As a part of this program we invited Mrs. Siew Stielow and made a lecture meeting.

She is working as ICN in Australia now and used to work a member of WHO when outbreak of SARS in China 2003.

Date:15^th/Dec/Tue./09 14:00～16:00

Place: Fukuoka satellite classroom in Across (Fukuoka city)

Subject:

1. The report of ICN activities in Japan

Kurume university hospital infection control department

Certified infection control nurse :Miss Kawano

2.Present conditions and the future of ICN activities in Australia

- Australia and international ICN -

Mrs. Siew Stielow Infection Control Consultant,Radiation Safety Officer 

The Royal Victorian Eye & Ear Hospital ,Australia

3.About Infection Control Nurse(ICN) training program

 Kurume University Graduate school medical research department master's course Medical department nursing department Professor Mihashi

Total participants:19

Influenza A-H1N1 (Human swine flu)

It is A new virus,has never before circulated among humans, not related to previous or current human
seasonal influenza viruses, and the place of origin of the virus is unknown.

How do you protect yourself ?

• Avoid touching your mouth and nose
• Regular hand hygiene – soap & water or alcohol-based hand rub
• Avoid close contact with people who might be ill (maintain a distance of approx 1 m)
• Reduce time spent in crowded settings
• Improve airflow in your living space
• Practise good health habits including adequate sleep, eating nutritious food, keep physical activity
• Vaccination

Hand Hygiene

It’s a single most important measure to prevent spread of infection

Routine Hand washing

• Wet hands thoroughly
• Lather with soap vigorously
• Rubbing hands together for at least 10-15 seconds
• Rinse under running water 
• Pat dry using paper towel

  
  

  Alcohol-based Hand rub
  

Personal experience working as a WHO short-term consultant

～SARS: Number of current probable cases in China as of 27 June 2003～

SARS Surveillance Case detection

Strategies for case detection and control

• Fever clinics
• Monitoring returnees – those return from affected areas quarantined & monitored stay in their home, temp taken
• Transportation centers – Airport etc Forms to be completed & temp taken

  
  
  

Infection Control in Hospitals

• Training – to all staff. Special training to HCWs* (doctors, nurses, cleaners) working
    with potential SARS patients

  *Health Care Workers

• Guidelines – strong commitment & strict compliance. Very detailed & complicated
• Safety Inspection – one person to check proper use & wearing of PPE
• Isolation Unit – Separate with single rooms, some have hand basin and toilet.
  
• Lack of exhaust fans in rooms. No neg pressured rooms

Personal Protective Equipment

Follow National Guidelines – wearing mask, gowns, gloves, head cover, shoe cover & goggles
 multiple layers of protective clothing, masks and gloves.

Lack of highly protective masks, including those working with ventilated patients.

No N95 mask

Hand Hygiene

Hand washing and drying facility - inadequate   

Hand washing practices- failure to change gloves and gowns and wash hands between visits to different patients

- HCWs soaked gloved hands in disinfectant

Use of Disinfectant - Excessive

Use for spraying

- Isolation rooms, surfaces, floor, floor mats etc
Use for soaking- hands, boots, faces, urine, mops, mask, linen etc

Decontamination of Hospital Environment

• using disinfectant spray
  
• air purification unit
• ultra-violet light
  

Staff Quarantine

Working staff in the SARS isolation units are required to remain isolated in a special residence after finishing their shifts and for 15 days after completing their tours of duty.

Mainly she made a speech about new style of influenza (A H1N1) and activities in SARS.

They had a lively discussion about activities at WHO or medical organization of each country.

• It was good to learning about measures of the out break and epidemiology.
• It was plain about activity of WHO.
  I'm interested in about the medical system of each country .
• It was comprehensible that same measures at the SARS outbreak and new influenza.