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Severe Acute Respiratory Syndrome (SARS)

Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Version 2

Supplement D: Community Containment Measures, Including Non-Hospital Isolation and Quarantine

Appendix D4: Threshold Determinants for the Use of Community Containment Measures
May 3, 2005

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Threshold Determinants for the Use of Community Containment Measures

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

 

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