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Volume 18, Number 7—July 2012

Research

Retrospective Evaluation of Control Measures for Contacts of Patient with Marburg Hemorrhagic Fever

Aura TimenComments to Author , Leslie D. Isken, Patricia Willemse, Franchette van den Berkmortel, Marion P.G. Koopmans, Danielle E.C. van Oudheusden, Chantal P. Bleeker-Rovers, Annemarie E. Brouwer, Richard P.T.M. Grol, Marlies E.J.L. Hulscher, and Jaap T. van Dissel
Author affiliations: Author affiliations: National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands (A. Timen, L.D. Isken, M.P.G. Koopmans); Elkerliek Hospital, Helmond, the Netherlands (P. Willemse); Atrium Medical Centre, Heerlen, the Netherlands (F. van den Berkmortel); Public Health Service Brabant-Zuidoost, Helmond (D.E.C. van Oudheusden); Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands (C.P. Bleeker-Rovers, R.P.T.M. Grol, M.E.J.L. Hulscher); Elisabeth Hospital, Tilburg, the Netherlands (A.E. Brouwer); Leiden University Medical Centre, Leiden, the Netherlands (J.T. van Dissel)

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Table 1

Instructions for contacts of a person with Marburg hemorrhagic fever, by risk contact group, the Netherlands, 2008*

Characteristic
Instruction
You have been assigned to the high-risk category You have shared the household (or the ward) with the patient. You have cared for the patient in the hospital without wearing PPE. You had or might have had unprotected contact (without PPE) with the blood or body fluids of the patient.
The following restrictions have been imposed on you Remain in the neighborhood of your home address during the monitoring period of 3 weeks after last possible contact (date). Stay in contact with the health care provider you have been assigned (the public health service, the hospital hygiene specialist, or the occupational medicine specialist). Do not leave the country. Cancel or postpone a holiday trip abroad.
Instructions on control measures during monitoring period Inform your health care provider if you use temperature-lowering medication. Measure your temperature in the morning and evening. Use your own thermometer (one that is not to be used by others) and write down your temperature accurately. Disinfect the thermometer with 70% alcohol after every use and wash your hands with soap and water. Contact your health care provider daily and provide him or her with information about your health and temperature. If you have a fever (2 consecutive temperature measurements ≥38°C 12 h apart), vomiting, headache, stomach ache, diarrhea, jaundice, or cough, immediately contact your care provider. Stay at home and restrict all contacts with others until further instructions from your health care provider. Only use your own toilet.
You have been assigned to the low-risk category You cared for the patient (using adequate PPE) while she was admitted to the hospital and in accordance with a strict isolation protocol. You had contact with blood or body fluids of the patient while using effective PPE.
Instructions on control measures during monitoring period Inform your health care provider if you use temperature-lowering medications. You are strongly advised not to leave the country during the monitoring period of 3 weeks after the last possible contact with the patient or patient body fluids (date). Measure your temperature daily in the morning and evening. Use your own thermometer (one that is not to be used by others) and write down your temperature accurately. Disinfect the thermometer with 70% alcohol after every use and wash your hands with soap and water. If you have a fever (2 consecutive temperature measurements ≥38°C 12 h apart), immediately contact the health care provider you have been assigned (public health service, the hospital hygiene specialist, or the occupational medicine specialist). Stay at home and restrict all contacts with others until further instructions from your care provider. Only use your own toilet.

*PPE, personal protective equipment.

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