We read with interest, the article by Poller et al.
1, in this journal, entitled “A unified personal protective equipment….”. We understand the importance of proper personal protective equipment(PPE) as an integral component of healthcare workers(HCW) protection in outbreak situations of infections with possible high consequence. But at times, such an outbreak occurs in an unsuspected region, when initial cases present in early course of illness before the development of ominous clinical features. Medical staff, particularly in busy rural set ups of resource-poor developing countries may discover that they have been exposed to a high consequence infectious disease after the event of exposure, particularly if these centres are unaware, reluctant or unequipped regarding routine use of PPE. A similar situation occurred in a rural healthcare setting of Kerala, India, during the May-2018 outbreak of Nipah virus (NiV), killing 21 out of 23 reported cases.
- Poller B.
- Tunbridge A.
- Hall S.
- Beadsworth M.
- Jacobs M.
- Peters E.
- et al.
A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: a consensus document on behalf of the HCID programme.
J Infect. 2018; 77: 496-502https://doi.org/10.1016/j.jinf.2018.08.016
- Arunkumar G.
- Chandni R.
- Mourya D.T.
- Singh S.K.
- Sadanandan R.
- Sudan P.
- et al.
Outbreak investigation of Nipah virus disease in Kerala, India, 2018.
J Infect Dis. 2018; https://doi.org/10.1093/infdis/jiy612
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- A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: a consensus document on behalf of the HCID programme.J Infect. 2018; 77: 496-502https://doi.org/10.1016/j.jinf.2018.08.016
- Outbreak investigation of Nipah virus disease in Kerala, India, 2018.J Infect Dis. 2018; https://doi.org/10.1093/infdis/jiy612
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Published online: March 06, 2019
Accepted: March 3, 2019
© 2019 Published by Elsevier Ltd on behalf of The British Infection Association.