Community And Population Health

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1 Community and Population Health Kemah Zinnah Environmental and Global Health Issues SZT 1 Task III Western Governors University 2 Community and Population Health There have been major efforts to eliminate communicable diseases such as measles. Despite these efforts, outbreaks do occur due to unvaccinated people and individuals travelling from countries where measles is prevalent. It is most cautious that the community health nurse understands the cost, indications and consequences of a communicable disease outbreak not only in the community but worldwide. A1. Outbreak of measles Measles was declared to be eliminated from the United States in the year 2000. There have been 60 cases on average reported in the United States. The most…show more content…
Quarantine orders and vaccinations were given to others with contact or exposure. In Tarrant county Texas, 21 people who were all members of the same church were infected with measles. It is believed a visitor who had recently returned from a visit to Indonesia attended services at said church. The visitor was unvaccinated and had active measles which spread quickly throughout the church. The disease spread to next door Denton County which reported 5 cases of outbreak. A4. Transmission Measles is a systemic viral infection caused by a paramyxovirus of the genus Morbillivirus. Its main features are fever, rash and respiratory disease (Hawker, Begg & Blair, 2012). Measles is also known as rubeola. The measles virus colonizes in the mucus membranes of the nose and throat and spreads as the victim coughs or sneezes in the air. It is highly contagious and transmitted through the air by droplets. Other modes of transmission can be through coming in contact with surfaces or objects that are infected and touching or placing fingers in their nose or mouth. The virus can live for up to 2 hours on surfaces. The carrier of this virus can transmit this disease four days before or four days after the rash appears. A period of 912 days marks the asymptomatic incubation period from time of exposure (Wikipedia.org). The measles virus affects only humans, animals are immune to its effects. The most susceptible are unvaccinated people.…show more content…
The CDC and the Council of State and Territorial Epidemiologist (CSTE) established during the 2003 epidemic all criteria for SARS surveillance. Health care providers are required to report to state or local health department anyone who is has been exposed or hospitalized with unexplained respiratory infection while overseas within 10 days of onset of illness or reported cases of pneumonia clusters which are linked to travel. Immediate report should be made to the CDC of any positive laboratory SARS-Cov results. Also to be reported to CDC will be any clusters of pneumonia that are of particular concern. The community nurse in any SARS outbreak should follow procedure to contact state and local health department by telephone, implement critical isolation safety measures of the affected persons, trace their contact path and call CDC at 770-488-7100. C1. Modification of care Asthma is a respiratory disease that affects the lungs of young children long term. It can also affect adults. Asthma has no cure but exacerbations which are called “asthma attacks” can be controlled with medicines such as inhalers or pills. Some common triggers to causing asthma attacks are outside air pollution, dust, tobacco smoke and pets to name a few. A community health nurse caring for an asthma patient needs to be aware of when modified care is very important to prevent any attacks. Poor air quality is one of the key reasons for asthma

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