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Prepare physically and mentally before your mission. Stay updated with vaccinations and be well-informed to avoid diseases like Ebola. Follow specific precautions during your mission and report any health problems to the health referent. Ensure a healthy stay by avoiding incidents and staying focused. After your mission, participate in face-to-face debriefings and follow up for 21 days to stay healthy and prevent panic in case of fever. Stay close to identified reference hospitals and be cautious of Lassa Fever in endemic zones.
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STAFF HEALTH and EBOLA BEFORE – DURING – AFTER your mission: YOUR HEALTH IS AND MUST REMAIN YOUR PRIORITY
BEFORE your missionBE READY! PHYSICALLY MEDICAL ADVISE ALL VACCINATIONS UPDATED
BEFORE your missionBE READY! MENTALLY « Be rested, bewellinformed, foresee your return » Population not welcoming you Stigmatization Fear of beingcontaminated Schokingsymptoms Feeling to be a ‘drop in the ocean’ No treatment Familythinking corpses
BEFORE you go READ ALL THE BRIEFINGS DOCUMENTS !!!!! And… talk with your family and friends
DURING YOUR MISSIONSTAY HEALTHY: Avoidalldiseases (Ebola and not Ebola) No contact no handshakes - no kiss – no hug – no sex – no sharedobjects (glasses, plates…) – no…no … no one …. Clean water - food FollowSpecificprecautions PPE … Care givers/Patients flow…. Malaria prophylaxismandatory
SICK ON MISSION? ROLE OF HEALTH REFERENT HEALTH REFERENT IN EVERY PROJECT (Liaisewith Coordination and BXL) 24/7 « you‘ll all have someebolasymptoms » Report him/herallhealthproblems you have Report all ‘fluids’ incidents: yours and others’
DURING YOUR MISSIONSTAY HEALTHY !!MEDEVAC of Ebola positive NOT GUARANTEED!! • Evacuatebeforesymptoms (< 48h) Informimmediately your healthreferent in case of incident
DURING YOUR MISSIONSTAY HEALTHY AVOID INCIDENTS YOUR BEST PROTECTION = YOUR CONCENTRATION LISTEN TO YOURSELF: REST - ASK FOR REST – SHORTEN/DO NOT EXTEND if you do not feelit « You are not in a hurry to die » « Betterfiredthandead »
AFTER YOUR MISSIONface to face debriefings 2 steps: 21 daysfollow up: evaluation of the risk NO QUARANTINE NEEDED Systematic return talk withpsychologist
AFTER YOUR MISSIONSTAY HEALTHY 21 daysfollow up « If you have followed the specificprotection measures » PROBABILITY TO DEVELOP EBOLA IS +/- 0 PROBABILITY TO PANIC in case of fever IS HIGH • Avoidfallingsick (Rest, malaria prophylaxis, >< sickpersons and crowds…. ) • Stay close to referencehospitalidentified – (see organisation or MOH recommendation)
LASSA FEVEREndemic zoneGUEKEDOU – FOYA – BO - KAILAHUN Up to now, ‘no’ identified cases in Guinea and Liberia Transmission: Direct/indirect throughfluids of sick patient Rats Excreta (urine – stools) Dust – Stocks - Existingtreament (Ribavirin) Same protection than for Ebola + Hygiene (food / stocks)
« Up to now, more than 200 expat staff went on ebola mission, No incident »