Initial Notification of Gastroenteritis Outbreak in a Child Care Centre Initial Report Priority - ignore me View equation
Time & Date of the notification to Public Health Unit: Now D-M-Y H:M
Today D-M-Y
Today D-M-Y
Today D-M-Y
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We aim to continually improve this reporting system, so we welcome test reports in addition to true reports. This allows you to get familiar with our system even if you do not have a current outbreak. Please identify whether this is a true gastro outbreak or a test only
* must provide value
True gastro outbreak report Test report only True gastro outbreak report
Test report only
As this is a test report, feel free to be creative with your responses. But - we recommend using your correct email so you still receive all the relevant communication and links. Happy testing :)
Name of notifier:
Facility Name: * must provide value
Facility Address:
*must provide value
Street Number, Name of street and type of street (e.g. Avenue) Suburb Postcode
Facility street number, name:* must provide value
Facility suburb:* must provide value
Facility_postcode:* must provide value
Can you please provide the name of the person who would be the best contact for this outbreak* must provide value
Please consider who is most appropriate to act as contact throughout this outbreak
Position (for contact person): e.g director, 2IC, ect
Best phone number (for contact person):
For mobile numbers please ensure there are no spaces (e.g. 0404123987)
For landline numbers, please include area code and ensure there are no spaces (e.g. 0249555555)
* must provide value
Contact person/s email:* must provide value
How many child care rooms are there within your facility?
* must provide value
A gastroenteritis outbreak in a child care centre is defined as:
Two or more children or staff reporting sudden onset of vomiting or diarrhoea in a 2 day period
Does your child care centre currently meet the outbreak definition as described above?
* must provide value
Yes No
Based on the criteria above you DO NOT meet the definition to report a gastroenteritis outbreak at your facility at this time. You will need to monitor case numbers and re-report using a new report if you are notified of 2 or more cases of gastroenteritis in children or staff members in a two day period. * must provide value
CONFIRM
Cases of gastroenteritis in children at your facility Cases of gastroenteritis in children Total number of children enrolled at your facility (across the entire week)
______ /______ children affected How many cases have been reported in children who attend your facility?
* must provide value
How many children are currently enrolled at your service?
total number of children enrolled across the week*
Cases of gastroenteritis in staff at your facility Cases of gastroenteritis in staff Total number of staff employed at your facility
______ /______ staff affected How many cases have been reported in staff members who work at your facility?
* must provide value
How many staff members do you currently employ at your service?
Note: this includes cleaning staff, grounds keepers ect
Total cases of gastroenteritis Based on the above, the total number of cases of gastroenteritis at your facility is
(Please review the totals entered above if incorrect)
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(note: this is automatically calculated)
When was the first case of gastroenteritis reported to your facility? Today D-M-Y
Was the first case reported in a child and/or staff member? child staff member child and staff member
When was the most recent case of gastroenteritis reported to your facility? Today D-M-Y
What are the symptoms reported by children and staff with gastroenteritis? fever
vomiting
diarrhoea
abdominal pain
bloody diarrhoea
fever
vomiting
diarrhoea
abdominal pain
bloody diarrhoea
Does your facility prepare and provide food internally to children onsite? Yes
No
Are there any cases of gastroenteritis in staff who prepare food? Yes
No
Have any children or staff identified in this outbreak been hospitalised for gastroenteritis? Yes
No
How many staff or children have been hospitalised?
You have indicated that three or more people from your facility have been hospitalised with gastroenteritis. This is of particular concern and the Public Health Unit (PHU) will call you directly. Please provide details of three of the people that have been hospitalised. If you do not hear from the PHU by 12pm on the next business day, please call us on 4320 9730.
Name of hospitalised person DOB of hospitalised person
Please provide details for Hospitalised person 1 :
Hospitalised person 1
D-M-Y
Please provide details for hospitalised person 2
Hospitalised person 2 :
DOB of child or staff member:
D-M-Y
Please provide details for hospitalised person 3
Hospitalised person 3 :
DOB of child or staff member:
D-M-Y
Have you been notified that a child or staff member has had a stool sample collected?
Yes
No
Please provide any details you can about the stool sample. For example:
Was the person tested through a hospital/their own GP? Do you know the result of the stool sample? There are many different pathogens (disease-causing agents) that can cause gastroenteritis. A pathogen is not always identified. If a pathogen is identified (e.g. bacteria, virus, toxin), please let us know the name of this pathogen. If you are unsure, please provide us as much information as you can and we can call you if we need to discuss futher
As you have identified that a person/s has been hospitalised with gastroenteritis and/or a pathogen has been isolated, we are now going to ask you to provide additional details about your facility. This information will assist us in assessing what Public Health support is required to assist your team with the management of this outbreak.
Name of childcare room 1:
Number of children enrolled in ______ :
Have gastroenteritis cases been reported in ______ : Yes No
Name of childcare room 2:
Number of children enrolled in ______ :
Have gastroenteritis cases been reported in ______ : Yes No
Name of childcare room 3:
Number of children enrolled in ______ :
Have gastroenteritis cases been reported in ______ : Yes No
Name of childcare room 4:
Number of children enrolled in ______ :
Have gastroenteritis cases been reported in ______ : Yes No
Name of childcare room 5:
Number of children enrolled in ______ :
Have gastroenteritis cases been reported in ______ : Yes No
Name of childcare room 6:
Number of children enrolled in ______ :
Have gastroenteritis cases been reported in ______ : Yes No
Have you completed an illness line list for your facility? Yes
No
Please upload your line list here
Please download a copy of the line list template attached here, name the document with the facility name and date and upload it during your next update to the Public Health Unit Line Lists
Line lists are used by the Public Health Unit to monitor the gastroenteritis outbreak at your facility. It is important that you complete this register and return it to Public Health as soon as possible. New cases reported to your facility should be added to this same line list, this line list should be kept up to date by your facility until your outbreak has been declared over by the Public Health Unit.
We recommend that you provide regular weekly updates to the Public Health Unit. You should also notify us immediately if any of the following reporting triggers are identified;
Staff/children have been hospitalised due to gastroenteritis Staff/ children are reporting a long duration of illness i.e majority of cases are symptomatic for >3days Staff/children have had pathogen (a disease causing agent e.g. bacteria, virus, toxin) identified in their stool specimen Large attack rates i.e >50% of staff/children within your facility are reporting symptoms If any of the above are reported to your centre or you are concerned for any other reason please notify us using the unique reporting link that will be emailed to you immediately after completing this report. Alternatively you can contact the Public Health Unit directly on 4320 9730 to discuss.
Resources
There are two key resources Child Care facilities need to access when managing a gastroenteritis outbreak within your centre.
NSW Health Gastro Pack for Child Care Centres; and Staying Healthy: Preventing infectious diseases in early childhood education and care service These are attached below, a copy of these documents will also be provided to you in an email at the completion of this report. Please ensure you have read these resources and have applied all recommended actions specific to your facility.
The following information outlines key recommendations from these documents
NSW Health Gastro Pack for Child Care Centres Staying Healthy, 5th Edition Hand Hygiene Perform hand hygiene regularly;
Avoid using alcohol based hand rubs, wash hands with soap and water Staff should supervise washing of children's hands, and wash the hands of younger children after they use the toilet Staff should minimise wearing jewellery below the elbows and not have artificial nails. Isolate and Exclude Sick Child and Staff
Avoid mixing of staff and children across multiple child care rooms where able i.e family grouping Remove children/staff with vomiting or diarrhoea from the rest of the group as soon as symptoms appear Exclude sick children and staff from attending the centre for at least 48 hours after their symptoms stop. Enhanced Cleaning
Undertake environmental cleaning twice daily, initially with detergent and water, then a solution of bleach, including all high touch points and bathrooms. Once bleach is dry you can clean again with clean water if worried about bleach usage. Bleach is an effective killer of pathogens that cause gastroenteritis. Close the sandpit, close any mud-kitchens or similar, discard play dough, do not use soft toys Communication
Inform all staff and families that there is a gastroenteritis outbreak Provide families with a letter and gastroenteritis fact sheet (available in the NSW Health Gastro Pack) Ensure gastroenteritis outbreak signage is displayed in visible locations throughout the centre We are constantly trying to improve this reporting system, if you have any feedback regarding:
Issues What worked well/did not work well Improvements you would like to see Please outline them here
Feedback reviewed date Today D-M-Y
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Label If there is a particular concern for this facility please check this box (this will ensure it remains/becomes a priority 1)
If there is a particular concern for this facility please check this box (this will ensure it remains/becomes a priority 1)
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