Appendix D4: Threshold Determinants for the Use of Community Containment Measures
Supplement D: Community Containment Measures, Including Non-Hospital Isolation and Quarantine
Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Version 2/3
Parameter |
Variable |
---|---|
Epidemiologic parameters of the outbreak | Absolute number of cases
Rate of incident cases Number of hospitalized cases Number and percent of cases with no identified epidemiologic link Morbidity (including disease severity) and mortality Number of contacts under surveillance and/or quarantine |
Healthcare resources | Hospital/facility bed capacity
Isolation/negative pressure room capacity Staff resources Patient/staff ratio Number of isolated or quarantined staff Availability of specifically trained specialists and ancillary staff |
Equipment and supplies | Availability of ventilators
Availability of other respiratory equipment Availability of personal protective equipment and other measures Availability of therapeutic medications (SARS and non-SARS specific) |
Public health resources | Investigator to case and contact ratios
Number of contacts under active surveillance Number of contacts under quarantine Ability to rapidly trace contacts (number of untraced/interviewed contacts) Ability to implement and monitor quarantine (staff to contact ratio) Ability to provide essential services (food, water, etc.) |
Community cooperation, mobility and compliance | Degree of compliance with voluntary individual isolation
Degree of compliance with active surveillance and voluntary individual quarantine Degree of movement out of the community Degree of compliance with community-containment measures |
- Summary
- I. Rationale and Goals
- II. Lessons Learned
- III. Management of SARS Patients in Isolation
- IV. Management of Contacts of SARS Cases
- V. Community-Based Control Measures
- VI. Enforcement of Community Containment Measures
- VII. Roles and Responsibilities
- Appendix D1: Interventions for Community Containment
- Appendix D2: Frequently Asked Questions about Use of Community Containment Measures
- Appendix D3: Guidelines for Evaluating Homes and Facilities for Isolation and Quarantine
- Appendix D4: Threshold Determinants for the Use of Community Containment Measures
- Appendix D5: Preparedness Checklist for Community Containment Measures