In Update on Plague Alert Posted

Update on Plague Alert

16th October 2017 – The Plague outbreak in Madagascar continues and remains uncontrolled.

Two WHO experts arrived in Seychelles over the weekend to assist with the response. They will be supporting DSRU in conducting a one day training for contact tracing tomorrow.

In Seychelles, the Health authorities have effectively controlled all potential contacts with suspected cases, and all persons under surveillance will be out of the possible infection period by tomorrow evening (Tuesday 17th October).

Update of cases admitted on suspicion or for precautionary measures

  • A total of 12people remain admitted in isolation in hospital.
  • The index patient (probable case) is still admitted on the hospital ward and has no symptoms and is stable. Today is the 8th day of treatment as per clinical guidelines, the patient is no longer infectious. He remains in isolation to complete his antibiotic course.
  • The other eleven (11) patients in the hospital are stable on treatment and asymptomatic. This includes the foreign national.
Contact tracing and surveillance
  • The 11 family members of the index patient were sent home yesterday after serving their period of isolation without developing any symptoms. All members are now outside of the possible infection period and do not have any risk of infection.
  • The total number of people admitted at the Perseverance military academy for active surveillance arenow6. None of them has developed any symptoms.
  • Three (3) Seychellois nationals returned from Madagascar via Nairobi on Thursday 12th. They remain well and are receiving prophylaxis.
  • A French national who left Madagascar on 13th October via Reunion will remain in the facility until 19thof October.
  • Two (2) Australians who arrived on Friday 13th October from Mauritius after having spent time in Madagascar will remain in active surveillance for 7 days before being released on 19thOctoberif they do not develop any symptoms.
  • A total of 577 children and 63 teachers at Anse Boileau Primary School and crèche have been given antibiotic prophylaxis. This is a precautionary measure in view of a potential contact with an admitted child. By Tuesday 17th October they would have spent 7 days after contact with the admitted child. While they have to finish their antibiotics course, they will come off passive surveillance.
  • Laboratory samples were successfully shipped to Pasteur institute France yesterday evening. We are now awaiting results.
  • Should anyone who is on prophylaxis develop fever, cough or other symptoms, they should contact their health centre, the Hotline 141, Dr Jastin Bibi on 2723739 or Dr Naomi Adeline 2711818.
  • Regional Health facilities (Beau Vallon, English River, Les Mamelles, Anse Boileau health centres and Anse Royale and Baie Ste Anne Hospitals) are being used to assess contact and provide prophylaxis.
  • The Public Health Authority (PHA) is reinforcing the advisory to discourage people from travelling to Madagascar for the time being. Anyone who has information that a Seychellois national is planning to travel to Madagascar should send a report to the Public Health authority or refer to CDCU.
  • Hotline 141 is active and people can call for information and advice.

Read More
In Update on Plague Alert Posted

Local Update on Plague Alert

15th October 2017 – Today Sunday 15th October 2017 at 10:00 am, the 12 family members (11 on Mahe and 1 on Praslin) of the first index probable case were discharged home after completing the stipulated 7 days’ post exposure to a probable plague case. They have remained well and without symptoms.

Meanwhile the outbreak in Madagascar continues and remains uncontrolled

Suspected Case update
  • A total of 13 people remain admitted in isolation in hospital.
  • The index patient (probable case) is still admitted on the hospital ward and has no symptoms and is stable. Today is the 7th day of treatment and as per clinical guidelines, the patient is no longer infectious. He remains to complete his antibiotic course.
  • The other eleven (12) patients in the hospital are stable on treatment and asymptomatic. These include the foreign national.
Contact tracing and surveillance
  • The total number of people admitted at the Perseverance military academy for active surveillance are now 6. None of them has developed any symptoms.
  • Eleven (11) family members of the first probable case, were discharged to go home today as they did not develop any symptoms during their stay. This confirms that they did not contract plague.

Minister Jean Paul Adam along with other senior health officials were there to talk with them before they took their transport home.

  • One (1) family member on active surveillance at Baie Ste Anne Praslin hospital is also being discharged today Sunday.
  • Three (3) Seychellois nationals returned from Madagascar via Nairobi on Thursday 12th. They remain well and are receiving prophylaxis.
  • Two (2) Australians who arrived on Friday 13th October from Mauritius after having spent time in Madagascar will remain in active surveillance for 7 days before being released on 20thOctober if they do not develop any symptoms.
  • The Japanese and two (2) Italians left Seychelles last night.
  • A total of 577 children and 63 teachers at Anse Boileau Primary School and crèche have been given antibiotic prophylaxis. This is a precautionary measure in view of a potential contact with an admitted child. By Tuesday 17th October they would have spent 7 days aftecontact with the admitted child. While they have to finish their antibiotics course, they will come off passive surveillance
  • Should anyone who is on prophylaxis develop fever, cough or other symptoms, they should contact their health centre, the Hotline 141, Dr Jastin Bibi on 2723739 or Dr Naomi Adeline 2711818
  • Regional Health facilities (Beau Vallon, English River, Les Mamelles, Anse Boileau health centres and Anse Royale and Baie Ste Anne Hospitals) are being used to assess contact and provide prophylaxis.
  • The Public Health Authority (PHA) is reinforcing the advisory to discourage people from travelling to Madagascar for the time being.
  • Hotline 141 is active and people can call for information and advice.

Read More
In Update on Plague Alert Posted

Update of Plague outbreak in Madagascar and local response

14th October 2017 – The multisectoral IDSR committee met again this morning Saturday to discuss the current alert on the plague. The outbreak in Madagascar is expanding into new districts with new cases and deaths reported daily.

Suspected Case Update

(A total of 13 people remain admitted in isolation)

  • The index patient (probable case) is still admitted on the hospital ward and has no symptoms and is stable. Today is the 6thday of treatment and as per clinical guidelines, the patient is no longer infectious. He remains to complete his antibiotic course
  • The other eleven (11) patients in the hospital remain stable on treatment and asymptomatic. This includes the foreign national.
  • One person was admitted yesterday with relatively mild symptoms; dry cough and history of fever. She is asymptomatic today.
Contact tracing and surveillance
  • None of the 320 contacts (which include mostly teachers) related to the probable case and receiving antibiotic prophylaxis has developed symptoms. They are all off surveillance as of today. They however need to complete the antibiotic prophylaxis course.
  • The total number of people admitted at the military academy for active surveillance are 19. None of them have developed any symptoms.
  • Eleven (11) family members of the first probable case, presently at Perseverance military training academy will be discharged home tomorrow at 10:00 am if no one develop symptoms.
  • One (1) family member on active surveillance at Baie St Anne Praslin hospital
  • Three (3) Seychellois nationals returned from Madagascar via Nairobi on 12th October. They remain well and are receiving prophylaxis.
  • Two (2) Italians who arrived on 12th October will be leaving Seychelles tonight
  • Two (2) Australian and one (1) Japanese arrived last night from Mauritius after having spent time in Madagascar. The Japanese will leave the country tomorrow and the Australians will remain in active surveillance for 7 days before being released on 20th Oct if they do not develop any symptoms to continue their holiday until 29th October.
  • A total 577 children and 63, (640) teachers at Anse Boileau Primary School and crèche have been given antibiotic prophylaxis. This is a precautionary measure in view of a potential contact with an admitted child.
  • Should anyone who is on prophylaxis develop fever, cough or other symptoms, they should contact their health centre, the Hotline 141 or Dr Jastin Bibi on 2723739 or Dr Naomi Adeline 2711818
  • Regional Health facilities (Beau Vallon, English River, Les Mamelles, Anse Boileau health centres and Anse Royale and Baie Ste Anne Hospitals) are being used to assess contact and provide prophylaxis.
  • The PHA is reinforcing the advisory to prevent people to travel to Madagascar for the time being.
  • Hotline 141 is active and people can call for information and advice.

 

Read More
In Update on Plague Alert Posted

Update of Plague outbreak in Madagascar and local response

13th October 2017 –

Suspected Case update
  • The index passenger (probable case) is still admitted on the hospital ward and has no symptoms and is stable. Today  is  the  5thday  of  treatment  and  as  per  clinical  guidelines,  the  patient is  no longer infectious. However, he will remain admitted to complete his antibiotic course.  Samples for confirmatory testing are being sent to a WHO-certified overseas reference laboratory.
  • The other eleven (11) patients in the hospital remain stable on treatment with no respiratory distress. This includes the foreign national.
Contact tracing and surveillance
  • None of  the  contacts  (which  include  mostly  teachers)  related  to  the  suspected  case  and receiving antibiotic prophylaxis has developed symptoms. Tomorrow will be the last day of monitorin gas passive surveillance. They will however complete the antiprophylaxis course. 
  • All children at Anse Boileau Primary School and crèche have been offered antibiotic prophylaxis. Those who did not turn up today at the school are being followed up in their homes. This is a precautionary measure in view of a potential contact with an admitted patient.
  • Should anyone who is on prophylaxis develop fever, cough or other symptoms, they should contact their health centre, the Hotline 141 or Dr Jastin Bibi on 2723739 or Dr Naomi Adeline 2711818
  • Three (3) Seychellois nationals returned from Madagascar via Nairobi yesterday. They have been kept at the military training academy on observation and receiving prophylaxis. This brings the total to sixteen (16) people at the academy.
  • Regional Health facilities (Beau Vallon, English River, Les Mamelles, Anse Boileau health centres and Anse Royale and Baie Ste Anne Hospitals) are being used to assess contact and provide prophylaxis.
  • The PHA is reinforcing the advisory to prevent people to travel to Madagascar for the time being.
  • Hotline 141 is active and people can call for information and advice.

Read More
In Update on Plague Alert Posted

Update of Plague outbreak in Madagascar and local response

12th October 2017 – The Plague epidemic in Madagascar persists and is not showing any signs of abating yet.

  • One passenger who came to Seychelles on the Air Seychelles flight on Friday 6th October became unwell on Monday 9th October. Here mains admitted in hospital since then for isolation, testing and treatment. Today is day 3 post admission and he is stable. Given that his rapid test was weakly positive he is being treated as a probable case. Confirmation tests will be done at overseas reference lab.
  • Since Monday 9th October there has been a few other admissions who have been linked directly or indirectly to the initial probable case.
  • A foreign national who has not had any contact with the first case or any known case presented with fever and mild respiratory symptoms on Tuesday 10th October. He is admitted in isolation. Rapid test done on his sputum that he produced on 11th October was reported as weakly positive. This result has not been confirmed yet by Institut Pasteur. A sample is being sent overseas for confirmatory test.
  • His contacts are being traced and are receiving antibiotics prophylaxis. Today one woman (26) was transferred to hospital with fever and respiratory symptoms and placed in isolation. As a precaution she has been put on antibiotics while tests are being run.
  • The total number of admissions is 12. All admitted patients are receiving treatment with prescribed antibiotics as a precaution. It is important to note that patients admitted do not necessarily have the disease-their admission is a precaution.
  • One of the children admitted in hospital on Tuesday may have had contact with certain children at Anse Boileau School earlier this week. As a precautionary measure, all the crèche and primary schoolchildren will be provided with prophylaxis at the school tomorrow morning. Parents are being contacted either by phone or SMS to come with their children tomorrow morning. A team of health workers and Red Cross workers will be there to see them and give them the precautionary treatment.
Surveillance
  • Over 320 people who have had contact with the probable case have been prescribed antibiotic as prophylaxis so far.
  • Should anyone who are on prophylaxis develop fever and cough and other symptoms, they should contact their health centre or the following numbers:

Dr Annase 2722232

Dr Henriette 2722173

Dr Bibi 2723739

Dr Adeline 2711818

The Ministry of health has reopened the Military training academy to isolate close contact to the case. These are the close family members (11). All incoming passengers (visitors and residents) who have visited Madagascar in the past 7 days who are arriving in Seychelles via other routes will be put in isolation at the Perseverance military academy.

Regional Health centres (Beau Vallon, English River, les Mamelles, Anse Boileau health centres and Anse Royale hospital) are being used to assess contact and provide prophylaxis. The PHA is reinforcing the advisory to prevent people to travel to Madagascar for the time being.

Read More
In Events Posted

Productive discussion held with nurses on scheme of service

10th October 2017 – 146 nurses and midwives from health centres all across the country attended a meeting with the Minister for Health, Jean Paul Adam, on Friday 6th October 2017.

The purpose of the meeting was to discuss proposed changes to the scheme of service for all nurses, following concerns raised about their current scheme.

Following various consultations that had been held with different nurses, as well as a team of nurses that had worked on proposed revisions to the scheme in the first half of 2017, the Ministry used the opportunity of the meeting to address some of the major concerns that had been raised.

The revision also takes into account the recommendations submitted to the Government by the Nurses Association.

Minister Adam opened the meeting with a welcoming statement, thanking all the nurses for their attendance and outlining the topics that would be discussed during the meeting. “We’ve made provision for the 2018 budget to improve conditions for nurses. This is a subject of great priority,” Minister Adam said, opening the floor. He also emphasised that it was important to understand that the nurses’ scheme of service was also situated within the Ministry’s plans of reviewing the conditions of all key health workers – including allied health workers, doctors and other health related professionals.

The nurses and midwives were given a short presentation highlighting all changes that were being proposed in terms of salary, allowances, & gratuity.

The main proposal which has already been incorporated in the 2018 budget proposal is retention allowance of SR 3,000 – representing an increase of 30% on the average nurses’ salary. The nurses were briefed that in this first phase of the review the increase was an allowance, while an assessment was underway to assess the scope of work undertaken by nurses and other health workers – but that the intention was that this would be incorporated in the basic salary as soon as practicable – as soon as the assessment exercise was complete.

The nurses were informed that the Ministry in consultation with the board of the Health Care Agency – being the main employer of nurses – and the Ministry of Finance, Trade and Economic Planning, that it was important to offer a real increment as of 1st January 2018, while this work takes place.

A new gratuity system is also proposed as part of the review whereby the nurses’ gratuities would be calculated as a percentage of their salary over the last five years rather than be based on a fixed sum. In the existing scheme, nurses earn SR 15,000 for their first five year gratuity with gradual increments as they serve longer. The new proposal provides that nurses would receive 6% of their salary and their inducement payments earned over the five year period. In practice, over the first five year the nurses would double their gratuity under this scheme. The time frame for the implementation of the gratuity scheme are still under discussion as it has to be considered in terms of the long term costs as well as keeping in mind related revisions that will need to be made to other health professionals schemes.

Proposals have also been made to increase the rates for non-rostered overtime.

Discussions are on-going to review the inducement allowance and allowances for marketable skills to ensure better recognition of key nursing qualifications and relative to other professions that of other professions. It was noted in the discussions that more value should be given to the Diploma in Nursing, recognising that it is a course that provides an international standard in nursing.

Nurses were also briefed on work that is being done to review the way in which a staff member’s progression is facilitated within the scheme of service. The Minister agreed that one weakness of the current scheme is that too often a staff member is stuck on a particular salary band, and with few prospects for promotion due to unavailability of posts. The review of the scheme in the next phase would take into consideration the ways in which the breadth of a nurse’s experience could be reflected in their salary progression, as well as to also better reflect possible areas of specialisation that they may be undertaking.

The Minister also highlighted that as part of the efforts to improve the health system as a whole, a performance based bonus system is being considered which could be linked to outcomes. However it was stressed that this should be implemented when the appropriate means for measuring performance are fully established. Many expressed their thanks to the minister and other management team for discussing and pushing for these changes.

Though there will still some dissatisfaction with the increments and feelings that it was still not enough. Some questioned the value of their work which involves giving care everyone in the society at all stages of life, which they felt were not reflected in the proposed scheme. Some nurses urged that an increase of up to 60% be considered.

To this Minister Adam committed his full attention though imparting the feasibility of it as well. “Not all requests will be possible to implement. However, we will try to get as much as possible for the work that you do. We will continue to work to ensure that the next phases of the scheme fully reflect the work that you do and reflects the value that you bring to our society. We have all been cared for by nurses at some point in our life. Nurses have a pivotal role in our society and this must be reflected in their remuneration,” he concluded.

Changes in the scheme of service for nurses will be implemented in phases. Some will be effective as from the start of 2018 while others span out 2018-2019. Other nurses who were unable to attend the meeting will also have the chance to appraise the proposal in future meetings including on Praslin and La Digue.

Read More
In Events Posted

Anse Royale Dental Clinic Reopens

6th October 2017 – The Anse Royale Dental Clinic will open its doors to the public on Monday 9th October 2017, following relocation to a small building behind the Anse Royale Hospital.
The new clinic will operate 5 days a week from 8am to 4pm. It has 2 consulting rooms (surgeries), an x-ray room, a reception and a waiting area.
One consulting room (Surgery 2) will offer adult dental services daily, while the other consulting room (Surgery 1) will alternate complementary services.
The rooms are fully furnished with new dental equipment and furniture. All installation and final check-ups were completed last week following the fitting of a 3 phase powerful supply.
Amongst the new equipment is a digital x-ray which provides advantages in time efficiency. As the first Community Health Centre to be equipped with such a device, the dental clinic will now be able to produce rapid x-ray results, as this new setup does not require film processing. X-ray results will be immediately displayed on an accompanying computer.
All equipment at the clinic will be maintained by staff from the Biomedical Engineering Unit, who have followed a comprehensive training on maintenance and repair of the equipment by the supplier.Members of the public can contact the clinic during work hours on 2509600.
Read More
In Update on Plague Alert Posted

Update of Plague outbreak in Madagascar and local response

5th October 2017 – The Ministry of Health in Madagascar has confirmed that to date they have registered 194 cases of plague with 30 deaths.The flight from Madagascar last night brought in a total a total of 89 passengers and crew. 25 transited immediately to other destinations. The rest (57and the 7 crew)have been put under passive surveillance. This brings the number to a total of81 people under passive surveillance.

Active Surveillance

Among the people on active observation at Perseverance military training academy another man of 34 years developed fever late this morning with gastrointestinal symptoms. Although he does not suit the case definition for plague he has been admitted under isolation for care and treatment as an additional precaution in hospital,bringing the number in isolation to three.The 54 year old man who was admitted originally is now without symptoms but he remains admitted to complete his treatment course. The 29 year old woman was still having a fever only and other vital signs and respiration remained normal.She remains on supportive treatment and medications.

New measures

WHO and other partners are working hard to put the epidemic under control. According to WHO given that there are frequent flights to neighbouring Indian Ocean islands, risk of international spread exists. WHO has assessed the overall risk at national level in Madagascar to be high; and for regional islands in the Indian Ocean to be moderate.In view of this heightened risk of introducing the plague into Seychelles and given Seychelles limited capacity to keep large number of people under different forms of surveillance, the Public Health Authority, (PHA), is escalating mitigating and preventive measures. Consistent with International Health Regulations and Public Health Act,the Public Health Authority, (PHA), in the interest of public health is requesting Air Seychelles to suspend all its flights to Madagascar until further notice. The last flight will be on Friday 6thOctober 2017 until further notice

Read More
In Update on Plague Alert Posted

Update of Plague outbreak in Madagascar and local response

4th October 2017 – The plague outbreak in Madagascar continues to propagate. There are several outbreak response interventions going on by WHO, Red Cross and other agencies in country. Red Cross has indicated that there has been 157 cases to date with 28 deaths. Measures taken so far in Seychelles:

  • Surveillance form are completed by all arriving passengers and crew from Madagascar.
  • Passive surveillance(home based)will be done for 7 days upon arrival.They are visited / contacted daily.
  • So far 18 people are under passive surveillance/
  • Upon Public Health Authority recommendations, IOT has agreed to postpone all leave of Malagasy workers due to travel to Madagascar until further notice.
  • All those on leave in Madagascar are being informed to remain there until further notice.
  • All travel agents and airlines have been informed to advise passengers coming to book for flights to Madagascar about the advisory to refrain from travelling there. For those who insist they will be referred to CDCU for further advice.
  • Briefing is being organised for all category of staff that work at airport-starting tomorrow Thursday 5th October
  • Seychelles port and fishing authority are being informed to advise fishermen not to visit Madagascar ports until further notice.
  • Tests for plague are being brought in from institute Pasteur and should be available in next day or so.Confirmatory tests will be done at institute Pasteur Madagascar or NICD (National Institute of Communicable Disease)in South Africa. We are also building capacity to bring the confirmatory tests to our molecular lab in Seychelles
  • Active observation of the persons being kept at military training academy
So far all of them have remain well except for 2 persons. The first one is a male (54 years) was brought into the isolation room at the hospital on Monday (2days ago). He was feeling unwell, general body ache but not feverish or having respiratory distress. He did not meet the case definition for pneumonic plague but as an extra precaution he was isolated for testing and active observations. He remains without fever and all his vital signs are normal. He continues to receive antibiotics,including intravenous.This afternoon a female, at Perseverance observation facilities developed fever and body ache. Although she did not have direct contact with the deceased when he was ill, extra precaution are being taken being part of the group current under active observation. She does not meet the case definition.She has just been admitted in isolation at the hospital for further testing and supportive treatment and monitoring. This includes intravenous antibiotics.
Further update will be provided tomorrow
Read More
page  3  of  3
TOP