Incident Management & Emergency Response
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Questions and Answers

Which of the following is the MOST accurate description of the Incident Management System (IMS)?

  • A resource allocation system focused on financial aspects of incident response.
  • A communication network exclusively for large-scale emergency alerts.
  • A standardized approach defining roles, responsibilities, and procedures for managing incidents. (correct)
  • A system for tracking the movement of emergency response personnel during an incident.

Why is a functional Public Health Emergency Operations Center (EOC) considered an important component of emergency preparedness?

  • It's main purpose is to handle long-term recovery efforts after a public health crisis has subsided.
  • It serves primarily as a media briefing location during public health crises.
  • It is responsible for lobbying and influencing public health policy.
  • It centralizes coordination and resources for prompt and effective responses to public health emergencies. (correct)

Which factor MOST influences the composition and number of members in a Rapid Response Team (RRT)?

  • The political affiliation of the local governing body.
  • The pre-determined budget allocated to the RRT annually.
  • The availability of volunteers within the local community.
  • The type of emergency, level of risk, available resources, and geographic coverage area. (correct)

In the context of emergency response, what is the primary reason for ensuring the Rapid Response Team (RRT) is multifunctional?

<p>To ensure the RRT can effectively address diverse challenges and adapt to changing situations. (A)</p> Signup and view all the answers

Which of the following is NOT a typical consideration when assessing an event that may require a public health response?

<p>The current stock prices of pharmaceutical companies. (C)</p> Signup and view all the answers

What characterizes an 'unusual or unexpected' event in the context of public health surveillance, meriting further investigation?

<p>An event that deviates significantly from established patterns or expectations. (D)</p> Signup and view all the answers

When assessing if an event warrants a public health response, what is the significance of determining if the event involves 'a risk of spread from animals to humans'?

<p>It helps determine if a novel disease transmission pathway is present, posing a great risk to public health. (A)</p> Signup and view all the answers

Why is it important to consider whether an event has occurred in the past year when deciding if an event warrants a public health response?

<p>Recurrence indicates gaps in response and control measures, necessitating improvements. (B)</p> Signup and view all the answers

Which of the following is the MOST critical step that precedes the selection of personal protective equipment (PPE)?

<p>Conducting a thorough risk assessment. (B)</p> Signup and view all the answers

Why is it inappropriate to use a 0.5% chlorine solution for bare hand hygiene?

<p>It can cause skin irritation and damage without proper dilution. (B)</p> Signup and view all the answers

Which factor MOST significantly affects the usability of chlorine solution beyond 48 hours after preparation?

<p>Decrease in concentration, reducing its effectiveness. (B)</p> Signup and view all the answers

During an investigation, what is the initial action that a field investigator should prioritize when following good sample collection steps?

<p>Protecting oneself from potential hazards. (A)</p> Signup and view all the answers

In the context of emergencies, what differentiates Psychological First Aid (PFA) from conventional psychological interventions?

<p>PFA focuses on immediate support and does not involve in-depth analysis. (D)</p> Signup and view all the answers

Which statement is most accurate regarding the information provided to Rapid Response Team (RRT) members before deployment?

<p>The RRT manager provides some information, but RRT members also need to seek additional details. (B)</p> Signup and view all the answers

Why is it crucial for RRT members to gather information on the area of deployment concerning weather, culture, food, and security?

<p>To ensure personal well-being and operational effectiveness. (C)</p> Signup and view all the answers

What is the main purpose of the SITREP (Situation Report) developed during pre-deployment?

<p>To provide a comprehensive overview of all available information at a specific point in time. (C)</p> Signup and view all the answers

Which of the following is the LEAST likely topic to be covered in a pre-deployment briefing for a Rapid Response Team (RRT)?

<p>Personal financial planning advice. (A)</p> Signup and view all the answers

Why is it important to discuss current and previous interventions during the pre-deployment briefing?

<p>To avoid duplicating efforts and build upon existing strategies. (C)</p> Signup and view all the answers

How does discussing the expected reporting mechanism during the pre-deployment briefing contribute to the mission's success?

<p>It ensures timely and accurate communication within the team and with headquarters. (C)</p> Signup and view all the answers

What is the primary reason for including indicators and metrics by sector (epidemiology, laboratory, WASH, etc.) in the pre-deployment briefing?

<p>To establish benchmarks for measuring the impact of the Rapid Response Team's (RRT) interventions. (D)</p> Signup and view all the answers

Why is it important to introduce and train team members on standardized tools, including case investigation forms and analytic software, during pre-deployment?

<p>To ensure data consistency and comparability across different team members and deployments. (C)</p> Signup and view all the answers

During an outbreak investigation, what is the primary reason for constructing a case definition?

<p>To standardize the criteria for identifying and classifying cases. (D)</p> Signup and view all the answers

What is the primary purpose of performing descriptive epidemiology during an outbreak investigation?

<p>To characterize the outbreak in terms of person, place, and time. (C)</p> Signup and view all the answers

In the context of outbreak investigations, which activity is least likely to be an objective?

<p>Raising funds to implement response measures. (D)</p> Signup and view all the answers

Why is the early detection of new cases considered important in managing outbreaks?

<p>It facilitates the isolation of cases, minimizing exposure to others. (D)</p> Signup and view all the answers

Following the identification of contacts during an outbreak, for what duration should contact monitoring typically be pursued?

<p>For the maximum incubation period of the disease from the <em>last</em> day of contact with a case. (B)</p> Signup and view all the answers

What elements are considered essential components of a comprehensive case definition during an outbreak investigation?

<p>Time, person, place. (B)</p> Signup and view all the answers

What should be verified before the outbreak investigation?

<p>Verify the diagnosis and confirm if the outbreak exists. (A)</p> Signup and view all the answers

What should be considered when preparing for fielwork?

<p>Construct a case definition. (B)</p> Signup and view all the answers

Why is community involvement crucial in developing health and response practices?

<p>To ensure practices are acceptable and appropriate for the community. (D)</p> Signup and view all the answers

What is the PRIMARY role of effective risk communication during a public health emergency?

<p>To disseminate complex scientific information in an understandable and trustworthy manner. (B)</p> Signup and view all the answers

During a disease outbreak, what is the MOST important reason for collecting and analyzing epidemiological data?

<p>To inform decision-making and implement timely infection control measures. (B)</p> Signup and view all the answers

Which of the following is the MOST comprehensive goal of Infection Prevention and Control (IPC) practices?

<p>Protecting healthcare workers, patients, and the broader community from the spread of infection. (D)</p> Signup and view all the answers

When is using an alcohol-based hand rub the preferred method of hand hygiene?

<p>When hands are not visibly soiled. (A)</p> Signup and view all the answers

What is the recommended duration for effective handwashing with soap and water, according to WHO guidelines?

<p>40-60 seconds, following all 11 steps of the WHO handwashing technique. (A)</p> Signup and view all the answers

How can NGOs inadvertently complicate data management during public health emergencies?

<p>By using incompatible data collection methods, creating new data sources. (B)</p> Signup and view all the answers

During an outbreak investigation, what is the MOST strategic approach to data collection?

<p>Focusing on collecting only essential and relevant data to answer specific investigation questions. (D)</p> Signup and view all the answers

Which of the following statements best describes the relationship between the International Health Regulations (IHR) and Integrated Disease Surveillance and Response (IDSR)?

<p>The IHR and IDSR share the common goal of detecting, confirming, and reporting public health events for timely response, irrespective of their origin. (C)</p> Signup and view all the answers

Under the International Health Regulations (IHR), which set of diseases always require mandatory notification to the WHO?

<p>Polio (wild type virus), Smallpox, Human influenza caused by a novel virus, and SARS. (B)</p> Signup and view all the answers

A novel respiratory illness is spreading rapidly across multiple countries. According to the International Health Regulations (IHR), which combination of factors would necessitate the notification of this event to the WHO?

<p>Unusual and unexpected event, potential for international spread, risk of travel/trade restrictions, and likely serious public health repercussions. (A)</p> Signup and view all the answers

A cluster of severe pneumonia cases with an unknown etiology is identified in a major international airport. Several affected individuals have recently traveled from different countries. Which IHR decision instrument question is most critical in determining whether this event requires immediate notification to the WHO?

<p>Does the event involve a risk of international spread? (B)</p> Signup and view all the answers

Imagine a scenario where a new, highly contagious disease is discovered in a remote region with limited international travel. While the disease is severe, it appears contained. Which of the following considerations is LEAST relevant when deciding whether to notify this event to the WHO under the International Health Regulations (IHR)?

<p>The perceived impact on the region's tourism industry. (A)</p> Signup and view all the answers

Country X is experiencing an outbreak of a novel influenza strain that is resistant to all known antiviral medications. The disease is rapidly spreading, causing severe respiratory illness and death, particularly among vulnerable populations. Which factor should be given the LEAST consideration when determining if this event should be notified to the WHO under the IHR?

<p>The limited availability of hospital beds in the affected region. (B)</p> Signup and view all the answers

Following a natural disaster, a country experiences a surge in cases of waterborne diseases such as cholera and typhoid. The affected area is isolated, and international aid organizations are providing assistance. Considering the key questions for IHR notification, which scenario would necessitate immediate reporting to the WHO?

<p>If the surge in cases threatens to overwhelm local healthcare capacity, with a potential risk of spread to neighboring countries. (D)</p> Signup and view all the answers

A research laboratory accidentally releases a genetically modified strain of bacteria that exhibits resistance to all known antibiotics. Initial reports indicate the bacteria is highly contagious. Which aspect related to the key considerations for IHR notification is LEAST relevant in determining whether to report the event to the WHO?

<p>The laboratory's prior safety record and compliance with regulations. (B)</p> Signup and view all the answers

Flashcards

Incident Management System (IMS)

A system defining roles, responsibilities, and procedures for managing incidents.

IMS Applicability

Used for incidents of all sizes, not just large-scale ones.

Emergency Operations Center (EOC) Role

Coordinates resources and decision-making during emergencies.

Functional Public Health EOC

To promptly and effectively respond to public health risks and emergencies

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Rapid Response Team (RRT) member

Is multifunctional and a member can play any role in the team.

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RRT Size and Composition

Depends on the type of emergency, level of risk, resources, and geographic coverage.

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IHR & IDSR Objectives

The objectives of IHR and IDSR are to detect, confirm, verify, notify, and report public health events for timely response, regardless of the source.

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IHR Mandatory Notifications

The IHR requires immediate notification to WHO of events involving polio (wild type virus), smallpox, novel human influenza, and SARS.

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Serious Public Health Repercussions

The public health event likely has serious repercussions for public health.

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Unusual or Unexpected Public Health Event

The event unusual or unexpected.

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Risk of International Spread

The event involves a risk of international spread.

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Risk of Travel/Trade Restrictions

The event involves a risk of travel or trade restrictions.

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International health regulation

A framework to help countries work together to save a country.

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Integrated Disease Surveillance and Response

A framework designed to strengthen countries’ capacity for disease surveillance.

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Who provides situation information to RRT members?

False. RRT members are responsible for gathering information about the deployment area.

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What does planning arrival involve?

Planning and organizing life at the point of arrival, considering weather, culture, food, and security.

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What is a SITREP?

A situation report including information available at the time of pre-deployment.

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What 'data' is included in the pre-deployment brief?

Latest, even crude, data.

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What 'interventions' are discussed in a pre-deployment brief?

Current or previous interventions.

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What are the 'objectives' discussed in a pre-deployment brief?

Objectives for the mission.

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What are the reporting expectations discussed?

Expected reporting mechanisms (team, HQ, etc.).

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What 'indicators' are discussed?

Indicators/metrics by sector (epidemiology, lab, WASH, etc.).

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Standard Precautions

Practices used regardless of suspected or confirmed infections; treat all patients as potentially infectious.

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PPE Risk Assessment

Evaluating hazards to select appropriate protective gear.

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Waste Disposal Methods

A method to decontaminate and safely dispose of waste materials.

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Emergency Psychological Distress

Common reactions to emergencies include anxiety, disturbed sleep, anger, guilt, and inability to care for oneself or children.

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Psychological First Aid (PFA)

Providing compassionate support and practical assistance to those affected by a crisis.

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Community Involvement in Health Practices

Communities should actively participate in shaping health practices and response strategies.

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Effective Risk Communication

Effective risk communication transforms complex scientific information into understandable, accessible, and trustworthy content for the public.

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Risk Communication During Crisis

During crises, it enables informed decisions to protect individuals and their communities.

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Importance of Data Management

Provides epidemiological data for decision-making and helps implement infection prevention measures early.

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New Data Sources during Emergencies

Public health emergencies often create multiple data sources due to the presence of various organizations.

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IPC Goals

Protecting healthcare workers, patients, and the community.

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Hand Hygiene with Alcohol

Hand hygiene should be performed with an alcohol-based formulation when hands are not visibly soiled.

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Hand Hygiene Procedure

Regularly and thoroughly wash with soap and water according to the WHO 11 steps for 40-60 seconds.

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Prepare for Fieldwork

Steps taken to get ready for going into the field to investigate a disease or outbreak.

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Confirm Outbreak

Confirm that there is indeed an outbreak occurring.

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Case Definition

A standard set of criteria for deciding who has the condition/disease of interest

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Systematic Case Finding

Looking for new cases in a methodical way, then recording details about them.

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Descriptive Epidemiology

Summarizing data by person, place, and time to understand the outbreak.

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Evaluate the Response

Judging how well the response efforts are working and making changes as necessary.

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Outbreak Case Definition

Incorrect. An outbreak case definition should not always include the suspected exposure.

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Early Case Detection

Finding new cases early to isolate them from communities, reducing exposure

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Study Notes

  • International Health Regulation (IHR) and Integrated Disease Surveillance and Response (IDSR) objectives converge to detect, confirm, verify, notify, and report public health events for timely response, irrespective of origin.
  • Under the International Health Regulation (IHR) framework, four diseases must always be notifiable: Polio (wild type virus), smallpox, human influenza caused by a new virus and Ebola virus.
  • When considering International Health Regulation (IHR) notification of public health events to WHO, a 'YES' answer should be given if the event is likely to have serious repercussions for public health and involves a risk of international spread or travel/traffic restrictions
  • The Incident Management System defines the roles, responsibilities of personnel, and operating procedures for managing incidents.
  • The Incident Management System can be used for both small and large-scale incidents.
  • Raising funds is not the primary role of an Emergency Operations Center.
  • A functional Public Health Emergency Operations Center is an important component for responding promptly and effectively to public health risks and emergencies.
  • A Rapid Response Team (RRT) is multifunctional and its members can play any role in the team.
  • The number of members and composition of a Rapid Response Team (RRT) depends on the type of emergency, level of risk, resources, and geographic coverage.
  • Rapid Response Teams (RRTs) are often coordinated from the operations section within the incident management system.
  • Personal safety is essential before taking care of others.
  • Occupational Health and Safety (OHS) measures need to be in place during all times not just outbreaks and emergencies.
  • Sexual exploitation includes any actual or attempted abuse of a position of vulnerability, differential power, or trust, for sexual purposes, including profiting monetarily, socially, or politically from the sexual exploitation of another.
  • Situations which constitute acts of Sexual Exploitation and Abuse may include unwanted touching of a sexual nature, making sex a condition for assistance, forcing sex, forcing someone to have sex with anyone, videotaping or photographing sexual acts and posting it without permission, name-calling with sexual epithets, and insisting on anything sexual, including jokes that may be uncomfortable, frightening, or hurtful.
  • The RRT manager at the Emergency Operations Center (EOC) or other entity deploying the Rapid Response Team (RRT) does not always provides to RRT members all the information they need about the situation in the area they will be deployed to.
  • Critical aspects of pre-deployment preparations include planning and organizing logistics at the point of arrival, gathering information on the area of deployment covering weather, culture, food, and security, and developing a SITREP that includes all available information at that time.
  • Pre-deployment briefing for a Rapid Response Team (RRT) may include latest available data, current/previous interventions, mission objectives, expected reporting mechanism, indicators/metrics by sector, standardized tools, current security situation, RRT safety considerations, and language/religion/traditional practices of the community
  • When a Rapid Response Team (RRT) is deployed, logistics aspects must be planned and prepared ahead of the deployment.
  • During emergencies, adequate logistics preparedness can significantly impact reducing mortality and morbidity.
  • Risk management is essential for managing health resources and response appropriately.
  • Rapid Risk Assessment (RRA) supports defendable and proportional decision making, especially where information is limited and uncertainty is high.
  • The Rapid Risk Assessment (RRA) is not conducted only at the onset of a public health event but throughout.
  • Assessing the cost of response operations is NOT a relevant step in the rapid risk assessment process.
  • Preparing for fieldwork is NOT part of the descriptive phase of an outbreak investigation
  • An outbreak case definition does not always include the suspected exposure.
  • Raising funds to implement response measures is NOT an objective of an outbreak investigation.
  • Early detection of new cases is important mainly because it facilitates isolation of cases from communities, thereby minimizing exposure to others.
  • Once contacts have been identified, contact monitoring is pursued for the maximum incubation period of the disease from the last day of contact with a case to observe development of any symptoms being monitored.
  • A case definition must include time, person, and place.
  • Communities must be involved as equal partners in developing acceptable and appropriate health and response practices.
  • Not only formal community leaders and influencers can help Rapid Response teams (RRTs).
  • Effective risk communication helps transform and deliver complex scientific information so that it is understood by, accessible to, and trusted by populations and communities.
  • In epidemics, pandemics, and humanitarian crises, effective risk communication allows people at risk to understand and make informed decisions to protect themselves and others.
  • Proper data management and routine data analysis is essential for providing epidemiological data facilitating timely response as it helps in decision making and implementing Infection Prevention and Control measures early.
  • During public health emergencies, the presence of local and international Non-Governmental Organizations (NGOs) generates new data sources which may make challenges.
  • During an outbreak, it is not always better to collect as much surveillance data as possible; focus on relevant data collection is key.
  • Infection Prevention and Control (IPC) major goals include protecting both healthcare workers, patients and the community.
  • Hand hygiene should be practiced by rubbing your hands with an alcohol-based formulation if hands are not visibly soiled.
  • The WHO 11 steps washing with soap and water for 40-60 seconds needs to be done to prevent the spread of infection.
  • Standard precautions are not the same as transmission-based precautions.
  • Risk assessment should be conducted before selecting Personal Protective Equipment (PPE).
  • 0.5% chlorine solution should not be used for routine hand hygiene.
  • Chlorine solution cannot be used for at least 48 hours after preparation.
  • The type of sample to be collected is not always known before going to the field for investigation.
  • Good sample collection steps include protecting yourself, collect sample, make it safe, and clean up.
  • Autoclave and incineration are effective methods of decontaminating and disposing of waste.
  • Psychological distress responses in emergencies may include anxiety, fear, disturbed sleep, nightmares, anger, guilt, shame, not being able to care for themselves or their children, and all of the above.
  • Psychological First Aid is an intervention that can be delivered by anyone.
  • Psychological First Aid does not include asking people to analyze what happened or put time and events in order.
  • Rapid Response Team (RRT) members can be psychologically affected when responding to an emergency.

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Questions about incident management, emergency preparedness, rapid response team composition, and public health surveillance. It covers factors influencing team structure and assessing events for public health.

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