Dɔvɔ̃ si le Mlɔƒe (Meningitis, Measles, alo Norovirus) kple Campus Voarantine¶

Sukuxɔa me lãmesẽnyawo ŋuti nuxlɔ̃ame kpata xɔxɔ le zãtitina si gblɔ be woxɔ sukuvi aɖe si le wò nɔƒe ƒe anyigba le kɔdzi le dɔnɔdzikpɔƒe vevie kple meningococcal dɔléle si xɔa ame me (bacterial meningitis / meningococcemia), ekpɔe be measles ƒe dɔléle si tso ya me dzɔ le wò nuƒolanɔƒe alo hamea ƒe xɔdɔme ƒe tsileƒe me, alo wòfɔ yi ɖale ʋuʋum kabakaba norovirus ƒuƒoƒo si le xɔ si me aba 400 le me la nye atikewɔwɔ kple ɖoɖowɔwɔ kpata ƒe nɔnɔme kpata. Yunivɛsiti ƒe xɔdɔmewo, nɔviwo ƒe habɔbɔwo kple nyɔnuwo ƒe habɔbɔwo ƒe aƒewo, kple sukuviwo ƒe xɔ siwo wozãna ɖekae ƒoa aƒe siwo me amewo sɔ gbɔ ɖo (zi geɖe la, wodaa aba eve va ɖo ene ɖe wo nɔewo gbɔ meta 3 alo afɔ 10), HVAC ƒe xɔdɔme siwo wozãna ɖekae, tsileƒe siwo amewo katã zãna, kple nuɖuxɔ siwo me amewo sɔa gbɔ ɖo, si wɔnɛ be dɔlékui siwo xɔa dɔlékuiwo ƒe ŋusẽdodo ƒe nɔnɔme nyui aɖe va nɔa anyi.

Be nàtsi agbe le xɔdɔme ƒe dɔvɔ̃ aɖe me dedie esime nèle wò sukudede ƒe ɖoƒe ta kpɔm bia be nàwɔ nu le nugbagbewo ƒe gaƒoɖokui sesẽwo me. Neisseria meningitidis si xɔa ame me ate ŋu ayi ŋgɔ tso taɖuame fafɛ kple dzoxɔxɔ si nye 38.5 degree Celsius (101.3 degrees Fahrenheit) va ɖo septic shock si wua ame le si mede gaƒoƒo 12 va ɖo 24 o, si abia be amesiwo do ƒome kplikplikpli be woaxɔ Post-Exposure Prophylaxis (PEP) dɔlékuiwutikewo le gaƒoƒo 24 me tso esime wokpɔ dɔlélea. Aɖitsidɔlékui si tsoa ya me gakpɔtɔ nyea dɔlékui si wotsɔ tsia xɔdɔme me ya me hena vaseɖe gaƒoƒo 2 le amesi ŋu dɔlélea le ƒe dzodzo vɔ megbe eye wòtsɔa gaƒoƒo 72 ƒe fesre na MMR atikewɔmɔnu le eƒe dodo vɔ megbe (alo ŋkeke 6 ƒe fesre na Intramuscular Immune Globulin / IG). Norovirus te ŋu nɔa te ɖe asikɔklɔtike siwo wozãna ɖaa siwo me aha le kple quaternary ammonium tutu nu keŋkeŋ, si hiã be woatsɔ 1,000 va ɖo 5,000 ppm sodium hypochlorite (bleach) dɔlékuiwutike. Ne ède dzesi aflaga dzĩ ƒe dɔdaƒe ƒe dzesiwo enumake, kpɔ mɔxexeɖedɔléle nu ƒe mɔnu si hiã ɣeyiɣi vevi aɖe tso Sukuviwo ƒe Lãmesẽnyawo Gbɔkpɔha gbɔ, wɔwɔ ɖe dɔlékuiwo ƒe ɖiƒoƒo ɖeɖeɖa ƒe ɖoɖowo dzi, eye nèyɔ wò Sukuviwo ƒe Atikewɔwɔ me Manɔmanɔ kple Nuwɔametɔwo ƒe Dzeƒe ƒe Gomenɔamesiwo ƒe Tatɔ le wo ɖokui ɖeɖe ɖe aga alo wo ɖeɖe ɖe aga si nye sedziwɔwɔ me la, sukuviwo kple dzilawo ate ŋu azɔ mɔ le sukuxɔa me dɔvɔ̃ aɖe dedie.

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Wɔ esia fifia¶

1. Ƒo ka na atikewɔla kpata enumake hena aflaga dzĩ ƒe taɖuame alo sepsis ƒe dzesi ɖesiaɖe. Ne wò, wò xɔmehati, alo xɔmehati aɖe xɔ dzoxɔxɔ sesẽ kpata si me kɔ sesẽ, taɖuame sesẽ, kekeli si klẽna ƒe seselelãme (fotovɔvɔ̃), tɔtɔ alo nyɔnyrɔ̃ sesẽ, asi kple afɔ siwo fa miamiamia, gbɔgbɔ kabakaba, alo pinpoint si ƒe amadede nye aŋutiɖiɖi vivi/dzẽ ʋuʋudedi (petechiae/purpura) si mevuna ne wotsɔ ahanono ƒe kplu si me kɔ ƒe axadzi te ɖe eŋu o la, ƒo ka na wò nutoa me xexlẽdzesi kpata (911 le United States kple Canada, 112 le Europa Dukɔwo ƒe Habɔbɔ bliboa me, 999 le United Kingdom, alo kpɔ wo katã xexlẽdzesi siwo wozãna kpata) enumake. Mèga "mlɔe" alo lala vaseɖe ŋdi me kple susu be ahatsunono alo asrãe wònye gbeɖe o; dɔlékuiwo ƒe meningococcemia ate ŋu awu ame le gaƒoƒo ʋɛ aɖewo megbe.
2. Kpɔe ɖa le gaƒoƒo 2 me nenye be èdze abe "Close Contact" si hiã be woawɔ Post-Exposure Prophylaxis (PEP) kpata. Xlẽ Campus Health alo Public Health Department ƒe nyatakaka si dziɖuɖua da asi ɖo be woakpɔ dɔlélea gbɔ nyuie:
3. Meningococcal Dɔléle: Ne ènye xɔmehati, xɔmehati, zɔhɛ kplikplikpli, alo nèno aha/nuzazãwo/vapes ɖekae alo nèzã ɣeyiɣi didi aɖe ŋkume kple ŋkume kple index dɔnɔa le ŋkeke 7 siwo do ŋgɔ na dzesiawo ƒe gɔmedzedze me la, gblɔe na Campus Health alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ egbea hena antibiotic chemoprophylaxis (Ciprofloxacin, Rifampin, alo Ceftriaxone), anyo wu le gaƒoƒo 24 me tso esime wokpɔ index case la.
4. Aɖuɖɔtoe (Rubeola): Ne MMR ƒe dɔlélenutsiŋutete si woŋlɔ ɖi si ƒe agbɔsɔsɔme nye 2 mele asiwò o eye nènɔ xɔdɔme ƒe anyigba, sukuxɔ, alo nuɖuƒe ɖeka ma ke (vaseɖe gaƒoƒo 2 le sukuvi si ŋu dɔlélea le ƒe dzodzo le xɔa me megbe gɔ̃ hã), te ɖe Dukɔa ƒe Lãmesẽnyawo ŋu enumake be nàxɔ MMR atike le gaƒoƒo 72 me tso esime wodoe ɖe ŋgɔ alo Immune Globulin (IG) le ŋkeke 6 me.
5. Mègazɔ yi Campus Health ƒe lalaƒe gbeɖe o ne womeɖe gbeƒãe o ne èsusu be aɖitsi alo taɖuame ƒe dzoxɔxɔ le ŋuwò. Azɔlizɔzɔ to atikewɔƒe ƒe xɔdɔme si me amewo sɔ gbɔ ɖo si me aɖitsi le ya me la ɖea sukuvi gbogbo aɖewo siwo ƒe dɔlélenutsiŋutete me gblẽ la ɖe go. Ƒo ka na Sukuviwo ƒe Lãmesẽnyawo Gbɔkpɔha alo kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ tso xɔa godo alo tso wò xɔdɔme me gbã ale be dɔnɔdzikpɔlawo nate ŋu akplɔ wò ava to mɔnu si me woɖea ame ɖe aga le nyaƒoɖeamenu gbegblẽ me kple N95 / FFP2 gbɔgbɔtsixe ƒe ametakpɔnu.
6. Ne Norovirus dze wò xɔdɔme ƒe xɔdɔme me la, tsɔ aha sesẽ ƒe asikɔklɔtike ƒu gbe eye nàtrɔ ɖe adzalẽ kple tsi ŋu kpe ɖe 5,000 ppm bleach ŋu. Aha sesẽ ƒe asilénuwo (60%-70% ethanol/isopropanol) kple benzalkonium chloride dɔlékuiwutike siwo wozãna ɖaa (abe Clorox/Lysol non-bleach wipes siwo wozãna edziedzi ene) MÈGAA norovirus capsids siwo womebla o la awɔ dɔ o. Klɔ asi sesĩe kple adzalẽ kple tsi dzodzoe si le sisim hena sɛkɛnd 20 ya teti, do asigɛ siwo wotsɔna ƒua gbe kple ametakpɔnu ne ègogo ʋuʋudedi/aɖuɖɔtoe ƒe aerosol, eye nàtsɔ aƒeme chlorine bleach solution si wotsaka yeyee (1:10 be 1:50 dilution, alo 1,000 va ɖo 5,000 ppm sodium hypochlorite) si wogblẽ ɖe anyigba dzi hena aɖabaƒoƒo 5 ya teti.
7. Nya wò gomenɔamesiwo hafi nàʋu ayi Campus Quarantine / Isolation Dormitory. Ne yunivɛsiti alo County Health Department de se na wò be nàge ɖe isolation room alo quarantine hotel me la, kpɔe ɖa be Residence Life naa nuɖuɖu etɔ̃ gbesiagbe (si me nuɖuɖu ƒe nulɔdɔ kple nuɖuɖu ŋuti sewo le), atike si woŋlɔ na wò tsɔtsɔ yi na ame, gbeɖuɖɔ tsɔtsɔ yi teƒe bubu, 24/7 clinical telehealth check-ins, kple Official Dean of Students Medical Quarantine Verification Notice si fia mɔ nufialawo katã be woaɖe mɔ na dodokpɔ ƒe heheɖemegbe tohehe manɔmee eye woate ŋu aƒo nuƒo le didiƒe.
8. Ðo kpe wò atikewɔmɔnu ŋuti nuŋlɔɖiwo (MenACWY, MenB, kple 2-dose MMR) dzi le wò sukuviwo ƒe lãmesẽnyawo gbɔ kpɔƒe egbea. Kɔledzivi kple dzila geɖewo xɔe se vodadatɔe be wodo atike na yewo bliboe ɖe taɖuame ƒe dɔlélewo katã ŋu elabena woxɔ MenACWY (Menactra / Menveo / MenQuadfi) atikewɔmɔnu le ƒe 16 xɔxɔ me; ke hã, Serogroup B (ŊutsuwoB: Bexsero / Trumenba) hea U.S., Canada, kple UK yunivɛsiti sukuxɔ me taɖuame ƒe dɔvɔ̃ akpa gãtɔ vɛ eye wòbia be woawɔ MenB atikewɔmɔnu vovovowo si yunivɛsiti geɖe mede se be woawɔ le matriki o.

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Dormitory dɔvɔ̃ kple mɔxexeɖedɔléle nu triage nyametsotso ati¶

flowchart TD
    Start["Xɔdɔme alo Sukuxɔ me Dɔvɔ̃ ƒe Nuxlɔ̃ame: Tagbɔdɔléle, Aɖitsi, alo Norovirus"] --> SymptomCheck{"Ðe RED-FLAG EMERGENCY SYMPTOMS le sukuvia ŋu fifiaa?<br/>(Kɔ sesẽ, taɖuame sesẽ, fotovɔvɔ̃, tɔtɔ, ʋuʋudedi si mewɔa blanching o, gbɔgbɔ sesẽ, alo ŋutete manɔamesi be tsi naɖiɖi >24h)"}

    SymptomCheck -->|"Ẽ, Ẽ"| 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 -->|"NO (Dzesi aɖeke mele eŋu o alo esi mebɔ o / GI ƒe Dzesiwo Gbãtɔ) ."| PathogenType{"Dɔlékui kae wokpɔ le Campus Health Alert me?"}

    PathogenType -->|"1. Dɔlékuiwo ƒe Taɖuame (Neisseria meningitidis) ."| MeningContact{"Ðe nènye Kadodo kplikplikpli le ŋkeke 7 siwo va yi mea?<br/>(Xɔmehati, xɔmehati, ahanono ɖekae/vapes/kissing, alo >8 hrs le meta 1 / afɔ 3 me)"}
    MeningContact -->|"Ẽ"| GetPEP["Kpata: Xɔ Dɔlékuiwutikewo ƒe Mɔxexeɖedɔléle Nu (PEP) Le Gaƒoƒo 24 Me<br/>(Ciprofloxacin 500mg nono ɖeka, Ceftriaxone IM, alo Rifampin ŋkeke 2)<br/>+ Kpɔe ɖa be dɔvɔ̃a nye Serogroup B (MenB) alo ACWY & xɔ booster dose hã"]
    MeningContact -->|"Ao (Casual sukuhati / xɔdɔme gã ma ke ɖeɖeko)"| MeningWatch["Dɔlékuiwutike PEP Mehiã Na Kadodo Ðekae O:<br/>1. Lé ŋku ɖe dzoxɔxɔ ŋu zi eve gbesiagbe hena ŋkeke 10 blibo<br/>2. Kpɔ MenB (Bexsero/Trumenba) & MenACWY ƒe atikewɔmɔnu ƒe nɔnɔme ɖa egbea"]

    PathogenType -->|"2. Aɖitsi (Airborne Rubeola) alo Aɖuɖɔtoedɔ"| MeaslesImmune{"Ðe nèŋlɔ MMR atikewɔmɔnu 2-dose ALOO dɔlélenutsiŋutete si ŋu woɖo kpee le dodokpɔxɔ mea?"}
    MeaslesImmune -->|"Ao / Meka ɖe edzi o / Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie"| MeaslesPEP["ƔEYIƔI VEVIETƆ PEP FESRE:<br/>1. Ƒo ka na Campus/County Health to telefon dzi (mègazɔ yi xɔdɔme me eye mègatsɔ nutsyɔnu o)<br/>2. Na MMR Vaccine le GAƑOƑO 72 me tso esime nèdoe ALOO Immune Globulin (IG) le ŊKEKE 6 me<br/>3. Dzra ɖo ɖe ŋkeke 21 ƒe sukuxɔ me ɖeɖeɖa/ɖekaɖeka kple klass ƒe dzeƒe siwo le didiƒe ŋu"]
    MeaslesImmune -->|"Ẽ (Woŋlɔ MMR ƒe agbɔsɔsɔme 2 ɖi) ."| MeaslesMonitor["Woɖe asi le Amewo Ðeɖe Ðe Ame Ŋu le Ʋɔnudrɔ̃ƒe akpa gãtɔ:<br/>Do N95 le teƒe siwo woama & lé ŋku ɖe dzoxɔxɔ/kɔdzidɔ/ŋku ƒe dɔléle ŋu ŋkeke 21 sɔŋ"]

    PathogenType -->|"3. Norovirus / Dɔgbomedɔléle Sesẽwo ƒe Ƒuƒoƒo"| NoroProtocol["Wɔ Dorm Suite ƒe Containment & Hydration Protocol:<br/>1. Ðe xɔmehati si dze dɔ ɖe vovo hena dzesiawo ƒe ɣeyiɣi bliboa + GAƑOƑO 48 VASEÐE 72 le nudzɔdzɔ mamlɛtɔ megbe<br/>2. Tsɔ aha sesẽ si wotsɔna klɔa asi ŋu ƒu gbe -> Klɔe kple Adzalẽ & Tsi hena sɛkɛnd 20+<br/>3. Tsɔ Chlorine Bleach si ƒe kpekpeme nye 1,000-5,000 ppm (5-min tsidzaɣi) tsɔ wu dɔlékuiwo le nugododeƒe/pɔmpiwo/knobwo me<br/>4. No Oral Rehydration Salts (ORS) le 5 mL (1 tsp) ƒe dzidziɖedzi me le miniti 3 ɖesiaɖe me"]

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Akpa 1: Dɔlékui ɖesiaɖe ƒe dɔlékuiwo ƒe agbetsitsi & dɔlékuiwo ƒe dɔlélenutsiŋutete megbe mɔxexeɖedɔléle nu (PEP) ƒe mɔfiame¶

Dɔvɔ̃ vovovo siwo dona le xɔdɔmewo me wɔa nu to dɔlékuiwo kaka ƒe mɔnu vovovowo kura dzi, doplet/saliva (meningococcal disease), aerosols vavã siwo tsoa didiƒe didi (aɖitsi, varicella/koklozi, yɔmekpe), alo fecal-oral / vomit-aerosol fomite surfaces (norovirus). Ne ètsɔ wò ametakpɔnu tututu sɔ kple nugbagbevi tɔxɛa la, eɖea amewo ƒe agbe eye wòxea mɔ na vɔvɔ̃ si mehiã o.

Dɔlékui gã 4 siwo dona le yunivɛsiti ƒe xɔdɔmewo me la tsɔtsɔ sɔ kple wo nɔewo¶

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Akpa 2: Nusita "Aha Asi Klɔƒe & Clorox Tutu Nyakpakpa" doa dzo na xɔdɔmewo me Norovirus dɔvɔ̃wo¶

Dzomeŋɔli kple kele ɖesiaɖe la, sukuvi ɖeka si ƒoa aɖuɖɔ le tsileƒe si me amewo katã nɔna la hea norovirus dɔvɔ̃ si me sukuvi 200 le vɛ le gaƒoƒo 72 me elabena xɔmehatiwo kple dɔwɔla siwo kpɔa wo dzi la tsɔa atike siwo mesɔ o dzraa wo ɖo.

Afɔɖeɖe 5 ƒe Xɔdɔme Norovirus Decontamination & Agbetsitsi ƒe Ðoɖowɔɖi¶

1. Nukatae Ahanono ƒe Asikɔklɔ (Purell) kple Dɔlékuiwutike Siwo Wozãna Ðe Ðoɖo Nu Do Do kpo Nu Kpuie:
2. Influenza, SARS-CoV-2 (COVID-19), kple herpesvirus nye dɔlékui siwo woxatsa siwo ƒo xlã lipid (ami) ƒe lãkusi si mebɔbɔ o si aha alo quaternary ammonium ("quat") tutu siwo ƒe alafa memama 60 ƒuna enumake.
3. Norovirus nye dɔlékui si womebla o si wotsɔ bla ɖe protein ƒe go si me kɔ (capsid) si me aha mate ŋu age ɖo o eye wònana wòli ke ŋutɔŋutɔ. Ne èɖo ŋu ɖe asikɔklɔtike ŋu ne èka asi xɔdɔme ƒe tsileƒe ƒe ʋɔtru ƒe asiléƒe ŋu vɔ la, egblẽa norovirus si xɔa ame me si le dɔ wɔm ɖe asibidɛwo dzi.
4. Tsaka Virucidal Bleach Solution Nyateƒetɔ (1,000 to 5,000 ppm Sodium Hypochlorite):
5. Kpɔ wò dɔlékuiwutike ƒe ŋkɔ ɖa: negbe ɖe woŋlɔ EPA List G Registration Number for Norovirus ɖe edzi tẽ (abe atikewɔƒe accelerated hydrogen peroxide / Oxivir alo hypochlorous acid / Clorox Healthcare Hydrogen Peroxide / Bleach wipes ene), mawu norovirus le xɔdɔmewo ƒe anyigba o.
6. Be woawɔ CDC 5,000 ppm Norovirus Disinfectant Solution si dziɖuɖua da asi ɖo to aƒeme tsi bleach si me ʋeʋẽ lilili mele o si wozãna ɖaa zazã me (5% to 8.25% sodium hypochlorite):
   • Tsɔ aƒeme bleach mililita 150 va ɖo 240 (anɔ abe kplu ⅔ va ɖo 1) tsaka le tsi fafɛ lita 3.8 (galɔn 1) ɖesiaɖe me** (alo bleach agbɔsɔsɔme 2.5 le tsi lita 1 / lita 1 ɖesiaɖe me hena atike si wotsɔna ƒua gbe ƒe aŋetu).
   • Do nitrile asigɛ siwo wotsɔna ƒua gbe kple ŋkutakpɔnu, ʋu fesrea, tsɔ pepafɔkpa siwo wotsɔna ƒua gbe (siwo wotu enumake ɖe gbeɖuɖɔgoe me) tutu ʋuʋudedi/aɖuɖɔ me nugbagbeviwo katã gbã, nàtsɔ bleach solution la asisi ɖe eŋu ale be eƒe gowo nanɔ **tsi si wòadze nyuie hena miniti 5 blibo si me woate ŋu aƒo nu le, eye emegbe nàtsɔ tsi dzadzɛ aklɔ teƒe siwo nuɖuɖua ka ɖe wo dzi.
7. Tsɔ Wò Aɖututu, Afɔkpawo, Kple Tsi Klɔƒe ƒe Kplu Ðe Ame Ŋu Enumake:
8. Ne xɔmehati alo xɔmehati aɖe ʋu alo kɔ nugododeƒe si wozãna ɖekae me eye eƒe nutsyɔnu ʋu la, aerosol ƒe ʋuʋudedi si womekpɔna o la nɔa meta 1.8 (afɔ 6) ƒe didime le tsileƒea me.
9. Ne wò xɔmehati dze dɔ kple dɔgbo ƒe dɔléle la, tsɔ aɖututu ɖesiaɖe si nɔ anyi ɖe tsileƒe ƒe kplɔ̃ dzi si woɖe ɖe go la ƒu gbe enumake, na wò aɖututu yeyea, kadodowo ƒe nutunu, kple asigɛa nanɔ akplo si dzi zip le me le wò ŋutɔ wò xɔdɔme ƒe kplɔ̃dzivɔ me, eye mègade wò tsigoe me tso tsileƒe ƒe tsiléƒe ƒe pɔmpi me gbeɖe o vaseɖe esime wotsɔe ɣie.
10. Alesi Nàwɔ Adzudzɔ Tsikuɖiɖi Sesẽ le Xɔdɔme ƒe Aba dzi ("5-Millilitre Every 3 Minutes" Nu me Tsi Gbugbɔgadzɔ ƒe Se):
11. Nusita kɔledzivi siwo ŋu norovirus le va wu enu ɖe kɔdzixɔ si me wokpɔa dɔnɔwo gbɔ kpata le me si hiãa dzetsi si wodona ɖe ʋuka me (IV) si ƒe home nye dɔlar 2,000 enye be wotsɔa tsi dzro alo kamedefefenono siwo me sukli le mililita 250 (ounces 8) noa enumake le woƒe ʋuʋu vɔ megbe, si kekea dɔgboa ƒe akpa si me dɔdzẽ le la ɖe enu eye wòʋãa wo gbugbɔa ʋuʋudedi enumake le miniti 10 me.
12. Clinical Emergency Medicine Protocol: Lala aɖabaƒoƒo 30 va ɖo 45 le ʋuʋudedi ƒe ɣeyiɣi aɖe megbe kple tsi zero be gastric vagal reflex nafa. Emegbe nàno WHO/CDC Oral Rehydration Solution (ORS) vavãtɔ (abe Pedialyte, Liquid I.V., DripDrop, alo tsi dzadzɛ lita 1 si wotsaka kple sukli teaspoon 6 kple dze teaspoon 0.5) le agbɔsɔsɔ si nye mililita 5 pɛpɛpɛ (teaspoon 1 / tsi sue 1) ɖesiaɖe Aɖabaƒoƒo 3 va ɖo 5. ML 5 ƒe tsi suesuesuewo xɔa dɔgboa ƒe akpa si le etame tẽ evɔ mekekea dɔgboa o, si wɔnɛ be sukuvi te ŋu xɔa elektrikŋusẽ si xɔa ame ɖe agbe mililita 100 va ɖo 150 (ounces 3.5 va ɖo 5) le gaƒoƒo ɖeka me evɔ meɖea aɖuɖɔ o.

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Akpa 3: Nukae nàwɔ ne wò xɔmehati doa goe alo exɔa dɔa fifia¶

Ne wò xɔmehati si le xɔdɔme me tẽ (si mlɔ anyi meta 1.5 / afɔ 5 tso wò aba gbɔ) trɔ gbɔ tso Campus Health kple dɔléle si wosusu be exɔa ame alo esime wòle PCR dodokpɔ me tsonu lalam be yekpɔ taɖuame, aɖitsi, COVID-19, asrãdɔ, alo mononucleosis:

Enumake Xɔmehatiwo ƒe Kaklã & Ya-Filtration Protocol¶

1. Bia Ɣeyiɣi kpui aɖe ƒe xɔ si me woɖea ame ɖe aga ƒe dɔdasi tso RA-on-Duty / Residence Life gbɔ:
2. Yunivɛsiti ɖesiaɖe si ŋu woda asi ɖo be woanɔ xɔwo me la léa be na Atikewɔwɔ ƒe Ðeɖeka / Emergency Hold Rooms siwo woɖo ɖi le sukuxɔa me.
3. Mele be woazi sukuvi si dze dɔ alo xɔmehati si le lãmesẽ me dzi be wòamlɔ a 3.5m x 4.5m (12ft x 15ft) xɔdɔme si me ame eve le ne xɔmehati ɖeka xɔ yame, tsitete, alo norovirus dɔlékui si ŋu woɖo kpee alo wosusu be eƒe emetsonu gã aɖe le eŋu. Ƒo ka na 24/7 Residence Life Duty Phone (menye freshman floor RA ɖeɖeko o) kple Student Health On-Call Nurse be woawɔ dɔ le xɔ si me woaɖe wo ɖokui ɖe aga enumake ƒe tɔtrɔ na sukuvi si xɔa dɔlélea (alo ɣeyiɣi kpui aɖe ƒe xɔ dzadzɛ si me woanɔ lalam na xɔmehati si ƒe dɔlélenutsiŋutete me gbɔdzɔ o).
4. Ne Wole Lalam Gaƒoƒo 2 Vaseɖe 6 Be Woatrɔ Xɔmenuwo:
5. Ele be xɔmehati eveawo siaa nado N95, KN95, alo FFP2 gbɔgbɔtsixetsixe si sɔ nyuie ɣesiaɣi si wole xɔ si me wo katã wole me;
6. Wɔ Mɔ Ðeka Fesre Cross-Ventilation: De aɖaka me fesre tẽ ɖe xɔdɔme ƒe fesre si le ʋuʋu ɖi ya ya ƒoƒo DODO yi gota esime nèle xɔdɔme ƒe ʋɔtrua gbãm sentimeta 2 (inch 1) (negbe le nɔnɔme siwo wosusu be aɖitsi/ya me dɔléle siwo me wòle be xɔdɔme ƒe ʋɔtruwo natu sesĩe eye HEPA yakɔklɔmɔ̃ si le dɔ wɔm le 5+ Air Changes Per Gaƒoƒo / ACH ele be wòaƒu du le kɔkɔƒe le xɔa me); kple
7. Mlɔ Ta Vaseɖe Afɔdzi: Ne wozi edzi be nàɖi ɖe eme le xɔ ɖeka me ɣeyiɣi kpui aɖe la, tsɔ akɔtaɖonu siwo le aba siwo sɔ kple wo nɔewo ƒe nuwuwu siwo tsi tre ɖe wo nɔewo ŋu la ɖo ŋgɔ (Head-to-Toe sleeping position, si wozãna le asrafowo ƒe asrafowo ƒe nɔƒewo tsɔ naa didime si le gbɔgbɔƒewo dome nadzi ɖe edzi tso meta 1.5 / afɔ 5 va ɖo meta 3 / afɔ 10 kple edzivɔ).

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Akpa 4: Wò dzesiwo, vava, kple sukuxɔ me xɔ ƒe gomenɔamesiwo takpɔkpɔ le ameɖeɖe ɖe aga me¶

Zi geɖe la, sukuviwo ɣlaa dzoxɔxɔ sesẽ, ʋuʋudedi, alo ʋuʋudedi sesẽ eye wohea wo ɖokui yia domedome dodokpɔwo alo atikeŋutinunya ƒe dodokpɔxɔwo me elabena nufialagã aɖe ƒe nusɔsrɔ̃ɖoɖo gblɔ be: "Zero makeup exams; missing more than 2 labs results in an automatic F."

Le dukɔa ƒe sewo kple dɔwɔƒewo ƒe sewo nu la, mehiã be nàtiae gbeɖe be nàtia dukɔa ƒe lãmesẽnyawo gbɔ kpɔkpɔ ƒe vovototodedeameme kple wò sukunuwuwu ƒe kpododonu dome o:

1. Yɔ Sukuviwo ƒe Tatɔ "Dukɔa ƒe Lãmesẽnyawo Gbɔkpɔha ƒe Mɔfiame si Woɖo Ðe Amewo ƒe Dɔmawɔmawɔ / Amewo Ðeɖe Ðe Go".¶

• Zi geɖe la, nufialagã ɖekaɖekawo gbea sukuviwo ƒe e-mail siwo woŋlɔ kple asi siwo gblɔna be "dɔgbo me dɔlékui aɖe nɔ ŋunye," gake womate ŋu aŋe aɖaba aƒu dɔwɔƒe ƒe Dukɔa ƒe Lãmesẽnyawo / Sukuviwo ƒe Tatɔ ƒe Mɔfiame si Woɖe Ðe Amewo Ðeɖe Ðe Edzi o.
• Zi alesi woɖe wò ɖe aga alo woɖe wò ɖe aga (eɖanye le Campus Health, kɔdzi si mele sukuxɔa me o, alo le wò xɔdɔme me to telehealth dɔnɔdzikpɔla dzi) la, bia tso atikewɔla la si be wòaɖo Automated Medical Quarantine / Public Health Absence Notification to Dean of Students Office / Care Team dzi tẽ na wò nufialawo katã. Gbeƒãɖeɖe sia ɖo kpe ŋkeke siwo dzi woɖe asi le dukɔa ƒe lãmesẽnyawo ŋu si wòle be woawɔ la dzi evɔ meɖe wò atikewɔwɔ ŋuti dɔléle si nèkpɔ le ɖokuiwò si la ɖe go o (ekpɔ wò FERPA kple HIPAA ƒe nyatakakawo ta).

2. Section 504 / ADA Ɣeyiɣi kpui aɖe ƒe Nuwɔametɔnyenye & Dɔlékuiwo ƒe hayahaya megbe ƒe dzeƒewo¶

• Sukuxɔ me dɔlékui aɖewo, vevietɔ Meningococcal Disease ƒe hayahaya, Epstein-Barr Virus (Infectious Mononucleosis), Influenza/Pneumonia sesẽ, kple Long COVID, hea ɖeɖiteameŋu si gblẽa nu le ame ŋu le dɔlékui megbe, taɖuame, alo ahɔhɔ̃mekawo ƒe hayahaya vɛ kwasiɖa geɖe le ŋkeke 5 ƒe dzoxɔxɔ sesẽ gbãtɔa ƒe nuwuwu megbe.
• Le ADA ƒe Ðɔɖɔɖo Se (ADAAA) kple Gbugbɔgaɖɔɖo Se ƒe Akpa 504 (34 CFR Akpa 104) (kple UK Tasɔsɔ Se 2010 kple Canada Nutome Amegbetɔ ƒe Gomenɔamesiwo Ŋuti Sewo) te la, atikewɔwɔ ƒe gbɔdzɔgbɔdzɔ sesẽ alo esi dzɔna ɣeaɖewoɣi si xea mɔ na agbemedɔ veviwo ŋutɔ (si me susu tsɔtsɔ ɖo nu ŋu, azɔlizɔzɔ le goawo katã me hã le sukuxɔ me, alo dede klass) dze na Ɣeyiɣi aɖe ƒe Nuwɔametɔwo ƒe Dzeƒe to Campus Office of Disability Services dzi, tsɔ kpe ɖe Mede blibo o (I) Dzeside ƒe Kekeɖenudɔwɔwɔ alo Atikewɔwɔ ƒe Asiɖeɖe le Nu Ŋu si Woatsɔ Awɔe le megbe ne ehiã (kpɔ gakpekpeɖeŋu SAP ƒe nutsotso, ɖaseɖigbalẽ ƒe asiɖeɖe le eŋu, kple sukufewo léle ɖe asi ƒe nyagbugbɔgadrɔ̃).

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Akpa 5: Nuŋɔŋlɔ kpata siwo woŋlɔ ɖe nya nu na sukuviwo kple dzilawo¶

Script 1: Kaƒoƒo na Campus Health / 911 Triage na Xɔmehati si si Red-Flag Meningitis alo Sepsis Dzesiwo le¶

*"Mele ka ƒom tso [University Name], [Residence Hall Name], Room [#], si le [Ablɔdzi Adrɛs]. Nye xɔmehati si xɔ ƒe [19] la xɔ asrã sesẽ kpata si nye [39.2°C / 102.5°F] le gaƒoƒo [4] mamlɛawo me tsɔ kpe ɖe [kɔ sesẽ / taɖuame sesẽ / kekeli ƒe seselelãme / tɔtɔ si gbɔ eme / aɖabɛ viviti ƒe teƒe siwo le woƒe ŋutigbalẽ ŋu siwo meɖina o le ahuhɔ̃e te].

Script 2: Biabia be woawɔ Mɔxexeɖedɔléle Nutsitsi Kpata (PEP) kple Aƒe si woaɖe ɖe aga tso Sukuviwo ƒe Lãmesẽ & Nɔƒe Agbenɔnɔ gbɔ¶

Nyati: DUTOƑE LÃMESEÐEŊU ƑE NUÐEÐEŊUTI KPƆKPƆ: Kplɔ Kadodo ƒe Mɔxexeɖedɔléle Nu (PEP) & Ameɖekaɖeka ƒe Aƒe Biabia, [Sukuvi ƒe Ŋkɔ, ID #], [Dɔwɔƒe & Xɔ #].
"Na Sukuviwo ƒe Lãmesẽnyawo Gbɔkpɔha ƒe Dɔwɔla si Woyɔa Dɔwɔla kple Nɔƒe Agbeme Dɔdzikpɔla:

Menɔa [Dɔdɔme ƒe Ŋkɔ, Xɔ #] me eye menye [xɔmehati / xɔmehati / kadodo kplikplikpli] tẽ na [Index Sukuvi ƒe Ŋkɔ alo Nudzɔdzɔ ƒe Nyatakaka #], amesi wokpɔ/woxɔe ɖe kɔdzi egbea be exɔ [Confirmed/Suspected Meningococcal Disease / Measles / Acute Norovirus].

1. Mɔxexeɖedɔléle nu ƒe dodokpɔ kpata: Esi wònye be nye dɔlélea dzɔ le se nu le kadodo kplikplikpli ƒe fesrea me ([eye dɔlélenutsiŋutete ƒe nɔnɔme aɖe le asinye / MMR ƒe agbɔsɔsɔme 1 koe woŋlɔ ɖi / MenB atikewɔmɔnu aɖeke mele faɛl me o]), taflatse na manya ɣeyiɣi si tututu egbea wòle be magblɔe na atikewɔƒea ƒe axadzi ƒe mɔnu be maxɔ mɔxexeɖedɔléle nu le ame ŋu megbe ([Ciprofloxacin/Rifampin PEP / MMR alo Dɔlélenutsiŋutete ƒe Globulin]).
2. Emergency Isolation / Standby Room Transfer & Environmental Disinfection: Míaƒe suite la zãa [xɔdɔme ɖeka / tsileƒe si wotu ɖe nutoa me]. Míele biabiam be woawɔ dɔ enumake na ɣeyiɣi kpui aɖe ƒe xɔdɔme si woɖe ɖe aga/le lalam ƒe xɔdɔme ƒe dɔdasi kple Nutome Lãmesẽ Kple Dedienɔnɔ Ŋuti Dɔnyala bibi aɖe (EPA List G / 5,000 ppm hypochlorite) dɔlékuiwutike si le Suite [#] me ale be dɔlékuia nagakaka ɖe míaƒe anyigba o."

Script 3: Sukudede ƒe Dzeƒe & Dodokpɔ ƒe Heheɖemegbe Email na Nufialawo le Sedede si Woɖe Ðe Edzi Me¶

Nyati: Dukɔa ƒe Lãmesẽnyawo Gbɔkpɔha si Woɖe Ðe Go / Atikewɔwɔ ƒe Ðeɖekpɔkpɔ Ŋuti Nyatakaka, [Nusɔsrɔ̃ ƒe Xexlẽdzesi & Akpa], [Wò Ŋkɔ Bliboa, Sukuvi ƒe ID #].
"Nufialagã lɔlɔ̃tɔ [Ŋkɔ Mlɔetɔ]:

Taflatse miɖo aɖaŋu be tso egbe, [Ŋkeke] dzi la, wotsɔm de atikewɔwɔ ƒe vovototodedeameme/ɖekaɖeka si nye sedziwɔwɔ te to [University Student Health Services / County Department of Public Health] to [Projected Clearance Date] dzi le acute campus incomicable disease protocol ta. Sukuviwo ƒe Dɔwɔƒe ƒe Tatɔ kple Sukuviwo ƒe Lãmesẽnyawo Gbɔkpɔƒe ŋlɔ nye dɔdaƒe ƒe kpeɖodzigbalẽ ɖe faɛl dzi eye woaɖo dɔdzikpɔlawo ƒe dɔmawɔmawɔ ŋuti nyatakaka si dziɖuɖua ɖo ɖe wò inbox.

Le yunivɛsiti ƒe dukɔa ƒe lãmesẽnyawo nu la, woxe mɔ nam be nyemage ɖe sukuxɔwo alo nudokpɔƒewo le ameɖeɖeɖeaga ƒe fesre sia me o. Makpɔ ŋudzedze ɖe miaƒe mɔfiame ŋu ŋutɔ le:
1. Nuƒo siwo wolé ɖe mɔ̃ dzi alo slidewo xɔxɔ na klass siwo le [Ŋkekewo] dzi; kple .
2. Ðoɖowɔwɔ ɖe ŋkeke si dzi woawɔ makeup tohehe manɔmee (alo atike nanae le didiƒe, ne nye dɔdamɔnu ƒe dzesiwo ɖe mɔ) na [Midterm Exam / Lab] si woɖo ɖe [Ŋkeke] dzi ne wonya ɖe mɔ nam le atikewɔwɔ me be matrɔ ava.

Akpe geɖe na mi ɖe miaƒe nugɔmesese kple kpekpeɖeŋu ta."

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Nya siwo wobiaa amewo enuenu¶

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De dzesii le kpekpeɖeŋunana gbãtɔ ƒe hehexɔxɔ ŋu¶

Ne wokpɔ nuxlɔ̃amedzesi siwo nye sepsis, meningitis, anaphylaxis, kple tsikuɖiɖi vevie le aƒe si me amewo nɔna me kaba la, ate ŋu axɔ ɖe sukuhati aɖe ƒe agbe hafi kpekpeɖeŋunalawo nava. Bu Kpekpeɖeŋunana Gbãtɔ kple CPR/AED nusɔsrɔ̃ si wowɔna kple asi nu to Amerikatɔwo ƒe Atitsoga Dzĩ Habɔbɔ, St John Ambulance, Canada Atitsoga Dzĩ Habɔbɔ, alo wò yunivɛsiti Campus EMS / Sukuviwo ƒe Lãmesẽ hehenaɖoɖo dzi.

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Mɔfiame siwo do ƒome kplii¶

• Dzobibi le xɔdɔmewo me, dzoxɔxɔnamɔ̃wo, kple sukuxɔa me dedienɔnɔ ƒe afɔkuwo
• Nuɖuɖu ƒe nulɔdɔ sesẽ ƒe anaphylaxis le suku, EpiPen ƒe asixɔxɔ, kple 504 ƒe ɖoɖo
• Gakpekpeɖeŋunana kpata ƒe nyagbugbɔgadrɔ̃ (SAP), sukufewo léle ɖe asi, kple sukuxɔ me aƒewo ɖeɖeɖa
• Atikewo ƒe dodokpɔxɔwo ƒe kɔklɔ, ŋkuklɔƒewo, kple dedienɔnɔ ƒe tsileleƒewo
• Adzɔnuwo yɔyɔ, dɔléle si tso nuɖuɖu me ƒe kaka, kple lãmesẽdɔwɔƒea nu tsotso
• Xexlẽdzesi siwo woxɔna le nudzɔdzɔ kpatawo me kple dukɔwo dome dɔdɔ

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Wolé ŋku ɖe dzɔtsoƒewo ŋu¶

• Dɔlélenutsitsi Kple Mɔxexe Ðe Enu Dɔwɔƒewo (CDC) (United States): Agbalẽ si Ku Ðe Dɔléle Siwo Woate Ŋu Axe Mɔ Na to Atikewɔmɔnu Dzi Kpɔkpɔ Ŋu, Ta 8: Meningococcal Dɔléle (Gaƒoƒo 24 ƒe Dɔlékuiwutike Siwo Wozãna Kpena Ðe Ame Ŋu Kplɔ ƒe Dɔlékuiwutikewo ƒe Mɔxexe Ðe Enu ƒe Ðoɖowo: Ciprofloxacin, Rifampin, Ceftriaxone, kple Outbreak MenB/MenACWY Vaccination) kple Ta 7: Aɖuɖɔtoe (Gaƒoƒo 72 ƒe MMR Vaccine kple Ŋkeke 6 ƒe Dɔlélenutsiŋutete Globulin le Dɔlékuiwutikewo ƒe Dɔlékuiwutikewo Zazã Le Dɔléle Megbe Sewo & Ŋkeke 21 ƒe Mɔfiame Siwo Ku Ðe Amewo Ƒe Dɔlélewo Ŋu).
• Dɔlélenutsitsi Kple Mɔxexe Ðe Enu Dɔwɔƒe (CDC) kple Nutome Takpɔha (EPA) (United States): Norovirus Dɔvɔ̃ Dzikpɔkpɔ Kple Mɔxexe Ðe Dɔléle Nu ƒe Mɔfiame yeye (MMWR), Ahanono ƒe Asikɔklɔtikewo ƒe Dɔmawɔmawɔ ɖe Capsids Siwo Wometsɔ Kpe Ðe Eŋu O Ŋu, Sekɛnd 20 ƒe Adzalẽ Kple Tsi Klɔƒe, 1,000 va ɖo 5,000 ppm Sodium Hypochlorite Bleach Dɔlékuiwutikewo zazã, kple Gaƒoƒo 48 va ɖo 72 ƒe Dzesiwo Ðeɖe Ðe Ame Ŋu le Dzesiwo Megbe.
• Amerika Kɔledzi Lãmesẽ Habɔbɔ (ACHA): Mɔfiamewo na Dɔwɔƒewo ƒe Dɔvɔ̃wo ƒe Dɔwɔwɔ le Hamea ƒe Nɔƒewo, Dɔlékuiwutikewo ƒe Aɖaŋuɖoɖowo na Kɔledziviwo (MenACWY kple Serogroup B Meningococcal / MenB Vaccine Shared Clinical Decision-Making), kple Aƒewo ƒe Ðeɖekpɔkpɔ/Aƒewo Ðeɖe Ðe Vovo ƒe Dzidzenuwo.
• UK Lãmesẽ Dedienɔnɔ Dɔwɔƒe (UKHSA) kple Dukɔa ƒe Lãmesẽnyawo Gbɔkpɔha (NHS) (United Kingdom): Mɔfiame na Dukɔa ƒe Lãmesẽnyawo Gbɔkpɔkpɔ le Meningococcal Dɔléle Ŋu le Suku Kɔkɔwo ƒe Nɔnɔmewo me, Non-Blanching Glass Tumbler Test Dɔnɔdzikpɔƒe ƒe Mɔfiame (si me Ŋutilã ƒe Tone Dodokpɔ le Asibidɛwo, Afɔkpodzi, kple Ŋku ƒe Tame hã Le), kple Gaƒoƒo 48 ƒe Norovirus Exclusion Rule.
• Canada ƒe Dukɔa ƒe Lãmesẽnyawo Gbɔkpɔha (PHAC): Canada ƒe Dɔlékuiwutikewo Ŋuti Mɔfiame, Meningococcal, Measles, kple Mumps ƒe Dɔlékuiwutikewo ƒe Mɔxexeɖedɔléle Nu Kple Dɔvɔ̃wo Dzi Ðuɖu le Sekɛndrisukuwo Megbe.