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May stop additional isolation when:
Continue until discharge. Consider transfer to Fort
Detrick or other level 4 isolation facility.
Symptoms
Febrile illnesses complicated by bleeding, petechiae, hypotension,
and shock, flushing of face and chest, edema, malaise, myalgias,
headache, vomiting, and diarrhea.
Comments:
Disease with the category include: Ebola, Marburg, Lassa Fever, Bowian,
and Argentine as well as Rift Valley Fever. Wear scrubs, gown and
apron (plastic), 2 pair of gloves (double), mask, boots (rubber, 12”
high), hat, and eye protection (additional from eye glasses).
Use dedicated equipment and DO NOT share equipment. Cover mattress with
plastic sheeting. Do not reuse needles or single use medical
equipment. Clean the room and environmental surfaces with 10% bleach.
Consider dedicated laboratory or equipment.
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Incubation Period
See individual organism/disease: Ebola and Marburg (3-16 days),
Lassa (15-16 days), Argentine/Bowian (14-17days), and Rift Valley
(2-5 days)
Period of Communicability
Duration of illness
Cohort (Inf. with Inf./Exp. with Exp./Non-Exp. with Non-Exp.)
Yes, consider cohorting personnel also
Transport Issues
Patient should wear a mask, transport personnel with barrier precautions. Clean
transport equipment with 10% bleach solution. Transport of
specimens per BL4 guidelines, double bagged; outer bag rinsed with .6% NaOH.
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Who’s susceptible
General
Who’s exposed
Those in contact with infected secretions and blood
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Exclusion of symptomatic personnel from duty
Yes, until fit to work.
Exclusion of exposed susceptible personnel from duty
Yes
Isolation of exposed susceptible asymptomatic patients
No, put on fever watch.
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Prophylaxis for exposed
None
Treatment for ill
Supportive therapy, Ribavirin 30 mg/kg IV q8 x 6 days (treatment for Lassa Fever Only).
Military/Institutional Populations Special Issues
Consider biowarfare, inform chain of command
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