In the case of the identified organism (E coli 0157) the following process needs to be followed. The registered medical professional (RMP) is required to send written notification to the proper officer of the local authority in which the patient resides (usually the Consultant of Communicable Disease Control) to reach them no later than 3 days, if the RMP determines the infection to be more serious and requires urgent notification an oral notification is made within 24 hours or as practically possible after diagnosis or clinical suspicion. This is followed up with written notification to arrive with the proper medical officer no later than 3 days.
The notification must include the following information
Name, DOB, sex, NHS number, ethnicity
Address / current residence
Contact telephone number
Occupation / place of work or education if considered relevant by the RMP
Next of Kin / Parents details if a minor
Disease or infection suspected or confirmed / nature of contamination or suspected contamination
Date of symptoms and date of diagnosis
If known from a confirmed laboratory sample—
“(a)name and address of the diagnostic laboratory;
(b)details of the causative agent identified;
(c)date of the sample;
(d)nature of the sample;
(e)name of person (P) from whom the sample was taken;
(f)P’s date of birth and sex;
(g)P’s current home address including postcode;
(h)P’s current residence (if not home address);
(j)P’s NHS number; and
(k)the name, address and organisation of the person who solicited the test which identified the causative agent”.
Health Protection (Notification) (Wales) Regulations 2010 No. 1546 (W. 144) Regulation 4
Question 2: Identify the actions that need to be undertaken in relation to public health, environmental health and infection prevention and control.
The farm would need to be investigated for contamination by local authorities Environmental Health Officers and decontamination procedures put into place according to the findings.
Visitors to the farm would need to be notified, symptoms reported if present and a chosen action implemented proportionate to the pertained risk.
Infection control measures, policies and procedures would need to be reviewed at the farm and strategies implemented to reduce the risk of further breakouts for public protection in the future.
The patient should be nursed in isolation to reduce the risk of spreading the disease within the acute hospital area, staff would be required to implement Health Board Infection Control policy and procedures to ensure best practice is achieved and reduce the risk of HAI. In some instances, it may be necessary for the ward to be closed to prevent the spread of the infection into other areas within the hospital and into the public domain by visitors and staff movement to and from the effected ward.