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- [For facilities for the elderly and disabled] Response to outbreaks
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[For facilities for the elderly and disabled] Response to outbreaks
If there is a case of outbreaks suspected of infectious gastroenteritis, influenza, or COVID-19 at facilities for the elderly or disabled, please take the following measures:
Last updated on November 14, 2024.
1.In cases where infectious gastroenteritis is suspected
(1) Grasp the occurrence status (in patients and facilities)
- Check when and where symptoms (vomit, diarrhea, abdominal pain, etc.) started.
- Immediately confirm the presence or absence of consultation, test results, treatment, and treatment.
- The underlying disease and medical history of the affected person are also confirmed.
- Check if there are any other people complaining of symptoms (users, staff, etc.), and if so, grasp the location and number of people.
(Check whether the person who had the same meal or the person in the same room has any symptoms, etc.) - Check the manual when an infectious disease occurs again.
(2) Contact Naka Ward Health and Welfare Division
If you can understand the situation, please contact Naka Ward Health and Welfare Division.
<Estimated Reporting to Naka Ward Health and Welfare Division>
- When two or more fatalities or serious patients suspected to be caused by the same infectious disease occur within one week.
- When more than 10 patients or suspected persons with the same infectious disease occur, or when more than half of all users occur.
- Even if it does not fall under 1. and 2. above, it is suspected that infectious diseases, etc. that exceed normal outbreak trends, and in particular the facility manager deems it necessary to report.
<Report method>
Please prepare “Infectious Gastroenteritis Report Form” (Excel: 78KB) and report it to Health and Welfare Division Naka Ward by e-mail.
After reporting, please call Naka Ward Health and Welfare Division.
<Report contact information>
Naka Ward Health and Welfare Division
- Email: [email protected]
- Phone: 045-224-8332
(3) Accident report to City of Yokohama, Health and Social Welfare Bureau
If food poisoning, infectious diseases, tuberculosis, etc. occur during the provision of nursing care services, please check the following site and report to City of Yokohama, Health and Social Welfare Bureau.
About accident report from The Long-term Care Insurance operator
Reporting destination
In the case of home and community-based services
※For detailed operation methods, please refer to the “Accident Report Procedures / Checklist (PDF: 1,516KB)”.
In the case of facility-related services
[Facility Service Report Form (Elderly Facilities Division)] (External site)
※For detailed operation methods, please refer to the “Application Procedure Form (PDF: 686KB)”.
(4) Measures to prevent the spread of infection
What is norovirus?
It is a virus that causes vomiting and diarrhea, and has a very small amount of transmission from person to person. Alcohol disinfection does not kill and only sodium hypochlorite is effective, so correct infection control is required.
Are you okay? Its infection control-infectious gastroenteritis-(PDF: 183KB)
Correct treatment of vomit
Norovirus can survive for a long time while drifting in the air without proper treatment and disinfection, and infect many people. Let's disinfect quickly and correctly.
❶Sodium hypochlorite concentration 0.1%
❷Disinfection of 2m square area for 10 minutes
❸Wheelchair tires and shoe back disinfection of processing staff
❹Sufficient hand washing after processing
Treatment and disinfection method of vomit (PDF: 496KB)
[Video] Vomit processing (outside site) learned in Yokohama-shi practice
Correct disinfection of toilets
The stool of people infected with norovirus contains a large amount of the virus. Prevent people from infecting others through hands that touch the toilet or doorknob.
❶Sodium hypochlorite concentration 0.1%
❷From a clean place to a dirty place
(Door knob → handrail → lid of toilet bowl → toilet seat → outside toilet bowl → floor → inside toilet bowl)
❸Sufficient hand washing after cleaning
Correct infection control of caregivers when caring for symptomatic persons
It is important that the caregiver himself take care of the virus so that the caregiver does not get the virus and that the caregiver does not carry the virus to another user.
❶Wear disposable gloves, disposable gowns, and disposable masks (replacement for each subject of care)
❷Contaminated items and protective (PE) worn during care are separated from other garbage and sealed in a plastic bag and discarded.
1 Care 1 Hand washing (wash thoroughly for 30 seconds)
Even if you wear gloves, the virus is always attached to your hands. In order not to spread inside the facility, wash off the virus with soap and move on to the next task.
About correct hand washing procedure (PDF: 859KB)
Meal assistance and cancellation of serving by staff with symptoms of vomiting and diarrhea
If the virus on your hand is mixed into your diet, it can cause food poisoning. To avoid food poisoning, symptomatic staff should avoid eating work.
2.Flu
(1) Grasp the occurrence status (in patients and facilities)
- Check when the cold symptoms began.
- Immediately confirm the presence or absence of consultation, test results, treatment, and treatment.
- The underlying disease and medical history of the affected person are also confirmed.
- In addition, check if there are any other people complaining of cold symptoms (users, staff, etc.) and grasp the number of people.
- Check the manual when an infectious disease occurs again.
(2) Contact Naka Ward Health and Welfare Division
If you can understand the situation, please contact Naka Ward Health and Welfare Division.
<Estimated Reporting to Naka Ward Health and Welfare Division>
- When two or more fatalities or serious patients suspected to be caused by the same infectious disease occur within one week.
- When more than 10 patients or suspected persons with the same infectious disease occur, or when more than half of all users occur.
- Even if it does not fall under 1. and 2. above, it is suspected that infectious diseases, etc. that exceed normal outbreak trends, and in particular the facility manager deems it necessary to report.
<Report method>
Please prepare “Occurrence Status Report Form” (Excel: 30KB) and report it to Health and Welfare Division Naka Ward by e-mail.
After reporting, please call Naka Ward Health and Welfare Division.
<Report contact information>
Naka Ward Health and Welfare Division
Email: [email protected]
Phone: 045-224-8332
(3) Accident report to City of Yokohama, Health and Social Welfare Bureau
If food poisoning, infectious diseases, tuberculosis, etc. occur during the provision of nursing care services, please check the following site and report to City of Yokohama, Health and Social Welfare Bureau.
About accident report from The Long-term Care Insurance operator
Reporting destination
In the case of home and community-based services
※For detailed operation methods, please refer to the “Accident Report Procedures / Checklist (PDF: 1,516KB)”.
In the case of facility-related services
[Facility Service Report Form (Elderly Facilities Division)] (External site)
※For detailed operation methods, please refer to the “Application Procedure Form (PDF: 686KB)”.
3.COVID-19 infection
(1) Grasp the occurrence status (in patients and facilities)
- Check when the cold symptoms began.
- Immediately confirm the presence or absence of consultation, test results, treatment, and treatment.
- The underlying disease and medical history of the affected person are also confirmed.
- In addition, check if there are any other people complaining of cold symptoms (users, staff, etc.) and grasp the number of people.
- Check the manual when an infectious disease occurs again.
(2) Contact Naka Ward Health and Welfare Division
If you can understand the situation, please contact Naka Ward Health and Welfare Division.
<Estimated Reporting to Naka Ward Health and Welfare Division>
- When two or more fatalities or serious patients suspected to be caused by the same infectious disease occur within one week.
- When more than 10 patients or suspected persons with the same infectious disease occur, or when more than half of all users occur.
- Even if it does not fall under 1. and 2. above, it is suspected that infectious diseases, etc. that exceed normal outbreak trends, and in particular the facility manager deems it necessary to report.
<Report method>
Please prepare “Occurrence Status Report Form” (Excel: 28KB) and report it to Health and Welfare Division Naka Ward by e-mail.
When reporting e-mail, please include the City of Yokohama, Health and Social Welfare Bureau Elderly Health and Welfare Department [COVID-19 outbreak report] email address ([email protected]) in the CC.
After reporting, please call Naka Ward Health and Welfare Division.
<Report contact information>
・Email
Destination: Naka Ward Health and Welfare Division ([email protected])
CC: City of Yokohama, Health and Social Welfare Bureau Senior Health and Welfare Department [COVID-19 outbreak report] ([email protected])
・Phone
Naka Ward Health and Welfare Division 045-224-8332
COVID-19-related information for nursing care providers
4.Related materials and related sites
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Inquiries to this page
Naka Health and Welfare Center Health and Welfare Division Health Promotion Section
Phone: 045-224-8332
Phone: 045-224-8332
Fax: 045-224-8157
E-Mail address [email protected]
Page ID: 519-520-764