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NOROVIRUS AND MRSA

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Men who have Sex with Men. 29. MRSA Risk Factors. Previous MRSA Infection/Colonization ... Shower after working out. Keep cuts and abrasions clean and covered ... – PowerPoint PPT presentation

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Title: NOROVIRUS AND MRSA


1
NOROVIRUS AND MRSA
  • (METHICILLIN RESISTANT STAPH AUREUS)

2
Great Escape Lodge Indoor Water Park
  • NEARLY 400 GUESTS BECAME ILL AT
  • SIX FLAGS GREAT ESCAPE LODGE INDOOR WATERPARK
    IN QUEENSBURY, NEW YORK.

3
Great Escape Lodge Indoor Water Park
  • People were getting sick within 4 hours of
    checking-in.
  • So many people were vomiting, the resort ran out
    of towels.

4
Great Escape Lodge Indoor Water Park
  • New York officials linked the Great Escape to the
    illnesses of nearly 200 people.
  • More than 300 called the hotline to report
    symptoms of diarrhea and vomiting after visiting
    the resort

NOROVIRUS IS SUSPECTED
5
University of Connecticut Sorority
  • 30 Sorority Women were treated at the Univ. of
    Conns infirmary after dining at the nearby Adams
    Mill Restaurant.

NOROVIRUS IS SUSPECTED
6
Villanova University
  • Outbreak of gastrointestinal illness
  • More than 100 students became sick January 23rd.
  • Most recovered on their own, however, some
    required intravenous fluids.

NOROVIRUS IS SUSPECTED
7
Two Schools in New Jersey
  • Sandwiches supplied to two schools caused illness

NOROVIRUS IS SUSPECTED
8
Royal Caribbean Cruise Ship
  • One passenger unleashed Norovirus that sickened
    116 passengers.
  • Ship returned to port and underwent deep
    cleansing decontamination.

NOROVIRUS IS SUSPECTED
9
  • WHAT IS
  • NOROVIRUS?

10
Norovirus is
  • A common cause of food poisoning
  • Belongs to a group of viruses
  • Causes severe inflammation of the
    gastrointestinal tract (stomach flu)
  • Strikes quickly, feel very sick
  • Runs its course usually within 1-2 days.

11
Symptoms of Norovirus
  • Nausea
  • Vomiting
  • Diarrhea (not bloody)
  • Abdominal cramping
  • Fever, if present, is low-grade
  • Dehydration is main complication especially
    infants and the elderly.

12
Spreading Norovirus
  • Primarily from one infected person to another (by
    the fecal-oral route)
  • Kitchen workers can contaminate a salad or
    sandwich as they prepare it
  • Fishermen can contaminate oysters
  • Norovirus infection has become a genuine plaque
    on cruise ships.

13
Are Noroviruses Contagious?
YES !
  • Extremely contagious
  • Spreads easily from person to person
  • Take particular care of children in diapers with
    diarrhea.

14
How Long are People Contagious?
  • From the moment they begin feeling ill to at
    least 3 days after recovery
  • Some may be contagious for as long as 2 weeks
    after recovery

USE GOOD HAND WASHING PRACTICES AND OTHER
HYGIENIC PRACTICES AFTER RECOVERING FROM
NOROVIRUS
15
How Do People Become Infected with Noroviruses?
  • By eating food or drinking liquids that are
    contaminated with Norovirus
  • Touching surfaces or objects and placing their
    hand in their mouth
  • Direct contact with another person who is
    infected

16
How Do People Become Infected with Noroviruses?
  • Day-Care Centers and Nursing Home employees
    should pay special attention to children or
    residents who have Norovirus illness.
  • The virus is very contagious and can spread
    rapidly throughout such environments.

17
How Serious is Norovirus?
  • No long-term health effects
  • People feel very sick vomit for 1 or 2 days
  • May be unable to drink enough liquids to replace
    lost liquids
  • Dehydration may require medical attention

18
Community Associated Methicillin-Resistant
Staphylococcus Aureus Infections
  • (CA-MRSA or MRSA)

MRSA Magnified 20,000 x
19
Staphylococcus Aureus
  • Bacteria commonly carried on the skin or in the
    nose
  • 25-30 population is colonized with staph
  • Cause of infections
  • Minor (skin and soft tissue)
  • Major infections (blood, pneumonia, surgical
    site)
  • Staph is the most common cause of skin infections

20
Methicillin Resistant Staphylococcus Aureus- MRSA
  • The staphylococcus bacteria has developed
    resistance to antibiotics that are normally used
    to treat infections (methicillin, oxacillin,
    penicillin, amoxacillin)
  • 1 population is colonized with MRSA

21
Reported Outbreaks of MRSA
  • Close-contact sports
  • Football
  • Wrestling
  • Rugby
  • Soccer
  • Fencing
  • Correctional Facilities
  • IV drug-users
  • Military Bases
  • Daycare Facilities

22
Risk factors for the spread of MRSA
  • Close skin-skin contact
  • Openings in the skin such as cuts or abrasions
  • Exposure to contaminated items or surfaces
  • Crowded living conditions
  • Poor hygiene

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MRSA Modes of Transmission
  • HANDS which become contaminated by contact with
  • Colonized or infected individuals
  • Contaminated devices, items, or environmental
    surfaces
  • Direct skin-to-skin contact

28
CA-MRSA Risk Groups
  • Children
  • Daycare (attendees/care givers/family members)
  • Elementary School (attendees/teachers/family
    members)
  • Residential School for Developmentally Delayed
    (attendees/teachers/care givers)
  • Athletes (high school and college)
  • Football
  • Wrestling
  • Other fencing, kayaking, etc.
  • Prison Inmates
  • Jail
  • Prison
  • Military Recruits
  • Homeless Individuals
  • Injecting Drug Users
  • Men who have Sex with Men

29
MRSA Risk Factors
  • Previous MRSA Infection/Colonization
  • Close skin-to-skin contact
  • Breaks in skin (cuts, abrasions, skin disease,
    surgical sites)
  • Contaminated items and surfaces
  • Crowded living conditions
  • Inadequate personal hygiene

30
This is not a Spider-bite!
31
This is a Spider bite (Brown Recluse)
32
MRSA Prevention- Athletics
  • Keep hands clean (soap water or alcohol-based
    hand sanitizer), especially after contact with a
    wound
  • Shower after working out
  • Keep cuts and abrasions clean and covered until
    healed
  • Discard used bandages and tape in garbage
  • Avoid contact with other peoples wounds
    bandages
  • Avoid sharing personal items (towels, washcloths,
    bar soap, razors, balms, lotions, clothing,
    uniforms, equipment)
  • Use barrier between skin and shared equipment

33
MRSA Prevention (2)-Athletics
  • Clean and disinfect shared items, equipment,
    surfaces between use with
  • Soap and warm water
  • Bleach
  • Lysol
  • Wash clothes, towels, sheets with warm/hot water
    and laundry detergent
  • Dry clothes, towels, sheets in a hot dryer (no
    air-drying)
  • Report persistent draining, non-healing wounds
  • Infected individual should refrain from public
    contact (no school, no sports, no common areas)
    if wound drainage cannot be contained under a
    bandage

34
Prevention is Primary
1
Protect patientsprotect healthcare
personnel promote quality healthcare!
35
Hand Hygiene
  • Turn on the water slowly do not use hot water
  • Apply soap to the hands and wrists
  • Vigorously rub hands in a rotary motion paying
    special attention to between fingers, knuckles
    and nails
  • Wash hands for a minimum of 15 seconds
  • Hold the hands and wrists down under the running
    water allowing the water to rinse
  • Dry hands using a single paper towel
  • Use the paper towel to turn off faucet
  • Discard paper towel

36
When to Wash Hands
  • Before going off duty
  • Before and after performing a bodily function
    i.e. tissue, contact with the face, contacts,
    hair, use of toilet
  • Before preparing, serving, or eating food
  • Before preparing or administering medicine
  • After direct or indirect contact with patient
    excretions, secretions, or blood even if with
    gloves
  • After removal of gloves
  • When hand are visibly soiled.

37
Once Infected With MRSA, Prevent the Spread
  • Cover the wound
  • Clean the hands
  • Do not share personal items (towels, soap, razor,
    tweezers, clothing)
  • Notify new or additional healthcare providers of
    the history of MRSA

38
Infection Control in Recreation Areas
  • Do not share towels, soap, ointments, or other
    personal items.
  • Shower after participating in
    close-contact skin-to-skin activities.

39
MRSA (School) Website
http//www.health.state.mn.us/divs/idepc/diseases
/staph/materials.htmlschool
40
This Children's Environmental Health presentation
was made possible through a grant from The Dow
Chemical Company Foundation
41
Credits
  • Charles Lichon, R.S., M.P.H., Creator of
    Childrens EH Program, Midland County Health
    Department (CHD) Michigan
  • Nancy Atwood, M.S., Midland CHD (MI) Sanitarian
  • Christine Rogers, Meth Response Coordinator,
    Kalamazoo CHD, MI
  • Robert Wolfe, R.S., Midland CHD (MI) Sanitarian
  • John Demerjian and Linda Van Orden, Wayne CHD,
    MI, Body Art
  • National Environmental Health Association
    (NEHA.org) for website storage and oversight.

NOTE Permission to use this and all Childrens
EH Power Point presentations is granted thru
NEHA, however, all grant and credit notices and
informational slides must be used during each
presentation.
42
Other presentations include
  • Body Art
  • Careers in Environmental Health
  • Food Safe Issues
  • Household Hazardous Waste
  • Meth Teens
  • Recreational Water
  • Sun Wise
  • Norovirus MRSA

Contact NEHA.org for more information
43
For more Information about this presentation,
contact (Local Health Dept Name here)
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