Barkewar dakunan kwana (Meningitis, kyanda, ko Norovirus) da keɓewar Campus¶
Lambobin gaggawa sun bambanta da ƙasa. Wannan shafin yana amfani da 911, lambar ga Amurka da Kanada. Yawancin ƙasashe suna amfani da 112, 999, ko wata lamba. Nemo lambar don ƙasar ku.
Ana karɓar faɗakarwar lafiyar jami'a ta gaggawa da tsakar dare tana ba da rahoton cewa an kwantar da wani ɗalibi a ɗakin zauren ku a asibiti a cikin kulawa mai zurfi tare da ** cutar sankarau mai cutarwa (kwayan cuta na ƙwayar cuta / meningococcemia), gano cewa cutar kyanda ta faru a cikin ɗakin karatunku ko ɗakin kwana na gamayya, ko kuma ta tashi ta hanyar ƙwayar cuta mai sauri. Zauren zama mai gadaje 400 babban gaggawa ne na likita da kayan aiki. Dakunan kwanan jami'o'i, 'yan uwantaka da gidajen sority, da ɗakunan ɗalibai na haɗin gwiwa sun haɗu da ɗakunan zama masu yawa (sau da yawa suna ajiye gadaje biyu zuwa huɗu a tsakanin mita 3 ko ƙafa 10 na juna), manyan hanyoyin HVAC, dakunan wanka na jama'a, da manyan dakunan cin abinci, ƙirƙirar yanayi mai inganci don cututtukan cututtuka.
Tsira da fashewar ɗakin kwana lafiya yayin da kuke kare matsayin ku na ilimi yana buƙatar yin aiki cikin tsauraran agogon ilimin halitta. Ciwon Neisseria meningitidis na iya ci gaba daga ciwon kai mai laushi da zazzabi na 38.5 digiri Celsius (digiri 101.3 Fahrenheit) zuwa mummunan girgiza a cikin ** kasa da awanni 12 zuwa 24**, yana buƙatar kusanci don karɓar Bayan Bayyana Prophylaxis (PEP) maganin rigakafi a cikin sa'o'i 24. Kwayar cutar kyanda ta ci gaba da kamuwa da cutar a cikin dakin kwana na har zuwa awanni 2 bayan wanda ya kamu da cutar ya fita ya dauki tagar awanni 72 don allurar rigakafin MMR bayan fallasa (ko taga 6-day don Intramuscular Immune Globulin / IG). Norovirus gaba ɗaya yana tsayayya da daidaitattun abubuwan tsabtace hannu na barasa da goge ammonium quaternary, yana buƙatar 1,000 zuwa 5,000 ppm sodium hypochlorite (bleach) disinfection. Ta hanyar gane alamun alamun asibiti nan da nan, tabbatar da kariya mai mahimmanci na lokaci daga Sabis na Kiwon Lafiyar ɗalibai, bin ƙa'idodin ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙa'idodi, da kiran ku Shugaban Dalilai na Rashin Lafiya da Haƙƙin Matsugunin Nakasa* yayin keɓewar wajibi ko keɓewa, ɗalibai da iyaye za su iya kewaya harabar cikin aminci.
Yi wannan yanzu¶
- Kira gaggawar aika likita nan da nan ga duk wata alamar cutar sankarau mai ja-jajaye ko alamar sepsis. Idan kai, abokin zama, ko abokiyar zama ta kamu da zazzaɓi kwatsam tare da ** wuyan wuya, matsananciyar ciwon kai, hankali ga haske mai haske (photophobia), rikice ko wahalar farkawa, hannaye da ƙafafu masu sanyi, saurin numfashi, ko duhu shuɗi/jajayen filaye ba tare da kumburin gefe ba. share gilashin sha**, kira lambar gaggawa ta gida (911 a Amurka da Kanada, 112 a cikin Tarayyar Turai, 999 a cikin United Kingdom, ko duba duka). lambobin gaggawa) nan take. Kada ku taɓa "barci shi" ko jira har sai da safe kuna ɗauka cewa ciwon daji ne ko mura; Kwayar cutar meningococcemia na iya zama m cikin sa'o'i.
- ** Ƙayyade a cikin sa'o'i 2 ko kun cancanci matsayin "Kusan Tuntuɓar Sadarwa" da ke buƙatar Prophylaxis Bayan Bayyanawa (PEP).
- Cutar Meningococcal: Idan kai abokin zama ne, abokiyar zama, abokiyar zama, abokin tarayya, ko shaye-shaye / kayan aiki / vapes ko ciyar da dogon lokaci kusa da fuska tare da majinyacin index a cikin ** 7 kwanaki kafin bayyanar alamar farawa , kai rahoto ga Lafiya na Campus ko sashen gaggawa a yau don allura guda ɗaya ko gajeriyar hanya ** prophylactic chemprobiotic, Ceftriaxone), da kyau a cikin awanni 24** na tantance shari'ar index.
- Kyanda (Rubeola): Idan baku da bayanan rigakafi na MMR guda 2 kuma kuna cikin ɗakin kwana ɗaya, aji, ko wurin cin abinci (har zuwa ** awanni 2 bayan ** ɗalibin mai kamuwa da cuta ya bar ɗakin), tuntuɓi Kiwon Lafiyar Jama'a nan da nan don karɓar maganin **MMR a cikin awanni 72 na fallasa *** ko ** Immune Globulin (IG) a cikin kwanaki 6.
- Kada ku shiga dakin jira na Kiwon Lafiyar Campus ba tare da an sanar da ku ba idan kuna da alamun cutar kyanda ko zazzabin sankarau. Tafiya ta wurin cunkoson jama'a na asibiti tare da cutar kyanda ta iska yana fallasa ɗalibai da yawa waɗanda ba su da rigakafi. Kira Sabis ɗin Kiwon Lafiyar ɗalibi ko tebur ɗin gaggawa na asibiti ** daga wajen ginin ko daga ɗakin kwanan ku da farko** don haka ma'aikatan jinya za su iya shigo da ku ta hanyar keɓewar matsi mara kyau tare da abin rufe fuska na numfashi na N95/FFP2.
- Idan Norovirus ta afka cikin dakin kwanan ku, jefar da abin wanke hannu na barasa sannan ku canza zuwa sabulu-da-ruwa da bleach 5,000 ppm.
60%-70% ethanol/isopropanol) da daidaitattun kayan shafa na benzalkonium chloride (kamar su Clorox/Lysol na yau da kullun waɗanda ba bleach goge) KADA a kunna capsids na norovirus wanda ba a lulluɓe ba. A wanke hannaye da karfi da sabulu da ruwan dumi na akalla dakika 20, sanya safar hannu da abin rufe fuska lokacin da ke kusa da iska mai amai da gudawa, da kuma kawar da saman ban daki ta hanyar amfani da maganin bleach chlorine na gida da aka hade (sabon).1:10ku1:50dilution, ko 1,000 zuwa 5,000 ppm sodium hypochlorite) bar jika a saman sama na akalla mintuna 5*. - sanin haƙƙin ku kafin ƙaura zuwa ɗakin kwana / keɓewar ɗakin karatu. Idan jami'a ko Sashen Kiwon Lafiyar gundumar sun umarce ku zuwa ɗakin keɓewa ko otal ɗin keɓe, tabbatar da cewa Rayuwar Rayuwa tana ba da ** isar da abinci uku na yau da kullun (waɗanda ke ɗauke da cututtukan abinci da ƙa'idodin abinci), isar da magunguna, sharar sharar gida, 24/7 na asibiti na asibiti. Sanarwa Tabbaci tana ba da umarni ga duk furofesoshi da su ba da izinin jinkirta jarabawar kyauta da samun damar lacca mai nisa.
- ** Tabbatar da bayanan rigakafin ku (MenACWY, MenB, da MMR-2-dose) akan tashar lafiyar ɗalibi ku a yau.** Yawancin ɗaliban koleji da iyaye sunyi kuskuren yin imanin cewa an yi musu cikakkiyar allurar rigakafin cutar sankarau saboda sun sami abin da ake buƙata MenACWY (
Menactra / Menveo / MenQuadfi* maganin rigakafi a shekaru 16; duk da haka, Serogroup B (MenB:Bexsero / Trumenba) yana haifar da yawancin barkewar cutar sankarau na jami'ar Amurka, Kanada, da Burtaniya ** kuma yana buƙatar jerin jerin allurar rigakafin MenB dabam dabam waɗanda jami'o'i da yawa ba su ba da izini ba a lokacin karatun digiri.
Gwajin 'Clear Glass Tumbler' na Meningococcal Septicemia Rash (Da Iyakar Fatarsa)
Lokacin da Neisseria meningitidis kwayoyin cuta suka shiga cikin jini (meningococcemia), suna lalata bangon capillary, suna haifar da zubewar jini a jikin fata da ake kira petechiae (pinprick red/purple spots) wanda da sauri ya hade zuwa bruise-kamar purpura. Idan ka danna gefen gilashin gilashin ruwan sha da ƙarfi a kan kurjin zazzabi na yau da kullun ko amya, fata ta zama fari (blanches) ƙarƙashin matsi; ** kurjin ciwon sankarau ba ya bushewa (ya kasance ja ja ko shuɗi) ta gilashin**. ** Gargaɗi Mai Muhimmanci:** Na farko, kar **** jira kurji ya bayyana kafin a kira 911/999/112, yawancin cututtukan sankarau masu mutuwa ba sa samun kurji har sai sa'o'i na ƙarshe. Na biyu, akan ** sautunan fata masu duhu , petechiae sun fi wahalar gani akan hannu ko ƙirji; a koda yaushe a duba ** tafin hannun hannu, tafin qafa, rufin baki (palate), ciki na fatar ido (conjunctiva), da ciki a qarqashin haske.
Barkewar dakunan kwana da bishiyar yanke shawara¶
flowchart TD
Start["Faɗakarwar Barkewar Gidan Kwanciya ko Harabar: Sankarau, kyanda, ko Norovirus"] --> SymptomCheck{"Shin ɗalibin yana da ALAMOMIN GAGGAWA MAI JAN TUTAR a yanzu?<br/>(Kwanyar wuya, matsanancin ciwon kai, photophobia, ruɗewa, kurji mara ɓacin rai, wahalar numfashi, ko rashin iya kiyaye ruwa ƙasa>24h)"}
SymptomCheck -->|"EE"| 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 (Asymptomatic ko Ƙaunar Bayyanar / Alamomin GI na Farko)"| PathogenType{"Wanne cuta ne aka gano a cikin Faɗin Kiwon Lafiyar Campus?"}
PathogenType -->|"1. Kwayoyin cutar sankarau (Neisseria meningitidis)"| MeningContact{"Shin kun kasance Abokin Kusa da ku a cikin kwanaki 7 da suka gabata?<br/>( Abokin zama, abokin zama, abubuwan sha/vapes/sumba, ko > 8 hours tsakanin mita 1/3 ƙafa)"}
MeningContact -->|"Ee"| GetPEP["GAGGAUTA: Samun Maganin Kwayoyin cuta (PEP) A Cikin Sa'o'i 24<br/>(Single-dose Ciprofloxacin 500mg oral, Ceftriaxone IM, or 2-day Rifampin) <br/>+ Bincika idan fashewa shine Serogroup B (MenB) ko ACWY & samun ƙarin kashi"]
MeningContact -->|"A'a (abokin karatu na yau da kullun / babban ginin ɗakin kwana ɗaya kawai)"| MeningWatch["Ba'a Buƙatar PEP na Kwayoyin Kwayoyin cuta don Tuntuɓar Saduwa:<br/>1. Kula da zafin jiki sau biyu a rana don cikakkun kwanaki 10<br/>2. Tabbatar da MenB (Bexsero/Trumenba) & MenACWY matsayin rigakafin yau"]
PathogenType -->|"2. Cutar kyanda (Rubeola da ke dauke da iska) ko kuma Mumps"| MeaslesImmune{"Shin kun rubuta allurar rigakafin MMR guda biyu ko ingantaccen rigakafi?"}
MeaslesImmune -->|"Babu / Rashin tabbas / Immunocompromised"| MeaslesPEP["LOKACI MAI MUHIMMAN GIDAN PEP:<br/>1. Kira Kiwon Lafiyar Jama'a/Kiwon Lafiyar Lardi ta waya (KADA ku shiga harabar ba a rufe ba) <br/>2. Samun Allurar MMR a cikin HOURS 72 na bayyanarwa KO Immune Globulin (IG) a cikin KWANAKI 6<br/>3. Shirya don ware / keɓe harabar na kwanaki 21 tare da masauki masu nisa"]
MeaslesImmune -->|"Ee (An rubuta allurai 2 MMR)"| MeaslesMonitor["Keɓewa daga keɓe masu ciwo a yawancin hukunce-hukuncen:<br/>Saye N95 a wuraren da aka raba tare da lura da zazzabi/tari/conjunctivitis na tsawon kwanaki 21"]
PathogenType -->|"3. Norovirus / Cute Gastroenteritis Cluster"| NoroProtocol["Yi Dorm Suite Containment & Hydration Protocol: <br/>1. Keɓe abokin zama marar lafiya don cikakken tsawon lokacin bayyanar cututtuka + 48 TO 72 HOURS bayan aukuwar karshe<br/>2. A jefar da barasa hand sanitizer -> A wanke da Sabulu & Ruwa na tsawon daƙiƙa 20+<br/>3. Kashe suite bandaki/faucets/ƙulli tare da 1,000-5,000 ppm Chlorine Bleach (lokacin jika na minti 5)<br/>4. Sip Gishiri Rehydration na Baka (ORS) a cikin 5 ml (1 tsp) yana ƙaruwa kowane minti 3"]
Mataki na 1: Jiyya-by-pathogen Rayuwa na asibiti & Jagoran Prophylaxis bayan fallasa (PEP)¶
Barkewar dakunan kwanan dalibai daban-daban suna yin ta hanyar hanyoyin watsawa daban-daban, ** droplet/salva** (cutar meningococcal), ** iska mai daɗaɗɗen iska ta gaske ** (ƙwanƙwasa, varicella/kazari, tarin fuka), ko ** fecal-na baka / amai-aerosol fomite saman** (norovirus). Daidaita ainihin tsaron ku zuwa takamaiman kwayoyin halitta yana ceton rayuka kuma yana hana fargabar da ba dole ba.
Kwatanta manyan cututtukan da suka barke a gidajen kwana na jami'a guda 4¶
| Cutar cututtuka & Lokacin Fitowa | Yadda Ya Yadu A Gidan Daki | Wanene Ya Bukatar Kariyar Kariya Bayan Bayyanawa (PEP) & Daidaitaccen Agogo | Dokokin Keɓewa / Keɓewa ga ɗalibai |
|---|---|---|---|
| 1. Cutar sankarau (Neisseria meningitidis, Serogroups B, C, W, Y) Incubation: kwanaki 1 zuwa 10 (yawanci kwanaki 3 zuwa 4) |
Haɗuwa kai tsaye tare da ** ɗigon numfashi ko ɗigo *** (abokan ɗakin kwana, sumbata, raba kwalaben ruwa, kofuna na giya, ruwan leɓe, sigari, ko vapes). Shin ** baya bazuwa ta hanyar wucewa kawai wani ko shakar iska bayan sun tafi. | Rufe lambobin sadarwa a cikin kwanaki 7 kafin farawa Dole ne a karɓi chemoprophylaxis na ƙwayoyin cuta (** a cikin sa'o'i 24, kuma har zuwa kwanaki 14 bayan bayyanarwa): - ** Ciprofloxacin ** (500 MG na baki guda ɗaya), KO - Rifampin (600 mg na baki sau biyu a rana tsawon kwanaki 2), KO - ** Ceftriaxone ** (250 MG guda IM allura). (Lura: Idan harabar makarantarku tana da nau'ikan juriya na fluoroquinolone, CDC ta ƙayyade Azithromycin ko Ceftriaxone) |
Majinyata fihirisa: Keɓewar digo na asibiti har zuwa awanni 24 bayan fara ingantaccen maganin rigakafi na IV/IM**. ** Abokan hulɗar asymptomatic na kusa ***: Babu keɓewa da ake buƙata sau ɗaya shan maganin rigakafi na PEP, amma dole ne a duba zafin jiki sau biyu kullum tsawon kwanaki 10. |
| 2. Cutar kyanda (Rubeola Virus) Incubation: kwanaki 7 zuwa 21 (matsakaicin kwanaki 10 zuwa 14 zuwa zazzabi; kwanaki 14 zuwa rash) |
Gaskiya Airborne Aerosol. Daya daga cikin ƙwayoyin cuta na ɗan adam masu yaɗuwa (\(R_0 = 12\rubutu{zuwa }18\)). Masu kamuwa da cutar suna tsayawa ** an dakatar da su a cikin falon gida, gidan wanka, ko iska a aji har zuwa 2 CIKAKKEN HOURS *** bayan mara lafiya ya fita. | Daliban da ba a yi musu allurar rigakafi ba ko kuma ba a yi musu allurar ba: - ** Alurar MMR a cikin awanni 72 (kwanaki 3)** na bayyanar farko (zai iya hana ko gyara rashin lafiya), KO - ** Immune Globulin (IG) a cikin kwanaki 6 ** na fallasa (wajibi ne ga ɗalibai masu juna biyu da abokan hulɗar rigakafi waɗanda ba za su iya ɗaukar MMR mai rai ba). |
Dalibin da ya kamu da cutar: Tsananin keɓewar iska ta hanyar ** cikakkun kwanaki 4 bayan fara kurji** (Ranar 0 = ranar kurji ya bayyana). ** Abokan hulɗar da ba a yi ba (wadanda ba su sami MMR a cikin awanni 72 ba)**: Warewa ta wajaba daga azuzuwan harabar karatu daga Ranar 5 zuwa Rana ta 21 bayan fallasa. |
| 3. Norovirus ("Bug amai na hunturu") Incubation: 12 zuwa 48 hours |
Fecal-Oral & Aerosols Aerosols. Yana buqatar ** 18 barbashi na kwayar cuta** don cutar da abokin zama. Zubar da bayan gida mara lullube ko amai da iska yana lalata miliyoyin ƙwayoyin cuta a kan buroshin hakori, ƙwanƙolin ƙofofi, da maɓuɓɓugar ruwa; ya rayu a kan kafet na kwana da tebur na ** har zuwa sati 2**. | Babu wani magani na rigakafi ko alluran rigakafi. Kariya ya dogara 100% akan ** sabulu da ruwa na biyu-20**, ɓoye buroshin haƙori/tawul ɗin haƙori a wajen bandakin da aka raba, da 1,000-5,000 ppm chlorine bleach ko EPA List G virucidal disinfection. | Dalibin da ya kamu da cutar: Kasance cikin warewar daki yayin amai da gudawa da kuma aƙalla sa'o'i 48 zuwa 72 bayan bayyanar cututtuka gabaɗaya ta daina (zubar da ƙwayar cuta a cikin stool ya kasance mai girma na kwanaki bayan jin 100% na al'ada). |
| 4. Mumps / Varicella (Chickenpox) / Pertussis (Tari mai Ciki) Incubation: Kwanaki 12 zuwa 25 (Masu ciwon ciki); Kwanaki 10 zuwa 21 (Varicella) |
Ruwan numfashi na numfashi (Mumps/Pertussis) ko ruwan iska ko vesicle (Varicella). Mumps akai-akai yana fitowa ko da a tsakanin ƴan wasan koleji da aka yi wa allurar rigakafin MMR da mazauna wurin kwana biyu saboda raguwar rigakafi. | - Cutar mumps: Barkewar Mahimmancin kashi na uku na MMR wanda CDC/ACIP ya ba da shawarar yayin da aka ayyana barkewar harabar. - Varicella: rigakafin Varicella a cikin 3 zuwa 5 days bayan fallasa. - Pertussis: Azithromycin-rana 5 PEP ga duk abokan zama na gida ba tare da la'akari da matsayin rigakafin Tdap ba. |
- Cutar ciwon kai: Keɓe har tsawon kwanaki 5** bayan kumburin ƙwayar cuta (jaw/cheek) ya fara. - Varicella: Ware har sai 100% na raunukan fata sun kunno kai sama da (mafi ƙarancin kwanaki 5). - Pertussis: Ware har zuwa ** 5 cikakkun kwanaki ** na maganin rigakafi na macrolide. |
Mataki na 2: Me yasa "Mai Sanitizer Hand Sanitizer & Clorox Wipe Myth" ke haifar da barkewar Norovirus¶
A duk lokacin sanyi da bazara, ɗalibi guda ɗaya yana amai a cikin gidan wanka na jama'a yana haifar da barkewar norovirus ɗalibi 200 a cikin sa'o'i 72 saboda abokan zama da ma'aikatan da ke kula da su suna tsabtace da sinadarai marasa kyau.
Mataki na 5 Dorm Room Norovirus Kamuwa da Ka'idar Tsira¶
- Me yasa Sanitizer Hand
Purell) da Daidaitaccen Maganin Shafawa Ya Fasa Gabaɗaya: - Mura, SARS-CoV-2 (COVID-19), da herpesviruses ** ƙwayoyin cuta ne da aka lulluɓe ** kewaye da wani membrane mai rauni (mai) wanda kashi 60 na barasa ko ammonium quaternary ("quaternary") yana gogewa nan take.
- Norovirus kwayar cuta ce wacce ba a lullube ba wacce ke kunshe a cikin kwandon sunadaran gina jiki (capsid) wanda barasa ba zai iya shiga ba kuma yana daidaitawa. Dogaro da sanitizer bayan taɓa hannun ƙofar gidan wanka yana barin norovirus mai kamuwa da cuta akan yatsun ku.
- Haɗa Maganin Bleach Na Gaskiya Na Gaskiya (Virucidal Bleach)
1,000 to 5,000 ppm Sodium Hypochlorite*: - Bincika alamar maganin ka: sai dai idan yana ɗauke da lambar rajistar EPA List G don Norovirus (kamar asibiti ** accelerated hydrogen peroxide / Oxivir** ko **hypochlorous acid / Clorox Healthcare Hydrogen Peroxide / Bleach goge **), ba zai kashe norovirus a saman ɗakin kwana.
- Don yin hukuma CDC 5,000 ppm Norovirus Disinfectant Magani ta amfani da daidaitaccen ruwan bleach na gida mara ƙamshi (
5% to 8.25% sodium hypochlorite):- Mix ** 150 zuwa 240 milliliters (kimanin ⅔ zuwa 1 kofin) na gida bleach a kowace lita 3.8 (gallon 1) na ruwan sanyi ** (ko ** 2.5 cokali na bleach a kowace lita 1 / 1 quart na ruwa ** don fesa kwalban).
- Saka safofin hannu na nitrile da kariyar ido, buɗe taga, fara share duk wani abu mai amai / najasa tare da tawul ɗin takarda da za'a iya zubarwa (an rufe su nan da nan a cikin jakar shara), shafa maganin bleach don haka saman ya zauna ** a bayyane ya jike na tsawon mintuna 5 na lokacin saduwa**, sannan ku wanke wuraren da ake tuntuɓar abinci da ruwa mai tsabta.
- Keɓe Burkin Haƙoranku, Tawul ɗinku, da Tutar Tace Ruwa Nan take:
- Lokacin da abokiyar zama ko abokiyar zama ta yi amai ko ta watsar da bandaki tare da murfi a buɗe, wani buɗaɗɗen iska wanda ba a iya gani yana daidaita radius na mita 1.8 (ƙafa 6)* a cikin gidan wanka.
- Idan abokin ɗakin ku ya kamu da ciwon gastroenteritis, ** nan da nan zubar da duk wani buroshin hakori da ke zaune a fallasa a kan teburin gidan wanka **, ajiye sabon buroshin haƙorin ku, akwati na lamba, da tawul ɗin hannu a kulle a cikin jakar zip-top a cikin aljihun tebur na ɗakin kwanan ku, kuma kada ku sake cika kwalban ruwan ku daga famfon wanka na banɗaki har sai an bleaked.
- Yadda Ake Dakatar da Rashin Ruwa Mai Tsanani A Gidan Kwanciya (The "5-Milliliter Kowane Minti 3" Dokokin Rehydration Na Baki):
- Dalilin da yasa daliban koleji tare da norovirus suka ƙare a cikin dakin gaggawa na asibiti suna buƙatar $ 2,000 na saline saline (IV) saline drips shine cewa suna chug 250 milliliters (oz 8) na ruwa mai tsabta ko abubuwan sha na wasanni masu dadi nan da nan bayan yin amai, wanda ke shimfiɗa murfin ciki mai kumburi kuma yana haifar da maimaita maimaitawar amai a cikin minti 10.
- Tsarin Magungunan Gaggawa na Asibitoci: Jira ** Minti 30 zuwa 45** bayan fitowar amai tare da sifili mai ruwa don barin farjin ciki ya huce. Sai a sha gaskiya WHO/CDC Maganin Rehydration na Baka (ORS) (irin su Pedialyte, Liquid I.V., DripDrop, ko kuma lita 1 na ruwa mai tsafta da aka hada da cikakken teaspoons 6 na sukari da teaspoon 0.5 na gishiri) a daidai gwargwado 5 milliliters (cikali ⅕ zuwa 5). Ƙananan sips 5 ml suna sha kai tsaye a cikin hanji na sama ba tare da karkatar da ciki ba, yana barin ɗalibi ya sha 100 zuwa 150 milliliters (oz 3.5 zuwa 5) na masu ceton rai a kowace awa ba tare da amai ba.
Mataki na 3: Abin da za ku yi idan abokin zaman ku ya fallasa ko yana yaduwa a yanzu¶
Lokacin da abokin zama na ku kai tsaye (mai barci mita 1.5/5 ƙafa daga gadon ku) ya dawo daga Lafiya na Campus tare da wata cuta da ake zargi da cutar ko kuma yana jiran sakamakon gwajin PCR na sankarau, kyanda, COVID-19, mura, ko mononucleosis:
Rabuwar Abokin Zamani Nan da nan & Ka'idar Tacewar iska¶
- **Nemi Wurin Keɓewa na Wuta na ɗan lokaci daga Rayuwar Rayuwar RA-kan-Aiki / Mazauna ***:
- Kowace jami'ar zama da aka amince da ita tana kula da shingen da aka keɓance ** keɓewar likita / ɗakunan riƙon gaggawa ** a harabar.
- Kada dalibi mara lafiya ko abokin zama mai lafiya ya kamata a tilasta wa barci a cikin wani
3.5m x 4.5m(12ft x 15ft) dakin kwana biyu lokacin da abokin zama daya yana da tabbacin ko ake zargin kamuwa da cutar iska, droplet, ko kamuwa da cutar norovirus. Kira 24/7 Residence Life Duty Phone (ba kawai sabon bene RA) da Ma'aikacin Kula da Kiwon Lafiyar Dalibai don kunna canja wurin ɗakin keɓe kai tsaye ga ɗalibin mai yaduwa (ko ɗakin tsaftataccen wurin jiran aiki na ɗan lokaci don abokin zama na rigakafi). - Idan Ana Jiran Sa'o'i 2 zuwa 6 Don Sake Wuraren Daki:
- *Masu kwana biyu su sanya N95, KN95, ko FFP2 na numfashi mai inganci a duk lokacin da suke cikin daki;
- ** Ƙirƙirar Window Cross-Hay Daya ***: Sanya fanko kai tsaye a cikin taga bude dakin ** busa iska a waje ** zuwa waje yayin fashe ƙofar hallway 2 centimeters (1 inch) (sai dai a cikin yanayin cutar kyanda / iska mai ɗaukar iska inda ƙofofin hallway dole ne su kasance a rufe sosai kuma ** HEPA5 iska mai iska / Canjin iska yana gudana a * dakin); kuma
- Bacci kai-zuwa-ƙafa: Idan an tilasta masa huta a ɗaki ɗaya a taƙaice, matashin kai tsaye a gaba da ƙarshen gadaje masu kama da juna (
Head-to-Toe sleeping position, ana amfani da shi a barikin soja don haɓaka tazara tsakanin yankunan numfashi daga mita 1.5/5 ƙafa zuwa sama da mita 3/10).
Mataki na 4: Kare maki, halarta, da haƙƙin gidaje na harabar yayin keɓe¶
Dalibai akai-akai suna ɓoye zazzaɓi, rashes, ko amai mai tashin hankali kuma suna jan kansu zuwa jarrabawar Midterm ko Chemistry labs saboda tsarin karatun farfesa ya ce: "Zero makeup exams; missing more than 2 labs results in a automatic F."
A ƙarƙashin dokokin tarayya da na hukumomi, ** ba za ku taɓa zaɓar tsakanin keɓewar lafiyar jama'a da gazawar semester ɗin ku ba**:
1. Kira Shugaban Dalibai "Rashin Lafiyar Jama'a na Hukumance / Umarnin Keɓewa"¶
- Yawancin furofesoshi guda ɗaya suna ƙi saƙon imel ɗin ɗalibi da aka rubuta da hannu suna iƙirarin "Ina da ciwon ciki," ** amma ba za su iya ƙetare Dokar Kiwon Lafiyar Jama'a / Shugaban ɗalibai ba**.
- Lokacin da aka sanya ku cikin keɓe ko keɓe (ko a Campus Health, asibitin waje, ko a cikin ɗakin kwanan ku ta hanyar ma'aikaciyar jinya ta wayar tarho), tambayi likitan ya aika da ** Keɓewar Kiwon Lafiya ta atomatik / Sanarwar Rashin Lafiyar Jama'a ** ta ** Shugaban Ofishin Dalibai / Ƙungiyar Kulawa** kai tsaye ga duk malaman ku. Wannan sanarwar tana tabbatar da kwanakin keɓancewar lafiyar jama'a na tilas ** ba tare da bayyana alamun lafiyar ku na sirri ba (kare sirrin FERPA da HIPAA)**.
2. Sashe na 504 / ADA naƙasa na ɗan lokaci & Gidajen Farfadowa Bayan Kwayar cuta¶
- Wasu cututtukan harabar, musamman ** Farfadowar Cutar Meningococcal, Cutar Epstein-Barr (Cutar Mononucleosis), Mura/Pneumonia mai tsanani, da Dogon COVID**, suna haifar da makonni na gajiya bayan kamuwa da cuta, migraines, ko farfaɗowar jijiya bayan farkon kwanaki 5 mai tsananin zazzabi ya ƙare.
- Karkashin dokar ADA gyare-gyare (ADAAA) da ** Sashe na 504 na Dokar Gyara (34 CFR Sashe na 104)** (haka da ** UK Equality Act 2010** da ** Lardin Kanada Lardin Lardin Kanada nakasassu na rashin lafiya wanda ke da iyakacin iyaka ga manyan ayyuka na rayuwa, gami da ƙayyadaddun ayyuka na harabar. ** Gidajen nakasa na ɗan lokaci** ta hanyar Ofishin Sabis na Harabar nakasa, da Ba cikakke
I) Ƙarfafa Darajoji ko Janyewar Likitan Mai Cigaba idan an buƙata (duba Taimakon kuɗi SAP dakatarwa, soke tallafin karatu, da riko da koyarwa).
Mataki na 5: Rubutun gaggawa na Verbatim ga ɗalibai da iyaye¶
Rubutun 1: Kiran Kiwon Lafiyar Jama'a / 911 Bambance-bambance ga Abokin zama tare da Jajayen Tutar Meningitis ko Alamun Sepsis¶
Ina kira daga [Jami'a Sunan], [Residence Hall Name], Room [#], wanda yake a [Street Address]. Abokin zama na [19] mai shekaru ya kamu da zazzaɓi kwatsam na [39.2 ° C / 102.5 ° F] a cikin sa'o'i 4 na ƙarshe tare da [ƙaƙƙarfan wuyan wuyansa / matsanancin ciwon kai / rashin fahimta a ƙarƙashin fatarsu mai launin shuɗi / matsananciyar rashin fahimta. gilashin].Saboda muna zaune a dakin kwanan dalibai na jami'a, na damu da m ciwon sankarau ko sepsis na bude ƙofar gaba na [Dorm Name] kuma abokina [Name] yana jira a kan shinge a cikin jaket mai haske don kawo ma'aikatan jinya kai tsaye zuwa daki [#]."
Rubutun 2: Neman Gaggawa Prophylaxis Bayan Bayyanawa (PEP) da Warewa Gidaje daga Lafiyar ɗalibi & Rayuwar Mazauna¶
Maudu'i: BAYYANAR DA CIWON LAFIYA NA GAGGAUTA: Rufe Lantarki (PEP) & Buƙatar Gidajen Warewa, [Sunan ɗalibi, ID #], [Dorm & Room #]
"Zuwa Ma'aikacin Kiwon Lafiyar Ƙwararrun Ƙwararrun Ƙwararru da Daraktan Kula da Rayuwa:
- Ina zaune a [sunan ɗakin kwana, ɗaki #] kuma ni kai tsaye [abokin zama / aboki / abokiyar kusanci] na [Sunan ɗalibi ko Maganar Case #], wanda aka bincikar shi / asibiti a yau tare da [Tabbatar da Cutar Cutar Meningococcal / Kyanda/Cutar Norovirus].*
1. Binciken gaggawa na Prophylaxis: Saboda bayyanara ta faru ne a cikin taga na kusa-kusa na doka ([kuma ina da yanayin rigakafi / 1 kawai an rubuta adadin MMR / babu maganin rigakafin MenB akan fayil]), da fatan za a sanar da ni daidai lokacin yau ya kamata in ba da rahoto zuwa ƙofar gefen asibiti don karɓar prophylaxis bayan fallasa ([Ciprofloxacin/Empin Immuni]).
2. ** Warewar gaggawa / Canja wurin daki na jiran aiki & Kamuwa da Muhalli:** rukunin mu yana raba [daki ɗaya / gidan wanka na gama gari. Muna buƙatar kunna aikin keɓancewa na ɗan lokaci / ɗakin kwana mai jiran aiki da ƙwararrun Lafiya da Tsaro na Muhalli (EPA List G / 5,000 ppm hypochlorite) kawar da Suite [#] don kada kamuwa da cuta ya yadu a cikin benenmu."*
Rubutun 3: Wuri na Ilimi & Jinkirin Jarabawa Imel ga Farfesoshi Yayin Keɓewar Tilas¶
Maudu'i: Wajabcin Keɓe Kiwon Lafiyar Jama'a / Sanarwa Keɓewar Likita, [Lambar Darasi & Sashe], [Cikakken Sunanku, ID na ɗalibi #]
" Dear Professor [Sunan Ƙarshe]:Don Allah a shawarce ni cewa mai tasiri a yau, [Kwanan wata], [Sabis na Kiwon Lafiyar Jama'a na Jami'ar / Sashen Kiwon Lafiyar Jama'a] an sanya ni ƙarƙashin dokar wajaba ta likita ta hanyar [Kwanan Ƙaddamarwa] saboda ƙayyadaddun ƙa'idar cutar ta harabar. Ofishin Shugaban Dalibai* da Cibiyar Kiwon Lafiyar Dalibai sun shigar da tabbacin asibiti na akan fayil kuma za su tura sanarwar rashin gudanarwa na hukuma zuwa akwatin saƙo naka.*
Kowace manufofin kiwon lafiyar jama'a na jami'a, an hana ni shiga gine-ginen ajujuwa ko dakunan gwaje-gwaje yayin wannan taga keɓewar. Ina matukar godiya da jagorar ku akan:
1. Samun damar rikodin lacca ko nunin faifai don azuzuwan a kan [Dates]; kuma
2. Tsara kwanan wata kayan shafa ba tare da hukunci ba (ko gudanarwa mai nisa, idan alamun alamun asibiti na sun ba da izini) don [Midterm Exam / Lab] wanda aka tsara ranar [Kwanan wata] da zarar an tabbatar min da lafiya in dawo.Na gode kwarai da fahimtarku da goyon bayanku."
Tambayoyin da ake yawan yi¶
My freshman child got the required meningitis vaccine at age 16 before moving into the dorms, how could they still be at risk during a campus meningitis outbreak?
There are **two completely separate types of meningococcal vaccines**, and most state and university admission requirements only mandate the first one. The standard vaccine given at ages 11-12 and boosted at age 16 is **MenACWY (`Menactra, Menveo, or MenQuadfi`)**, which protects against Serogroups A, C, W, and Y. However, **more than 50 to 70 percent of meningococcal disease cases and outbreaks among 18-to-24-year-old university students in the United States, Canada, and the United Kingdom are caused by Serogroup B (*MenB*)**, which is **not covered at all** by the MenACWY shot. Protection against Serogroup B requires a separate **2-dose or 3-dose MenB vaccine series (`Bexsero` or `Trumenba`)** (or the pentavalent **MenABCWY / `Penbraya`** vaccine). Furthermore, if you are a **direct close contact** of a roommate with bacterial meningitis, CDC guidelines state you **must still take preventive antibiotic PEP (`Ciprofloxacin` or `Rifampin`) within 24 hours regardless of whether you were previously vaccinated**.
If one student in a 300-person dorm building is diagnosed with bacterial meningitis, does everyone in the building need to take preventive antibiotics?
No. Unlike measles (which floats through air ducts and hallways), *Neisseria meningitidis* bacteria only survive for moments outside the human body and require **direct contact with respiratory droplets or saliva** to spread. Under CDC, UKHSA, and Public Health Agency of Canada guidelines, **Antibiotic Post-Exposure Prophylaxis (PEP)** is only recommended for **true close contacts** during the 7 days before symptom onset: roommates/suitemates sharing living quarters, anyone who kissed the patient or shared drinks, water bottles, utensils, cigarettes, or vapes, and anyone who had prolonged (`8+ hours`) close proximity within **1 meter (3 feet)**. Mass antibiotic prophylaxis for an entire dorm building is only ordered by public health authorities if an ongoing **multi-case institutional outbreak** is declared.
When is it actually safe for my roommate to come back to our dorm room after having Norovirus if they say they feel 100% fine today?
Feeling "back to normal" is not the medical clearance standard for norovirus. After a person's last episode of vomiting or diarrhea stops, they continue shedding **billions of infectious norovirus particles in their stool** for several days. Public health agencies (CDC, UK NHS/UKHSA, and Health Canada) require individuals with norovirus to remain isolated from shared school, dining hall, and group-living environments for **at least 48 to 72 full hours after their last episode of vomiting or diarrhea has completely resolved** (and they must never prepare food for others for at least 48 to 72 hours after recovery). When your roommate returns, both of you must continue washing hands with soap and water for 20 seconds and bleaching the shared toilet and faucet handles daily for the next week.
Can a public or private university legally lock me out of my classes and dorm for 21 days during a measles outbreak if I have a religious or philosophical vaccine exemption on file?
Yes. Every state vaccine exemption statute and university housing contract contains an explicit **Public Health Outbreak Exclusion Clause** (upheld by federal and state courts under *Jacobson v. Massachusetts* and *Zucht v. King*). When a confirmed case of measles, mumps, varicella, or meningococcal disease occurs on campus, the state or county Public Health Officer has the statutory authority to **exclude all unvaccinated or non-immune students (including those with valid medical, religious, or philosophical exemptions) from campus classrooms, dining halls, athletics, and congregate dormitories for the full incubation period of the disease (up to 21 days after the last case for measles)**. However, while excluded for public safety, you are entitled to coordinate remote coursework and exam accommodations through the Dean of Students so your exclusion does not automatically fail your academic term.
Bayani akan horon taimakon farko¶
Gane alamun gargaɗin farko na sepsis, meningitis, anaphylaxis, da rashin ruwa mai tsanani a cikin zauren zama na iya ceton rayuwar ɗan aji kafin ma'aikatan lafiya su zo. Yi la'akari da kammala aikin hannu ** Taimakon Farko na Daidaitawa da kuma hanya CPR/AED ** ta hanyar Red Cross ta Amurka, St John Ambulance, Red Cross ta Kanada, ko jami'ar ku ta EMS / shirin horar da Kiwon lafiya na Jami'ar ku.
Jagora masu alaƙa¶
- Gobarar ɗakin kwana, na'urorin dumama sarari, da haɗarin aminci na harabar
- Anaphylaxis mai tsananin rashin lafiyar abinci a makaranta, samun damar EpiPen, da shirin 504
- Taimakon taimakon kuɗi na gaggawa (SAP), riƙe koyarwa, da korar gidaje
- Zubewar sinadarai, wuraren wanke ido, da shawa masu aminci
- Tunawa da samfur, barkewar cutar abinci, da rufe sashen kiwon lafiya
- Lambobin gaggawa da aika aika ƙasashen waje
An duba tushe¶
- Cibiyoyin Kula da Cututtuka da Cututtuka (CDC) (Amurka): Manual don Kula da Cututtukan rigakafin rigakafin rigakafi, Babi na 8: Cutar Meningococcal (Rukunin Sa'o'i 24 Antibiotic Chemoprophylaxis Regimens: Ciprofloxacin, Rifampin, Ceftriaxone, & Menbreak) Babi na 7 Kyanda (72-hour MMR Vaccine da 6-day Immune Globulin Bayan Bayyana Dokokin Prophylaxis & Sharuɗɗan Ware Kwana 21).
- Cibiyoyin Kula da Cututtuka da Rigakafin Cututtuka (CDC) da Hukumar Kare Muhalli (EPA) (Amurka): * Sabunta Tsarin Gudanar da Cutar Cutar Norovirus da Ka'idodin Rigakafin Cututtuka (MMWR), Rashin Ingancin Na'urar Sanitizers na Hannun Barasa a kan Capsids marasa Rufaffen, 20-biyu na Biyu, Sabulun Hannu 0,000 zuwa 1pm Sodium Hypochlorite Bleach Disinfection, da Ware Alamun Bayan Sa'o'i 48 zuwa-72*.
- Ƙungiyar Kiwon Lafiyar Kwaleji ta Amirka (ACHA): Sharuɗɗa don Amsar Balaguro na Cibiyoyi a cikin Tarukan Zauren Mazauna, Shawarwari na rigakafi ga ɗaliban Kwalejin (MenACWY da Serogroup B Meningococcal / Matsalolin Matsalolin Alurar Rarraba Na Asibiti), da Warewa/Ka'idojin Gidajen Keɓewa.
- Hukumar Tsaro ta Lafiya ta Burtaniya (UKHSA) da Sabis na Kiwon Lafiya na Kasa (NHS) (United Kingdom): *Jagora don Gudanar da Kiwon Lafiyar Jama'a na Cutar Meningococcal a cikin Saitunan Ilimi mafi girma, Ba-Blanching Glass Tumbler Test Clinical Guidance (ciki har da Gwajin-Tsarin fata akan Dabino, Soles, da Conjunctiva), da 48-Hour Exclussion Virus.
- Hukumar Kiwon Lafiyar Jama'a ta Kanada (PHAC): Jagorancin rigakafi na Kanada, Meningococcal, kyanda, da cutar kyanda, da rigakafin cutar sankarau bayan bayyanar da kamuwa da cutar a Cibiyoyin Bayan Sakandare.