osuani ID #].
"Ɔbenfo Dɔfo [Edin a Etwa To]:

Yɛsrɛ sɛ montu me fo sɛ ɛfiri nnɛ, [Date], wɔde me ahyɛ aduruyɛ mu isolation/quarantine a ɛyɛ ahyɛdeɛ ase denam [University Student Health Services / County Department of Public Health] so denam [Projected Clearance Date] so ɛnam acute campus transicable disease protocol nti. Dean of Students Office ne Student Health Center akyerɛw me ayaresabea ho adansedi krataa wɔ fael so na wɔde aban mpanyimfo a wɔankɔ adwuma no ho amanneɛbɔ no bɛkɔ wo inbox mu.

Sɛnea sukuupɔn ɔmanfo akwahosan ho nhyehyɛe kyerɛ no, wɔabara me sɛ menkɔ adesuadan adan anaa aduruyɛdan mu wɔ saa mfɛnsere a wɔatew wɔn ho yi mu. M’ani begye mo akwankyerɛ kɛse wɔ:
1. Ɔkasa a wɔakyere agu hama so anaa slide ahorow a wobenya ama adesua ahorow a ɛwɔ [Nna] so no; na .
2. Da a wɔde yɛ aduru a wɔmfa asotwe biara mma (anaasɛ wɔde remote proctored administration, sɛ m’ayaresa mu sɛnkyerɛnne ma kwan a) ma [Midterm Exam / Lab] a wɔayɛ ho nhyehyɛe wɔ [Date] bere a wɔama me kwan wɔ aduruyɛ mu sɛ mɛsan aba no.

Yɛda mo ase pii wɔ mo nteaseɛ ne mo mmoa ho."

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Nsɛm a wɔtaa bisa¶

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Hyɛ mmoa a edi kan ntetee ho nsow¶

Sɛ wohu kɔkɔbɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya sepsis, meningitis, anaphylaxis, ne nsu a ɛho ayɛ fĩ kɛse wɔ atrae dan mu a, ebetumi agye ne yɔnko sukuuni nkwa ansa na nnuruyɛfo a wɔboa nkurɔfo no aba. Susuw ho sɛ wobɛwie nsaanodwuma Standard First Aid ne CPR/AED adesua denam Amerika Mmeamudua Kɔkɔɔ, St John Ambulance, Canada Mmeamudua Kɔkɔɔ, anaa wo sukuupɔn Campus EMS / Asuafoɔ Akwahosan nteteeɛ nhyehyɛeɛ so.

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Akwankyerɛ ahorow a ɛfa ho¶

• Ogya a ɛtɔ wɔ adan a wɔda mu, mfiri a ɛma ɔhyew wɔ ahunmu, ne sukuupɔn no mu ahobammɔ ho asiane ahorow
• Aduan ho akisikuru a emu yɛ den a ɛma obi ho yɛ no hyew wɔ sukuu mu, EpiPen a wobenya, ne 504 nhyehyɛe
• Sikasɛm mu mmoa a wɔde kɔdan asɛnnibea ntɛm (SAP), adesua ho ka a wɔde hyɛ obi nsa, ne sukuupɔn no mu adan a wotu fi hɔ
• Nnuru a wɔhwie gu wɔ dan mu, mmeae a wɔhohoro aniwa, ne mmeae a wɔde nsu gu a ahobammɔ wom
• Product recall, aduan mu yare a ɛpae gui, ne akwahosan dwumadibea a wɔato mu
• Nnɔmba a egye ntɛmpɛ ne amanaman ntam nneɛma a wɔde mena

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Sources a wɔhwɛɛ mu¶

• Centers for Disease Control and Prevention (CDC) (United States): Nwoma a Wɔde Hwɛ Nyarewa a Wɔde Vaccine Siw Ano, Ti 8: Meningococcal Yareɛ (Nnɔnhwerew 24 a Wɔde Di Dwuma a Wɔde Siw Nyarewa a Wɔde Siw Ano: Ciprofloxacin, Rifampin, Ceftriaxone, ne Outbreak MenB/MenACWY Vaccination) ne Ti 7: Akisikuru (Nnɔnhwerew 72 MMR Vaccine ne Nnafua 6 Immune Globulin Post-Exposure Prophylaxis Mmara & Nnafua 21 Akwankyerɛ a Wɔde Yi Wɔn Ho).
• Centers for Disease Control and Prevention (CDC) ne Environmental Protection Agency (EPA) (United States): Norovirus Outbreak Management and Disease Prevention Guidelines (MMWR) a wɔayɛ no foforo, Nsa a Wɔde Hohoro Nsa Ho Nnuru a Ɛntumi Nni Ntɛmntɛm Tia Capsids a Ɛnyɛ Enveloped, 20-Second Soap-and-Water Handhoshing, 1,000 kosi 5,000 ppm Sodium Hypochlorite Bleach Desinfection, ne Nnɔnhwerew 48 kosi 72 a Wɔde Tew Nsɛnkyerɛnne no Ho.
• Amerika Kɔlege Akwahosan Fekuo (ACHA): Akwankyerɛ a ɛfa Asoɛeɛ a Ɛpaepae Ho Mmuaeɛ wɔ Asafo Atenaeɛ Asa so, Nkonimdie ho nyansahyɛ ma Kɔlegefoɔ (MenACWY ne Serogroup B Meningococcal / MenB Vaccine Shared Clinical Decision-Making), ne Isolation/Quarantine Housing Housing Standards.
• UK Akwahosan Ahobammɔ Dwumadibea (UKHSA) ne Ɔman Akwahosan Dwumadibea (NHS) (United Kingdom): Akwankyerɛ a ɛfa Ɔmanfo Akwahosan Ho Dwumadi a Ɛfa Meningococcal Yare Ho wɔ Nhomasua a Ɛkɔ Anim tebea horow mu, Non-Blanching Glass Tumbler Test Ayaresabea Akwankyerɛ (a Skin-Tone Examination on Palms, Soles, and Conjunctiva ka ho), ne Nnɔnhwerew 48 Norovirus Exclusion Mmara.
• Ɔmanfoɔ Akwahosan Dwumadibea a ɛwɔ Canada (PHAC): Canada Nkontaabuo ho Akwankyerɛ, Meningococcal, Measles, ne Mumps Post-Exposure Prophylaxis ne Ɔyare a Ɛpaepae wɔ Ntoaso Sukuu Akyi Asoɛeɛ ahodoɔ mu.