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Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities for Public Health Units in Australia

Acknowledgements

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CDNA’s Interpandemic Influenza Working Group:

Dr John Carnie (Chair) Disease Control and Research Branch, Department of Human Services, Victoria
Dr Simon Madin General Surveillance and Control, Communicable Diseases Section, Department of Human Services, Victoria
Dr Paul Armstrong Communicable Diseases Branch, NSW Health Department, NSW
Dr Tony Watson Communicable Disease Control Branch, Health Department of Western Australia
Dr Ann Koehler Communicable Disease Control Branch, Department of Health, South Australia
Dr Geetha Isaac-Toua Health Protection Services, ACT Health
Dr Clif van der Oest Centre for Disease Control, Northern Territory Department of Health and Community Services,
Mr Craig Davis, Communicable Disease Unit, Queensland Department of Health
Dr Avner Misrachi Communicable Disease Prevention Unit, Department of Health and Human Services, Tasmania

The Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities in Australia (the Guidelines) were based on the Guidelines for the Control of Respiratory Disease Outbreaks in Aged-Care Facilities. These were prepared by Rebecca Guy, Epidemiology Scholar, Communicable Diseases Section, Department of Human Services, Victoria, National Centre of Epidemiology and Population Health, Canberra.

Thanks also to Dr Margaret Young, Lesley Scott, Irene Wilkinson, Dr Robin Gilmore, Dr Mark Bartlett, Megan Black and all others who have contributed.

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Table of Contents
Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities for Public Health Units in Australia
  Disclaimer
  Acknowledgements
  Preface
  How to use this document
  Summary Flow Chart
  Chapter 1: Introduction
   1.1 Influenza
   1.2 Linkages with other documents and the internet
  Chapter 2: Preventing Outbreaks
   2.1 Vaccination
   2.2 Infection Control Precautions
  Chapter 3: Outbreak and Case Definitions
   3.1 Introduction
   3.2 Respiratory Disease Outbreak Definition
   3.3 Case definition
   3.4 Outcome definitions
  Chapter 4: Investigation and Management of Outbreaks
   4.1 Assess the Suspected Outbreak
   4.2 Outbreak Investigation and Management Team
   4.3 The Investigation
   4.4 Diagnostic tests
   4.5 Documents for communication with the facility
   4.6 Outbreak control measures
   4.7 Monitoring the outbreak
   4.8 Declare that the outbreak is over
   4.9 Debriefing
  Chapter 5: References
  Appendices
   Appendix 1: Environmental Cleaning
   Appendix 2: Respiratory Outbreak Control Measures
   Appendix 3: Checklist for Public Health Unit for Investigation and Management of Outbreaks
   Appendix 4: Respiratory Outbreak Line Listing - Residents ONLY
   Appendix 5: Part A Respiratory Outbreak Line Listing Form - Staff ONLY
   Appendix 6: Influenza & Pneumococcal Immunisation Survey
   Appendix 7: Sample Collection Guide*
   Appendix 8: Guidelines for Taking Nasal and Throat Swabs
   Appendix 9: Respiratory outbreak transfer notification
   Appendix 10: Visitor Restriction Sign - Facility
   Appendix 11: Visitor Restriction Sign - Room
   Appendix 12: Antiviral medications for treatment and prophylaxis of influenza
   Appendix 13: Respiratory illness/Influenza outbreak alert letter to RCF Manager
   Appendix 14: Respiratory illness/Influenza outbreak alert letter to medical practitioner
   Appendix 15: Glossary and List of Abbreviations