Travel and transport risk assessment Interim guidance for public health authorities and the transport sector September   World Health Organization  All rights reserved

Travel and transport risk assessment Interim guidance for public health authorities and the transport sector September World Health Organization All rights reserved - Description

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Travel and transport risk assessment Interim guidance for public health authorities and the transport sector September World Health Organization All rights reserved

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country territory city or area o

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Travel and transport risk assessment Interim guidance for public health authorities and the transport sector September World Health Organization All rights reserved




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Travel and transport risk assessment: Interim guidance for public health authorities and the transport sector September 2014  World Health Organization 2014 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent appr oximate border

lines for which there may not yet be full agreement. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed wi thout warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. WHO/EVD/Guidance/ TravelTransportRisk /14.1
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Travel and transport risk assessment: Interim guidance for

public health authorities and the transport sector This document is an update to the WHO document dated 21 April 2014 Travel and transport risk assessment: guidance for public health authorities and transport sector . 1. Background x

ds W x W x d x / D s 2. Emergency committee recommendations x An Emergency Committee for Ebola, convened 8 August 2014, under the International Health Regulations (2005), concluded that: x d

t ^ x d x x dt,K

'tW,

/W,/ 3. R isk of EVD for different groups d
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d

d

d d d s W There is a possibility that a person who has been exposed to Ebola virus and developed symptoms may board a commercial flight or other mode of transport, without informing the transport

company of his/her status. Such patients should seek immediate medical attention upon arrival, and then be isol ated to prevent further transmission. Although the risk to fellow travellers in such a situation is very low, contact tracing is recommended in such circumstances. ,

d

;s d 4. Guidance for public health authorities and transport sectors ' Z d s

s / d x x x
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x d s Template message for travellers x Infection occurs through contact with blood body fluids or tissues of an infected symptomatic person or by contact with contamin ated objects. x Persons who come into direct contact with an infected symptomatic person or

infected animal are at risk. x Avoid all contact with blood body fluids , and tissues of sick people, even after their death. x Do not handle items that may have been in contact with an infected person x Symptoms include fever, weakness, muscle pain, headache and sore throat. This is followed by vomiting, diarrhoea, rash, and in some cases, bleeding. x Cases of Ebola have recently been confirmed in Guinea, Liberia, Nigeria , Senegal and Sierra Leone. In these countries, care should be taken to avoid infection by EVD. x Simply being in proximity to a healthy looking person (for example, in a

public transport conveyance) does not constitute a risk. x There is no approved vaccine. x Practi e careful hygiene especially hand hygiene with an alcohol based hand rub solution (hand sanitizer), if available, and with soap and water when hands are visibly soiled. Practise hand hygiene especially before touching eyes, nose or mouth, and afte r using the toilet or touching objects at high risk of being contaminated . x If you stayed in the areas where Ebola cases have been recently reported seek immediate medical attention if you feel ill (fever, headache, achiness, sore throat, diarrhoea,

vomiti ng, stomach pain, rash, or red eyes). Early treatment improves the chance of recovery
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Z , s s / K x d

d

> x d x

W

;D x D x / D KEKE & W /s x

s x s
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x

s x x ^

,

s

;t,K

//W'W^

&, &, ^& d

s

hE / ^,

s '

t,KȽ

47;s ss
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Z^ ^



sd s

s s

ds ^ d

s ^ ' E



s See : c ase definition recommendations for Ebola or Marburg Virus Diseases at http://www.who.int/csr/resources/publications/ebola/ebola case definition contact en.pdf?ua=1&ua=1 ICAO passenger locator form Annex 9 Appendix 13 http://www.icao.int/safety/aviation medicine/Pages/guidelines.aspx
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/K /K /K

/,Z/K /

s /

d/d s

/

/ K d d / /K
Page 9

/Kᚿ

8;/K ,Z W^Z /d K^^D d

/ s

s d x W d x W x ^ ^

d t,K

//W

'W^&,

7616;& , ^&
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10 / / /K W

W d s Z / outbreaks of communicable disease http://www.aci.aero/About ACI/Priorities/Health/Documentation /d http://www.iata.org/whatwedo/safety/health/Docume nts/health guidelines cabin crew

2011.pdf /d http ://www.iata.org/whatwedo/safety/health/Documents/health guidelines cleaning crew.pdf /K,WE^

D^ ' http://www.capsca.org/CAPSCARefs.html t,K',^ http ://www.who.int/water_sanitation_health/publications/aviation_guide/en/
Page 11
11 ' Z



s s /

s s t,K

//W'W

^&,& , ^ & >

/
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12

h ^ ^

/

/ W /s

ds W

D ,

/,ZD/,Z^

/,Z
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13 Z Interim WHO Technical advice for case management of pandemic (H1N1) 2009 on ships. World Health Organization; 2009. http://www.who.int/csr/resources/publications/swineflu/cp011_2009_1029_who_guidance_H 1N1_ships.pdf?ua=1 Guide to ship sanitation. 3rd ed. Geneva: World Health Organization; 2011 http://www.who.int/water_sanitation_health/publications/2011/ship_sanitation_g uide/en/ International Health Regulations (2005): Handbook for inspection of ships and issuance

of hip sanitation certificates. Geneva: World Health Organization; 2011 http: //www.who.int/ihr/publications/handbook_ships_inspection/en/ International Medical Guide for Ships: including the ship's medicine chest. 3rd ed. Geneva: World Health Organization; 2010 http://whqlibdoc.who.int/publications/2010/9789241547994_eng.pdf Interim Infection Prevention and Control Guidance for Care of Patients with Suspected or Confirmed Filovirus Haemorrhagic Fever in Health Care Settings, with Focus on Ebola. World ealth Organization; 2014. http://www.who.int/csr/resources/who ipc guidance ebolafinal

09082014.pdf?ua=1 Ebola haemorrhagic fever. WHO Fact sheet No 103 . Apr2014 . http://www.who.int/mediacentre/factsheets/fs103/en/