by vox_mundi » Sat 20 Sep 2014, 12:03:29
d - sounds like it was a good party
odds and ends from the ether
CIDRAP – Center for Infectious Disease Research and Policy suggest respirators for all Ebola healthcare workers – aerosol transmissibility of virus in questionhttp://www.cidrap.umn.edu/news-perspect ... tion-ebola$this->bbcode_second_pass_quote('', '.')..We believe there is scientific and epidemiologic evidence that Ebola virus has the potential to be transmitted via infectious aerosol particles both near and at a distance from infected patients,
which means that healthcare workers should be wearing respirators, not facemasks. The minimum level of protection in high-risk settings should be a respirator with an assigned protection factor greater than 10. A powered air-purifying respirator (PAPR) with a hood or helmet offers many advantages over an N95 filtering face-piece or similar respirator, being more protective, comfortable, and cost-effective in the long run.
Hospital viability during a pandemic outbreakhttp://cgsc.contentdm.oclc.org/utils/ge ... singleitem$this->bbcode_second_pass_quote('', '[')b]The Utilization of Military and Contractor Security During a Pandemic
Another issue and secondary research question is should either the military or private security be utilized to augment security at hospitals during a pandemic? The simple answer is yes, based upon the incidences found in the case studies and DOD policy in the literature review.
The case studies noted contracted security with automatic weapons standing at the front of hospitals in Mexico as a show of force during the initial panic of the 2009 H1N1 swine flu outbreak (Penhaul 2009).
• Employ armed security guards at the entrance of the facility to assist in guiding patients, providing face masks, issuing badges, and checking for contraband or weapons
• Employ armed security guards at the pharmacy to protect the limited stocks of medications used during a PI outbreak
• Employ armed security in the Emergency Department, especially if utilizing another entrance for influenza patients
Privatized paramilitary security contractors may be an alternative to the National Guard or active duty forces if they are not available for service. Contracts should be made prior to a pandemic occurring to ensure availability of contractors when needed.
Military forces also have the mission to provide security during a large-scale vaccination program entailing transportation, distribution, and security of the hospitals or clinics providing the mass vaccination. The final mission tasked to the military is to restore order in the case of civil instability (Department of Defense 2006). A moderate to severe pandemic will require the use of private contractors or military to secure medications, vaccinations, and provide much needed security during certain operations.
Logistics During a PandemicAs the study indicated in the comparative case study matrix, it is suggested hospitals stockpile a minimum of eight weeks of consumable supplies prior to the occurrence of a pandemic (Avery et al. 2008).
This is contrary to the recent business practice, which minimizes supply inventories to cut costs called ―just in time logistics. Some institutions will need to revamp their strategic plans enabling them to make the suggested logistical preparations.