Ka dillaaca qolka jiifka ( qoorgooyaha, jadeecada, ama Norovirus) iyo Karantiil ee Campus¶

Helitaanka digniinta caafimaadka degdega ah ee saqda dhexe ee saqda dhexe iyada oo la soo sheegayo in arday jooga dabaqa hoolkaaga la dhigay cisbitaalka daryeelka degdega ah ee leh **cudurka meningococcal invasive meningococcal (bakteeriyada meningococcal meningitis) Hoolka degenaanshaha ee 400 sariirood leh waa xaalad degdeg ah oo caafimaad iyo saadka. Qolalka jiifka ee jaamacadda, guryaha walaalaha iyo aqallada, iyo guryaha ardayda la wadaago waxay isku daraan qolal nololeed oo cufan (badanaa waxay dhigaan laba ilaa afar sariirood 3 mitir ama 10 cagood midba midka kale u jira), marinnada HVAC ee la wadaago, musqulaha la wadaago, iyo hoolal-cunto heersare ah, abuurista jawi ku habboon oo loogu talagalay cudurrada faafa.

Ka badbaadinta dillaaca qolka jiifka si badbaado leh iyadoo la ilaalinayo heerkaaga waxbarasho waxay u baahan tahay inaad ku shaqeyso saacado adag oo bayooloji ah. Invasive Neisseria meningitidis waxay ka soo bixi kartaa madax-xanuun fudud iyo qandho ah 38.5 darajo Celsius (101.3 darajo Fahrenheit) ilaa shoog dilaac ah oo dilaa ah ** in ka yar 12 ilaa 24 saacadood**, una baahan xidhiidh dhow si loo helo Kahortagga ka-hortagga ka dib (PEP) antibiyootiga 24. saacadood gudahooda. Fayraska jadeecada hawadu wuxuu weli faafiyaa oo hakad ku jiraa hawo qolka jiifka ah ** ilaa 2 saacadood ka dib marka qofka cudurka qaba uu ka tago oo sido ** 72-saac daaqadeed ee tallaalka MMR ee soo-gaadhista ka dib** (ama ** daaqad 6-maalin ah oo loogu talagalay Intramuscular Immune Globulin / IG**). Norovirus wuxuu gabi ahaanba iska caabiyaa nadiifiyaha gacmaha ee alkolada ku salaysan iyo masaxarada ammonium quaternary, oo u baahan 1,000 ilaa 5,000 ppm sodium hypochlorite (bleach) jeermis-dile. Adiga oo isla markaaba aqoonsanaya calamadaha caafimaad ee calan-cas, adoo ilaalinaya kahortaga wakhtiga muhiimka ah ee Adeegyada Caafimaadka Ardayga, raacaya borotokoolka wasakhaynta gaarka ah ee cudur-sidaha, iyo u yeedhida ** Hormuudka Ardayda Maqnaanshaha Caafimaadka iyo Xuquuqaha Hoyga Naafada

Hadda samee tan¶

1. Haddii adiga, saaxiibkaaga, ama saaxiibkaa aad si degdeg ah u yeelataan qandho sare oo leh ** luqun adag, madax xanuun daran, dareenka iftiinka iftiinka (photophobia), jahawareer ama hurdada oo ku adkaata, gacmaha iyo cagaha qabow, neefsasho degdeg ah, ama casaan madow / casaan ah oo aan lahayn finan finan ah dhalooyinka la cabbo ee nadiifka ah**, wac lambarka degdega ah ee deegaankaaga (911 gudaha Maraykanka iyo Kanada, 112 guud ahaan Midowga Yurub, 999 gudaha Boqortooyada Ingiriiska, ama arag dhammaan nambarada degdega ah) isla markiiba. Weligaa "ha ka seexan" hana sugin ilaa subaxda adigoo u malaynaya inay tahay hargab ama hargab; meningococcemia bakteeriyada waxay noqon kartaa dhimasho saacado gudahood.
2. **Go'aanso 2 saacadood gudahood inaad u qalanto "Xiriir dhow" oo u baahan Kahortagga Soo-gaadhista Degdegga ah ee degdega ah (PEP)
3. ** Cudurka Meningococcal ***: Haddii aad tahay qof kula wadaaga guriga, saaxiib dhow, ama aad wadaagto cabitaanno/maacuun/vapes ama aad waqti dheer fool ka fool ula qaadatay bukaanka tusaha inta lagu guda jiro 7 maalmood ka hor inta aan calaamaduhu bilaabmin, u wargeli Campus Health ama waaxda xaaladaha degdegga ah maanta hal-dose ama koorsada gaaban, Ceftriaxone) ***, ugu fiican gudaha 24 saacadood ee aqoonsiga kiiska tusaha.
4. ** jadeeco (Rubeola)**: Haddii aad ka maqan tahay 2-dose difaac MMR oo aad ku jirtay isla dabaqa qolka jiifka, fasalka, ama goobta cuntada (xitaa ilaa 2 saacadood ka dib ardayga cudurka qaba ayaa ka baxay qolka), la xidhiidh Caafimaadka Dadweynaha isla markaaba si aad u hesho tallaal *MMR 72 saacadood gudahooda ee soo-gaadhista *** ama Immune Globulin 6 maalmood gudahood.
5. Weligaa ha gelin qolka sugitaanka ee Caafimaadka Campus adigoon ogeysiin haddii aad leedahay finan jadeeco oo laga shakisan yahay ama qandho qoorgooye. Ka wac Adeegyada Caafimaadka Ardayga ama miiska kala soocida degdega ah ee cisbitaalka ** ka soo baxa dhismaha ka baxsan ama qolka jiifka marka hore si kalkaaliyadu kuugu keeno albaabka karantiilka xun ee leh maaskaro neefsiye N95/FFP2.
6. Haddii Norovirus uu ku dhaco qolka hurdada, iska tuur alkolada gacmaha nadiifiyaha oo u beddel saabuun-iyo-biyo iyo 5,000 ppm bleach. Gacmaha alkohol60%-70% ethanol/isopropanol) iyo masaxarada jeermiska jeermiska ee benzalkonium chloride caadiga ah (sida kuwa caadiga ah ee Clorox/Lysol ee aan warankiilada ahayn) ha damqin koofiyadaha norovirus-ka ee aan xidhnayn. Gacmaha si xoog leh ugu dhaq ** saabuun iyo biyo diiran oo socda ugu yaraan 20 ilbidhiqsi, xidho galoofyada la tuuri karo iyo maaskaro markaad u dhowdahay hawada matag/shuban, oo nadiifi sagxadaha musqusha adoo isticmaalaya xalinta koloriinta guriga oo cusub1:10 ku 1:50 qasitaan, ama 1,000 ilaa 5,000 ppm sodium hypochlorite)** qoyan kaga tagay sagxadaha ugu yaraan 5 daqiiqo.
7. ** Ogow xuquuqdaada ka hor inta aanad u soo guurin qolka karantiilka / go'doominta qolka jiifka.** Haddii jaamacada ama Waaxda Caafimaadka Degmadu ay kugu amraan qol go'doon ah ama hudheel karantiil, xaqiiji in Nolosha degenaanshuhu ay bixiso ** saddex cunto oo maalinle ah (oo ku habboon xasaasiyadda cuntada iyo xeerarka cuntada) Ogeysiiska Xaqiijinta** oo faraya dhammaan macalimiinnada inay bixiyaan dib-u-dhigis imtixaan ganaax la'aan ah iyo gelitaanka casharrada fog.
8. ** Ka xaqiiji diiwaanka tallaalkaaga (MenACWY, MenB, iyo 2-dose MMR) ee boggaaga caafimaadka ardayga maanta.** Arday badan oo kulleej ah iyo waalidiin ayaa si khaldan u aaminsan inay si buuxda uga tallaaleen dhammaan qoorgooyaha sababtoo ah waxay heleen wixii looga baahnaa MenACWY (Menactra / Menveo / MenQuadfi* Tallaalka da'da 16; si kastaba ha ahaatee, ** Kooxda B (MenB: Bexsero / Trumenba) sababa inta badan US, Canadian, iyo UK jaamacadaha kambaska meningitis-ka dillaaca ** waxayna u baahan tahay ** taxane tallaalka MenB oo gooni ah ** oo jaamacado badan aysan ku amrin xilliga xisaabta.

Ka dillaaca qolka jiifka iyo geed go'aanka kala soocida ka hortagga¶

flowchart TD
    Start["Digniin ka dillaaca Qolka jiifka ama Campus: Meningitis, Measles, ama Norovirus"] --> SymptomCheck{"Ardaygu ma leeyahay calamadaha degdega ah ee calanka cas hadda?."}

    SymptomCheck -->|"HAA"| 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 -->|"MAYA (Astaamadaha Asymptomatic ama Fudud)"| PathogenType{"Cudur-sidee ayaa lagu aqoonsaday Digniinta Caafimaadka Campus?"}

    PathogenType -->|"1. Bakteeriyada qoorgooyaha (Neisseria meningitidis)"| MeningContact{"Ma waxaad ahayd Xidhiidh dhow 7dii maalmood ee u dambeeyay"}
    MeningContact -->|"Haa"| GetPEP["Degdeg: Ku Hesho Kahortaga Antibiyootiga (PEP) 24 Saac gudahood<br/>( Hal-dose Ciprofloxacin 500mg afka, Ceftriaxone IM, ama 2-maalin Rifampin)"]
    MeningContact -->|"Maya (Saaxiib caadi ah/dhismaha hurdada weyn oo kaliya)"| MeningWatch["Antibiyootiko PEP Looma Baahna Xiriir Casual:<br/>1. La soco heerkulka laba jeer maalintii 10 maalmood oo buuxa<br/>2. Xaqiiji heerka tallaalka MenB (Bexsero/Trumenba) iyo MenACWY maanta"]

    PathogenType -->|"2. Jadeecada (Rubeola hawada laga qaado) ama Qaamo-qashiir"| MeaslesImmune{"Miyaad diiwaangelisay 2-dose tallaalka MMR AMA difaac shaybaadhka la xaqiijiyay?"}
    MeaslesImmune -->|"Maya/Aan la hubin/Immunocompromised"| MeaslesPEP["DAaqadaha PEP-waqtiga muhiimka ah:<br/>1. Wac Campus/County Health taleefoon (ha soo galin qolka lobby iyada oo aan la qarin)<br/>2. Qaado Tallaalka MMR 72 HOURS ka dib soo-gaadhista AMA Immune Globulin (IG) gudaha 6 MAALMOOD<br/>3. U diyaari 21-maalmood ka-saarid/karantiil kambaska oo leh hoyyo fasal oo fogfog"]
    MeaslesImmune -->|"Haa (lagu diiwaangeliyay 2 qiyaasood MMR)"| MeaslesMonitor["Ka-dhaafitaannada karantiil inta badan gobollada:<br/> Xidho N95 meelaha la wadaago & la soco qandhada/ qufaca/conjunctivitis muddo 21 maalmood ah"]

    PathogenType -->|"3. Norovirus / Kutlada Gastroenteritis-ka Ba'an"| NoroProtocol["Fulinta Koontaalka Qolka jiifka & Hab-maamuuska Biyaha:<br/>1. Go'doomi qol-qol-wadaaga jirran ilaa muddada calaamadaha +48 ilaa 72 SAACADOOD ka dib dhacdadii u dambaysay Tuur alkolada gacmaha nadiifiyaha -> Ku dhaq saabuun iyo biyo 20+ ilbiriqsi<br/>3. Ka nadiifi qolka musqusha/tubooyinka/burooyinka 1,000-5,000 ppm Chlorine Bleach (5-daqiiqo wakhtiga qoyan) <br/>4. Ka cab cusbada fuuq-celinta afka (ORS) ee 5 mL (1 tsp) waxay kordhisaa 3 daqiiqo kasta"]

Marxaladda 1: Pathogen-by-pathogen badbaadada bukaan-socodka iyo ka-hortagga ka-hortagga ka-dib-u-dhaca (PEP)¶

Cudurada ka dillaaca qolka jiifka ee kala duwan waxay ku dhaqmaan dariiqooyin kala duwan oo kala duwan, ** dhibicda / candhuufta ** (cudurka meningococcal), ** hawada hawada ka qaada oo run ah ** ( jadeeco, varicella/bus-bus, qaaxo), ama ** saxaro-afka / mataga-aerosol fomite dusha sare ah** (norovirus). Ku-habaynta difaacaaga saxda ah ee noolaha gaarka ah waxay badbaadisaa nolosha waxayna ka hortagtaa argagaxa aan loo baahnayn.

Isbarbardhigga 4-ta cudur ee ka dillaaca qolka jiifka ee jaamacadda¶

Marxaladda 2: Waa maxay sababta "Nadiifiyeha Gacanta Khamriga & Khuraafaadka Clorox Wipe" ay huriyaan dillaaca Norovirus¶

Jiilaal kasta iyo gu' kasta, hal arday oo ku mataga musqusha hool ay degaan wadaagga ah ayaa kicisa 200-arday norovirus dillaaca 72 saacadood gudahood sababtoo ah qolalka qolalka iyo shaqaalaha ilaalintu waxay ku nadiifiyaan kiimikooyin khaldan.

Qolka jiifka ee 5-talaabo ee Norovirus-ka nadiifinta iyo borotokoolka badbaadada¶

1. **Waa maxay sababta Nadiifiyaha Gacanta AlcoholPurell) iyo Caadiga jeermiska jeermiska dila oo si buuxda u fashilmay ***:
2. Hargabka, SARS-CoV-2 (COVID-19), iyo fayrasyada herpes waa ** fayras ku dahaadhan ** oo ay ku wareegsan yihiin xuub jilicsan (dufan) oo 60 boqolkiiba aalkolo ama ammonium quaternary ("quaternary ammonium)" isla markiiba tirtirto.
3. Norovirus waa fayras aan bakhaar ahayn oo ku dhex jira qolof borotiin ah oo qallafsan (capsid) oo aalkoladu aanay geli karin oo ay dejiso. Ku-tiirsanaanta gacmo-nadiifiye ka dib markaad taabato gacanta albaabka musqusha qolka jiifka waxay ku reebaysaa norovirus firfircoon farahaaga.
4. ** Isku qas Xalka biliijka Fayraska Dhabta ah (1,000 to 5,000 ppm Sodium Hypochlorite***:
5. Hubi summada jeermiskaaga: ilaa ay si cad u sido ** Liiska Diiwaangelinta EPA Liiska G ee Norovirus** (sida kiliinikada ** dardargelinta hydrogen peroxide / Oxivir** ama hypochlorous acid / Clorox Healthcare Hydrogen Peroxide/ Wiishka cadarka), ma dili doono norovirus meelaha hurdada.
6. Si loo sameeyo CDC 5,000 ppm Norovirus Disinfectant Solution iyadoo la isticmaalayo warankiilo dareere ah oo aan ur lahayn5% to 8.25% sodium hypochlorite):
   • Isku qas 150 ilaa 240 millilitir (qiyaastii ⅔ ilaa 1 koob) oo ah warankiilo guriga 3.8 litir (1 gallon) oo biyo qabow ah (ama 2.5 qaado oo warankiila halkii 1 litir/1 quart oo biyo ah dhalada buufinta ah).
   • Xiro galoofyada nitrile-ka ah ee la tuuri karo iyo ilaalinta indhaha, fur daaqadda, ku masax dhammaan matag/xaalad dabiici ah marka hore tuwaalo warqad ah oo la tuuri karo (oo isla markiiba lagu shaabadeeyey bac qashinka), mari xalalka warankiilo si uu dusha sare u sii ahaado ** si muuqata qoyan 5 daqiiqo oo buuxda waqtiga xidhiidhka**, ka dibna ku mayr biyo nadiif ah dusha cuntada.
7. Karantiil burushka cadayga, tuwaalada, iyo shaandhaynta biyaha isla markiiba:
8. Marka qol-qol ama saaxiib-suite-ku matago ama daadiyo musqusha qolka la wadaago ee daboolku furan yahay, tuubbada aerosol-ka aan la arki karin ayaa dejisa dhexroor *1.8-mitir (6-fiit) ah gudaha musqusha.
9. Haddii saaxiibkaagu uu ku bukoodo calool-xanuun, ** isla markiiba iska tuur caday kasta oo fadhiya miiska musqusha **, ku hay buraashka cadayga cusub, kiiska xidhiidhka, iyo tuwaalada gacanta ku xidh gudaha bacda sibka gudaha khaanadaha qolkaaga jiifka, oo waligaa ha buuxin dhalada biyaha tuubada saxanka musqusha ilaa ay dhogorta ka baxayso.
10. Sida Loo Joojiyo Fuuqbaxa Daran ee Sariirta Qolka jiifka ("5-Militar 3dii Daqiiqoba" Xeerka Fuuqcelinta Afka):
11. Sababta ardayda kuleejka ee qaba norovirus ay ugu dambeeyaan qolka degdega ah ee cisbitaalka oo u baahan $2,000 faleebooyin salineed ah (IV) waa in ay cunaan 250 millilitir (8 wiqiyadood) oo biyo caadi ah ama cabitaan isboorti oo sonkor leh isla markiiba matag ka dib, taas oo fidisa xuubka caloosha oo barara oo kicisa matag degdeg ah oo soo noqnoqda 10 daqiiqo gudahood.
12. Brotokoolka Dawaynta Degdegga ah ee Kiliinikada : Sug 30 ilaa 45 daqiiqo ka dib dhacdo matag ah oo leh dareere eber ah si loo oggolaado fal-celinta vagal gastric in ay is dejiso. Ka dib ka cabso run ah WHO/CDC Xalka fuuq-celinta Afka (ORS) (sida ** Pedialyte, Liquid IV., DripDrop, ama 1 litir oo biyo nadiif ah oo lagu daray ** 6 qaado shaaha oo sonkor ah iyo 0.5 qaado shaaha oo cusbo ah) qiyaasta ** si adag 5 millilitir (1 qaado / 1 qaado yar ilaa 5 daqiiqo) Kabashooyinka yaryar ee 5 mL waxay si toos ah ugu nuugaan mindhicirka sare iyaga oo aan kala fogayn caloosha, taas oo u oggolaanaysa ardaygu inuu nuugo 100 ilaa 150 millilitir (3.5 ilaa 5 wiqiyadood) oo ah koronto-yaqaano nafta badbaadiya saacaddii iyadoon matagin.

Marxaladda 3: Maxaa la sameeyaa haddii qofka aad kula degan tahay uu hadda bannaan yahay ama la kala qaado hadda¶

Marka saaxiibkaaga qolka jiifka tooska ah (oo 1.5 mitir / 5 cagood u jira sariirtaada) uu ka soo laabto Caafimaadka Campus isagoo qaba cudur la tuhunsan yahay in la is qaadsiiyo ama la sugayo natiijada baaritaanka PCR ee qoorgooyaha, jadeecada, COVID-19, hargabka, ama mononucleosis:

Kala Saaridda Saaxiibka Degdegga ah ee Degdegga ah & Nidaamka Sifeynta Hawada¶

1. ** Ka codso meelaynta qolka go'doominta ku meel gaadhka ah ee degdega ah ee Nolol-joogta/RA-on-waajibka ah**:
2. Jaamacad kasta oo la aqoonsan yahay waxay haysaa qaybo loo qoondeeyay Go'doon Caafimaad / Qolal Hayn Degdeg ah oo ku yaal xerada.
3. Ardayga buka ama saaxiib caafimaad qaba waa inaan lagu qasbin inay seexdaan a 3.5m x 4.5m (12ft x 15ft) Qolka jiifka oo labanlaab ah marka hal qol la wadaago uu haysto la xaqiijiyay ama looga shakisan yahay cawaaqib-xumo hawadu, dhibco, ama caabuqa norovirus. Wac 24/7 Residence Life Duty Phone (ma aha oo kaliya dabaqa cusub ee RA) iyo ** Kalkaaliyaha Wicida Caafimaadka Ardayga** si aad u dhaqaajiso wareejinta qolka go'doominta degdega ah ee ardayga la kala qaado (ama qol ku meel gaar ah oo sugitaan oo nadiif ah oo loogu talagalay saaxiibkii is difaaci lahaa).
4. **Haddii aad sugayso 2 ilaa 6 saacadood Dib-u-dejinta Qolka ***:
5. Labada qolqol-wadaagta ah waa inay xidhaan N95, KN95, ama FFP2 neef-mareeno si fiican u rakiban mar kasta oo qolka la wadaago;
6. Samee Window Hal Jid ah oo Hawo-qaadis ah: Si toos ah u dhig marawaxada sanduuqa daaqada qolka jiifka ee furan ** hawo dibadda u soo baxaysa dibadda u bax adigoo dildilaacsanaya albaabka hall 2 sentimitir (1 inji) qolka); iyo
7. ** Hurdo madax-ilaa-lugo ***: Haddii lagu qasbo in lagu nasto isla qolka si kooban, barkimooyinka jiheeya darafyada sariiraha barbar socda (Head-to-Toe sleeping position, looga faa'iidaysto xeryaha militariga si loo kordhiyo fogaanta u dhaxaysa aagagga neefsashada laga bilaabo 1.5 mitir / 5 cagood ilaa in ka badan 3 mitir / 10 cagood).

Wajiga 4: Ilaalinta darajooyinkaaga, imaanshaha, iyo xuquuqda guriyeynta kambaska inta lagu jiro karantiilka¶

Ardaydu waxay had iyo jeer qariyaan qandho sare, finan, ama matag rabshad leh waxayna isu jiidaan imtixaanada dhexe ama shaybaadhka kimisteriga sababtoo ah manhajka borofisarku wuxuu leeyahay: " Imtixaannada qurxinta eber; ka maqnaanshaha in ka badan 2 shaybaar natiijadu waxay keenaysaa F."

Marka loo eego qawaaniinta federaalka iyo kuwa hay'adaha, ** waligaa waa inaadan kala dooran karantiilka caafimaadka bulshada iyo ku guuldareysiga semesterkaaga ***:

1. U yeedh Hormuudka Ardayda "Maqnaanshiyaha Caafimaadka Dadweynaha ee Rasmiga ah / Dardaaranka Karantiil"¶

• Macallimiinta gaarka ah waxay inta badan diidaan iimaylada ay ardaydu ku qoran yihiin ee ay ku andacoonayaan "caloosha ayaa igu dhacday," laakin ma burin karaan hay'adaha Caafimaadka Dadweynaha / Hormuudka Ardayda Dardaaranka karantiilka.
• Isla marka lagugu meeleeyo karantiil ama karantiil (ha ahaato Campus Health, cosbitaal ka baxsan xerada, ama qolka hurdadaada adoo adeegsanaya kalkaalisada caafimaadka), weydii takhtarka inuu u soo diro Karantiil Caafimaad oo Toos ah / Ogeysiinta Maqnaanshaha Caafimaadka Dadweynaha iyada oo loo marayo ** Madaxa Ardayda Xafiiska / Kooxda Daryeelka** si toos ah dhammaan macallimiintaada. Ogeysiiskani wuxuu xaqiijinayaa taariikhaha ka saarida caafimaadka dadweynaha ee qasabka ah ** iyadoon la shaacinin ogaanshahaaga caafimaad ee gaarka ah (ilaalinta sirtaada FERPA iyo HIPAA)**.

2. Qaybta 504 / ADA Naafada Ku Meel Gaarka ah & Hoyga Ka Soo Kabashada Fayraska Kadib¶

• Qaar ka mid ah caabuqyada kambaska, gaar ahaan ** Soo kabashada Cudurka Meningococcal, Fayraska Epstein-Barr (Mononucleosis Infekshanka), Hargabka/Pneumonia daran, iyo COVID-ka dheer, waxay sababaan toddobaadyo daciif ah oo daal faafa ka dib, dhanjafka, ama soo kabashada neerfaha ka dib 5-maalmood ee hore ee qandhada ba'an.
• Sida waafaqsan Xeerka ADA Wax ka Beddelka (ADAAA) iyo Qaybta 504 ee Xeerka Dhaqancelinta (34 CFR Qaybta 104) (sidoo kale ** UK Xeerka Sinnaanta 2010** iyo ** Xeerarka Xuquuqul Insaanka Gobolka Kanada**), naafanimo caafimaad oo degdeg ah ama xad dhaaf ah oo si wayn u xaddidaysa dhammaan hawlaha nolosha ee jaamacadda, oo lagu soo daro fasalka. ** Hoyga Naafanimada Ku Meel Gaarka ah** iyada oo loo marayo Xafiiska Adeegyada Iinta ee Campus, oo lagu daray ** Aan Dhammaystirnayn (IKordhinta darajada** ama ka-noqoshada caafimaad ee dib-u-noqoshada ah haddii loo baahdo (eeg Kaalmada maaliyadeed ka joojinta SAP, ka noqoshada deeqda waxbarasho, iyo waxbarashada haynta rafcaan).

Marxaladda 5: Qoraallada degdegga ah ee ardayda iyo waalidiinta¶

Qoraalka 1: Wicida Caafimaadka Campus / 911 Kala soocida saaxiibkiis ee qaba Calan-cas Meningitis ama Sebsis¶

Waxaan ka soo wacayaa [Magaca Jaamacadda], [Magaca Hall-ka], Qolka [#], oo ku yaal [Cinwaanka Waddada] . galaas] Sababtoo ah waxaan ku noolnahay qolka jiifka ee kuleejka, waxaan ka walaacsanahay bakteeriyadu ba'an meningitis ama sepsis waxaan furay albaabka hore ee [Dorm Name] iyo saaxiibkay [Name] wuxuu ku sugayaa geesta jaakad dhalaalaya si uu u keeno kalkaaliyayaasha caafimaadka si toos ah qolka [#]."

Qoraalka 2: Codsashada Kahortagga Soo-gaadhista Degdegga ah ee Degdegga ah (PEP) iyo Guryaynta Go'doominta ee Caafimaadka Ardayga iyo Nolosha Deganaanshaha¶

** Mawduuca:** Soo Bandhigidda Caafimaadka Dadweynaha ee Degdegga ah: Ka Hortagga Xidhiidhka dhow (PEP) & Codsiga Guryeynta Go'doominta, [Magaca Ardayga, Aqoonsiga #], [Hoyga & Qolka #]
"Ku socota Adeegyada Caafimaadka Ardayga ee Wicida Takhtarka iyo Agaasimaha Waajibaadka Nolosha:

• Waxaan deganahay [Magaca qolka jiifka, qolka #] waxaanan ahay qof toos ah [qofka qol-qol ah / qof isku xidhan / xidhiidh dhow] ee [Tusmada Magaca Ardayga ama Tixraaca Kiis #], kaas oo maanta laga helay cusbitaalka [la xaqiijiyey/la shakiyey cudurka Meningococcal / jadeeco / Norovirus Ba'an].

1. ** Qiimaynta Kahortagga Degdegga ah:* Sababtoo ah soo-gaadhistaydu waxay ka dhacday daaqadda xidhiidhka dhow ee qaanuuniga ah ([oo aan qabo xaalad difaac difaac ah / kaliya 1 dokumenti MMR ah oo la diiwaangeliyey / ma jiro tallaalka MenB oo fayl ku jira]), fadlan ii sheeg wakhtiga saxda ah ee maanta waa inaan ka warbixiyo dhinaca albaabka rugta caafimaadka si aan u helo ka-hortagga soo-gaadhista ka dib ([Ciprofloxacin/Empin Immuni]).
2. Go'doonka degdega ah / Wareejinta Qolka heeganka ah & jeermiska deegaanka: Qolkayaga waxa uu wadaagaa [hal qol jiif / musqul wadaag ah oo xidhan]. Waxaan codsanaynaa in si degdeg ah loo hawlgeliyo meelaynta go'doonka ku meel gaadhka ah / heeganka qolka jiifka iyo caafimaadka deegaanka iyo badbaadada xirfadlaha ah (EPA List G / 5,000 ppm hypochloritejeermi-dilista Suite [#] si aanu infekshanku ugu faafo dhulkayaga oo dhan."

Qoraalka 3: Hoyga Waxbarashada & Dib-u-dhigista Imtixaanka iimaylka ee Professorrada inta lagu jiro karantiilnimada qasabka ah¶

Mawduuca: Karantiil Caafimaadka Dadweynaha ee Waajibka ah / Ogeysiiska Go'doonka Caafimaadka, [Lambarka Koorsada & Qaybta], [Magacaaga oo Buuxa, Aqoonsiga Ardayga #]

"Gacaliye Professor [Magaca Dambe]:

Fadlan la ii sheego in maanta oo kale, [Taariikhda], la i galiyay go'doomin/karantiil caafimaad oo khasab ah [Adeegyada Caafimaadka Ardayga ee Jaamacadda / Waaxda Caafimaadka Dadweynaha] iyada oo loo marayo [Taariikhda Fasaxidda Mashruuca] sababtoo ah borotokoolka cudurrada faafa ee degdega ah. ** Madaxa Xafiiska Ardayda** iyo Xarunta Caafimaadka Ardayga waxay galiyeen galka caddayntayda caafimaad waxayna ogeysiiska maqnaanshaha maamulka ee rasmiga ah u gudbin doonaan sanduuqaaga.*

• Siyaasadii caafimaadka guud ee jaamacadeed, waxaa iga mamnuuc ah in aan galo dhismayaasha fasalka ama shaybaarada inta lagu jiro daaqadan go'doonka ah. Waxaan aad ugu mahadcelinayaa tilmaamahaaga:
  1. Helitaanka cajaladaha muxaadarooyinka ama slides ee fasallada [Taariikhaha]; iyo
  2. Jadwalka taariikhda isqurxinta ee bilaa ciqaabta ah (ama maamulka fogaanta, haddii calaamadaha caafimaadku ogolaadaan) [Imtixaanka Dhexe / Shaybaarka] ee la qorsheeyay [Taariikhda] marka caafimaad ahaan la ii caddeeyo inaan soo laabto.*

• Aad baad ugu mahadsan tahay fahamkaaga iyo taageeradaada."*

Su'aalaha soo noqnoqda¶

Xusuusnow tababarka gargaarka degdegga ah¶

Aqoonsiga calaamadaha digniinta hore ee sepsis, meningitis, anaphylaxis, iyo fuuqbax ba'an ee hoolka la deggan yahay waxay badbaadin karaan nolosha saaxiibka fasalka ka hor intaysan iman dhakhaatiirta caafimaadka. Tixgeli inaad dhammaystirto gacma-gacan ** Caawinta koowaad ee caadiga ah iyo koorsada CPR/AED** iyada oo loo marayo Laanqayrta Cas ee Maraykanka, St John Ambulance, Laanqayrta Cas ee Kanada, ama jaamacaddaada Campus EMS / barnaamijka tababarka caafimaadka ardayda.

Tilmaamaha la xidhiidha¶

• Dabka hoyga, kuleyliyaha hawada sare, iyo khataraha badbaadada kambaska
• Xasaasiyadda cuntada daran anaphylaxis ee dugsiga, helitaanka EpiPen, iyo qorshaha 504
• Racfaanka gargaarka maaliyadeed ee degdega ah (SAP), haynta waxbarashada, iyo ka saarida guryaha kambaska
• Daadinta shaybaadhka kiimikada, saldhigyada indhaha lagu dhaqo, iyo qubaysyada badbaadada
• Soo celinta badeecada, cudur ka dilaacay cuntada, iyo xidhitaanka waaxda caafimaadka
• Nambarada degdega ah iyo diritaanka caalamiga ah

Ilaha la hubiyay¶

• Xarumaha Xakamaynta iyo Kahortagga Cudurrada (CDC) (Mareykanka): Buugga La-socodka Cudurrada Tallaalka laga Hortagi karo, Cutubka 8: Cudurka Meningococcal (Xidhiidhka 24-Saacadood ee Antibiyootiga Chemoprophylaxis Nidaamyada: Ciprofloxacin, Rifampin, Ceftriaxone/Meccination) Jadeecada (72-saac tallaalka MMR iyo 6-maalin Immune Globulin Kahortagga Ka Hortagga Shuruucda Ka Dib & Tilmaamaha Ka Saarida 21-Maalmood).
• Xarumaha Xakamaynta iyo Kahortagga Cudurrada (CDC) iyo Hay'adda Ilaalinta Deegaanka (EPA) (Mareykanka): * Cusbooneysiinta Maareynta Faafitaanka Norovirus iyo Tilmaamaha Kahortagga Cudurrada (MMWR), Waxtarka Alcohol Nadiifiyeyaasha Gacmaha ee Kahortagga Kaabsidyada Aan- Bakhtisan, 20-Labaad, Gacmo-iyo-Water-000pm Jeermiska Sodium Hypochlorite Bleach, iyo 48-ilaa-72-Saacadood Kahor Calaamadaha Go'doonka*.
• Ururka Caafimaadka Kulliyada Maraykanka (ACHA): * Tilmaamaha Jawaabta Ka-hortagga Hay'adaha ee Hoolka Isku-dhafka ah ee Deganaanshaha, Talooyinka Tallaalka ee Ardayda Kulliyada (MenACWY iyo Serogroup B Meningococcal / MenB Tallaalka Go'aan-qaadashada Kiliinikada La Wadaago), iyo Go'doomin/Karantiil Heerarka Guryaha*.
• Hay'adda Ammaanka Caafimaadka ee Boqortooyada Midowday (UKHSA) iyo Adeegga Caafimaadka Qaranka (NHS) (Boqortooyada Ingiriiska): *Hagaha Maareynta Caafimaadka Dadweynaha ee Cudurka Meningococcal ee Goobaha Waxbarashada Sare, Tijaabada Muraayadaha Tumbler Aan-Blanching ahayn Tijaabada Tijaabada Caafimaadka (oo ay ku jirto Baadhitaanka Lafaha maqaarka ee Timirta, Soles, iyo Conjunctiva), iyo 48-Hour Rumaynta Fayraska
• Wakaaladda Caafimaadka Dadweynaha ee Kanada (PHAC): Hagaha Tallaalka Kanadiyaanka, Meningococcal, Jadeecada, iyo Qaamo-qashiirta Kahortagga Soo-gaadhista Ka Dib iyo Xakamaynta Faafitaanka Machadyada Dugsiga Sare Kadib.