(8270,8270,1,'Joseph Perz','joseph-perz','leadership/joseph-perz','{\"5a2e2469-7074-4656-bbb3-413707c0d5bb\": \"Optional job title\", \"847d6cd4-1aba-40c7-872b-9908642833ea\": \"CDC Representative\", \"b9f3ce9d-0b04-423d-96e6-e7c61c70b996\": \"Dr. Joseph Perz currently serves as the Deputy Chief for Public Health Programs within the Prevention and Response Branch, Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention in Atlanta, Georgia. Dr. Perz entered the field of public health after training as an engineer and environmental scientist. After receiving a Doctorate in Public Health from Columbia University, he served as an Epidemic Intelligence Service Officer with the Tennessee Department of Health. Since the early 2000s, Dr. Perz has worked at CDC headquarters, guiding dozens of outbreak investigations and special studies, drawing attention to the needs for injection safety and other basic infection control. He has authored or co-authored numerous peer-reviewed journal articles, MMWR articles and book chapters. His activities are currently focused on building support for health departments, fostering interagency collaboration, and promoting efforts to improve and expand prevention and response activities across all healthcare sectors.\", \"e2448e70-cace-41e7-b1e7-bd812d8dd695\": \"DrPH, MA\", \"f0fd4501-d7ee-49bc-9904-223cfe002011\": \"Atlanta, Georgia\"}',1,'2024-05-13 20:31:07','2024-05-13 20:31:07','4e5a39ec-d748-42f3-aeba-5adfca677791'),(8272,8272,1,'Erin Epson','erin-epson','leadership/erin-epson','{\"5a2e2469-7074-4656-bbb3-413707c0d5bb\": \"Council Co-Chair\", \"847d6cd4-1aba-40c7-872b-9908642833ea\": \"CSTE Representative\", \"b9f3ce9d-0b04-423d-96e6-e7c61c70b996\": \"Dr. Epson is Medical Director and Chief of the Healthcare-Associated Infections (HAI) Program at the California Department of Health. She is clinically trained and board certified in internal medicine and infectious diseases, and completed medical epidemiology training as an Epidemic Intelligence Service Officer with the Centers for Disease Control and Prevention (CDC). In her role with the CDPH HAI Program, Dr. Epson is responsible for ensuring the HAI Program fulfills its legislative mandates by interpreting HAI data reported by California hospitals, determining HAI and antimicrobial resistance (AR) prevention priorities, and publishing these data on an annual basis. Dr. Epson oversees HAI Program operations and communications, data management and epidemiologic analysis, investigation and response to HAI/AR outbreaks and infection control breaches, and facility- and regionally-based HAI/AR prevention initiatives.\", \"e2448e70-cace-41e7-b1e7-bd812d8dd695\": \"MD\", \"f0fd4501-d7ee-49bc-9904-223cfe002011\": \"California Department of Health\"}',1,'2024-05-13 20:31:19','2024-05-13 20:31:19','7de03052-53f6-4198-93bb-f9010d1b5f98'),(8281,8281,1,'Scabies','scabies','diseases-pathogens/scabies',NULL,1,'2024-05-13 20:36:33','2024-05-13 20:36:33','9ac9cfbe-3d42-4093-ad66-fc366af77d9b'),(8282,8282,1,NULL,NULL,NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": \"Parasite\", \"d057632f-79c8-4652-8fd8-748ac6166ec6\": {\"date\": \"2024-05-17 07:00:00\"}, \"f395977f-9fbd-4439-be7d-6e235b6699ac\": {\"date\": \"2024-05-01 07:00:00\"}}',1,'2024-05-13 20:36:33','2024-05-13 20:36:33','852bbdac-39d7-4480-939d-10095b46268d'),(8283,8283,1,NULL,NULL,NULL,NULL,1,'2024-05-13 20:36:33','2024-05-13 20:36:33','c28a3e12-a964-4e72-8772-cf78fa592655'),(8284,8284,1,NULL,NULL,NULL,'{\"0640481e-1b5e-4db5-b7d6-df2b008c94ea\": \"For infection prevention specialists\", \"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Scabies Prevention and Control Guidelines for Acute and Long-Term Care Facilities\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-01 07:00:00\"}, \"6b9fa6e8-a0d8-49b0-a33f-871f787ec3ba\": \"For local health departments, healthcare facilities\", \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://my-craft-project.ddev.site/diseases-pathogens/scabies\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-13 20:36:33','2024-05-13 20:36:33','b8c4db4b-5cf0-4a0d-abe3-bca8ac794caf'),(8285,8285,1,NULL,NULL,NULL,NULL,1,'2024-05-13 20:36:33','2024-05-13 20:36:33','3789ead5-fa7b-4918-ae74-12155b39356a'),(8286,8286,1,NULL,NULL,NULL,'{\"0640481e-1b5e-4db5-b7d6-df2b008c94ea\": \"For infection prevention specialists\", \"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Scabies in Institutional Settings\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-02-01 08:00:00\"}, \"6b9fa6e8-a0d8-49b0-a33f-871f787ec3ba\": \"For local health departments\", \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-13 20:36:33','2024-05-13 20:36:33','6387f82f-83e7-4093-b4aa-4c397285df69'),(8287,8287,1,NULL,NULL,NULL,NULL,1,'2024-05-13 20:36:33','2024-05-13 20:36:33','c96c5137-96d3-45c0-8e91-49dce47482c8'),(8288,8288,1,NULL,NULL,NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Scabies Prevention and Control Manual\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-04 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-13 20:36:33','2024-05-13 20:36:33','f52fcd31-635c-48a7-97c9-fce9af0f1a33'),(8294,8294,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-13 21:06:31','2024-05-13 21:06:31','980a575f-448e-48a0-ae03-91108e5dc75c'),(8295,8295,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:06:31','2024-05-13 21:06:31','8da04b1c-ea55-40f3-934c-556ec7e883bb'),(8296,8296,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-13 21:06:31','2024-05-13 21:06:31','87674290-fa69-4fac-99c1-589bfe020797'),(8297,8297,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:06:31','2024-05-13 21:06:31','94ea15c0-0f9a-4b12-8043-6d461a80ddf2'),(8298,8298,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-13 21:06:31','2024-05-13 21:06:31','acf6a5bb-5f31-4e97-bcdf-0f74be468508'),(8302,8302,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-13 21:09:39','2024-05-13 21:09:39','61bc78f1-2f35-4fde-8bf5-4d564993bbf4'),(8303,8303,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:09:39','2024-05-13 21:09:39','79a65277-4eaa-45a7-9cb4-eab16de126a6'),(8304,8304,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>No Line Heading </h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter Summary\"}',1,'2024-05-13 21:09:39','2024-05-13 21:09:39','cd5e5a55-3e23-4bc8-b6d3-1b4ef3c812f4'),(8308,8308,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-13 21:10:08','2024-05-13 21:10:08','9287cf68-8061-4b23-bdfb-89cfcf824ce9'),(8309,8309,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:10:08','2024-05-13 21:10:08','e94a3fb4-4cc4-4163-bc10-7779f963ad04'),(8310,8310,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter Summary\"}',1,'2024-05-13 21:10:08','2024-05-13 21:10:08','c92c38b7-eeb2-48b7-b05e-73835294c28f'),(8314,8314,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-13 21:15:04','2024-05-13 21:15:04','6f2db847-23b6-4b5c-ac92-f18ebf11d40e'),(8315,8315,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:15:04','2024-05-13 21:15:04','6f391f24-3fd9-44d6-89a4-f5e7a126dad9'),(8316,8316,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-13 21:15:04','2024-05-13 21:15:04','2d91f2ed-ebee-4e16-b4b3-b010dd6650ef'),(8362,8362,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:22:18','2024-05-13 21:22:18','297d5bba-c104-4d71-bb53-d6f7c49602f7'),(8363,8363,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:22:18','2024-05-13 21:22:18','a4057dcb-7b78-41dc-9c05-289d7dfe8608'),(8364,8364,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"Accordion #1\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Accordion #1 body</p>\"}',1,'2024-05-13 21:22:18','2024-05-13 21:22:18','d0948c46-6b30-4f2c-82b6-45ba8036d30b'),(8365,8365,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"Accordion #2\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Accordion #2 body</p>\"}',1,'2024-05-13 21:22:18','2024-05-13 21:22:18','6e085ea8-d34d-4cc2-be62-7ce576153b37'),(8366,8366,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-13 21:22:19','2024-05-13 21:22:19','0c99993f-dc67-4f5b-b830-0fe4251c46bb'),(8367,8367,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:22:19','2024-05-13 21:22:19','5b4541ef-9963-4c0c-bbbe-ab0996d66447'),(8368,8368,1,NULL,NULL,NULL,NULL,1,'2024-05-13 21:22:19','2024-05-13 21:22:19','37794c99-f4df-46cb-a095-2c37637eecf3'),(8369,8369,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"Accordion #1\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Accordion #1 body</p>\"}',1,'2024-05-13 21:22:19','2024-05-13 21:22:19','6ba38516-e57a-4f65-aba2-90a1ecdc7b22'),(8370,8370,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"Accordion #2\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Accordion #2 body</p>\"}',1,'2024-05-13 21:22:19','2024-05-13 21:22:19','6d2d0771-f728-4bc7-9d37-db7c23698a3b'),(8373,8373,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-13 21:23:28','2024-05-13 21:23:28','d5b7c73a-51e9-4052-ad3d-11ac883b0cb6'),(8380,8380,1,NULL,NULL,NULL,'{\"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Governance Committee\"}',1,'2024-05-13 22:37:00','2024-05-13 22:37:00','a3cd183c-b73d-4043-b7e5-05d211712160'),(8381,8381,1,NULL,NULL,NULL,NULL,1,'2024-05-13 22:37:00','2024-05-13 22:37:00','ef2d37bb-cdee-4ee9-a6b8-014e2baf0dd5'),(8382,8382,1,'Leadership','leadership','leadership',NULL,1,'2024-05-13 22:37:00','2024-05-13 22:37:00','bc9346eb-4025-4511-b5b5-5fd12b3a4a5d'),(8383,8383,1,NULL,NULL,NULL,NULL,1,'2024-05-13 22:37:00','2024-05-13 22:37:00','21a06527-d960-4618-aaa8-dcd2180ad5bf'),(8384,8384,1,NULL,NULL,NULL,'{\"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Governance Committee\"}',1,'2024-05-13 22:37:01','2024-05-13 22:37:01','518e74c6-5a61-4c71-abb8-c7ad7f4b4ce1'),(8385,8385,1,NULL,NULL,NULL,NULL,1,'2024-05-13 22:37:01','2024-05-13 22:37:01','473738ec-1977-4564-9691-9a5ecbb68c2e'),(8388,8388,1,'Header general contact min',NULL,NULL,NULL,1,'2024-05-13 22:40:59','2024-05-13 22:40:59','73204aa4-481d-47b6-8c4c-20e8ef1730c3'),(8389,8389,1,'Contact CORHA','contact-corha','contact-corha',NULL,1,'2024-05-13 22:42:38','2024-05-13 22:42:38','82de240b-2455-421b-9d6b-8f774f9df13a'),(8390,8390,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Thank you for your interest in CORHA! Please fill out the form below to share with us how you are using these resources, any questions, concerns, or if there are other topics and resources that you would like to see from CORHA.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Contact CORHA\"}',1,'2024-05-13 22:42:39','2024-05-13 22:42:39','18079741-327c-4667-b778-64bd0106c5ba'),(8497,8497,1,NULL,NULL,NULL,NULL,1,'2024-05-14 18:01:39','2024-05-14 18:01:39','1f3873d9-e6b2-407b-9e05-4e1345b4cb0e'),(8498,8498,1,NULL,'__temp_rqxainrbfrdzrliqnwycchnjijegtcgulywy',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>The council focuses on making those who work on healthcare-related outbreaks more successful. CORHA supports the public health and healthcare communities so that they can work together more effectively, speeding up detection of new threats and stopping outbreaks from spreading.</p><p>CORHA’s workgroups are continually expanding the council’s suite of free online tools and resources to help you detect, investigate, and control outbreaks involving healthcare-associated infections, including antimicrobial-resistant pathogens.</p><p>The council’s foundational resource, The CORHA Principles and Practices, provides the knowledge base and insightful strategies needed for an effective Healthcare Outbreak Response.</p><p>CORHA also offers expertly curated tools plus pathogen and setting specific resources, helping to prevent and reduce harms from emerging infectious disease, infection control breaches, contaminated medical products and more.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"How We Do It\"}',1,'2024-05-14 18:01:39','2024-06-04 19:52:11','0760a20b-b489-4ad8-be8d-a6c09e52bc28'),(8499,8499,1,NULL,NULL,NULL,'{\"d34ad5d6-4524-4c40-8376-ad2cf3772110\": \"halfHalfWidth\"}',1,'2024-05-14 18:01:39','2024-05-14 18:01:39','889de952-4c3e-4615-8241-7e3ef7ee54c1'),(8500,8500,1,NULL,'__temp_iclollzhhxfjsbbtmqtryximzaurowvgdkps',NULL,'{\"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>To improve practices and policies at the local, state, and national levels for detection, investigation, control, and prevention of HAI/AR outbreaks across the healthcare continuum, including emerging infections and other risks with potential for healthcare transmission.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"Mission\"}',1,'2024-05-14 18:01:39','2024-06-04 19:52:11','1ba6d9f4-4414-4d40-9f1a-14f963fa550e'),(8501,8501,1,NULL,NULL,NULL,NULL,1,'2024-05-14 18:01:39','2024-05-14 18:01:39','0ec275c5-d733-4d93-ac68-ca9f38b790b8'),(8502,8502,1,NULL,'__temp_bpsyuvkepjshawhsyqwrhemxyjabqvzzijyc',NULL,'{\"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>Public health and healthcare collaborating effectively to protect patients and prevent harms from HAI/AR outbreaks.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"Vision\"}',1,'2024-05-14 18:01:39','2024-06-04 19:52:11','d1e0f9b9-2354-426c-890d-1a7ec7894278'),(8503,8503,1,'About CORHA','about-corha','about-corha',NULL,1,'2024-05-14 18:01:39','2024-05-14 18:01:39','b6a71ded-68bb-45cd-835a-6c2897511f2d'),(8504,8504,1,NULL,NULL,NULL,NULL,1,'2024-05-14 18:01:39','2024-05-14 18:01:39','79a28dc6-6753-48ae-b389-5781c46396b5'),(8505,8505,1,NULL,NULL,NULL,NULL,1,'2024-05-14 18:01:39','2024-05-14 18:01:39','a2e09bf8-573c-4244-86c5-e157f75272d6'),(8506,8506,1,NULL,NULL,NULL,'{\"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"How We Do It\"}',1,'2024-05-14 18:01:39','2024-05-14 18:01:39','16253b83-81ad-4c8d-a44c-1cdf76c7e3df'),(8507,8507,1,NULL,NULL,NULL,'{\"d34ad5d6-4524-4c40-8376-ad2cf3772110\": \"halfHalfWidth\"}',1,'2024-05-14 18:01:39','2024-05-14 18:01:39','5e297f08-249d-4480-9821-dfadf1473e67'),(8508,8508,1,NULL,NULL,NULL,'{\"546c71dc-352e-4fd4-b8da-ca0035df70e6\": \"Improving Practices & Policies\", \"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>To improve practices and policies at the local, state, and national levels for detection, investigation, control, and prevention of HAI/AR outbreaks across the healthcare continuum, including emerging infections and other risks with potential for healthcare transmission.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"CORHA\'S MISSION:\"}',1,'2024-05-14 18:01:39','2024-05-14 18:01:39','48d4b560-1a20-4271-a210-f22a7424d4c7'),(8509,8509,1,NULL,NULL,NULL,NULL,1,'2024-05-14 18:01:39','2024-05-14 18:01:39','c51c6517-6dcc-456d-ac43-0e983873c791'),(8510,8510,1,NULL,NULL,NULL,'{\"546c71dc-352e-4fd4-b8da-ca0035df70e6\": \"Uplifting Healthcare Collaboration\", \"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>CORHA’s vision and the driving force behind all efforts is public health and healthcare collaborating effectively to protect patients and prevent harms from HAI/AR outbreaks.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"CORHA\'S VISION:\"}',1,'2024-05-14 18:01:39','2024-05-14 18:01:39','13a757fe-4776-42ca-adfb-5f1f55c14f23'),(8516,8516,1,'About CORHA','about-corha','about-corha',NULL,1,'2024-05-14 19:35:55','2024-05-14 19:35:55','9222dd2f-391c-4111-89b7-838a223d471f'),(8517,8517,1,NULL,NULL,NULL,'{\"d34ad5d6-4524-4c40-8376-ad2cf3772110\": \"halfHalfWidth\"}',1,'2024-05-14 19:35:56','2024-05-14 19:35:56','6ad59d8e-12b4-49d7-9a49-ca36edf2e367'),(8518,8518,1,NULL,NULL,NULL,'{\"546c71dc-352e-4fd4-b8da-ca0035df70e6\": \"Improving Practices & Policies\", \"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>To improve practices and policies at the local, state, and national levels for detection, investigation, control, and prevention of HAI/AR outbreaks across the healthcare continuum, including emerging infections and other risks with potential for healthcare transmission.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"CORHA\'s Mission:\"}',1,'2024-05-14 19:35:56','2024-05-14 19:35:56','477a4932-c04e-47da-9852-458f7e8f5a7e'),(8519,8519,1,NULL,NULL,NULL,NULL,1,'2024-05-14 19:35:56','2024-05-14 19:35:56','1f8cf696-42c2-4468-9cfa-3c9d2ca2b1ae'),(8520,8520,1,NULL,NULL,NULL,'{\"546c71dc-352e-4fd4-b8da-ca0035df70e6\": \"Uplifting Healthcare Collaboration\", \"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>CORHA’s vision and the driving force behind all efforts is public health and healthcare collaborating effectively to protect patients and prevent harms from HAI/AR outbreaks.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"CORHA\'s Vision:\"}',1,'2024-05-14 19:35:56','2024-05-14 19:35:56','3366efcb-5e13-435f-a33e-7cb7cbb35648'),(8524,8524,1,'Standard Variable List','standard-variable-list','tools/standard-variable-list',NULL,1,'2024-05-14 21:03:27','2024-05-14 21:03:27','d0b47f1d-5e9d-4f84-a3ce-ab8886fa8e47'),(8525,8525,1,NULL,NULL,NULL,NULL,1,'2024-05-14 21:03:27','2024-05-14 21:03:27','1c7dfa16-6f0d-486c-9fc9-2b4b66abd306'),(8526,8526,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>Footnotes</p><p>*<a href=\\\"https://www.census.gov/programs-surveys/geography/guidance/geo-areas/urban-rural.html\\\">Urban and Rural (census.gov)</a> (Accessed September 2, 2022).</p><p>†  <a href=\\\"https://findahealthcenter.hrsa.gov/\\\">Find a Health Center (hrsa.gov)</a>  (Accessed August 31, 2022).</p><p>§ <a href=\\\"https://data.hrsa.gov/tools/shortage-area/mua-find\\\">MUA Find (hrsa.gov)</a> (Accessed August 31, 2022).</p><p>¶<a href=\\\"https://data.hrsa.gov/tools/shortage-area/hpsa-find\\\">HPSA Find (hrsa.gov)</a> (Accessed September 2, 2022).</p><p>** National Academies of Sciences, Engineering, and Medicine. 2022. Measuring Sex, Gender Identity, and Sexual Orientation. Washington, DC: The National Academies Press. <a href=\\\"https://doi.org/10.17226/26424\\\">https://doi.org/10.17226/26424</a>. (Accessed August 31, 2022.)</p><p>ϮϮ <a href=\\\"https://www.cdc.gov/nchs/nhis/sexual_orientation/questionnaire.htm\\\">NHIS - Sexual Orientation Information Questionnaire (cdc.gov)</a> (Accessed August 31, 2022).</p><p>§§ <a href=\\\"https://www.census.gov/programs-surveys/decennial-census/decade/2020/planning-management/release/faqs-race-ethnicity.html#:~:text=An%2520individual%2527s%2520responses%2520to%2520the,response%2520to%2520the%2520race%2520question.\\\">2020 Census Frequently Asked Questions About Race and Ethnicity</a> (Accessed August 31, 2022).</p><p>¶¶<a href=\\\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805104/\\\">Collection of Data on Race, Ethnicity, Language, and Nativity by US Public Health Surveillance and Monitoring Systems: Gaps and Opportunities - PMC (nih.gov)</a>  (Accessed August 31, 2022).</p><p>***United Sates Census Bureau. 2021. Understanding and Using American Community Survey Data: What users of data for American Indians and Alaska Natives need to know. U.S. Government Publishing Office, Washington D.C. 2021. (Accessed August 31, 2022.)</p><p>ϮϮϮ <a href=\\\"https://www.census.gov/programs-surveys/acs/technical-documentation/code-lists.html\\\">Code Lists, Definitions, and Accuracy (census.gov)</a> (Accessed August 31, 2022).</p><p>§§§ <a href=\\\"https://www.cdc.gov/brfss/questionnaires/pdf-ques/2020-BRFSS-Questionnaire-508.pdf\\\">2020 BRFSS Questionnaire (cdc.gov)</a>  (Accessed August 31, 2022).</p><p>¶¶¶<a href=\\\"https://www.cdc.gov/niosh/docs/2021-110/pdf/2021-110revised052021.pdf?id=10.26616/NIOSHPUB2021110revised52021\\\">NIOSH Worker Well-Being Questionnaire (WellBQ) (cdc.gov)</a> (Accessed August 31, 2022).</p><p>****U.S. Census Bureau [2012]. Census 2012 detailed industry code list. https://www.census.gov/topics/employment/ industry-occupation/guidance/code-lists.html. (Accessed August 31, 2022).</p><p>ϮϮϮϮ U.S. Census Bureau [2010]. 2010 Census occupation codes with crosswalk. Download from the list at https://www.census.gov/topics/ employment/ industry-occupation/guidance/ code-lists.html. (Accessed August 31, 2022).</p><p>§§§§ <a href=\\\"https://www.census.gov/acs/www/about/why-we-ask-each-question/education/\\\">https://www.census.gov/acs/www/about/why-we-ask-each-question/education/</a> (Accessed August 31, 2022).</p><p>¶¶¶¶ <a href=\\\"https://www.ahrq.gov/sites/default/files/publications/files/iomracereport.pdf\\\">https://www.ahrq.gov/sites/default/files/publications/files/iomracereport.pdf</a> (Accessed August 31, 2022).</p><p> </p><p>Feedback on the HAI Standardized Outbreak Variable List is welcome and can be directed via email to <a href=\\\"mailto:info@corha.org\\\">info@corha.org</a>. You can also provide feedback online by completing a form that will be shared with a CORHA staff member. Access the form by clicking <a href=\\\"https://www.corha.org/contact-us/\\\">here</a>.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"References\"}',1,'2024-05-14 21:03:27','2024-05-14 21:03:27','10bd3b98-d063-4a67-a87d-7827b9c36896'),(8527,8527,1,'Search','search','search',NULL,1,'2024-05-14 21:06:09','2024-05-14 21:23:06','2b4528e2-00ae-4fda-a7c9-d88c165dd527'),(8528,8528,1,NULL,NULL,NULL,'{\"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Search CORHA\"}',1,'2024-05-14 21:06:16','2024-05-14 21:06:16','2d625396-ff20-4760-83e2-64632fc36a93'),(8532,8532,1,'Standard Variable List','standard-variable-list','tools/standard-variable-list',NULL,1,'2024-05-14 21:06:53','2024-05-14 21:06:53','43254abe-c06c-4bc1-8789-d6a7f68e249c'),(8533,8533,1,NULL,NULL,NULL,NULL,1,'2024-05-14 21:06:53','2024-05-14 21:06:53','834f2ead-2031-4205-8c36-8987daa1ad53'),(8534,8534,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3><strong>Version 1.0 - January 1, 2024</strong></h3><ul><li><strong>Patient Information</strong>: Initial release of the healthcare report template, including sections for patient demographics, medical history, and contact information.</li><li><strong>Symptom Assessment</strong>: Added a comprehensive symptom assessment section to capture patient-reported symptoms and their severity.</li><li><strong>Vital Signs</strong>: Included vital signs data such as blood pressure, heart rate, temperature, and respiratory rate for comprehensive patient evaluation.</li><li><strong>Medication History</strong>: Introduced a medication history section to document current and past medications, including dosage and frequency.</li></ul><h3><strong>Version 1.1 - February 1, 2024</strong></h3><ul><li><strong>Laboratory Results</strong>: Integrated a section for laboratory results to document test outcomes, including blood tests, urine analysis, and other diagnostic tests.</li><li><strong>Diagnostic Imaging</strong>: Added a subsection to capture diagnostic imaging findings, including X-rays, CT scans, MRIs, and ultrasounds.</li><li><strong>Assessment and Plan</strong>: Introduced a section for assessment and plan, where healthcare providers can document their assessment of the patient\'s condition and outline a treatment plan.</li><li><strong>Medication Reconciliation</strong>: Enhanced the medication history section to include medication reconciliation, facilitating accurate medication management.</li></ul><h3><strong>Version 1.2 - March 1, 2024</strong></h3><ul><li><strong>Allergies and Adverse Reactions</strong>: Included a dedicated section for documenting patient allergies and adverse drug reactions to ensure patient safety.</li><li><strong>Family Medical History</strong>: Integrated a section to capture the patient\'s family medical history, including any hereditary conditions or diseases.</li><li><strong>Patient Education</strong>: Added a patient education section to provide information on the patient\'s condition, treatment plan, and lifestyle modifications.</li><li><strong>Discharge Instructions</strong>: Introduced discharge instructions to guide patients on post-discharge care and follow-up appointments.</li></ul><h3><strong>Version 1.3 - April 1, 2024</strong></h3><ul><li><strong>Remote Monitoring Data</strong>: Integrated support for documenting remote monitoring data, enabling healthcare providers to track patient progress remotely.</li><li><strong>Telemedicine Visit Summary</strong>: Added a subsection to summarize telemedicine visits, including patient-provider interactions and treatment adjustments.</li><li><strong>Functional Assessment</strong>: Included a section for functional assessment to evaluate the patient\'s functional status and ability to perform activities of daily living.</li><li><strong>Pain Assessment</strong>: Enhanced the symptom assessment section to include a detailed pain assessment, capturing pain intensity, location, and characteristics.</li></ul><h3><strong>Version 1.4 - May 1, 2024</strong></h3><ul><li><strong>Social Determinants of Health</strong>: Integrated a section to document social determinants of health, including socioeconomic factors, living environment, and social support networks.</li><li><strong>Advance Care Planning</strong>: Added support for advance care planning documentation, including advance directives and healthcare proxy information.</li><li><strong>Patient Goals and Preferences</strong>: Introduced a section for documenting patient goals and preferences regarding their healthcare, treatment options, and end-of-life care.</li><li><strong>Care Coordination</strong>: Enhanced the report template to facilitate care coordination among multidisciplinary healthcare teams and improve continuity of care.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-14 21:06:53','2024-05-14 21:06:53','11eec4c4-0183-4c23-bafd-f1c9be15be07'),(8535,8535,1,'Principles & Practices for Outbreak Response','principles-practices-for-outbreak-response','principles-practices-for-outbreak-response',NULL,1,'2024-05-14 21:10:31','2024-05-14 21:13:49','0024d57a-5cd3-4c8b-b81b-aabe5818d4d2'),(8538,8538,1,'Header chapters index',NULL,NULL,NULL,1,'2024-05-14 21:11:41','2024-05-14 21:11:41','a165be5f-b873-47ce-81f4-ac2db31171f0'),(8539,8539,1,NULL,'__temp_rhshhrxozdwgdoxpkrssphdduwgzstfylhgf',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>This comprehensive reference equips public health, healthcare, and other stakeholders with the information they need to build, standardize, or improve upon their healthcare outbreak response capacities and practices. </p><p><a href=\\\"https://www.naccho.org/uploads/downloadable-resources/CORHA-Principles-and-Practices-Second-Edition.pdf\\\">Access All Chapters Text</a></p>\"}',1,'2024-05-14 21:13:04','2024-08-01 19:49:39','d495df08-241a-4ef2-9fc7-c923c19397f1'),(8540,8540,1,'Principles & Practices for  Outbreak 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21:19:49','2ea3efa4-8b1b-4e17-9cc6-2092e2e6409c'),(8547,8547,1,NULL,NULL,NULL,NULL,1,'2024-05-14 21:23:12','2024-05-14 21:23:12','55d2bb2f-07c9-4bef-bc4a-982ee73e5fb9'),(8548,8548,1,NULL,NULL,NULL,NULL,1,'2024-05-14 21:23:12','2024-05-14 21:23:12','6b779a96-9f63-46b3-bf1b-d5b8d8140137'),(8579,8579,1,'Search','search','search',NULL,1,'2024-05-14 23:06:16','2024-05-14 23:06:16','94bcbc21-ba8d-4911-ae50-65996088d06e'),(8580,8580,1,NULL,NULL,NULL,'{\"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Search\"}',1,'2024-05-14 23:06:16','2024-05-14 23:06:16','f85d70c3-c747-46df-bc58-397212031260'),(8581,8581,1,NULL,NULL,NULL,NULL,1,'2024-05-14 23:06:16','2024-05-14 23:06:16','044c76b7-4e85-42bf-ba30-0fd7112be127'),(8582,8582,1,NULL,NULL,NULL,NULL,1,'2024-05-14 23:06:16','2024-05-14 23:06:16','0ade8fd8-c40d-4a1c-8545-8e24f96c0a00'),(8585,8585,1,'Overview','overview','topic-tags/overview',NULL,1,'2024-05-14 23:09:31','2024-05-14 23:09:34','a096a614-1324-461a-af26-e64fcb9e85fe'),(8586,8586,1,'Detection','detection','topic-tags/detection',NULL,1,'2024-05-14 23:13:04','2024-05-14 23:13:06','da8d2b1e-9069-4a7f-8418-df3e9fc15420'),(8587,8587,1,'Investigation','investigation','topic-tags/investigation',NULL,1,'2024-05-14 23:13:10','2024-05-14 23:13:12','167a3f13-2ca5-4a2a-82ab-ed5b3bfccc11'),(8588,8588,1,'Management','management','topic-tags/management',NULL,1,'2024-05-14 23:13:15','2024-05-14 23:13:19','99905a5f-3a93-4ae9-9e94-56160be64405'),(8589,8589,1,'Preparation','preparation','topic-tags/preparation',NULL,1,'2024-05-14 23:13:22','2024-05-14 23:13:25','f051bc63-9281-4af1-99fc-febf083ae445'),(8590,8590,1,'Treatment','treatment','topic-tags/treatment',NULL,1,'2024-05-14 23:13:30','2024-05-14 23:13:32','8ac55eee-1356-4397-961b-678aaf7a7a2d'),(8609,8609,1,'Search','search','search',NULL,1,'2024-05-15 00:02:28','2024-05-15 00:02:28','f5011f91-d985-4573-add6-f876a8181c92'),(8613,8613,1,'Resources for Pathogens & 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To see resources for your facility’s outbreak, select the disease, pathogen, type, or outbreak method below.</p>\"}',1,'2024-05-15 18:16:52','2024-06-11 19:12:17','45cb8043-3ec9-41e8-bbb2-31e0d11c9c9f'),(8618,8618,1,'Resources for Pathogens & Diseases','resources-for-pathogens-diseases','resources-for-pathogens-diseases',NULL,1,'2024-05-15 18:22:27','2024-05-15 18:22:27','694768ad-6d1d-4524-8644-377f468ae62a'),(8619,8619,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>In addition to general guidance and tools for all outbreaks, CORHA  has curated a collection of resources from leading institutions for specific outbreaks. To see resources for your facility’s outbreak, select the disease, pathogen, type, or outbreak method below.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Resources Pathogens & Diseases\"}',1,'2024-05-15 18:22:27','2024-05-15 18:22:27','6013739d-bcae-4d01-aba6-f7f736097baa'),(8639,8639,1,'EKC',NULL,NULL,NULL,1,'2024-05-15 21:21:47','2024-05-15 21:21:47','79edb1e8-42a4-482e-8be4-41ef62a8e273'),(8663,8663,1,'D9d78a52a7dacc64378803a4876eba89',NULL,NULL,NULL,1,'2024-05-15 21:32:57','2024-05-15 21:32:57','67cc6101-e739-49d5-adf7-85d07c514167'),(8675,8675,1,'Burkholderia Cepacia','scabies-2-2','diseases-pathogens/scabies-2-2',NULL,1,'2024-05-15 21:33:49','2024-05-15 21:33:49','30ddb913-7da5-46af-9b47-e86e0d72cb0e'),(8676,8676,1,NULL,NULL,NULL,'{\"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Burkholderia Cepacia Resources\"}',1,'2024-05-15 21:33:49','2024-05-15 21:33:49','2b2a6ded-94bd-4141-a105-81defa7b30d3'),(8677,8677,1,NULL,NULL,NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": 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\"https://my-craft-project.ddev.site/diseases-pathogens/scabies\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-15 21:33:49','2024-05-15 21:33:49','bae88365-8c6e-495e-acf7-7f2c34d60330'),(8681,8681,1,NULL,NULL,NULL,NULL,1,'2024-05-15 21:33:49','2024-05-15 21:33:49','76b44241-88d9-448b-9a1e-da4bbb4a6fd0'),(8690,8690,1,'3ae19f702c52f516349eac1aafa78a16',NULL,NULL,NULL,1,'2024-05-15 21:34:25','2024-05-15 21:34:25','f85e699a-387a-4115-b5a6-ccc7d6b6692d'),(8691,8691,1,'Scabies','scabies','diseases-pathogens/scabies',NULL,1,'2024-05-15 21:34:28','2024-05-15 21:34:28','79300e12-80a8-47de-8623-ce34c0790cff'),(8692,8692,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Also called sarcoptes scabiei or sarcoptic mange</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Scabies Resources\"}',1,'2024-05-15 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\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Scabies in Institutional Settings\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-02-01 08:00:00\"}, \"6b9fa6e8-a0d8-49b0-a33f-871f787ec3ba\": \"For local health departments\", \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-15 21:34:28','2024-05-15 21:34:28','85124e55-129a-460a-9bec-ed95b911b09f'),(8701,8701,1,NULL,NULL,NULL,NULL,1,'2024-05-15 21:34:28','2024-05-15 21:34:28','bf512922-cd9b-41dc-8644-a9d068ba7a10'),(8702,8702,1,NULL,NULL,NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Scabies Prevention and Control Manual\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-04 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-15 21:34:28','2024-05-15 21:34:28','e6e8e2f8-b899-4978-a4d7-1009a2309e8b'),(8720,8720,1,'16a86c9419c50c1f31db2eb808c3b6bf',NULL,NULL,NULL,1,'2024-05-15 21:35:51','2024-05-15 21:35:51','7d9c0f85-a789-47ab-a528-acbccc8aca9f'),(8736,8736,1,'C. Auris','scabies-3-2','diseases-pathogens/scabies-3-2',NULL,1,'2024-05-15 21:36:07','2024-05-15 21:36:07','6bc144f1-246f-4d9a-bc84-73f6eab3def6'),(8737,8737,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Also called Candida auris</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"C. 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Auris Resource\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-02 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://google.com\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-15 21:36:08','2024-05-15 21:36:08','e769425d-5746-48db-96cf-e21fc545a373'),(8766,8766,1,'Icon copy link',NULL,NULL,NULL,1,'2024-05-16 05:26:01','2024-05-16 05:26:01','059b7b9c-82d4-41ab-8d12-71a9f1910929'),(8767,8767,1,'Pathogens & Diseases',NULL,NULL,'{\"b16fbf8b-59fc-49b9-bfd8-054caa73163e\": \"topicsDropdown\"}',1,'2024-05-16 21:14:16','2024-05-16 21:14:16','22941e71-8c09-4402-9686-d87ea4969b9a'),(8768,8768,1,NULL,NULL,NULL,'{\"52546fce-5f4b-4c24-9f12-a768f3918762\": \"All Pathogens & Diseases\", \"c08a2986-96f1-41a7-91e9-446587fb2dbb\": \"http://staging.corha.astriatawiki.com/principles-practices-for-outbreak-response\"}',1,'2024-05-16 21:14:16','2024-05-16 21:14:16','d50c3a22-ba20-4c90-8b26-90ff80089a2a'),(8771,8771,1,'Fce67bf8bf43dc07bc75e3057de2de26',NULL,NULL,NULL,1,'2024-05-16 22:24:15','2024-05-16 22:24:15','4cbdcac6-6246-48b7-adaa-234c46fa4b87'),(8772,8772,1,'Principles & Practices for  Outbreak Response','principles-practices-for-outbreak-response','principles-practices-for-outbreak-response',NULL,1,'2024-05-16 22:24:57','2024-05-16 22:24:57','1d33d65b-6328-44b9-9f26-7e3632a8601c'),(8773,8773,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>This comprehensive reference equips public health, healthcare, and other stakeholders with the information they need to build, standardize or improve capacities and practices related to HAI/AR outbreak detection, reporting, investigation, and control.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Practices for Outbreak Response\"}',1,'2024-05-16 22:24:57','2024-05-16 22:24:57','b0aa82b9-0195-4354-b2e5-f347e82c4f0a'),(8776,8776,1,'Header chapters index min',NULL,NULL,NULL,1,'2024-05-16 22:29:11','2024-05-16 22:29:11','944c57e8-9720-4f39-8537-7e2aba78260a'),(8777,8777,1,'Principles & Practices for  Outbreak Response','principles-practices-for-outbreak-response','principles-practices-for-outbreak-response',NULL,1,'2024-05-16 22:30:54','2024-05-16 22:30:54','52087b96-0254-49cd-bacf-01951f6d4bee'),(8778,8778,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>This comprehensive reference equips public health, healthcare, and other stakeholders with the information they need to build, standardize or improve capacities and practices related to HAI/AR outbreak detection, reporting, investigation, and control.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Practices for Outbreak Response\"}',1,'2024-05-16 22:30:54','2024-05-16 22:30:54','8e1beccc-f570-42ef-a3c8-59763142c1b3'),(8783,8783,1,'Planning & 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22:45:31','aa6a2cd4-a09b-417d-aebc-1fb5605d945a'),(8787,8787,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-16 22:45:31','2024-05-16 22:45:31','65437dad-e2c9-4113-a59e-3170e55672ea'),(8788,8788,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-16 22:45:31','2024-05-16 22:45:31','b2eb821f-4954-4b1e-8c62-81c6a061c583'),(8789,8789,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:31','2024-05-16 22:45:31','904e80d6-077e-4f03-9cfc-a368a944de74'),(8791,8791,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','85b5c6ad-e3f2-4a8e-8dda-778dfee178c8'),(8792,8792,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','47af8f4a-1fcc-4a7d-8603-8e2d5489a226'),(8793,8793,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','6fb62a5a-11b5-4437-952c-b913c3680192'),(8794,8794,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','91b4ab3d-67f0-486a-b470-33b24203acf3'),(8795,8795,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','7641821e-0dbb-4dd1-b4d9-27cc8209e8e0'),(8796,8796,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','539314c1-c829-4f2f-ba40-060182bc5da6'),(8797,8797,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','719a4736-937a-4f28-868a-7ef270f5f2f7'),(8798,8798,1,NULL,NULL,NULL,NULL,1,'2024-05-16 22:45:32','2024-05-16 22:45:32','ff2a71c1-b3f3-4ef2-8236-155502a883b1'),(8820,8820,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-16 23:06:42','2024-05-16 23:06:42','af3fed90-c34e-488b-8cea-9176d1adb6e4'),(8821,8821,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Planning & Preparation\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','d14567f6-6da4-4769-9ea1-0ec31bdb2d96'),(8822,8822,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','a75ec31d-9682-42a5-abea-5a35e2afa44c'),(8823,8823,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','8a779131-21b8-4a32-8657-bc7f0a27232e'),(8824,8824,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','48746b04-cf34-4eea-bbd0-5e2fd6066ba3'),(8825,8825,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','3103afc1-31f3-4ab3-b71d-609015fa5de4'),(8826,8826,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:42','2024-05-16 23:06:42','a8ed7d1c-414a-4325-b9a1-97271a743cd4'),(8828,8828,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:42','2024-05-16 23:06:42','2da40b3d-70c4-4e8c-83c9-46645b322580'),(8829,8829,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','da28c963-baef-4dc7-804e-0b322eaf69b7'),(8830,8830,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:42','2024-05-16 23:06:42','6eb5122d-898f-456c-bf48-30739fe5d8d4'),(8831,8831,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','6c1cb40a-b1fa-44ff-91d9-177df87e0a07'),(8832,8832,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','badc1ef8-fbbd-471b-9538-c7a4d3af5954'),(8833,8833,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','baa066dd-ee4b-420f-b68f-fc10bb25978a'),(8834,8834,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:42','2024-05-16 23:06:42','099011cb-af8b-4b84-b5fd-5e039a518d0a'),(8835,8835,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:43','2024-05-16 23:06:43','789fcf44-735c-4866-bf05-3dde1468acce'),(8836,8836,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','05d7a0af-ab37-416a-8ed0-846d9b01e0fe'),(8837,8837,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','f65d5935-8d0c-42ce-9d9e-ee51f1a5dd2e'),(8838,8838,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','10b110d0-e45d-45b3-8ee9-81abb28de0e4'),(8839,8839,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','62f51ceb-c36c-47fb-933e-3ee106d49589'),(8840,8840,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','efb2ec0c-cbb5-47d1-9654-bd441c91e78b'),(8841,8841,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:43','2024-05-16 23:06:43','f11ded17-0523-4b28-a391-31990cc5f6a6'),(8842,8842,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','877cf98f-bc2a-4532-9ee1-3b8ac68c6ba9'),(8843,8843,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','c13cf277-6b0f-46b6-b8f7-5e1c809b6a15'),(8844,8844,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','50da899a-20da-4739-8c6f-287286e7e1d0'),(8845,8845,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:43','2024-05-16 23:06:43','b952bced-b4d0-48cc-be9c-23ba6dd1c73b'),(8846,8846,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','62493dbd-8707-4e84-b494-7ce8b025c3e5'),(8847,8847,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:43','2024-05-16 23:06:43','3cb0ef7d-5173-4a04-8e40-994b91134efd'),(8848,8848,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','90013791-d592-4f9d-a5ba-30bf1581d673'),(8849,8849,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:43','2024-05-16 23:06:43','5139568b-5265-4e92-b73b-869373b00b27'),(8850,8850,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','322633f1-e1b6-42cf-9d03-9455141cba75'),(8851,8851,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','bede0ad0-7df9-4eff-b82f-3c03444eaebb'),(8852,8852,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','1c7d0c59-e929-4329-a9b5-3f679d40b82a'),(8853,8853,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','9ccaa647-e75f-45ba-9ccb-65653e17e922'),(8854,8854,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','024740fb-86b6-4680-be09-070cfe6f673a'),(8855,8855,1,NULL,NULL,NULL,NULL,1,'2024-05-16 23:06:43','2024-05-16 23:06:43','cf355694-7782-4365-9ab6-e538f100cbab'),(8856,8856,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-16 23:06:43','2024-05-16 23:06:43','6e8a97b5-d67e-4d63-8b85-33dcadc356f1'),(8862,8862,1,'http://staging.corha.astriatawiki.com/assets/embed',NULL,NULL,NULL,1,'2024-05-17 15:24:14','2024-05-17 15:24:14','ca0a619b-dc8a-4eab-9b63-48ab702d1efe'),(8863,8863,1,'http://staging.corha.astriatawiki.com/assets/embed',NULL,NULL,NULL,1,'2024-05-17 15:26:20','2024-05-17 15:26:20','6bff3315-3573-45ca-8b84-c10485614845'),(8864,8864,1,'Home','home','__home__',NULL,1,'2024-05-17 15:26:49','2024-05-17 15:26:49','0d60d82a-e67b-4310-8257-f47119ec83db'),(8865,8865,1,NULL,NULL,NULL,'{\"25fd6e6f-c802-418d-87dc-d9f982f900d9\": \"CORHA offers a curated collection of resources to help improve your outbreak response activities, wherever healthcare is delivered.\", \"bbb62ccb-960d-4efb-9245-e85c3ecfe366\": \"Detect, investigate, & control healthcare outbreaks\"}',1,'2024-05-17 15:26:49','2024-05-17 15:26:49','c43e5faa-fbc3-453c-9665-67168b32c1b5'),(8866,8866,1,NULL,NULL,NULL,'{\"10d3ce1c-87ac-42c8-a0d3-eb0af846c292\": \"http://#\", \"5c2103b6-c85c-4299-b98b-d424ccd2a354\": \"A template to send healthcare partners concerning prevention and reporting procedures.\", \"7a437a7c-0270-491d-88ba-ad25cbff34f1\": \"Featured Resource\", \"b5070b63-0afe-40ba-84af-7d0b8f1e060a\": \"Influenza Annual Letter\"}',1,'2024-05-17 15:26:49','2024-05-17 15:26:49','ae1295a4-4bcf-4d67-be59-5fef3a7e0042'),(8867,8867,1,NULL,NULL,NULL,'{\"10d3ce1c-87ac-42c8-a0d3-eb0af846c292\": \"http://#\", \"5c2103b6-c85c-4299-b98b-d424ccd2a354\": \"How to manage outbreaks originating from medical products.\", \"7a437a7c-0270-491d-88ba-ad25cbff34f1\": \"New Guidance\", \"b5070b63-0afe-40ba-84af-7d0b8f1e060a\": \"Medical Products Investigations\"}',1,'2024-05-17 15:26:49','2024-05-17 15:26:49','e757b7e8-e0fb-4e57-9d12-cfd936514ff4'),(8868,8868,1,NULL,NULL,NULL,'{\"10d3ce1c-87ac-42c8-a0d3-eb0af846c292\": \"http://#\", \"5c2103b6-c85c-4299-b98b-d424ccd2a354\": \"The state of the epidemic and resources for health departments.\", \"7a437a7c-0270-491d-88ba-ad25cbff34f1\": \"New Resource\", \"b5070b63-0afe-40ba-84af-7d0b8f1e060a\": \"COVID-19 Webinar\"}',1,'2024-05-17 15:26:49','2024-05-17 15:26:49','0b40a7b2-5c76-4b7e-b652-b73f4225a31e'),(8869,8869,1,NULL,NULL,NULL,'{\"d34ad5d6-4524-4c40-8376-ad2cf3772110\": \"halfHalfWidth\"}',1,'2024-05-17 15:26:49','2024-05-17 15:26:49','921d78a0-39e6-4936-bec3-4180858e960a'),(8870,8870,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:26:49','2024-05-17 15:26:49','213ea529-9458-4b68-a8f3-74e48b60b86c'),(8871,8871,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:26:49','2024-05-17 15:26:49','96a68c54-dfcd-419e-ae9f-e6fbe247d716'),(8872,8872,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:26:49','2024-05-17 15:26:49','e38fa466-f5dd-4f08-aa97-58721599fd95'),(8873,8873,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:26:49','2024-05-17 15:26:49','270db682-3ae9-4419-bf63-d53e71aef1b4'),(8874,8874,1,'4121618 uhd 3840 2160 25fps',NULL,NULL,NULL,1,'2024-05-17 15:40:59','2024-05-17 15:40:59','9b995206-e2b6-4da6-9c57-294f82394663'),(8878,8878,1,'Home','home','__home__',NULL,1,'2024-05-17 15:41:27','2024-05-17 15:41:27','9daa5588-808a-4f34-aff7-aff1ce35a162'),(8879,8879,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:41:27','2024-05-17 15:41:27','ed862730-649f-4d53-bddd-91e46630ed31'),(8880,8880,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:41:27','2024-05-17 15:41:27','fcdb7cae-8752-4bd8-b805-705b9e24ec32'),(8899,8899,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:46:04','2024-05-17 15:46:04','6cf3731c-ecd9-4973-a1a0-d164fb134541'),(8900,8900,1,NULL,NULL,NULL,'{\"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"Meet Corha\"}',1,'2024-05-17 15:46:04','2024-05-17 15:46:04','7c499038-2e45-413c-a6cf-ae7a6acf8bfe'),(8901,8901,1,'Home','home','__home__',NULL,1,'2024-05-17 15:46:05','2024-05-17 15:46:05','9ec5022e-74dd-42ae-aa3c-5302f01e8df6'),(8902,8902,1,NULL,NULL,NULL,NULL,1,'2024-05-17 15:46:05','2024-05-17 15:46:05','61400c9f-3355-4e2e-b285-377b52747505'),(8903,8903,1,NULL,NULL,NULL,'{\"735bb5d5-5c6a-47cf-b6cd-6114fc666d01\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p>\", \"d43e60c6-bb8f-48dd-8627-25220bb2359a\": \"Meet Corha\"}',1,'2024-05-17 15:46:05','2024-05-17 15:46:05','169bc8b3-4330-4dc5-bbb0-10ad4b5ce27a'),(8909,8909,1,NULL,NULL,NULL,'{\"74e584f9-0d74-40d9-b2c5-1549b72be6c2\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p><p><a class=\\\"arrow-link\\\" href=\\\"/about-corha/\\\">More About Corha</a></p>\", \"d2a00b89-80a2-4a8f-bef0-994bb6e54e03\": \"Meet CORHA\"}',1,'2024-05-17 16:12:35','2024-05-17 16:12:35','36c1c5eb-4180-438e-b53b-d5af802d2ae1'),(8910,8910,1,'Home','home','__home__',NULL,1,'2024-05-17 16:12:35','2024-05-17 16:12:35','5b41baef-f2d6-44ff-9d60-53d665c26a48'),(8911,8911,1,NULL,NULL,NULL,NULL,1,'2024-05-17 16:12:35','2024-05-17 16:12:35','54b4b92e-cc63-437b-a164-a03bf16d498a'),(8912,8912,1,NULL,NULL,NULL,'{\"74e584f9-0d74-40d9-b2c5-1549b72be6c2\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p>\"}',1,'2024-05-17 16:12:35','2024-05-17 16:12:35','0640275c-95d3-48e3-bcf8-f206eaaadfa7'),(8916,8916,1,'Home','home','__home__',NULL,1,'2024-05-17 16:13:33','2024-05-17 16:13:33','563ea67c-2828-4e44-9dee-71b9e76a6ae6'),(8917,8917,1,NULL,NULL,NULL,NULL,1,'2024-05-17 16:13:33','2024-05-17 16:13:33','2199bef1-ffc8-42ef-a735-58caf47d1734'),(8918,8918,1,NULL,NULL,NULL,'{\"74e584f9-0d74-40d9-b2c5-1549b72be6c2\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p>\", \"d2a00b89-80a2-4a8f-bef0-994bb6e54e03\": \"Meet CORHA\"}',1,'2024-05-17 16:13:33','2024-05-17 16:13:33','f5338ab0-181a-4c5f-8abc-f4d2b480bfb1'),(8922,8922,1,'Home','home','__home__',NULL,1,'2024-05-17 17:10:40','2024-05-17 17:10:40','e41eec87-ac7a-4175-a7f6-1d4d40eb11d3'),(8923,8923,1,NULL,NULL,NULL,NULL,1,'2024-05-17 17:10:40','2024-05-17 17:10:40','5a3d4038-24fd-4fd0-92ea-52fd5aebbc8e'),(8924,8924,1,NULL,NULL,NULL,'{\"74e584f9-0d74-40d9-b2c5-1549b72be6c2\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p><p><a href=\\\"/about-corha/\\\">More About Corha</a></p>\", \"d2a00b89-80a2-4a8f-bef0-994bb6e54e03\": \"Meet CORHA\"}',1,'2024-05-17 17:10:40','2024-05-17 17:10:40','7d30aa2c-33f0-48c2-867a-2bf5205c4ec0'),(8928,8928,1,'Home','home','__home__',NULL,1,'2024-05-17 17:11:07','2024-05-17 17:11:07','651ffe92-d237-448a-a75a-ffd007f62bbc'),(8929,8929,1,NULL,NULL,NULL,NULL,1,'2024-05-17 17:11:07','2024-05-17 17:11:07','a434fa9b-c999-4f9c-9ff0-a816b81e3728'),(8930,8930,1,NULL,NULL,NULL,'{\"74e584f9-0d74-40d9-b2c5-1549b72be6c2\": \"<p>CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since  2015 to improve methods to detect, investigate, control and prevent HAI/AR outbreaks. </p><p>Council member representatives bring expertise in healthcare epidemiology and infection prevention, environmental health, public health laboratory activities and HAI/AR reporting and regulation at the local, state and federal levels.</p><p><a class=\\\"arrow-link\\\" href=\\\"/about-corha/\\\">More About Corha</a></p>\", \"d2a00b89-80a2-4a8f-bef0-994bb6e54e03\": \"Meet CORHA\"}',1,'2024-05-17 17:11:07','2024-05-17 17:11:07','02726071-bddd-4e6c-933e-72d85ffe7efc'),(8932,8932,1,'Planning & Preparation','planning-preparation-2','chapters/planning-preparation-2',NULL,1,'2024-05-17 17:40:58','2024-05-17 17:40:58','e5181766-ca22-42be-b724-1311a7f95e6e'),(9054,9054,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-05-17 19:10:13','2024-06-10 00:23:35','c47dc25a-259e-45a0-966e-1cfd25b48d42'),(9055,9055,1,NULL,'__temp_uzoucsvhhrzyjqqombpthfudczbtgaxzrgay',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn basic concepts and trends in healthcare delivery, HAI/AR surveillance, outbreak detection, and response.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Fundamental Concepts\"}',1,'2024-05-17 19:10:13','2024-06-10 20:08:15','bb9e9a82-7f15-4a74-8c7b-4d0f7c25af96'),(9056,9056,1,NULL,'__temp_eoacrtyvzmbfchquvzyrzxrvwhwdsvqqpeer',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:10:13','2024-06-06 17:16:02','0ec68143-9edc-4f4b-897c-c5de6bd093ef'),(9057,9057,1,NULL,'__temp_qeltmaysthbvpssbkkdkvucmabkcbavviiub',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:10:13','2024-06-06 17:16:02','6b3d26d8-809e-4834-9473-7fa15973a157'),(9058,9058,1,NULL,'__temp_sihrpsoxsgefedkvviponhmikrxoarfykscr',NULL,NULL,1,'2024-05-17 19:10:13','2024-06-06 17:16:24','7e3e5b32-f34d-4729-9d8b-ef803bca0052'),(9059,9059,1,NULL,'__temp_gkfpjxoiqhimxggmufjvhqnfzxsegjqjbetn',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:10:13','2024-08-01 04:11:14','fdf61f02-d7ba-43c6-b145-c7c5327b676a'),(9060,9060,1,NULL,'__temp_selqraxpxgpjwdfsilwyzxugzatmmmtrmbwn',NULL,NULL,1,'2024-05-17 19:10:13','2024-07-01 05:36:28','c6e4a928-512c-454b-9475-b91b10dedc74'),(9062,9062,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:13','2024-05-17 19:10:13','316216ce-d7f5-4cbe-91b6-5aca32f441c7'),(9063,9063,1,NULL,'__temp_oiafbbxgbniwzxmofapotgjvjzrsxmrjsurr',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>In Chapter 2, Fundamental Concepts, we review concepts related to healthcare and public health surveillance as well as trends in outbreak detection and response. </p><p>As healthcare-associated infection and antimicrobial resistance (HAI/AR) surveillance improves and outbreaks are recognized earlier, the public health and healthcare communities are better positioned to reduce patient harm from HAIs, AR pathogens, and healthcare outbreaks. </p><p>The ultimate goal of healthcare outbreak response is to rapidly detect and respond to potential outbreaks, ensuring that any unsafe practices are discovered and corrected before further harm can occur.</p><p>The chapter contains information on: </p><ul><li>Healthcare settings investigators may encounter as part of an HAI/AR outbreak response </li><li>Changes to healthcare delivery, regulations, funding, and public health capacity over time that have impacted HAI/AR surveillance practices and outbreak response activities</li><li>Trends in surveillance, including descriptions of systems used to identify potential outbreaks as well as types of outbreaks and other events to which public health routinely responds<strong> </strong></li></ul>\"}',1,'2024-05-17 19:10:13','2024-08-01 04:17:48','149a344f-c16c-4416-acee-d27d32329d0f'),(9064,9064,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:13','2024-05-17 19:10:13','150895e4-6741-41e8-8410-39b85594b021'),(9065,9065,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:10:13','2024-05-17 19:10:13','15787edf-8c75-4f4d-8538-90fd0058d03d'),(9066,9066,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:13','2024-05-17 19:10:13','6d38304d-292a-46a6-9942-86c1929d6a22'),(9067,9067,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:13','2024-05-17 19:10:13','f775801e-09f3-4c83-91ed-2f340d047f5e'),(9068,9068,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:13','2024-05-17 19:10:13','0bf20804-0eb0-4b5f-9bca-b2352456a7f4'),(9069,9069,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:13','2024-05-17 19:10:13','60a1fe13-9d34-4ab1-84f1-2b7986695e01'),(9070,9070,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:10:13','2024-05-17 19:10:13','9b601621-d4b0-463a-8d8c-459fc8c21f16'),(9071,9071,1,NULL,'__temp_wwuzwabkhvorcsjufvnkxszoatptxljtxtxt',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:14','2024-06-06 17:16:02','60abfbbc-38f0-4b37-951e-020112a18366'),(9072,9072,1,NULL,'__temp_rxkghzlplhxxolygneaqhcszcspjtdosahqw',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:14','2024-06-06 17:16:03','4659a200-1e6e-4647-9958-ad357f2e9302'),(9073,9073,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','25c21644-4958-4052-becb-6917dc7b71cf'),(9074,9074,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','1f7334d0-0abb-40d1-9a11-394775ab664d'),(9075,9075,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:14','2024-05-17 19:10:14','1c251f64-bcce-4464-a313-7f59cbfae898'),(9076,9076,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','7dba91b4-2ebf-404c-bebe-0a12af2f5eed'),(9077,9077,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','6d6f8c8c-47c7-49ce-9b71-d81ec42bfd9a'),(9078,9078,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','776eba0b-e4f9-4548-9e5e-3699cc15ed22'),(9079,9079,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:14','2024-05-17 19:10:14','427e009b-bf73-4cc2-9d1f-532cdf78377b'),(9080,9080,1,NULL,'__temp_xolszmsyzjbyrhayzgedgrzvaflbdemscyru',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published October 2022</li><li>URLs in this document are valid as of April 29, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:10:14','2024-08-01 04:08:35','8f3f3828-abac-464a-a87e-ee1c0ea87af8'),(9081,9081,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:14','2024-05-17 19:10:14','462d2eab-2868-49b0-b092-157b422a3c30'),(9082,9082,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','e9b8b79c-e527-4800-ac7c-4ffa4728ed94'),(9083,9083,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:14','2024-05-17 19:10:14','298f084f-30f6-4257-aa9c-d75ddf7456d3'),(9084,9084,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','201cfb60-661e-4e8a-985c-23383b98aac7'),(9085,9085,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','03d00af1-e6fb-4746-b716-9917c3451103'),(9086,9086,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','5c2e9ff1-e340-412b-83ec-79c3617e706e'),(9087,9087,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','b0c49068-d4fe-44b6-b201-8f39a592aeff'),(9088,9088,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:14','2024-05-17 19:10:14','c0473789-2170-4054-8b6e-750425056bcb'),(9089,9089,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:14','2024-05-17 19:10:14','44c954f2-c5c3-4914-a14b-7cd18ab40c56'),(9090,9090,1,NULL,'__temp_savwcesdclygunxiwansxqcmypmtjyfemarz',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Centers for Disease Control and Prevention (CDC). HAI Data. <a href=\\\"https://www.cdc.gov/hai/data/index.html\\\">https://www.cdc.gov/hai/data/index.html</a>  </li><li>Siegel JD, Rinehart E, Jackson M, Chiarello L. Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. 2007. Last update July 2019. <a href=\\\"https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html\\\">https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a>  </li><li>Centers for Disease Control and Prevention (CDC). Antibiotic/Antimicrobial Resistance (AR/AMR): About antimicrobial resistance. <a href=\\\"https://www.cdc.gov/drugresistance/about.html\\\">https://www.cdc.gov/drugresistance/about.html</a> </li><li>Currie K, Melone L, Stewart S, et al. Understanding the patient experience of health care– associated infection: A qualitative systematic review. Am J Infect Control. 2018;46(8):936-942. doi: 10.1016/j.ajic.2017.11.023  </li><li>National Quality Forum (NQF). Glossary of terms. <a href=\\\"www.qualityforum.org/Measuring_Performance/Submitting_Standards/NQF_Glossary.aspx\\\">www.qualityforum.org/Measuring_Performance/Submitting_Standards/NQF_Glossary.aspx</a>   </li><li>Centers for Medicare and Medicaid Services (CMS). Quality, safety &amp; oversight — certification &amp; compliance. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc</a> </li><li>Centers for Medicare and Medicaid Services (CMS). Glossary. <a href=\\\"https://www.medicare.gov/glossary\\\">https://www.medicare.gov/glossary</a> </li><li>McDermott KW, Elixhauser A, Sun R. Trends in hospital inpatient stays in the United States, 2005-2014. Agency for Healthcare Research and Quality Cost and Utilization Project (HCUP). Statistical Brief #225. <a href=\\\"https://www.hcup-us.ahrq.gov/reports/statbriefs/sb225-Inpatient-USStaysTrends.jsp?utm_source=ahrq&amp;utm_medium=en1&amp;utm_term=&amp;utm_content=1&amp;utm_campaign=ahrq_en7_18_2017\\\">https://www.hcup-us.ahrq.gov/reports/statbriefs/sb225-Inpatient-USStaysTrends.jsp?utm_source=ahrq&amp;utm_medium=en1&amp;utm_term=&amp;utm_content=1&amp;utm_campaign=ahrq_en7_18_2017</a> </li><li>Kc A, Schaefer MK, Stone ND, Perz J. Characterizing healthcare delivery in the United States using Census Bureau\'s County Business Patterns (2000-2016). Infect Control Hosp Epidemiol. 2020;41(6):723-728. doi: 10.1017/ice.2020.78. </li><li>Dentler J. Outpatient migration: 6 trends and developments. Becker\'s Hospital Review 2018 May 21. <a href=\\\"https://www.beckershospitalreview.com/hospital-management-administration/outpatientmigration-6-trends-and-developments.html\\\">https://www.beckershospitalreview.com/hospital-management-administration/outpatientmigration-6-trends-and-developments.html</a></li><li>Centers for Disease Control and Prevention (CDC). Yellow Book 2020: Health Information for International Travel. Chapter 9: Travel for work &amp; other reasons. <a href=\\\"https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/medicaltourism\\\">https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/medicaltourism</a></li><li>Bartles R, Dickson A, Babade O. A systematic approach to quantifying infection prevention staffing and coverage needs. Am J Infect Control. 2018;46(5):487-491. doi: 10.1016/j.ajic.2017.11.006</li><li>Pogorzelska-Maziarz M, Gilmartin H, Reese S. Infection prevention staffing and resources in U.S. acute care hospitals: Results from the APIC MegaSurvey. Am J Infect Control. 2018;48(8):852- 857. doi: 10.1016/j.ajic.2018.04.202 </li><li>Centers for Medicare and Medicaid Services (CMS). Memo: Specialized infection prevention and control training for nursing home staff in the long-term care setting is now available, March 11, 2019. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-RegionsItems/QSO19-10-NH\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-RegionsItems/QSO19-10-NH</a></li><li>Langmuir A. The surveillance of communicable diseases of national importance. N Engl J Med 1963;268:182-192. doi: 10.1056/NEJM196301242680405 </li><li>World Health Organization (WHO) Regional Office for the Eastern Mediterranean. Public Health Surveillance. <a href=\\\"https://www.emro.who.int/health-topics/public-health-surveillance/index.html\\\">https://www.emro.who.int/health-topics/public-health-surveillance/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak Response Capacity Assessments and Improvements Among Public Health Department Health Care–Associated Infection Programs— United States, 2015-2017. J Public Health Manag Pract. 2022; 28(2):116-125. doi: 10.1097/PHH.0000000000001148 </li><li>Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN): CMS requirements. <a href=\\\"https://www.cdc.gov/nhsn/cms/index.html\\\">https://www.cdc.gov/nhsn/cms/index.html</a> </li><li>Centers for Disease Control and Prevention (CDC). National Notifiable Diseases Surveillance System (NNDSS): Surveillance case definitions for current and historical conditions. <a href=\\\"https://ndc.services.cdc.gov/\\\">https://ndc.services.cdc.gov/</a> </li><li>Centers for Disease Control and Prevention (CDC). National Antimicrobial Resistance Monitoring System for Enteric Bacteria (NARMS). <a href=\\\"https://www.cdc.gov/narms/index.html\\\">https://www.cdc.gov/narms/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). Lab Capacity in Action to Fight Antibiotic Resistance. <a href=\\\"https://www.cdc.gov/drugresistance/solutions-initiative/ar-lab-network.html\\\">https://www.cdc.gov/drugresistance/solutions-initiative/ar-lab-network.html</a> </li><li>Emori TG, Culver DH, Horan TC, et al. National nosocomial infections surveillance system (NNIS): Description of surveillance methods. Am J Infect Control. 1991;19(1):19-35. doi: 10.1016/0196- 6553(91)90157-8</li><li>Edwards JR, Peterson KD, Mu Y, et al. National Healthcare Safety Network (NHSN) report: Data summary for 2006 through 2008, issued December 2009. Am J Infect Control. 2009;37(10):783- 805. doi: 10.1016/j.ajic.2009.10.001 </li><li>Centers for Disease Control and Prevention (CDC). State-based HAI Prevention Activities: States with HAI Reporting Mandates. <a href=\\\"https://www.cdc.gov/HAI/state-based/required-to-report-haiNHSN.html\\\">https://www.cdc.gov/HAI/state-based/required-to-report-haiNHSN.html</a></li><li>Centers for Disease Control and Prevention (CDC). Current HAI progress report: 2020 National and State Healthcare-Associated Infections Progress Report. <a href=\\\"https://www.cdc.gov/hai/data/portal/progressreport.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fprogres%20s-report%2Findex.html\\\">https://www.cdc.gov/hai/data/portal/progressreport.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fprogres s-report%2Findex.html</a></li><li>Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN): About NHSN. <a href=\\\"https://www.cdc.gov/nhsn/about-nhsn/index.html\\\">https://www.cdc.gov/nhsn/about-nhsn/index.html</a> </li><li>Centers for Disease Control and Prevention (CDC). Antibiotic Resistance &amp; Patient Safety Portal. <a href=\\\"https://www.cdc.gov/hai/data/portal/AR-Patient-Safety-Portal.html\\\">https://www.cdc.gov/hai/data/portal/AR-Patient-Safety-Portal.html</a></li><li>World Health Organization (WHO) Regional Office for Europe. Guidance for sentinel influenza surveillance in humans. <a href=\\\"https://www.euro.who.int/__data/assets/pdf_file/0020/90443/E92738.pdf\\\">https://www.euro.who.int/__data/assets/pdf_file/0020/90443/E92738.pdf</a> </li><li>Jernigan DB, Kargacin L, Poole A, Kobayashi J. Sentinel surveillance as an alternative approach for monitoring antibiotic resistant invasive pneumococcal disease in Washington state. Am J Public Health. 2001;91(1):142-145. doi: 10.2105/ajph.91.1.142 </li><li>Smith GE, Elliot AJ, Lake I, et. al. Syndromic surveillance: two decades experience of sustainable systems — its people not just data! Epidemiol Infect. 2019;147: e101. doi: 10.1017/S0950268819000074 </li><li>Centers for Medicare &amp; Medicaid Services (CMS). Infection control breaches which warrant referral to public health authorities. May 30, 2014. Revised October 28, 2016. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf</a></li><li>Bagchi S, Watkins J, Pollock DA, Edwards JR, Allen-Bridson K. State health department validations of central line-associated bloodstream infection events reported via the National Healthcare Safety Network. Am J Infect Control. 2018;46(11):1290-1295. doi: 10.1016/j.ajic.2018.04.233 </li><li>Backman LA, Nobert G, Melchreit R, Fekieta R, Dembry LM. Validation of the surveillance and reporting of central line–associated bloodstream infection denominator data. Am J Infect Control. 2014;42(1):28-33. doi: 10.1016/j.ajic.2013.06.014 </li><li>Vannice K, Benoliel E, Kauber K. Notes from the Field: Clinical Klebsiella pneumoniae isolate with three carbapenem resistance genes associated with urology procedures ─ King County, Washington, 2018; MMWR Morb Mortal Wkly Rep. 2019;68(30):667-668. doi: 10.15585/mmwr.mm6830a4 </li><li>Ross KM, Mehr JS, Carothers BL, et al. Bacterial septic arthritis infections associated with intraarticular injection practices for osteoarthritis knee pain-New Jersey, 2017. Infect Control Hosp Epidemiol. 2019;40(9):1013-1018. doi: 10.1017/ice.2019.168 </li><li>Njuguna HN, Stinson D, Montgomery P, et al. Hepatitis C virus potentially transmitted by opioid drug diversion from a nurse — Washington, August 2017–March 2018. MMWR Morb Mortal Wkly Rep. 2019;68(16):374-376. doi: 10.15585/mmwr.mm6816a3 </li><li>Perkins KM, Reddy SC, Fagan R, Arduino MJ, Perz JF. Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014–2017. Infect Control Hosp Epidemiol. 2019;40(6):621-626. doi: 10.1017/ice.2019.60 </li><li>Nanduri SA, Metcalf BJ, Arwady MA, et al. Prolonged and large outbreak of invasive group A Streptococcus disease within a nursing home: repeated intrafacility transmission of a single strain. Clin Microbiol Infect. 2019;25(2):248.e1-248 .e7. doi: 10.1016/j.cmi.2018.04.034 </li><li>Peña SA, Davis SS, Lu X, et al. Severe respiratory illness associated with human metapneumovirus in nursing home, New Mexico, USA. Emerg Infect Dis. 2019; 25(2):383-384. doi: 10.3201/eid2502.181298</li><li>Epson EE, Pisney LM, Wendt JM, et al. Carbapenem-resistant Klebsiella pneumoniae-producing New Delhi metallo-β-lactamase at an acute care hospital, Colorado, 2012. Infect Control Hosp Epidemiol. 2014;35(4):390-397. doi: 10.1086/675607 </li><li>David S, Reuter S, Harris SR, et al. Epidemic of carbapenem-resistant Klebsiella pneumoniae in Europe is driven by nosocomial spread. 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Illness with fatalities in premature infants: association with an intravenous vitamin E preparation, E-Ferol. Pediatrics. 1986;78(4):591-600. </li><li>Burwen DR, Olsen SM, Bland LA, Arduino MJ, Reid MH, Jarvis WR. Epidemic aluminum intoxication in hemodialysis patients traced to use of an aluminum pump. Kidney Int. 1995;48(2):469-74. doi: 10.1038/ki.1995.315 </li><li>Pearson ML, Levine WC, Finton RJ, et al. Anesthesia-associated carbon monoxide exposures among surgical patients. Infect Control Hosp Epidemiol. 2001;22(6):352-326. doi: 10.1086/501912 </li><li>OYong K, Coelho L, Bancroft E, Terashita D. Health care-associated infection outbreak investigations in outpatient settings, Los Angeles County, California, USA, 2000-2012. Emerg Infect Dis. 2015;21(8):1317-1321. doi: 10.3201/eid2108.141251 </li><li>Cheng VCC, Chen JHK, Wong SCY, et al. Hospital outbreak of pulmonary and cutaneous zygomycosis due to contaminated linen items from substandard laundry. Clin Infect Dis. 2016;62(6):714-721. doi: 10.1093/cid/civ1006 </li><li>Alroy-Preis S, Daly ER, Adamski C, et al. Large outbreak of Hepatitis C virus associated with drug diversion by a healthcare technician. Clin Infect Dis. 2018;67(6):845-853. doi: 10.1093/cid/ciy193 </li><li>Kainer MA, Reagan DR, Nguyen DB, et al. Fungal infections associated with contaminated methylprednisolone in Tennessee. N Engl J Med. 2012;367(23): 2194-2203. doi: 10.1056/NEJMoa1212972 </li><li>Mikosz CA, Smith RM, Kim M, et al. Fungal endophthalmitis associated with compounded products. Emerg Infect Dis. 2014;20(2):248-256. doi: 10.3201/eid2002.131257</li><li>Lyman MM, Grigg C, Kinsey CB, et al. Invasive Nontuberculous mycobacterial infections among cardiothoracic surgical patients exposed to heater-cooler devices. Emerg Infect Dis. 2017;23(5): 796-805. doi: 10.3201/eid2305.161899 </li><li>van Ingen J, Kohl TA, Kranzer K, et al. Global outbreak of severe Mycobacterium chimaera disease after cardiac surgery: a molecular epidemiological study. Lancet Infect Dis. 2017;17(10):1033-1041. doi: 10.1016/S1473-3099(17)30324-9 </li><li>Kracalik I, Ham C, Smith AR, et al. Notes from the Field: Verona Integron-encoded metallo-betalactamase–producing carbapenem-resistant Pseudomonas aeruginosa infections in U.S. residents associated with invasive medical procedures in Mexico, 2015–2018. MMWR Morb Mortal Wkly Rep. 2019;68(20):463-464. doi: 10.15585/mmwr.mm6820a4</li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:10:14','2024-06-06 17:24:28','06b575e6-e29d-494f-bc1d-a054031adb32'),(9091,9091,1,'Planning & Preparation','planning-preparation-2-2','chapters/planning-preparation-2-2',NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','421b064b-6ec7-4da9-b411-3a37f5af4103'),(9092,9092,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Planning & Preparation\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','132c9128-f144-4b7a-a963-b6b464dd997a'),(9093,9093,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','4a12b73b-009b-4fe6-8649-29417e89b87c'),(9094,9094,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','83327efd-4714-4e28-86fb-9810c9076593'),(9095,9095,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','0214dbfc-6b2e-4ebe-9145-fa1dc5ce7eaf'),(9096,9096,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','310ec6ae-e715-4bf2-91a3-d57b65c23844'),(9097,9097,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','cf88422e-41d6-4dfe-a918-aec81907c875'),(9099,9099,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','2e38f780-c113-4537-a30a-4a5b7531c8d2'),(9100,9100,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','5a1cad8d-1d46-4462-adb0-abd4de4ffcd6'),(9101,9101,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','eeef1e75-3a18-4cae-b791-7ccf8b672526'),(9102,9102,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','e538a222-8f28-4583-8cba-78fd9546e39c'),(9103,9103,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','ace63cb2-54a4-4ec7-bf39-b383f5fd981f'),(9104,9104,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','dc38be9f-cd28-422d-9975-0f612ee483e7'),(9105,9105,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','35a7f5ee-0a47-47e9-9019-b512a96081e4'),(9106,9106,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','cdd9e67a-45c1-47d0-8bd2-9b972b6d13b2'),(9107,9107,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','a6ebd32d-da15-4090-bbb5-47be61acb0af'),(9108,9108,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','3499e9a6-13b7-4d48-a7d3-faef3b0cf2d3'),(9109,9109,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','c4d6b7ba-0983-4340-b9fb-8dcb94b301eb'),(9110,9110,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','3711e036-72b1-45e7-a751-5dd77ff2159b'),(9111,9111,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','6eae7eed-a08c-4b33-914a-7d05855601d0'),(9112,9112,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','d706b431-0ac7-4044-91b1-2587fde97fbc'),(9113,9113,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','f759dd71-2972-4954-ad06-200ea7195a86'),(9114,9114,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','5ccf5fc9-9d1d-4362-9bc6-a44fa4f0c1f7'),(9115,9115,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','1be9926f-a619-4adc-b90a-f6d1b5a79805'),(9116,9116,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','fe56df09-e953-4b3a-9ca9-849d45d6748b'),(9117,9117,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:10:15','2024-05-17 19:10:15','430fe144-a0a4-414f-9c08-90ace3a536dc'),(9118,9118,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:15','2024-05-17 19:10:15','e25b0032-f4cd-4fdb-9eb2-090174883f86'),(9119,9119,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','4edf74c8-4d55-4bc4-83ff-b14032e1867b'),(9120,9120,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:16','2024-05-17 19:10:16','261546d4-9333-4c87-a61b-fae87e35b5c8'),(9121,9121,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','3416c96f-c2a2-4706-a46e-48975279baa6'),(9122,9122,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','8f3c1dc6-4e8c-492d-b9db-5fda5c84e74c'),(9123,9123,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','0730188f-0100-4aed-95f1-c14937c42fd1'),(9124,9124,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','3cccfe6c-f34a-453c-b531-99480a25877a'),(9125,9125,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','87e49304-419f-4f80-abe9-4a8349f00d77'),(9126,9126,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:10:16','2024-05-17 19:10:16','a2df4676-f9f4-4dfb-858a-9fc695ccda79'),(9127,9127,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:10:16','2024-05-17 19:10:16','2292bc79-8801-482b-bacf-886144e260ee'),(9129,9129,1,'Planning & Preparation Duplicate','planning-preparation-duplicate','chapters/planning-preparation-duplicate',NULL,1,'2024-05-17 19:10:36','2024-05-17 19:10:36','26bf0935-c27d-4d11-8d0d-d92c084691e4'),(9132,9132,1,'Planning & Preparation - Chapter Two','planning-preparation-chapter-two','chapters/planning-preparation-chapter-two',NULL,1,'2024-05-17 19:11:35','2024-05-17 19:11:35','f8372325-6534-4734-ae14-ea43756df84c'),(9136,9136,1,'Planning & Preparation - Chapter Two','planning-preparation-chapter-two','chapters/planning-preparation-chapter-two',NULL,1,'2024-05-17 19:11:56','2024-05-17 19:11:56','e2fb4f2d-480e-4586-9e4c-d96ef864c3a0'),(9137,9137,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:11:56','2024-05-17 19:11:56','404fd774-160e-4350-a18c-251b21128fef'),(9140,9140,1,'Home','home','__home__',NULL,1,'2024-05-17 19:15:50','2024-05-17 19:15:50','cb4a3b44-01cf-48e1-bbf0-dfd1931163aa'),(9141,9141,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:15:50','2024-05-17 19:15:50','ef329c7c-10d0-465c-b132-4a86ebc47e2d'),(9144,9144,1,'Planning & Preparation - Chapter Two','planning-preparation-chapter-two','chapters/planning-preparation-chapter-two',NULL,1,'2024-05-17 19:18:04','2024-05-17 19:18:04','edea0b3d-46c5-40bf-b321-2bcd9277a88b'),(9145,9145,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:18:04','2024-05-17 19:18:04','2119e803-4114-48c1-bcef-63a752164ef9'),(9146,9146,1,'3 - Planning & Preparation','planning-preparation','chapters/planning-preparation','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Planning & Preparation\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 3, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Three\"}',1,'2024-05-17 19:21:59','2024-05-17 19:26:14','6ff19408-d204-4f8f-9e94-a3a390604b9c'),(9147,9147,1,NULL,'__temp_rgjfcjgivkkfbvvdjojwocgwobjbrpshscrg',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about agency roles, team structures, and tips for organizing, managing, and optimizing response activities.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Planning & Preparation\"}',1,'2024-05-17 19:21:59','2024-06-11 18:23:57','abcdea12-f57c-4735-a251-cb5890323644'),(9148,9148,1,NULL,'__temp_hiqyilxtiufxlzedeiuqqwpmxtkjvrjpvcmr',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:21:59','2024-06-06 17:20:53','bf261e75-ba4a-4620-a232-7cb5d2404d69'),(9149,9149,1,NULL,'__temp_hgsmjiaajpbjjjexbbzorpnoemhuwvxfbcfy',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:21:59','2024-06-06 17:20:53','c44413cf-e536-4e64-acc8-d20c443221e2'),(9150,9150,1,NULL,'__temp_jpsylhdduysopiyoewwdhrjloulnnqktmyaa',NULL,NULL,1,'2024-05-17 19:21:59','2024-06-06 17:20:53','d46a78a6-7317-40df-a239-540b04b597e4'),(9151,9151,1,NULL,'__temp_aaiguvstvispuzkxhsmzpkqyapyozrtgjkou',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:21:59','2024-08-01 04:16:50','e990d771-056d-4458-aba0-1db1497b803c'),(9152,9152,1,NULL,'__temp_brinvavemdsrsdynftjogjrporrneuuavemh',NULL,NULL,1,'2024-05-17 19:21:59','2024-06-06 17:20:53','5a935e8e-3224-4a0b-8fc6-a9deb6035b7f'),(9154,9154,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','cff23ce8-3008-4b6e-8bc0-e8256024556f'),(9155,9155,1,NULL,'__temp_avwhucxnbobrkmplolixiifvkvacrxgcsmza',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. </p><p>In Chapter 3, Planning &amp; Preparation, we lay out the roles, resources, processes, and relationships that should be in place prior to initiating an outbreak response. Example activities include developing the capacity to rapidly collect and analyze large amounts of information, taking rapid action to stop transmission, and communicating effectively with stakeholders.</p><p>Background information on agencies and partners that may be involved in an outbreak response is provided, and their respective roles and responsibilities are described, including considerations for a coordinating agency and the composition of outbreak response teams. </p><p>Other topics include planning and preparation for resource identification and record management, communication considerations, understanding legal authorities, and preparation for escalation, recovery, and follow-up, including potential implementation of an incident command system.</p>\"}',1,'2024-05-17 19:21:59','2024-06-06 17:22:07','968c9507-2718-4923-93fb-4c64c04c0db1'),(9156,9156,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','fd84871b-55d7-4d14-93ec-6ae7ebf178d7'),(9157,9157,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','ebe13416-61ec-4f0b-a318-254385ddae15'),(9158,9158,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','1959f725-b8f7-421c-a156-8405919b22f5'),(9159,9159,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','00b74b76-21f4-46f3-9c27-a00c4d92df91'),(9160,9160,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','d1b09ad7-849e-4047-9bec-ad2337f87f92'),(9161,9161,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','146a54f4-1093-4bbd-a772-cc8c69f9e94c'),(9162,9162,1,NULL,'__temp_lahbtxkdvkpsdicthtgjkbxmwnksksituivu',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:00','3fc38e23-7cd2-42c3-a1e3-a2ecdac65460'),(9163,9163,1,NULL,'__temp_qylxmohulsquqoydhxiokmfggqijscjamoez',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:00','e8faf5a7-e065-477d-8ed1-47aade3395ef'),(9164,9164,1,NULL,'__temp_kurrklwaaarzvypjarbbnvwesygekzifyohd',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:00','efc484b2-925f-4e5b-9d6f-b8865bb01db7'),(9165,9165,1,NULL,'__temp_czbyfykgrogzrmzdhwfobjiljkyxrislgqye',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:00','521eb6d1-94b8-42fb-a167-f5a80cc85f8d'),(9166,9166,1,NULL,'__temp_jjfacvrtxosxnasnxfwesdpqofkxsbobkbgq',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:00','01d1174d-8d4b-4d7f-a8f8-859af24303d4'),(9167,9167,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','de8f8e51-9dfe-46a9-9720-dd167dbbc3ce'),(9168,9168,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','2f89fb6e-d546-48e9-a25e-b7b1ba7bd30e'),(9169,9169,1,NULL,'__temp_nqyitjcpsferiahxlperjgejzwfhqrgqnrrl',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:01','c5654b1d-2402-4827-bf08-e0702bf5b8d1'),(9170,9170,1,NULL,'__temp_kzhvbgnevcdsatvsqkauqjaymkaytupemqcr',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:21:59','2024-06-11 18:55:01','eecd2803-2d09-4a69-aeb7-6e2d05c6a416'),(9171,9171,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','e5611242-e063-4945-ae64-43d4f85676f0'),(9172,9172,1,NULL,'__temp_hunguguacjbklrykexrwkypehaxvdvostgil',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published October 2022 </li><li>URLs in this document are valid as of April 29, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:21:59','2024-08-01 04:15:27','ff7538e2-0684-44d3-bb43-4635772111b4'),(9173,9173,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','f11f7e15-7abd-4b19-aa35-ebeceb5baa04'),(9174,9174,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','5badb721-1d06-4b12-bec9-704b2a7fbc1c'),(9175,9175,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:21:59','2024-05-17 19:21:59','8cbce3ab-f595-4610-bc4f-e90d6f3ba3c2'),(9176,9176,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:21:59','2024-05-17 19:21:59','65003c56-625a-46ce-9991-b864960c500b'),(9177,9177,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','bde4a540-62eb-485d-af70-e6f9b64d2626'),(9178,9178,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','b9655266-5e85-4aff-b431-89cbc9b9f4c1'),(9179,9179,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','16adcdc6-75c1-4b93-b7d4-dfeb71460c6b'),(9180,9180,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','ba9234d8-aaa7-4475-abed-3de03685e18e'),(9181,9181,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:00','2024-05-17 19:22:00','b4d4de54-3839-469b-9b97-148c6512acf5'),(9182,9182,1,NULL,'__temp_eekhhbrqlppsbwneworqfzepgvclxcxmmcjw',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:22:00','2024-06-06 17:20:54','7601f094-1bba-4761-a84e-5afb0c6f8aa2'),(9183,9183,1,'Planning & Preparation','planning-preparation-2-2','chapters/planning-preparation-2-2',NULL,1,'2024-05-17 19:22:00','2024-05-17 19:22:00','1879b945-9ee3-49ad-aef4-bf57b458a424'),(9184,9184,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Planning & Preparation\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','4184f55d-104d-45f2-a7ef-660b0711a4f5'),(9185,9185,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','9b3a7574-a775-40e3-aea9-91a68a2aeb3f'),(9186,9186,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','5091e884-176d-4651-b910-ed7d758b88c0'),(9187,9187,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','ad86d3e9-abdc-4f46-aa37-f8a48432218e'),(9188,9188,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','beadeedb-5a3a-440d-975b-412e7fe1f7e4'),(9189,9189,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:00','2024-05-17 19:22:00','3c6c7c63-035a-4dcf-880c-14bc2169bc32'),(9191,9191,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:00','2024-05-17 19:22:00','c4d8e1a6-19eb-4c88-96f5-7fb8ab275318'),(9192,9192,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','0a241705-9e15-4a20-95f6-81fa2614365e'),(9193,9193,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:00','2024-05-17 19:22:00','cbcee6b8-7446-4f06-9656-907a6068c9de'),(9194,9194,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','f76c2db1-2273-4134-b608-2b51165f5e97'),(9195,9195,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','423163bc-a639-4ead-8000-38ce0babd26e'),(9196,9196,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:00','2024-05-17 19:22:00','798f6e56-b946-4ec0-8e6a-fe493a40817c'),(9197,9197,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','8cfa196a-2ebf-42aa-8c87-f3338df1819e'),(9198,9198,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:01','2024-05-17 19:22:01','b5a3e46f-3355-4a14-9184-89b9cdb7ebd3'),(9199,9199,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','70f8ca6a-0621-486b-997b-afc53bb5afa7'),(9200,9200,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','c5bdde5a-2ca0-4c52-abbb-5b3248c25db2'),(9201,9201,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','7031ca53-3ef9-45ce-8dcd-e37d51400314'),(9202,9202,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','36d2be9b-d9fc-4a0c-bed6-bdc06d5691c3'),(9203,9203,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','be99a593-29ad-4fa1-8ce5-4b50291e58f5'),(9204,9204,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:01','2024-05-17 19:22:01','f167c8c3-89e6-4c78-a561-d5a3f4f00908'),(9205,9205,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','8ccc63a9-4e59-46d9-b500-097231e58312'),(9206,9206,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','5422e224-6303-47f7-ba09-daf2e2721241'),(9207,9207,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','33971cf1-d68f-461b-8eac-58cdd5039c16'),(9208,9208,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:01','2024-05-17 19:22:01','978d7dc5-ce95-41ac-bbd3-7edbe881f5c4'),(9209,9209,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','c32a3f80-1980-4a3d-ad7b-007a843860a5'),(9210,9210,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:01','2024-05-17 19:22:01','6cccfb5a-b4cb-49e7-8aaf-e158ae536a08'),(9211,9211,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','a4e58973-205f-48e7-b8aa-42ede65a6902'),(9212,9212,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:01','2024-05-17 19:22:01','c21f06c3-6e8e-4be0-91ec-f0bacc245f47'),(9213,9213,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','8352f42c-7e06-4e56-9613-4a693ea3ca04'),(9214,9214,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','61313917-d58a-4700-9e0a-1e28f1e61e56'),(9215,9215,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','cf8e14b3-151b-4dc8-b618-c6d7a9580a98'),(9216,9216,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','0b8f43c8-492b-44c3-96bd-c99da274cf0a'),(9217,9217,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','e7ab4ffe-676b-4720-9ea0-1911bb80e600'),(9218,9218,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:22:01','2024-05-17 19:22:01','c2ae9ed2-fb47-481d-87cc-6f1fff2c4a3f'),(9219,9219,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:22:01','2024-05-17 19:22:01','6439da40-d87d-43e3-812d-086fe1e79856'),(9262,9262,1,'Overview','overview','chapters/overview',NULL,1,'2024-05-17 19:23:55','2024-05-17 19:23:55','ea2ca919-4905-42d8-8fdf-44d4cbf66d4e'),(9263,9263,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:23:55','2024-05-17 19:23:55','09f267d1-5ca7-4bb8-8f62-fa0609baee5a'),(9265,9265,1,'Fundamental Concepts','planning-preparation-chapter-two','chapters/planning-preparation-chapter-two',NULL,1,'2024-05-17 19:24:19','2024-05-17 19:24:19','391c9069-2182-4703-ab57-29880769727b'),(9266,9266,1,'4 - Detection & Reporting','outbreak-detection-reporting','chapters/outbreak-detection-reporting','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Detection & Reporting\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 4, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Four\"}',1,'2024-05-17 19:24:45','2024-08-01 05:08:04','dae5909e-ee7f-4a40-8e77-f70bfb1a4c29'),(9267,9267,1,NULL,'__temp_sbffsqdgxhoiqpfnkwlvaejfemjerfdbucfy',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn how potential outbreaks are identified and get practical advice for improving detection and reporting.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Outbreak Detection & Reporting\"}',1,'2024-05-17 19:24:45','2024-06-11 18:56:49','257b76ee-ca49-4906-9251-153aabbfeea0'),(9268,9268,1,NULL,'__temp_veigxaeeaunmjzmmdszwqbvriyscwqybsosi',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:24:45','2024-06-06 17:32:50','e2651301-99cd-41c1-b761-7cf11aec2d47'),(9269,9269,1,NULL,'__temp_mneazqsuizqbjlgxkrvlwgqpsgjyoacovuyp',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:24:45','2024-06-06 17:32:50','9d4616cc-a24c-45f7-bfdc-59202a7cdf9b'),(9270,9270,1,NULL,'__temp_outrsyditlzibngravyvcffxfjaizofflofv',NULL,NULL,1,'2024-05-17 19:24:45','2024-06-06 17:32:50','57b0f727-da2c-40f0-8e3b-ad2684a0baa3'),(9271,9271,1,NULL,'__temp_pkbeddfzuapjyzuwppbxcbdstatuvfkxcxzo',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:24:45','2024-08-01 04:20:54','2f2f99bb-abee-43ac-b412-5388ecd2e25d'),(9272,9272,1,NULL,'__temp_caexalvkglrdbsiwjwopyklapwykzzqnxpko',NULL,NULL,1,'2024-05-17 19:24:45','2024-06-06 17:32:50','4deef443-a8d6-4b6e-bd1a-676619604e41'),(9274,9274,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:45','2024-05-17 19:24:45','0b3238bd-81f9-480d-838f-4c811649745d'),(9275,9275,1,NULL,'__temp_ejlhymvsiwfdbdpybzmlypzagwmjdzrlyawl',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Detection and reporting provide the foundation for a healthcare outbreak response, triggering activities aimed at assessing the situation, implementing control measures, and halting disease transmission.</p><p>In Chapter 4, Outbreak Detection &amp; Reporting, we examine the two primary pathways for recognizing potential outbreaks, detection via reports and through use of surveillance data. Definitions of sentinel cases, clusters, and outbreaks are described. </p><p>The section on direct reporting of outbreaks includes information on reporting within a healthcare facility and reporting to public health, entities that can report to public health, and types of events that may be reported. This is followed by an overview of the use of routine surveillance systems for cluster and outbreak detection. </p><p>Strengths and limitations, key determinants of successful detection, and model practices are described for both types of detection methods. Health departments can improve outbreak detection by regularly communicating reporting mechanisms and expectations to hospitals, long term care facilities and other provider types; consider establishing thresholds for reporting that are specific to commonly encountered conditions.</p><p>The<a> </a>chapter concludes with some considerations for detecting and reporting multifacility and multijurisdictional outbreaks, a topic that is unpacked further in <a href=\\\"{entry:9592@1:url||https://dev.corha.org/chapters/infection-control-breach-investigations}\\\">Supplement B, Infection Control Breach Investigations</a>.</p><p> </p>\"}',1,'2024-05-17 19:24:45','2024-08-01 04:22:49','fcd6cfbd-2d0b-4d3b-a474-f21a197735ca'),(9276,9276,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:45','2024-05-17 19:24:45','15c3e113-c35e-4e93-b961-cc9e26deabed'),(9277,9277,1,NULL,'__temp_rwcpulmtqkanqtwfdadluhnrlzsdvyhufatw',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:24:45','2024-06-11 18:56:49','b78f112a-a735-4846-91a8-13a3e3944225'),(9278,9278,1,NULL,'__temp_rteyjnnetsftylvrbumbomiofjghvyqoojyl',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:45','2024-06-11 18:56:49','c054996e-15c8-494b-9c62-fdccdf87f9f0'),(9279,9279,1,NULL,'__temp_ahlaaeovjpiylovqvnscapcugodgjgmpjpsq',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:45','2024-06-11 18:56:49','62dcef3c-a040-4caf-ba50-13d107e0739a'),(9280,9280,1,NULL,'__temp_neroecvbllofmkxhtkvpiiegqplqwqsqexpu',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:49','7542f0ba-dfa1-4685-8fcd-e02c085c962e'),(9281,9281,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','fcae41ff-ef95-473d-b32c-34ebdc887a03'),(9282,9282,1,NULL,'__temp_fwfurikgnszpuueikrwdxsxwjyizmostbzan',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:49','d019178d-dca0-4df0-a2a4-6757a61b5a9a'),(9283,9283,1,NULL,'__temp_yjhcldiyrhanheohvffzpjdoviwmayzjsxlx',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','3cbf04ad-4979-4495-a320-818499720821'),(9284,9284,1,NULL,'__temp_owuufucsyboncyvjplacgewtlsztwmiysjte',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','ec6c4ed3-bb58-471a-ac6a-34100127956b'),(9285,9285,1,NULL,'__temp_rhzilzzxdufqexlegfjlrkhloodbdzahktdx',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','68b00ef3-44a4-4b71-884d-a78ed2ab433f'),(9286,9286,1,NULL,'__temp_ylbruchfcdinsavzzmfsjqmpimhiclgkvolt',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','bbf77c71-ef51-47c2-84ec-fe5a52b16449'),(9287,9287,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','d71d0a03-c650-43e8-bee2-974fc1343606'),(9288,9288,1,NULL,'__temp_glaveuofdqpdplbvvvsppzdynoxsfscjuqrj',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','f27a8bea-1efd-48d5-b7ff-ca8cf7e3f3f3'),(9289,9289,1,NULL,'__temp_vnttrbrcjtovykcnqwjplvxnyggwczihzbeu',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','60b61dc1-b864-4876-9c81-f698d302c0e9'),(9290,9290,1,NULL,'__temp_htszhidwgsvlntjgpzaluizkqqilhytjmzfy',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:46','2024-06-11 18:56:50','dd049a7f-71d6-407c-bafe-710d9eb9ae8a'),(9291,9291,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','c4d2ffa6-46b1-4724-9e05-5af66dba87da'),(9292,9292,1,NULL,'__temp_pudrwknbpsrwauqnsebmaqrzcllkjxranhqo',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published October 2022</li><li>URLs in this document are valid as of April 30, 2024.  </li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:24:46','2024-08-01 04:20:54','982f6995-d592-474c-bd9e-0d7cb56f656a'),(9293,9293,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','2253a54c-a60f-412f-811b-fee0a9e402d0'),(9294,9294,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','08cb8c69-daba-4499-9f1c-4e11116b1b6e'),(9295,9295,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','70543de6-eb1d-4ba1-9b2c-ae1e0dcd1095'),(9296,9296,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','bbbf3c6d-98d6-432f-bc0e-b9f78842c27a'),(9297,9297,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','41f32f75-be42-4a53-ae87-168f0a67f273'),(9298,9298,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','235e5ef0-8aba-4417-9708-8c65b22f4989'),(9299,9299,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','e1b76da8-5f18-451b-9e38-973d76fd3fd7'),(9300,9300,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','9873fa0c-dd6d-425c-8111-dca5ce4e2bee'),(9301,9301,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','b3ef169f-9a69-4198-82f3-a9871f32a5d8'),(9302,9302,1,NULL,'__temp_xgecqbyusmbfxftdmrqlywwmlfteykhruvpa',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Centers for Medicare and Medicaid Services (CMS), Center for Clinical Standards and<br />Quality/Survey &amp; Certification Group. Infection control breaches which warrant referral to public<br />health authorities. May 30, 2014. Revised October 28, 2016.<br /><a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf</a></li><li>Christenson BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC<br />Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease<br />Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Principles of Epidemiology in Public Health<br />Practice: An Introduction to Applied Epidemiology and Biostatistics, 3rd Edition. October 2006.<br /><a href=\\\"https://www.cdc.gov/csels/dsepd/ss1978/index.html\\\">https://www.cdc.gov/csels/dsepd/ss1978/index.html</a></li><li>Lyman MM, Grigg C, Kinsey CB, et al. Invasive nontuberculous mycobacterial infections among<br />cardiothoracic surgical patients exposed to heater–cooler devices. Emerg Infect Dis.<br />2017;23(5):796–805. doi: 10.3201/eid2305.161899</li><li>Navon L, Clegg WJ, Morgan J, et al. Notes from the field: investigation of Elizabethkingia<br />anophelis cluster — Illinois, 2014–2016. MMWR Morb Mortal Wkly Rep. 2016;65(48):1380–<br />1381. doi: 10.15585/mmwr.mm6548a6</li><li>Kainer MA, Reagan DR, Nguyen DB, et al. Fungal infections associated with contaminated<br />methylprednisolone in Tennessee. N Engl J Med. 2012;367(23): 2194–2203. doi:<br />10.1056/NEJMoa1212972</li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and<br />improvements among public health department health care-associated infection programs—<br />United States, 2015-2017. J Public Health Manag Pract. 2022;28(2):116-125. doi:<br />10.1097/PHH.0000000000001148</li><li>Lee TB, Montgomery OG, Marx J, Olmsted RN, Scheckler WE. Recommended practices for<br />surveillance: Association for Professionals in Infection Control and Epidemiology (APIC), Inc. Am<br />J Infect Control. 2007;35(7):427-440. doi: 10.1016/j.ajic.2007.07.002</li><li>Greene LR, Cain TA, Khoury R, Krystofiak SP, Patrick M, Streed S. APIC Position Paper: The<br />importance of surveillance technologies in the prevention of healthcare-associated infections<br />(HAIs). Association for Professionals in Infection Control and Epidemiology (APIC). May 29, 2009.<br /><a href=\\\"http://www.apic.org/Resource_/TinyMceFileManager/AdvocacyPDFs/Surveillance_Technologies_position_paper_2009-5_29_09.pdf\\\">http://www.apic.org/Resource_/TinyMceFileManager/AdvocacyPDFs/Surveillance_Technologies_position_paper_2009-5_29_09.pdf</a></li><li>. Natale A, Stelling J, Meledandri M, Messenger LA, D\'Ancona F. Use of WHONET-SaTScan system for simulated real-time detection of antimicrobial resistance clusters in a hospital in Italy, 2012 to 2014. Euro Surveill. 2017;22(11):30484. doi: 10.2807/1560-7917.ES.2017.22.11.30484 </li><li>Bamberg W, Kainer M, Bryan N, Anderson M. Assessment of HAI/AR outbreak detection data, tools, and barriers. Poster (Board 183) presentation at: International Conference on Emerging Infectious Diseases; Aug 2018; Atlanta, Georgia. <a href=\\\"https://www.cdc.gov/iceid/docs/ICEID-2018-%20program-book-P.pdf\\\">https://www.cdc.gov/iceid/docs/ICEID-2018- program-book-P.pdf</a></li><li>Leclère B, Buckeridge DL, Boëlle P-Y, Astagneau P, Lepelletier D. Automated detection of hospital outbreaks: a systematic review of methods. PLoS One. 2017;12(4):e0176438. doi: 10.1371/journal.pone.0176438</li><li>Centers for Disease Control and Prevention (CDC). U.S. &amp; Global Antimicrobial Resistance Laboratory Networks. How to participate: lab testing. <a href=\\\"https://www.cdc.gov/drugresistance/laboratories/AR-lab-network-testing-details.html\\\">https://www.cdc.gov/drugresistance/laboratories/AR-lab-network-testing-details.html</a></li><li>Mikosz CA, Smith RM, Kim M, Tyson C, Lee EH, Adams E, et al. Fungal endophthalmitis associated with compounded products. Emerg Infect Dis. 2014;20(2):248-256. doi: 10.3201/eid2002.131257</li><li>Dolan SA, Littlehorn C, Glodé MP, et al. Association of Bacillus cereus infection with contaminated alcohol prep pads. Infect Control Hosp Epidemiol. 2012;33(7):666-671. doi: 10.1086/666334</li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:24:46','2024-06-06 17:32:51','69cb2107-2d79-43ff-9464-a2218730baca'),(9303,9303,1,'Fundamental Concepts','planning-preparation-chapter-two-2','chapters/planning-preparation-chapter-two-2',NULL,1,'2024-05-17 19:24:46','2024-05-17 19:24:46','29386582-5310-476b-96a3-d4f66d3ea5b9'),(9304,9304,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','cb197a1b-13c9-425d-bf56-2f5f15bb8487'),(9305,9305,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','a81c68d1-4c00-4015-8510-f18a31f85a7a'),(9306,9306,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:24:46','2024-05-17 19:24:46','f0d82382-cc5a-4957-9bae-d09a13701f3e'),(9307,9307,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','0d34c554-47d0-4924-bfde-acc5b276524a'),(9308,9308,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','e6ba3941-e467-4170-b8d9-f06384d1b9ac'),(9309,9309,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','d6022972-dbc4-4712-a868-5dca7a650100'),(9311,9311,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','2a12f123-b5a2-4ca5-82cf-3ac55d2fb9fb'),(9312,9312,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','1df686f5-e0ff-4b6d-af47-ae5dc6332284'),(9313,9313,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','a6414e96-0e17-4d22-8c93-455756db335a'),(9314,9314,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','1b65d1cb-22cb-4d03-8a50-c85e71b7a3f8'),(9315,9315,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','3339ef5e-da3e-451c-9e21-4f9df6f996c8'),(9316,9316,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','f2d5eb8c-eb9e-49cf-8988-f11db6027025'),(9317,9317,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','a905c80a-d84b-4bac-8937-bc1d5cbded2f'),(9318,9318,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','997faafd-b104-4bb1-a756-8b48ea757a99'),(9319,9319,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','12b6999c-e4b4-4694-9f6a-d4bbf039c413'),(9320,9320,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','1333c6b1-cfa0-4169-ae36-0c7ad8426d00'),(9321,9321,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','eb7f4209-a06b-4191-b7fc-43e34aad2f23'),(9322,9322,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','5d9b6ba6-fe92-409e-8627-395f1ad33f90'),(9323,9323,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','aa7cfa47-ec7d-4769-b226-f2098b166923'),(9324,9324,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','a4a3d085-0d26-4982-9cfb-2212cf7aacd2'),(9325,9325,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','c7fbd8b6-7e1c-4f95-82ec-fb49871dc376'),(9326,9326,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','c31ebe07-7bb9-44bd-837f-8ce1a8336baf'),(9327,9327,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','e694855e-930d-4969-93a9-7c63ce5f6390'),(9328,9328,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','badbd570-e6fb-4bba-8d3b-e45a0a9a84c1'),(9329,9329,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','d8895139-bbe9-40be-bf07-53a1223ca6b9'),(9330,9330,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','df3e0687-d89a-477e-982c-4ea1b48e085c'),(9331,9331,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','97ea01d3-a714-4f0b-8ed0-3032b3d2225e'),(9332,9332,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:47','2024-05-17 19:24:47','e2396716-2cc0-47f8-ad23-1a4df9d656b2'),(9333,9333,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','c2613934-5547-43f9-94c0-d09b62b7dd39'),(9334,9334,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','cf9332d6-e0ee-4e30-a005-b7fbffdd1951'),(9335,9335,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','a1a270e7-21b5-4dcd-965c-e5d31f9db4a3'),(9336,9336,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','2c8ffee6-2563-439c-92de-332e409992b6'),(9337,9337,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:24:47','2024-05-17 19:24:47','5f3f2947-22d0-49a0-b608-1a62572c37eb'),(9338,9338,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:24:48','2024-05-17 19:24:48','ecfb4c04-918d-4594-922e-3e69134990fe'),(9339,9339,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:24:48','2024-05-17 19:24:48','94c0bb07-c7b0-478a-a68c-647e1cad9adc'),(9340,9340,1,'Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts',NULL,1,'2024-05-17 19:25:01','2024-05-17 19:25:01','94bfdaed-2e2a-4b9e-9288-83b6e594f357'),(9343,9343,1,'Outbreak Detection & Reporting','outbreak-detection-reporting','chapters/outbreak-detection-reporting',NULL,1,'2024-05-17 19:25:24','2024-05-17 19:25:24','df87c252-39c0-4aa5-83eb-bce4fd0bd39d'),(9346,9346,1,'1 - Overview','overview','chapters/overview',NULL,1,'2024-05-17 19:25:52','2024-05-17 19:25:52','ca5698f8-1394-4c37-aaaa-5c01acfaa2eb'),(9349,9349,1,'2- Planning & Preparation','planning-preparation','chapters/planning-preparation',NULL,1,'2024-05-17 19:26:15','2024-05-17 19:26:15','0a34d465-c4e8-483a-81e6-afb7e3e73ea0'),(9351,9351,1,'3 - Planning & Preparation','planning-preparation','chapters/planning-preparation',NULL,1,'2024-05-17 19:26:26','2024-05-17 19:26:26','eaca007f-4287-4b05-8d26-6643ff4e57f5'),(9353,9353,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts',NULL,1,'2024-05-17 19:26:37','2024-05-17 19:26:37','0052499d-63df-4ad7-a828-2ca241a8e107'),(9355,9355,1,'4 - Outbreak Detection & Reporting','outbreak-detection-reporting','chapters/outbreak-detection-reporting',NULL,1,'2024-05-17 19:27:18','2024-05-17 19:27:18','a8ace8a6-692f-40cc-b3d6-e09e2a638c56'),(9356,9356,1,'5 - Investigation & Control','investigation-control','chapters/investigation-control','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Investigation & Control\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 5, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Five\"}',1,'2024-05-17 19:28:19','2024-05-17 19:30:17','b3d036d3-c589-45ae-b75b-21560726fc3b'),(9357,9357,1,NULL,'__temp_mehmpepcjrsjyyglqprknrzwwvbsbfmkqopo',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about the key steps involved in responding to –and stopping– HAI/AR outbreaks.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Investigation & Control\"}',1,'2024-05-17 19:28:19','2024-06-11 18:58:08','653a9dd8-90ca-4e48-9d7a-b8ac0cd3c7d8'),(9358,9358,1,NULL,'__temp_mzcxsdcurlsubaijutjocdsitrgfjndvrfql',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:28:19','2024-06-06 17:40:05','d8973569-7a6d-4c73-a2c9-1248cb4a6ac2'),(9359,9359,1,NULL,'__temp_zrogmjthtetkdijtnjpnutgxghkggvohapus',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:28:19','2024-06-06 17:40:05','15cb9be4-65ce-4897-9fda-efd053645e9c'),(9360,9360,1,NULL,'__temp_urvafbransuxsslvqnpynqvlbeddwmkqwmlf',NULL,NULL,1,'2024-05-17 19:28:19','2024-06-06 17:40:05','5830c379-59be-49a9-81c6-b49749829672'),(9361,9361,1,NULL,'__temp_ulzlttcdjydjzaitdvlvudjehjnekwpeobwu',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:28:19','2024-08-01 04:26:28','34c5f3fa-bbcb-433e-a623-50e1bda1895f'),(9362,9362,1,NULL,'__temp_qmhpjtjbiqfmycithzulkzgwcpwrozofywjo',NULL,NULL,1,'2024-05-17 19:28:19','2024-06-06 17:40:05','6f85d47a-bc61-495a-8ca9-240e22cccb99'),(9364,9364,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:19','2024-05-17 19:28:19','d4c86714-f418-456b-a594-a032acf6ae6c'),(9365,9365,1,NULL,'__temp_iogutgvjxnoaalzsksyfkmqzoaglbzflvpmp',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Collaboration between public health and healthcare is essential for an effective outbreak response. While healthcare settings are responsible for disease prevention and infection control practices on their premises, public health officials are generally responsible for ensuring the health and safety of the entire population within their jurisdiction, including patients, visitors, and employees in healthcare settings. </p><p>In Chapter 5, Investigation &amp; Control, we review the key elements and steps involved in the investigation and control of outbreaks involving HAIs and AR pathogens. During an outbreak investigation, a systematic approach is necessary to determine the nature and scope of the problem, identify the etiologic agent, establish the existence of an outbreak, define the population at risk, determine risk factors and routes of transmission, implement appropriate control measures, and develop strategies to prevent future occurrences. </p><p>The chapter is arranged to follow steps typically followed in an outbreak investigation, recognizing that such steps may indeed not occur in linear order and will depend on the precise nature and needs of the response. The chapter also reviews the goals of a healthcare outbreak investigation and includes collections of resources to support and improve HAI/AR outbreak response.</p>\"}',1,'2024-05-17 19:28:19','2024-06-06 17:40:05','19981f69-2737-4a1c-a0e1-9762401834bb'),(9366,9366,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:19','2024-05-17 19:28:19','be170f5b-0fd8-4310-9785-ab3d8d233bc2'),(9367,9367,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:28:19','2024-05-17 19:28:19','9e3a6558-9609-453f-a5f6-7e8ea33a35d3'),(9368,9368,1,NULL,'__temp_pjixmuechuhbbcmjbepanfjnxqxisblqabuq',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:19','2024-06-11 18:58:08','b8a1cf7d-d96b-4bb2-b1d6-9d7d5a121bc9'),(9369,9369,1,NULL,'__temp_izyanqymtkdllbpmmrsuqxyafteyhxrtakzr',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:19','2024-06-11 18:58:08','dea90678-cd5f-4902-a39b-9441b71daac8'),(9370,9370,1,NULL,'__temp_cwaonrzoglopezwcznavfyndbqkbpupmszwp',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-06-11 18:58:08','c716c737-3227-4324-969f-61dd26e2b5e4'),(9371,9371,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:20','2024-05-17 19:28:20','90bf718c-e847-4727-9a24-bb787a8eea24'),(9372,9372,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','0bcf54a1-b683-4557-a9a6-72e452927910'),(9373,9373,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','2aecf847-f95f-43a3-aef0-4ddf3ee3f6c3'),(9374,9374,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','8de850c1-c8ba-4494-94ff-e70725f62e54'),(9375,9375,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','75eb6842-0ea7-422a-af2b-323940e4801d'),(9376,9376,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','36389543-56d1-4f5b-92b7-6d4d63bc7e33'),(9377,9377,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:20','2024-05-17 19:28:20','a3e01157-28ad-4769-b8c0-292d72e6d5fa'),(9378,9378,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','9159ddb4-802e-4532-be06-a49c5e3d00b3'),(9379,9379,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','0c33bd91-f915-4aa2-b713-659d15b3b06c'),(9380,9380,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','370fcbfd-8795-4a67-bcff-45185386597e'),(9381,9381,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:20','2024-05-17 19:28:20','c46047b8-fa1c-4399-8d95-bf757512b1ec'),(9382,9382,1,NULL,'__temp_pyjhyceldewdqtxzzffxacohpikncvnnocos',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published October 2022</li><li>URLs in this document are valid as of May 1, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:28:20','2024-08-01 04:26:28','674f4ac7-fed8-45ed-9921-904f318ef10d'),(9383,9383,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:20','2024-05-17 19:28:20','38e94ffe-dffe-42d5-aa32-2bd262393c1c'),(9384,9384,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','b33fa763-321b-4ad2-9cf5-af4048585bac'),(9385,9385,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:20','2024-05-17 19:28:20','916c7abe-3a6a-454d-b8e4-aeb15b7ab28d'),(9386,9386,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','d0dfd068-1ba2-449a-8d5f-dd716836fcb0'),(9387,9387,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','b6efc0db-c769-400a-a6f2-dbdf7113ffe8'),(9388,9388,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','4f163b93-f846-479b-8ad1-bbacd18b0fb9'),(9389,9389,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','dfed943c-4ae9-44dd-9a59-7a434bedfde8'),(9390,9390,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:20','2024-05-17 19:28:20','fbc34771-d3a7-47ad-91da-74dbdb3c032c'),(9391,9391,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:20','2024-05-17 19:28:20','49352284-f584-4e7e-bde6-a5f1b04d3bcb'),(9392,9392,1,NULL,'__temp_cgllxxdqhrltfzebkyffaruqvaxocakfshjr',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak Response Capacity Assessments and Improvements Among Public Health Department Health Care–Associated Infection Programs— United States, 2015-2017. J Public Health Manag Pract. 2022;28(2):116-125. doi: 10.1097/PHH.0000000000001148 </li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018: chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a> </li><li>Lyman MM, Grigg C, Bicking Kinsey C, et al. Invasive nontuberculous mycobacterial infections among cardiothoracic surgical patients exposed to heater–cooler devices. Emerg Infect Dis. 2017;23(5):796-805. doi: 10.3201/eid2305.161899 </li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated Infections (HAIs): Contaminated heater-cooler devices. <a href=\\\"http://www.cdc.gov/hai/outbreaks/heater-cooler.html\\\">http://www.cdc.gov/hai/outbreaks/heater-cooler.html</a> </li><li>Banach DB, Johnston BL, Al-Zubeidi D, et. al. Outbreak response and incident management: SHEA guidance and resources for healthcare epidemiologists in United States acute-care hospitals. Infect Control Hosp Epidemiol. 2017;38(12):1393-1419. doi: 10.1017/ice.2017.212 </li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). Available at: <a href=\\\"/www.cdc.gov/eis/request-services/epiaids.html\\\">http:/www.cdc.gov/eis/request-services/epiaids.html </a></li><li>Ostrowsky BE, Weil LM, Olaisen RH et al. Real-time virtual infection prevention and control assessments in skilled nursing homes, New York, March 2020-A pilot project. Infect Control Hosp Epidemiol. 2022;43(3):351-357. doi: 10.1017/ice.2021.100 </li><li>Centers for Disease Control and Prevention (CDC). Tap Water Quality and Infrastructure Discussion Guide for Investigation of Potential Water-Associated Infections in Healthcare Facilities. <a href=\\\"https://www.cdc.gov/HAI/pdfs/Water-Quality-Discussion-Guide-P.pdf\\\">https://www.cdc.gov/HAI/pdfs/Water-Quality-Discussion-Guide-P.pdf</a></li><li>Centers for Disease Control and Prevention (CDC). Targeted Environmental Investigation Checklist for Outbreaks of Invasive Infections Caused by Environmental Fungi (i.e., Aspergillus, Mucormycetes). <a href=\\\"https://www.cdc.gov/fungal/pdf/targeted-environmental-investigationchecklist-508.pdf\\\">https://www.cdc.gov/fungal/pdf/targeted-environmental-investigationchecklist-508.pdf</a> </li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:28:20','2024-06-06 17:40:06','1b706da8-f6bb-41c4-907a-c3ffc7be3874'),(9393,9393,1,'4 - Outbreak Detection & Reporting','outbreak-detection-reporting-2','chapters/outbreak-detection-reporting-2',NULL,1,'2024-05-17 19:28:21','2024-05-17 19:28:21','5877ca18-f16a-4af8-bfef-364cbd34f4ca'),(9394,9394,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','f84d002b-79c6-4b7c-bace-1964887a15a1'),(9395,9395,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','e93da941-8044-4e6e-b142-141685371af3'),(9396,9396,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','1c2aeeef-d62f-4847-add5-89b1111e27f8'),(9397,9397,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','8381fcf1-0cd8-47bc-8acc-2ce5ffa64ce2'),(9398,9398,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','e9934f4c-925d-494c-842c-498e1716ac20'),(9399,9399,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:21','2024-05-17 19:28:21','893f4c3e-4e64-42e5-abe0-d72d67a74120'),(9401,9401,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:21','2024-05-17 19:28:21','fcda8a14-9a1a-42e6-bc71-a1476d409409'),(9402,9402,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','d891eb67-0dab-4b66-8ef9-c57e1c349825'),(9403,9403,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:21','2024-05-17 19:28:21','d350cbd7-e243-4029-a06d-a33be918722c'),(9404,9404,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','3305983b-a1f4-4749-a4ae-9629d6a697dd'),(9405,9405,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','3b1b949b-0133-4186-827b-2d7a9ec91226'),(9406,9406,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','207e5356-00f8-413c-92ef-7d3433dc01dd'),(9407,9407,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','73004f68-24bd-470b-bc4d-c38cd9b30f13'),(9408,9408,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:21','2024-05-17 19:28:21','88604360-c859-4b0d-8cef-65ce413daa5e'),(9409,9409,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','67aa8ff9-5b6a-469e-a430-121b9a956158'),(9410,9410,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','0c43b8cd-bf66-4e82-91ad-0c8b92f2d846'),(9411,9411,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','23ec8601-d328-459a-a7b4-051de792822b'),(9412,9412,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:21','2024-05-17 19:28:21','6730000e-4bdf-4d7e-aea2-132981e7b803'),(9413,9413,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','c7f7f52c-b94d-425c-897a-d52c6441ec49'),(9414,9414,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:22','2024-05-17 19:28:22','8bab0db3-e709-4e78-aa53-2526b8c9f51b'),(9415,9415,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','6946342d-fe03-4a77-afb0-55e014207e7a'),(9416,9416,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','d6ced1a2-ba6d-46f3-ac99-746e269220e4'),(9417,9417,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','b08ce578-720b-4116-a535-bcc4fc65e228'),(9418,9418,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:22','2024-05-17 19:28:22','c3f0373a-03bb-43f5-8c96-abd0b0ea03e9'),(9419,9419,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','3034f14b-cecf-418f-ab51-34ec8c423a27'),(9420,9420,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:22','2024-05-17 19:28:22','55b6eb8c-5f4b-4972-9880-95f37fc543c8'),(9421,9421,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','885b3e85-8c9a-4124-82ed-6eafc913bfd1'),(9422,9422,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:22','2024-05-17 19:28:22','102dde03-dd75-4f1d-98c4-d066d2d00098'),(9423,9423,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','61846285-d65e-441c-bdc7-eb75de2a0fe0'),(9424,9424,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','fed1c14d-388e-4e02-9dc8-4540f480962b'),(9425,9425,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','41444bf8-59da-43af-bd7b-d801849e9218'),(9426,9426,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','ddeb9a83-ba25-4860-a1a8-b633b011595b'),(9427,9427,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','f31e40c3-bd98-48a7-84ec-65daab7f77e8'),(9428,9428,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:28:22','2024-05-17 19:28:22','bd4c9e5d-d451-4dcc-9968-296133c8cf43'),(9429,9429,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:28:22','2024-05-17 19:28:22','7e12b90d-ee18-46ca-a7fc-b05eef05bf09'),(9432,9432,1,'5 - Investigation & Control','outbreak-detection-reporting-2','chapters/outbreak-detection-reporting-2',NULL,1,'2024-05-17 19:28:51','2024-05-17 19:28:51','6c9fbcb8-f299-4a16-b4f1-a997883f43d6'),(9434,9434,1,'6 - Laboratory Best Practices','laboratory-best-practices','chapters/laboratory-best-practices','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Laboratory Best Practices\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 6, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Six\"}',1,'2024-05-17 19:29:15','2024-05-17 19:29:59','fb4b7714-fc33-4fd6-b515-39feef5d92d4'),(9435,9435,1,NULL,'__temp_ggyfxiqvqoprkyfmzlvrexqibphlwhgsiqwg',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn how laboratory partners contribute to healthcare outbreak response, providing key information to help initiate and guide investigations.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Laboratory Best Practices\"}',1,'2024-05-17 19:29:16','2024-06-11 18:59:22','8c8e507d-368e-400e-88d0-e7c5f32d51e8'),(9436,9436,1,NULL,'__temp_cyxxkhgwehnkndsenhqeeoiebnscxvfsxezi',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:29:16','2024-06-06 17:46:56','0ddb0165-a6bc-4b5e-b09b-56d1d97358bc'),(9437,9437,1,NULL,'__temp_lisqvxrsyksdhinmuhbfjohtrsjfkpfafvfn',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:29:16','2024-06-06 17:46:56','9e6a9966-7cd3-4f7b-a14c-5c2335895bbe'),(9438,9438,1,NULL,'__temp_pzphsoafjjfmbcikydrqpvyfjmpvlrihzicn',NULL,NULL,1,'2024-05-17 19:29:16','2024-06-06 17:46:56','d763a230-68cf-44e2-a5c0-5e14a6a8c13d'),(9439,9439,1,NULL,'__temp_cbkkjecasdaeumsleftbhuqabkfqmrwbuhvt',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:29:16','2024-08-01 04:29:16','9ed8d739-8e24-4661-9a93-6bbb1337f052'),(9440,9440,1,NULL,'__temp_ujedsbprmqhskqewryguhjmigoncyejwhexj',NULL,NULL,1,'2024-05-17 19:29:16','2024-06-06 17:46:56','661c92d3-28e2-4ccf-a9ce-6cdc0e5ef35f'),(9442,9442,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:16','2024-05-17 19:29:16','94516d9e-1816-4d03-b0ea-d122f1d7336d'),(9443,9443,1,NULL,'__temp_iecllgqrnjtviqqybjiztlubvccwtgbcgyno',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Technological advances and increased interconnectivity among laboratory partners are helping generate data to detect and respond to outbreaks more quickly and more effectively. </p><p>In Chapter 6, Laboratory Best Practices, we expand on the basic concepts presented in previous chapters to highlight the roles and contributions of laboratory partners. This chapter further develops concepts, explanations, and processes, while adding examples and emphasizing best practices.</p><p>This chapter begins with an overview of the various types of laboratories and their roles. Public health laboratories are well positioned for the early recognition of sentinel cases (those involving unusual pathogens or resistance patterns) or clusters of related illness. Many aspects of healthcare outbreak response benefit from active collaboration and coordination between public health laboratories and other types of laboratories, public health agencies, and healthcare partners. </p><p>The chapter continues with descriptions of laboratory functions that support outbreak response and the importance of reliable and clearly communicated data. Specific to laboratorians, we also address safety practices to be followed when working with AR pathogens and the validation of AR and HAI test methods.</p>\"}',1,'2024-05-17 19:29:16','2024-06-06 17:46:56','1a3e2368-d4f2-47db-9baa-f0323ece4d61'),(9444,9444,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:16','2024-05-17 19:29:16','f4622872-f645-4602-a7cb-059b03bde4d8'),(9445,9445,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','20c2e2b8-f851-4f97-b096-09af4f80ada0'),(9446,9446,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','9ed15652-2f71-4bcf-b78d-d20eec7040fb'),(9447,9447,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','fbf5bfa5-e509-49dd-ad0e-a2391a20aec1'),(9448,9448,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','5cfc2e6b-47d6-4fbc-933e-1fe0359f0a44'),(9449,9449,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:16','2024-05-17 19:29:16','50616a43-efc2-4240-a63d-5d629a2871ec'),(9450,9450,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','c85bc98f-1984-4e67-952f-77b6444c2040'),(9451,9451,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','a0b81f88-428c-4575-b514-a46fe742e4e1'),(9452,9452,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','8cf03320-9b5a-40dc-817a-f53febcc02c2'),(9453,9453,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','99909228-6c83-420f-996c-3fe6e7752be6'),(9454,9454,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','3da6aa6c-d915-41ca-8cea-d852d75ff60a'),(9455,9455,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:16','2024-05-17 19:29:16','93335813-08cf-4511-99b9-eb88c65f4170'),(9456,9456,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','4210b103-1b87-484c-8f07-11b2122b6bf8'),(9457,9457,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','22160491-cbd5-4aec-8f5a-6acaae938a3d'),(9458,9458,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:16','2024-05-17 19:29:16','62c0e3de-dac3-4b8d-9de1-8733bc27fbbc'),(9459,9459,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:17','2024-05-17 19:29:17','042c58bb-0d36-4e3f-ae0d-33dc8ece9bc7'),(9460,9460,1,NULL,'__temp_yekokqivoxgrmnshcnbqrgbgyvduqdhtvdvp',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published June 2023</li><li>URLs in this document are valid as of May 31, 2024. </li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:29:17','2024-08-01 04:29:17','44339d0a-7626-4376-a8ae-829f87f94330'),(9461,9461,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:17','2024-05-17 19:29:17','13700c93-c502-4845-b954-afffe3d54173'),(9462,9462,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','fde00869-e7a6-4690-8a85-32b1d3b8e07f'),(9463,9463,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:17','2024-05-17 19:29:17','95841577-4965-456f-b631-a88c884f2dbc'),(9464,9464,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','31b3ba50-ff9a-4cd4-9e06-dee79ed7739d'),(9465,9465,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','ac93e4f6-c60c-491e-b031-4ba9de0fe15f'),(9466,9466,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','c497a165-55e0-42b5-ac8b-bc7221ba8658'),(9467,9467,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','fcd26e23-1565-4368-a394-63ccd8b20c54'),(9468,9468,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','8832d33f-fc80-48ff-a5b2-7d3f701d68a4'),(9469,9469,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:17','2024-05-17 19:29:17','5f7fb05f-4fb8-468b-a091-74e748de07bc'),(9470,9470,1,NULL,'__temp_yvaywfytvitunanhfktnvwljjeqjmmmshesn',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Centers for Disease Control and Prevention (U.S.). About the AR Lab Network. Centers for<br />Disease Control and Prevention. 2023 Feb. Available from:<br /><a href=\\\"https://www.cdc.gov/drugresistance/ar-lab-networks/domestic.html\\\">https://www.cdc.gov/drugresistance/ar-lab-networks/domestic.html</a>. </li><li>Centers for Disease Control and Prevention (U.S.). National Healthcare Safety Network. Centers<br />for Disease Control and Prevention. 2023 March. Available from:<br /><a href=\\\"https://www.cdc.gov/nhsn/index.html.\\\">https://www.cdc.gov/nhsn/index.html.</a></li><li>Tindall BJ, Sutton G, Garrity GM. Enterobacter aerogenes Hormaeche and Edwards 1960<br />(Approved Lists 1980) and Klebsiella mobilis Bascomb et al. 1971 (Approved Lists 1980) share<br />the same nomenclatural type (ATCC 13048) on the Approved Lists and are homotypic synonyms,<br />with consequences for the name Klebsiella mobilis Bascomb et al. 1971 (Approved Lists 1980).<br />Int J Syst Evol Microbiol. 2017;67(2):502–4.</li><li>American Society for Microbiology. Kirby-Bauer Disk Diffusion Susceptibility Test Protocol. 2009<br />December. Available from:<a href=\\\"https://asm.org/getattachment/2594ce26-bd44-47f6-8287-%200657aa9185ad/Kirby-Bauer-Disk-Diffusion-Susceptibility-Test-Protocol-pdf.pdf\\\"> https://asm.org/getattachment/2594ce26-bd44-47f6-8287-</a><br /><a href=\\\"https://asm.org/getattachment/2594ce26-bd44-47f6-8287-%200657aa9185ad/Kirby-Bauer-Disk-Diffusion-Susceptibility-Test-Protocol-pdf.pdf\\\">0657aa9185ad/Kirby-Bauer-Disk-Diffusion-Susceptibility-Test-Protocol-pdf.pdf</a>.</li><li>Clinical &amp; Laboratory Standards Institute. AST News Update June 2022: Updating Breakpoints–<br />New Developments from CAP. Available from: <a href=\\\"https://clsi.org/about/blog/ast-news-updatejune-2022-updating-breakpoints-new-developments-from-cap/.\\\">https://clsi.org/about/blog/ast-news-updatejune-2022-updating-breakpoints-new-developments-from-cap/.</a></li><li>Prussing C, Canulla T, Singh N, McAuley P, Gosciminski M, King E, et al. Characterization of the<br />First Carbapenem-Resistant Pseudomonas aeruginosa Clinical Isolate Harboring blaSIM-1 from<br />the United States. Antimicrob Agents Chemother. 2021 Sep 17;65(10):e0106621. </li><li>Reller LB, Weinstein M, Jorgensen JH, Ferraro MJ. Antimicrobial Susceptibility Testing: A Review of General Principles and Contemporary Practices. Clin Infect Dis. 2009 Dec 1;49(11):1749–55. </li><li>Centers for Disease Control and Prevention (U.S.). Antibiotic resistance threats in the United States, 2019. 2019 November. Available from: <a href=\\\"https://stacks.cdc.gov/view/cdc/82532\\\">https://stacks.cdc.gov/view/cdc/82532</a>. </li><li>Clinical &amp; Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing. 32nd ed. CLSI supplement M100. 2022. </li><li>Association of Public Health Laboratories. Best Practice Guidance: Specimen and SpecimenProduct Storage and Retention. 2016 February. Accessed at: <a href=\\\"https://www.aphl.org/aboutAPHL/publications/Documents/ID_Specimen_Storage_0216.pdf.\\\">https://www.aphl.org/aboutAPHL/publications/Documents/ID_Specimen_Storage_0216.pdf.</a> </li><li>Sehulster L, Rose L, Noble-Wang J. Chapter 72: Microbiologic Sampling of the Environment in Healthcare Facilities. Hospital Epidemiology and Infection Control. Edited by C. Mayhall, 4th Edition, Wolters Kluwer Health, 2012, pp. 1059-75.</li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:29:17','2024-06-06 17:46:57','adf0bc9f-06a6-46cb-994c-37b9f133e20f'),(9471,9471,1,'5 - Investigation & Control','outbreak-detection-reporting-2-2','chapters/outbreak-detection-reporting-2-2',NULL,1,'2024-05-17 19:29:17','2024-05-17 19:29:17','3ebe47f2-a4cf-47df-b897-ad512cd5e4bb'),(9472,9472,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','894e99b7-a016-4499-9e68-3094aeb435ea'),(9473,9473,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','5b644f64-3ecc-43bc-83a2-6cdcad9d6404'),(9474,9474,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','7a358750-f0e4-4282-b75a-e8574bb7ec14'),(9475,9475,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','4071f96f-6820-40e0-8800-27f45e46225f'),(9476,9476,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:29:17','2024-05-17 19:29:17','f9361f06-7335-4a1c-9628-b8bc0acd61d6'),(9477,9477,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:17','2024-05-17 19:29:17','40c6fde0-f197-4325-9b60-b0257e612a1a'),(9479,9479,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','eacfc619-eba9-4d2d-9026-7d24aaa650ea'),(9480,9480,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','d392bb3f-5c9d-462f-9ae8-984e09414b8d'),(9481,9481,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','004cd21c-ca3e-4a14-b5a4-9feba9192874'),(9482,9482,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','0a76cba8-624c-47c1-951c-bb504b53d785'),(9483,9483,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','e10c473d-212e-4d6a-ac59-1988f400626c'),(9484,9484,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','c140c349-847c-477e-85ee-79136a12e53b'),(9485,9485,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','85af9605-92f9-46f8-9566-4414784a425e'),(9486,9486,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','fb53cfa0-6acc-4ea0-ab89-d09acb9af7ea'),(9487,9487,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','ae604ff1-8b09-4a6e-b3db-008c931ac091'),(9488,9488,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','61be83be-0c9e-4b5f-8815-8822534f3caa'),(9489,9489,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','ce0aff38-dbfe-4de3-a701-ea711fb0b825'),(9490,9490,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','bac4afe0-217a-4a23-9561-812c0d989598'),(9491,9491,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','8e875359-d6f8-46f6-a365-7b46ebdbd03a'),(9492,9492,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','c42111b8-2e4e-4a58-8ff0-c34494af0b52'),(9493,9493,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','8885e659-6fef-4a65-a393-8bc66b429189'),(9494,9494,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','a7dbb2ca-1fb2-42c6-9e41-993d04aa81bc'),(9495,9495,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','61d2112a-c546-40a5-84d1-10bc83fcddaa'),(9496,9496,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','01304a09-f8ed-4fba-8189-aca8e6fffc3c'),(9497,9497,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','227a5035-422a-4b57-a621-f11873695c10'),(9498,9498,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','0754c468-fbda-4e80-a817-0af0ffac4d11'),(9499,9499,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:18','2024-05-17 19:29:18','7eb05b2c-55a6-46bd-9570-4b90989118f0'),(9500,9500,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:18','2024-05-17 19:29:18','ef172292-8e0d-4931-b6ff-4ea3b8f74410'),(9501,9501,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:29:19','2024-05-17 19:29:19','033478ab-afbd-4be8-909b-8616eec2aa19'),(9502,9502,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:19','2024-05-17 19:29:19','c94db0c1-d363-4ba5-94ac-09ec6031e8a1'),(9503,9503,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:19','2024-05-17 19:29:19','24a66331-120e-4e3a-8472-fc419815da82'),(9504,9504,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:19','2024-05-17 19:29:19','f3740b41-9faf-461a-8474-d9e07a1968a9'),(9505,9505,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:29:19','2024-05-17 19:29:19','df5ae64b-baca-4836-9f24-c16dfde89c21'),(9506,9506,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:29:19','2024-05-17 19:29:19','0245ab79-ebe5-4c69-9dd5-4e050dbdb3cf'),(9507,9507,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:29:19','2024-05-17 19:29:19','eb0a6424-424f-4947-968b-4ff33388e94c'),(9510,9510,1,'6 - Laboratory Best Practices','laboratory-best-practices','chapters/laboratory-best-practices',NULL,1,'2024-05-17 19:30:00','2024-05-17 19:30:00','0b9226e8-0003-43e7-b34c-8334d32db23c'),(9512,9512,1,'5 - Investigation & Control','investigation-control','chapters/investigation-control',NULL,1,'2024-05-17 19:30:17','2024-05-17 19:30:17','37b965f5-6186-46f0-a18c-3b5ed2d54356'),(9513,9513,1,'8 - Notification & Communication','notification-communication','chapters/notification-communication','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Notification & Communication\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 8, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Eight\"}',1,'2024-05-17 19:30:24','2024-05-17 19:36:04','4c9f1f23-5ef2-4672-bd7a-898241f90cc0'),(9514,9514,1,NULL,'__temp_hddreopxyegknwckmuiufiuockuubfihbjaz',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about the “who, what, how, why, and when” for notifying patients and other stakeholders as part of a healthcare outbreak response.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Notification & Communication\"}',1,'2024-05-17 19:30:24','2024-06-11 19:03:13','be7f3e90-30dd-4e3d-9cbd-f7419b7abaf0'),(9515,9515,1,NULL,'__temp_pzkwyjyithwwfifygnazpznovpkmszzlsqvf',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:30:24','2024-06-06 18:04:30','e45a032d-8ac9-4762-8eea-f6fe675798e3'),(9516,9516,1,NULL,'__temp_gpskqhkszpexuubrwzajwidkkdjvkffjxoxc',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:30:24','2024-06-06 18:04:30','13e159b3-a42d-462d-821c-b6461dc40be9'),(9517,9517,1,NULL,'__temp_ssoimydzsxvihdysvutkgufhdwaljgatwnck',NULL,NULL,1,'2024-05-17 19:30:24','2024-06-06 18:04:30','70722f6c-3821-4144-8b9f-58f36d0533bf'),(9518,9518,1,NULL,'__temp_uenkvharwanorjvowvyvoiucpwnlxnminhnw',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:30:24','2024-08-01 04:48:34','b504438b-ff9e-4e1b-a601-e0bb23320b38'),(9519,9519,1,NULL,'__temp_kurtupcteapwhoerjtfdtrjtyzlznmybfkko',NULL,NULL,1,'2024-05-17 19:30:24','2024-06-06 18:04:30','9750aee6-1ef5-47e8-b5a5-82703dca40f0'),(9521,9521,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:24','2024-05-17 19:30:24','ecc444dd-e4da-4dc2-b953-190eb41cf9be'),(9522,9522,1,NULL,'__temp_oxogdvnknqrmzywnnzodtbvrdpircggmcsbf',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>When patients are placed at risk as a result of an infection or disease outbreak in a healthcare setting, a serious infection control breach, or another situation that jeopardizes their health, they have a right to know what happened, the extent of their risk, and what they need to do. </p><p>In Chapter 8, Notification &amp; Communication, we describe “who, what, how, why, and when” for the notification of patients and other stakeholders, along with a detailed review of applicable risk communication principles and strategies. </p><p>This chapter contains information on:</p><ul><li>Patient stories and ethical considerations for notification</li><li>Notification of affected and exposed patients, stakeholders such as providers and healthcare facilities, and the general public both during and after an outbreak</li><li>Advice on managing effective communications as part of patient notification, including managing differences of opinion between public health agencies and healthcare facilities</li><li>Pointers for engaging the media, either proactively or reactively</li><li>Examples detailing notification procedures in outbreak situations involving (a) <i>Legionella</i> in a hospital setting and (b) antibiotic-resistant infections in a long-term care facility </li></ul>\"}',1,'2024-05-17 19:30:24','2024-06-06 18:04:30','ec8b637d-970c-442a-9735-45becde93460'),(9523,9523,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:24','2024-05-17 19:30:24','5452a19d-ddc1-4702-b9bf-86f7023f49c0'),(9524,9524,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:30:24','2024-05-17 19:30:24','e8f2eaa3-0688-4f8a-bc8e-dea5bbdc2601'),(9525,9525,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','dc7d3881-0558-4d8c-a50f-d2f83765bcf5'),(9526,9526,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','7ea18565-fdc9-4973-9183-730808654191'),(9527,9527,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','e5a0aea7-161d-43a6-abbe-732cae5312ab'),(9528,9528,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:25','2024-05-17 19:30:25','c38f6fc2-efaf-4042-8aa8-fad7cfff5a80'),(9529,9529,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','110fe79d-85d5-4906-a27c-5e10b4c13c36'),(9530,9530,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','fa815f26-0d32-4006-a42d-a36018e06d08'),(9531,9531,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','f0ba8c4e-9d46-4889-ac1e-17f5d446d15a'),(9532,9532,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','7dbe860e-cc8f-4c35-a181-0451f16557d4'),(9533,9533,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','f3059f3c-c649-43c0-8883-ff82da817a79'),(9534,9534,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:25','2024-05-17 19:30:25','962c81c0-21ab-4595-9279-08c15e70a2e5'),(9535,9535,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','36ecdbf7-8663-4dff-bd04-d966dd11c8fb'),(9536,9536,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','34b2926f-e39e-4e82-80d9-6d482bbd63c5'),(9537,9537,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','e86de9b1-0a86-4b70-8255-6335de2af966'),(9538,9538,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:25','2024-05-17 19:30:25','18b9ed40-76e3-4ce1-b94b-eb644edc4857'),(9539,9539,1,NULL,'__temp_vgwwdendhhfmakaiylbzhiiuilsvgbigabre',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published June 2023</li><li>URLs in this document are valid as of May 31, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:30:25','2024-08-01 04:48:34','e77b829a-d162-463b-835f-f0154e3a766e'),(9540,9540,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:25','2024-05-17 19:30:25','2c1670d5-bc52-4401-a197-36c3a53fb1c8'),(9541,9541,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','42ce04e0-8616-4d21-b374-88a9b43b3a81'),(9542,9542,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:25','2024-05-17 19:30:25','09725b1b-1c50-4fec-9aa5-0f3288dbfed8'),(9543,9543,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','2c49df79-266f-42ee-8fce-89d774d8dd7e'),(9544,9544,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','8c139cee-47ed-422a-a35d-bdfcb9f42a56'),(9545,9545,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','c3f024f0-244f-4742-a904-f3a72513d515'),(9546,9546,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','c41cd523-dc4c-4e3c-ad78-cf10b0167db2'),(9547,9547,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:25','2024-05-17 19:30:25','b9782e72-6533-412b-8615-7a90a4b5b8f8'),(9548,9548,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:26','2024-05-17 19:30:26','4d4063a6-d91a-4dde-8c72-665e4b5d8fb2'),(9549,9549,1,NULL,'__temp_asnpuzbaqtmpbeqqmmphnhexnpdndedpcunk',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Author not reported. “The surprising way to stay safe in the hospital.” Consumer Reports. 2014<br />Dec. Available at: <a href=\\\"https://www.consumerreports.org/cro/magazine/2015/02/the-surprisingway-to-stay-safe-in-the-hospital/index.html.\\\">https://www.consumerreports.org/cro/magazine/2015/02/the-surprisingway-to-stay-safe-in-the-hospital/index.html.</a></li><li>Day, K. “Sticky: John McCleary’s MRSA Nightmare.” McCleary MRSA Prevention webpage. 2009<br />Feb 9. Available at: <a href=\\\"http://mcclearymrsaprevention.com/?p=12.\\\">http://mcclearymrsaprevention.com/?p=12.</a></li><li>Petersen M. “UCI doctor’s plan to stop superbugs is widely used. At her own hospital, it didn’t<br />work.” Los Angeles Times. 2017 May. Available at: <a href=\\\"https://www.latimes.com/business/la-fi-uciinfant-outbreak-20170515-story.html.\\\">https://www.latimes.com/business/la-fi-uciinfant-outbreak-20170515-story.html.</a></li><li>Dudzinski DM, Hébert PC, Foglia MB, Gallagher TH. The disclosure dilemma ─ large-scale<br />adverse events. N Engl J Med. 2010 Sep 2;363(10):978-86.</li><li>Sandman PM. “Introduction to Risk Communication and Orientation to this Website.” The Peter<br />Sandman Risk Communication Website. Available at: <a href=\\\"https://www.psandman.com/indexintro.htm.\\\">https://www.psandman.com/indexintro.htm.</a></li><li>Schaefer MK, Perkins KM, Link-Gelles R, Kallen AJ, Patel PR, Perz JF. Outbreaks and infection<br />control breaches in health care settings: Considerations for patient notification. Am J Infect<br />Control. 2020 Jun;48(6):718-724.</li><li>Centers for Disease Control and Prevention (CDC). Crisis and Emergency Risk Communication<br />(CERC) Manual. Available at: <a href=\\\"https://emergency.cdc.gov/cerc/manual/index.asp.\\\">https://emergency.cdc.gov/cerc/manual/index.asp.</a></li><li>Centers for Disease Control and Prevention (CDC). Injection Safety: Patient Notification Toolkit.<br />Available at: <a href=\\\"https://www.cdc.gov/injectionsafety/pntoolkit/index.html.\\\">https://www.cdc.gov/injectionsafety/pntoolkit/index.html.</a></li><li>Prouty CD, Foglia MB, Gallagher TH. Patients’ experiences with disclosure of a large-scale<br />adverse event. J Clin Ethics. 2013 Winter; No. 4:353-363.</li><li>Sakamoto S, Terashita D, Balter S. Liaison Public Health Nurse Project: Innovative Public Health<br />Approach to Combat Infectious Disease in Hospitals. J Public Health Manag Pract. 2020<br />Nov/Dec;26(6):557-561.</li><li>Urbina I, Fink S. A deadly fungus and questions at a hospital. New York Times. 2014 Apr.<br />Available at: <a href=\\\"https://www.nytimes.com/2014/04/29/us/a-deadly-fungus-and-questions-at-ahospital.html.\\\">https://www.nytimes.com/2014/04/29/us/a-deadly-fungus-and-questions-at-ahospital.html.</a></li><li>Duffy J, Harris J, Gade L, Sehulster L, Newhouse E, O\'Connell H, Noble-Wang J, Rao C, Balajee SA,<br />Chiller T. Mucormycosis outbreak associated with hospital linens. Pediatric Infect Dis J. 2014<br />May;33(5):472-6. Available at: <a href=\\\"https://pubmed.ncbi.nlm.nih.gov/24667485/.\\\">https://pubmed.ncbi.nlm.nih.gov/24667485/</a>.</li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:30:26','2024-06-06 18:04:31','ac8dc3ca-af9c-4ea0-97d1-99f28527cea8'),(9550,9550,1,'6 - Laboratory Best Practices','laboratory-best-practices-2','chapters/laboratory-best-practices-2',NULL,1,'2024-05-17 19:30:26','2024-05-17 19:30:26','da0bcbdf-724c-4327-ab7a-419d2e6bea22'),(9551,9551,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','4cbd8dac-d57b-4265-aad5-e2b97000c89d'),(9552,9552,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','4fafd5ea-fb11-4b3c-8fdf-8c9c6949b791'),(9553,9553,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','b8b8e00c-b2d3-4cab-ab28-4411bea43636'),(9554,9554,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','4b40ea1c-2264-4489-99f7-043bb7097cde'),(9555,9555,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','ed4babda-4bc9-4b38-aef4-c16832a1f050'),(9556,9556,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:26','2024-05-17 19:30:26','23c4b774-6bac-4d55-b809-cf50944f2b7c'),(9558,9558,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:26','2024-05-17 19:30:26','fad82d70-4519-4322-8a1c-fe0552ab578d'),(9559,9559,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','93b654fe-57d0-4f42-94fa-b24a9d3db516'),(9560,9560,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:26','2024-05-17 19:30:26','42694bd0-1a4f-42df-bb55-5b259705bda7'),(9561,9561,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','5d71cb8b-d52f-44ab-a5ca-d033686f8853'),(9562,9562,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','2c0bf9bb-c3be-4246-bf75-ebe138dbff33'),(9563,9563,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:26','2024-05-17 19:30:26','78b37909-261d-43a6-838d-6fe8463339b3'),(9564,9564,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','56e0cb85-7f08-413a-a2e9-8afcfca80bb9'),(9565,9565,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:27','2024-05-17 19:30:27','57bb2491-d574-4db6-aceb-d86cd1adaff5'),(9566,9566,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','def2961a-aaa6-4cb4-aa92-8ca408d091c1'),(9567,9567,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','09af5f91-16d7-446d-a0ec-2cddc77ac1df'),(9568,9568,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','b99a725b-b961-47ad-b422-ffdc9aba3abc'),(9569,9569,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','f2326099-5f02-43d5-9b1b-22b5edbbd539'),(9570,9570,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','69255c0d-bb05-4dc1-b1b7-1bf087b03bb0'),(9571,9571,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:27','2024-05-17 19:30:27','06f8592a-6a9e-4db4-bf7a-82424be9ce50'),(9572,9572,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','7347f1b6-d886-4793-82b4-49068204a1a6'),(9573,9573,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','efcf1a2b-641c-4cc9-b860-f20e87b895e8'),(9574,9574,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','c5c2af82-1b40-44f6-9963-da107a5e389d'),(9575,9575,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:27','2024-05-17 19:30:27','1ef5b5e7-88e1-4ee4-9c13-4b94d7b8e371'),(9576,9576,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','9645df38-241f-43c4-8b93-64a0e2247a3f'),(9577,9577,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:27','2024-05-17 19:30:27','3331b069-2932-416f-89d9-39024f15b730'),(9578,9578,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','4e354946-a9a9-4a99-83a5-073e7fb5dde5'),(9579,9579,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:27','2024-05-17 19:30:27','a7294d02-8580-4c45-96b8-b7b45efdd1e2'),(9580,9580,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','86208229-da46-46b5-b8ae-d966aa2e72eb'),(9581,9581,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','0bf482d5-1d7b-44ea-aa2b-bdd888e835c3'),(9582,9582,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','a63b6be0-3fee-4811-a71b-a3dc546f4ac6'),(9583,9583,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','3e428f0c-a992-4295-8d15-0ddf403d8e22'),(9584,9584,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:30:27','2024-05-17 19:30:27','d8d6e9b7-a497-4437-8eab-8d48c33ab6eb'),(9585,9585,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:30:27','2024-05-17 19:30:27','ccd47309-4a92-4e4b-9c89-9221835ff8ea'),(9586,9586,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:30:28','2024-05-17 19:30:28','ed39f863-8bca-4548-860f-c100bc2e6160'),(9589,9589,1,'6 - Notification & Communication','notification-communication','chapters/notification-communication',NULL,1,'2024-05-17 19:36:04','2024-05-17 19:36:04','df28114d-b33d-4e0e-8420-9dc20e1bc437'),(9591,9591,1,'8 - Notification & Communication','notification-communication','chapters/notification-communication',NULL,1,'2024-05-17 19:36:13','2024-05-17 19:36:13','30864d00-cf9f-46ee-9b9a-95ef2c826b47'),(9592,9592,1,'B - Breach Investigations','infection-control-breach-investigations','chapters/infection-control-breach-investigations','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Breach Investigations\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 10, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Supplement B\"}',1,'2024-05-17 19:36:23','2024-08-01 05:08:41','7faa814f-a739-4bd4-af4c-ae538e529cf3'),(9593,9593,1,NULL,'__temp_nqkwshuylhdhqqmoivvvlrjkfpirmztefkis',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about resources to help investigate reports of substandard care such as unsafe injections practices or drug diversion.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Infection Control Breach Investigations\"}',1,'2024-05-17 19:36:23','2024-06-11 19:05:55','89371f7d-4935-4f65-a17a-01a70ae3b71a'),(9594,9594,1,NULL,'__temp_uxhddmhwkizogroqbksalvbtxabhgdfoxefk',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:36:23','2024-06-06 18:19:12','360822b2-ed9e-4743-858a-62895a3dcfb3'),(9595,9595,1,NULL,'__temp_vbrohdlkmzpiwvjleuprviieiytnbxezpztu',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:36:23','2024-06-06 18:19:12','cbe30461-98d2-4ede-96c6-a1380c6b8cc6'),(9596,9596,1,NULL,'__temp_hgkhyozhsarlohdrcacgfttwamiyggarbcat',NULL,NULL,1,'2024-05-17 19:36:23','2024-06-06 18:19:12','444b6883-e1b2-40ec-9759-c087b947b91e'),(9597,9597,1,NULL,'__temp_zndcllrqbbkmdhgtcxffcefnczzzgfpbqfuf',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:36:23','2024-08-01 05:05:38','a9f03ccb-d663-404c-9776-93408a374321'),(9598,9598,1,NULL,'__temp_cmmrtzhoflhxoilyvskzvdhzzkmuognnshub',NULL,NULL,1,'2024-05-17 19:36:23','2024-06-06 18:19:12','8fb4be28-5b4d-459f-9174-235296859515'),(9600,9600,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:23','2024-05-17 19:36:23','7ceb8de0-d886-4456-b920-2f118d6b050d'),(9601,9601,1,NULL,'__temp_nypbbzixewyfgltmbqucndljmmxjzshxzlja',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Outbreak investigation has long been a core public health function, and deficits in infection control practices are frequently identified during healthcare outbreak investigations. In contrast, the investigation of isolated reports of serious infection control breaches, in the absence of known patient infections, represents relatively new territory. </p><p>In Supplement B, Infection Control Breach Investigations, we describe resources available to assist investigators responding to reports of substandard care practices, such as reuse of single-use devices or the failure to follow requirements for reprocessing reusable medical equipment.</p><p>The aims of this type of response activity include assessing the degree of departure from recommended practices, evaluating the risk of communicable disease transmission associated with the breach, and identifying potentially exposed individuals who have not yet developed or been diagnosed with infection or colonization. </p><p>This supplement takes the form of an annotated bibliography and includes:</p><ul><li>Key resources providing materials and advice to assist in the investigation of and response to infection control breaches, including patient notification, with examples of publications in which breach investigators describe their specific findings and experiences</li><li>General resources outlining infection control guidelines plus some detailed resources relevant to specific types of higher risk infection control breaches </li><li>Resources offering guidance and useful background for the investigation of healthcare drug diversion events, such as when tampering or substitution may have introduced infection risks</li></ul>\"}',1,'2024-05-17 19:36:23','2024-06-06 18:19:12','b33e11ba-b237-477e-96df-539fe9d064e5'),(9602,9602,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:23','2024-05-17 19:36:23','083ed2c9-e6c2-4461-8edd-d535dc8637f0'),(9603,9603,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','0af77265-0cf4-46fb-a288-e1b1ca54c9c1'),(9604,9604,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','e3cbdc29-e3e5-40dd-a117-b3218d9e2681'),(9605,9605,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','849a2a48-ea69-403c-b59d-fdba07956b44'),(9606,9606,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','1c7b9a0b-2175-494a-ab29-cd23d2f0147d'),(9607,9607,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:23','2024-05-17 19:36:23','25d362c1-3156-4af1-9820-83a4302eb91a'),(9608,9608,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','6c74506f-e056-4ed3-a45d-4dcaf159bc4c'),(9609,9609,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','e0e96b3c-1b4f-4240-ab82-f87dc47ae166'),(9610,9610,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','43caa2dd-a79d-4b73-abf7-8ed27ca93d59'),(9611,9611,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','7e2532a8-35f2-4bd7-9dd8-a30d752210e2'),(9612,9612,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','f52b771d-d0d5-400c-8c85-24891b335151'),(9613,9613,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:23','2024-05-17 19:36:23','372b3172-dc31-4c0a-aeef-837dcfa79da1'),(9614,9614,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','0741f586-ac91-4990-8149-8724bf1e6cf6'),(9615,9615,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','1c7e3976-09d8-4545-9a8b-40de056b558a'),(9616,9616,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:23','2024-05-17 19:36:23','7f8a115e-6026-4dab-8511-2d033fa4321e'),(9617,9617,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:24','2024-05-17 19:36:24','fbd58cc5-448b-47ad-828a-2de51ae6044b'),(9618,9618,1,NULL,'__temp_ljvoyezwfawuifwshsjqwjidotzjrysmomoq',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>Interim Version Published October 2022</li><li>URLs in this document are valid as of May 31, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:36:24','2024-08-01 05:05:38','717d8cd1-ec8f-4666-ac1b-5089b78681ef'),(9619,9619,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:24','2024-05-17 19:36:24','c7711c88-9592-4ff7-b0f0-b4b683d224f7'),(9620,9620,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','d749aa66-f853-400f-8fbb-bee353a4402f'),(9621,9621,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:24','2024-05-17 19:36:24','5a121b69-821b-4edd-8b63-ac01e17acfa3'),(9622,9622,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','c2826521-bce6-4d8e-a195-a6fb48677f13'),(9623,9623,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','696da484-c6ec-4179-863c-1c2fd43438b9'),(9624,9624,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','d440743f-c177-4b80-b705-e2b815b83ddd'),(9625,9625,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','12fc31e1-51bb-46d7-ba81-5df982b71d57'),(9626,9626,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','5a85b9fb-0012-46b5-9f8c-e6af551f881d'),(9627,9627,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:24','2024-05-17 19:36:24','ac81fdda-9f68-4acb-b54c-e3f13ce84640'),(9628,9628,1,NULL,'__temp_jdqwbmkzygirizxsyvzskgnambxjdbofxthn',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p><strong>Investigation of Infection Control Breaches </strong></p><p>This section lists some key resources that provide useful background, materials, and advice to assist with the investigation and response to infection control breaches, as well as some examples of publications in which infection control breach investigators described their specific findings and experiences. </p><p>1. Schaefer MK, Perkins KM, Link-Gelles R, Kallen AJ, Patel PR, Perz JF. Outbreaks and infection control breaches in health care settings: Considerations for patient notification. Am J Infect Control. 2020 Jun;48(6):718-724. Available at: <a href=\\\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894041/\\\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894041/</a>  </p><p><i>This paper provides a useful framework for patient notification considerations, including a description of triggers for performing a notification when investigating an infection control breach, as well as examples of commonly encountered scenarios. </i></p><p>2. Patel PR, Srinivasan A, Perz JF. Developing a broader approach to management of infection control breaches in healthcare settings. Am J Infect Control. 2008;36:685–90. Available at: <a href=\\\"https://www.ajicjournal.org/article/S0196-6553(08)00683-4/fulltext.\\\">https://www.ajicjournal.org/article/S0196-6553(08)00683-4/fulltext.</a> </p><p><i>This paper introduced a number of useful concepts and suggested approaches for investigating infection control breaches, many of which were revisited and expanded upon by Schaefer et al (reference 1 from this section). </i></p><p>3. Centers for Medicare and Medicaid Services (CMS). Infection control breaches which warrant referral to public health authorities. Available at: <a href=\\\"https://www.cms.gov/Medicare/ProviderEnrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter14-36.pdf\\\">https://www.cms.gov/Medicare/ProviderEnrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter14-36.pdf</a></p><p><i>Beginning in 2014, CMS required the reporting of infection control breaches discovered during accrediting or certification survey visits to public health agencies. </i></p><p>4. Braun BI, Chitavi SO, Perkins KM, Perz JF et al. Referrals of Infection Control Breaches to Public Health Authorities: Ambulatory Care Settings Experience, 2017. Available at <a href=\\\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876613/\\\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876613/</a>  </p><p><i>The authors characterized and summarized the IPC breaches that were identified by Joint Commission surveyors during the ambulatory health care and office-based surgery accreditation process and reported to state health departments in 2017. </i></p><p>5. CDC. Injection Safety: Patient Notification Toolkit. Available at: <a href=\\\"https://www.cdc.gov/injectionsafety/pntoolkit/index.html.\\\">https://www.cdc.gov/injectionsafety/pntoolkit/index.html.</a> </p><p><i>This toolkit provides step-wise guidance to assist public health agencies and healthcare facilities with conducting a patient notification following identification of an infection control breach. The toolkit is intended to be used after the decision has been made to notify patients and offers resources and template materials (such as sample notification letters) as well as some essential tips and strategies. </i></p><p>6. Schoonover H, Haydon K. Incident command structure using a daily management system and the Centers for Disease Control and Prevention\'s Patient Notification Toolkit drives effective response to an infection control breach. J Healthc Risk Manag. 2018 Oct;38(2):19-26. Available at: <a href=\\\"https://onlinelibrary.wiley.com/doi/abs/10.1002/jhrm.21323.\\\">https://onlinelibrary.wiley.com/doi/abs/10.1002/jhrm.21323.</a>  </p><p><i>The authors describe how an incident command structure, information management system, and CDC Patient Notification Toolkit were used to drive an effective response to an infection control breach—resulting in 92% of affected patients completing the recommended testing. </i></p><p>7. Arnold S, Melville SK, Morehead B, Vaughan G, Moorman A, Crist MB. Notes from the Field. Hepatitis C Transmission from Inappropriate Reuse of Saline Flush Syringes for Multiple Patients in an Acute Care General Hospital — Texas, 2015. MMWR Morb Mortal Wkly Rep 2017;66:258– 260. Available at: <a href=\\\"https://www.cdc.gov/mmwr/volumes/66/wr/mm6609a4.htm.\\\">https://www.cdc.gov/mmwr/volumes/66/wr/mm6609a4.htm.</a> </p><p><i>This report provides an example of an infection control breach investigation which uncovered hepatitis C virus transmission. </i></p><p>8. Rasmussen SA, Goodman RA (editors). (2018) The CDC Field Epidemiology Manual. Available at: <a href=\\\"https://www.cdc.gov/eis/field-epi-manual/index.html.\\\">https://www.cdc.gov/eis/field-epi-manual/index.html.</a></p><p><i>This reference does not address infection control breaches specifically, but provides a comprehensive resource for responding to outbreaks, with many principles that can also be applied to infection control breach investigations. Particularly relevant chapters to healthcare infection control breach investigations include Chapters 3 (Conducting a Field Investigation), 12 (Communicating During an Outbreak or Public Health Investigation), and 18 (Healthcare Settings). </i></p><p><strong>Selected Infection Control Resources and References</strong></p><p>This section provides general resources for understanding the basic principles of infection control as well as some detailed resources that are relevant to some of the more commonly reported infection control breaches.</p><p>1. Centers for Disease Control and Prevention (CDC). Infection Control. Available at: <a href=\\\"https://www.cdc.gov/infectioncontrol/index.html.\\\">https://www.cdc.gov/infectioncontrol/index.html.</a></p><p><i>This webpage is the base directory for CDC infection control resources, including links to resources for standard and transmission-based precautions, infection control guidelines (reference 2 in this section), training and education resources, and tools for specific healthcare setting types. </i></p><p>2. Centers for Disease Control and Prevention (CDC). Infection Control: Guidelines &amp; Guidance Library. Available at: <a href=\\\"https://www.cdc.gov/infectioncontrol/guidelines/index.html.\\\">https://www.cdc.gov/infectioncontrol/guidelines/index.html.</a></p><p><i>This webpage contains links to a variety of CDC infection control guidelines and documents including those developed under the auspices of the Healthcare Infection Control Practices Advisory Committee (HICPAC). </i></p><p>3. Association for Professionals in Infection Control and Epidemiology (APIC). The APIC Text. Available at: <a href=\\\"https://apic.org/resources/apic-text/.\\\">https://apic.org/resources/apic-text/.</a></p><p><i>A comprehensive infection control resource organized by chapter. Subscription required.</i></p><p>4 .Centers for Disease Control and Prevention (CDC). Essential Elements of a Reprocessing Program for Flexible Endoscopes ─ RecommendaƟons of the HICPAC. Available at: <a href=\\\"https://www.cdc.gov/hicpac/recommendations/flexible-endoscope-reprocessing.html.\\\">https://www.cdc.gov/hicpac/recommendations/flexible-endoscope-reprocessing.html.</a></p><p><i>Because many breaches involve medical device reprocessing techniques, this resource can assist public health agencies in related investigations and can be a useful document to share with and help educate facilities. </i></p><p>5. Centers for Disease Control and Prevention (CDC). Infection Prevention during Blood Glucose Monitoring and Insulin Administration. Available at: <a href=\\\"https://www.cdc.gov/injectionsafety/bloodglucose-monitoring.html.\\\">https://www.cdc.gov/injectionsafety/bloodglucose-monitoring.html.</a></p><p><i>This CDC resource provides essential background when investigating infection control breaches associated with blood glucose monitoring (or other forms of point of care testing involving capillary blood samples) or insulin pens and other medication cartridges. </i></p><p>6. Centers for Disease Control and Prevention (CDC). Injection Safety. Available at: <a href=\\\"https://www.cdc.gov/injectionsafety/index.html.\\\">https://www.cdc.gov/injectionsafety/index.html.</a></p><p><i>A website landing page for information about safe injection practices. Safe injection practices are part of standard precautions and are aimed at maintaining basic levels of patient safety and healthcare provider protections. </i></p><p>7. Dolan SA, Arias KM, Felizardo G, Barnes S, Kraska S, et.al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. Am J Infect Control. 2016 Jul 1;44(7):750- 7. Available at: <a href=\\\"https://apic.org/Resource_/TinyMceFileManager/Position_Statements/2016APICSIPPositionPap%20er.pdf\\\">https://apic.org/Resource_/TinyMceFileManager/Position_Statements/2016APICSIPPositionPap er.pdf  </a></p><p><i>Position paper from the Association for Professionals in Infection Control and Epidemiology describing risks and outbreaks associated with unsafe injection practices and associated recommendations. </i></p><p><strong>Investigation of a Drug Diversion Event</strong></p><p>Broadly speaking, when prescription medicines are obtained or used illegally, it is called drug diversion. Healthcare providers who steal prescription medicines such as opioids for their own use put patients at risk for harms. This can include exposure to infectious diseases. For example, when a provider commits diversion by tampering with or otherwise misusing injection supplies, medications or other equipment, these items might become contaminated with hepatitis B or C virus, HIV, or bacteria. Drug diversion investigations involve assessments and actions that are akin to infection control breach investigations, but with many special considerations. The resources below provide guidance and useful background for investigation of healthcare drug diversion events. </p><p>1. Schaefer MK, Perz JF. Outbreaks of Infections Associated With Drug Diversion by US Health Care Personnel. Mayo Clin Proc. 2014. 89(7):878-87. Available at: <a href=\\\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4669560/\\\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4669560/</a> </p><p><i>This review article summarizes a variety of drug diversion-related outbreak investigations and includes a table describing key investigation steps. </i></p><p>2. Centers for Disease Control and Prevention (CDC). Injection Safety: Drug Diversion. Available at: <a href=\\\"https://www.cdc.gov/injectionsafety/drugdiversion/index.html.\\\">https://www.cdc.gov/injectionsafety/drugdiversion/index.html.</a></p><p><i>This website provides information on drug diversion including outbreaks associated with drug diversion, resources for clinicians, and additional resources. </i></p><p>3. Council of State and Territorial Epidemiologists. (2019) Healthcare-Associated Infections (HAI) Drug Diversion Planning and Response Toolkit for State and Local Health Departments. Available at <a href=\\\"https://www.cste.org/page/Drug-Diversion-Toolkit.\\\">https://www.cste.org/page/Drug-Diversion-Toolkit.</a></p><p><i>This toolkit provides information on best practices when responding to a drug diversion, and provides resources informed by past drug diversion investigations. </i></p><p>4. Brummond PW, Chen DF, Churchill WW, Clark JS, Dillon KR, et. al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2017 Mar 1;74(5):325- 348. Available at: <a href=\\\"https://www.ashp.org/-/media/assets/policyguidelines/docs/guidelines/preventing-diversion-of-controlled-substances.ashx\\\">https://www.ashp.org/-/media/assets/policyguidelines/docs/guidelines/preventing-diversion-of-controlled-substances.ashx</a></p><p><i>This guidance document is a framework from the American Society of Health-System Pharmacists describing controlled substance diversion prevention programs and provides useful context for public health partners and others charged with investigating a drug diversion report.</i></p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:36:24','2024-06-06 18:19:13','a840f08f-2d16-4f4a-9991-bff65c594a8c'),(9629,9629,1,'8 - Notification & Communication','notification-communication-2','chapters/notification-communication-2',NULL,1,'2024-05-17 19:36:24','2024-05-17 19:36:24','2a2a72b1-0f58-4ca4-bd21-a33883afd617'),(9630,9630,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','75fb2e90-6fe4-479d-ac84-21e199ff531b'),(9631,9631,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','cbdbb1cc-05c1-408c-aa82-7b86959b9450'),(9632,9632,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','47b83dfd-e5d3-412a-93b1-90ff204b2f1b'),(9633,9633,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','91921679-0c37-4355-91fb-596ead089f56'),(9634,9634,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:36:24','2024-05-17 19:36:24','2da374ed-3966-4475-bbed-e9d9c461e0c2'),(9635,9635,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:24','2024-05-17 19:36:24','3df35fd1-8f81-4f75-a529-2bb629a3bb80'),(9637,9637,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','4ed939a7-4f03-4419-9283-1b3bf9d481de'),(9638,9638,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','d09275e6-e597-4313-a41e-89679d251886'),(9639,9639,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','ca648760-0706-4b21-b817-582b96ae6b08'),(9640,9640,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','ca05f859-907d-45f7-9214-65c3beb8e500'),(9641,9641,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','1ea2f7ac-ae1d-459d-980b-0e7ca3ba54f5'),(9642,9642,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','ff91db00-c495-487c-a81d-174355c3fb8a'),(9643,9643,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','6876f79c-71d9-46bb-a71f-612ae9dfec06'),(9644,9644,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','db1ad0f6-ace0-44bf-a83b-17efca579f23'),(9645,9645,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','91e7fe56-d87f-4f51-8773-414128bdd517'),(9646,9646,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','684962a4-79e4-48ce-953a-5a2b7b9db0c6'),(9647,9647,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','242a82d6-0435-4a37-a92d-280666c70b20'),(9648,9648,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','5085de4b-e41f-4b37-a1c2-a0ac2ac8ce0a'),(9649,9649,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','74ab47b4-b07a-407e-b276-f501b5ce5e16'),(9650,9650,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','61a254d8-b82a-4e66-8637-e16ff3b6e260'),(9651,9651,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','fb3f3c9f-eb83-4272-8aab-bd010e8a9efc'),(9652,9652,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','dd212bbc-a9c8-40f5-ae94-62eadf20a271'),(9653,9653,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','a09dd916-3cef-4539-9e62-cf9f02db5045'),(9654,9654,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','8d92e62a-641e-48bf-9226-5ac59ff4240a'),(9655,9655,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','18a9bc5b-6b4a-4c77-893a-e13a8aabbc9b'),(9656,9656,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','6c8955c4-9e8a-460d-8b8e-efdf730f46e7'),(9657,9657,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:25','2024-05-17 19:36:25','e2ccb3d5-8c4f-4cd6-9fa6-b7ba2c61da1f'),(9658,9658,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:25','2024-05-17 19:36:25','b4b95409-9888-4a01-9177-e5209ea0a05c'),(9659,9659,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:36:26','2024-05-17 19:36:26','57f9f092-20ec-4e5e-b6b4-b77e63b94586'),(9660,9660,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:26','2024-05-17 19:36:26','30173946-4733-4527-9f36-516cbe5ea00b'),(9661,9661,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:26','2024-05-17 19:36:26','c2302421-3c85-47b1-9be3-b9f1f815903a'),(9662,9662,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:26','2024-05-17 19:36:26','fb39b9c7-9770-48d3-a989-3bafe4fe1d87'),(9663,9663,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:36:26','2024-05-17 19:36:26','8a9b717d-d53b-4bb2-9b71-8fe0c42e55f6'),(9664,9664,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:36:26','2024-05-17 19:36:26','4a781cef-35fd-4a42-84ab-cda0f473ba83'),(9665,9665,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:36:26','2024-05-17 19:36:26','1d66bba3-6a1c-4492-8e7a-0f11aac7a031'),(9668,9668,1,'Infection Control Breach Investigations','infection-control-breach-investigations','chapters/infection-control-breach-investigations',NULL,1,'2024-05-17 19:37:24','2024-05-17 19:37:24','0b580b94-aaf2-4e95-9606-9118d60d0f1b'),(9670,9670,1,'7 - Multifacility & Jurisdiction','special-considerations-for-multi-facility-multi-jurisdiction-outbreaks','chapters/special-considerations-for-multi-facility-multi-jurisdiction-outbreaks','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Multifacility & Jurisdiction\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 7, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"CHAPTER SEVEN\"}',1,'2024-05-17 19:37:34','2024-08-01 04:51:21','4e542d43-ebc0-473a-94ee-b768a9740c8c'),(9671,9671,1,NULL,'__temp_ausejupduxtxezbexaaizuccutjwolcsmqvy',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about the complexities and challenges when a healthcare outbreak involves more than one facility or local/state/federal jurisdiction.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Multifacility & Multijurisdictional Outbreaks\"}',1,'2024-05-17 19:37:34','2024-08-01 04:41:40','9e3d958f-edfe-48b5-9176-fc177b6940c2'),(9672,9672,1,NULL,'__temp_mtjndlamwxqfzxalrlovxzbatescuphmoosm',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:37:34','2024-06-06 17:54:34','9aad1f0c-93e0-4422-87f1-f7e8772dee17'),(9673,9673,1,NULL,'__temp_bweoyjhjwgxgbjzslmcqegumcwrqtyuydjky',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:37:34','2024-06-06 17:54:34','27cb5c5b-5004-4f16-b2ba-baf089b49f56'),(9674,9674,1,NULL,'__temp_zsjjizcpzydrswarnpnwxsgclzfhugszvega',NULL,NULL,1,'2024-05-17 19:37:34','2024-06-06 17:54:34','bc9dcf7d-f309-4bf8-b2b5-210616a2c76b'),(9675,9675,1,NULL,'__temp_xiynhoggqqbqadktrcrtbwphojhinxrnvsyh',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:37:34','2024-08-01 04:41:40','aaaedd1c-ca38-48eb-96c8-c7542b12d9b4'),(9676,9676,1,NULL,'__temp_enwjwatphuhiplymgubssgdqybvpcbiwjffa',NULL,NULL,1,'2024-05-17 19:37:34','2024-06-06 17:54:34','0d11e124-5ffc-4472-af0e-0449cb1834c1'),(9678,9678,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:34','2024-05-17 19:37:34','94e5cbc8-ebe8-401a-81f3-6a59196b4c63'),(9679,9679,1,NULL,'__temp_ncxbbqimijnmsgrepwrakpxezzgpsemxuqcj',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Compared with outbreaks affecting a single healthcare facility with responsibility for investigation falling squarely within the jurisdiction of a single local/state/federal agency, outbreaks involving multiple healthcare facilities or multiple jurisdictions are more complex and often more difficult to detect, coordinate, and investigate. </p><p>In Chapter 7, Multifacility and Multijurisdictional Outbreaks, we examine the unique aspects of these types of investigations. Compared with single facility outbreaks, those that involve multiple facilities or multiple jurisdictions are more complex and are often more difficult to detect, coordinate, and investigate. As the numbers of involved facilities, agencies, and levels of organizations across jurisdictions increase, the need for special efforts to maintain effective communication and coordination increases as well.</p><p>This chapter contains information on: </p><ul><li>Example scenarios investigators may encounter</li><li>Coordination and information sharing needs beginning with initial detection of a potential multifacility/multijurisdictional outbreak </li><li>Designation of a coordinating agency, assembly and management of a multidisciplinary outbreak response team, and regular assessment of the scope of the outbreak and the resources needed</li><li>Considerations for ramping down and concluding an interagency response</li></ul>\"}',1,'2024-05-17 19:37:34','2024-08-01 04:45:25','40455ac0-be82-41d9-816d-c9120a6662d2'),(9680,9680,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:34','2024-05-17 19:37:34','d1ea4ba5-bb2e-49c1-aed4-a386b6b93ac0'),(9681,9681,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','6ea44744-4955-43c4-a6de-4e930e37f2e6'),(9682,9682,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','07a2b1b3-5b69-4240-9193-0f7ee1f5e6a2'),(9683,9683,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','ef390094-61da-4389-9d64-253e0800a523'),(9684,9684,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','de8b810e-1898-4658-8671-c04acf5c5193'),(9685,9685,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:34','2024-05-17 19:37:34','fff4818a-38c1-4c07-87a2-dfcbc0b328af'),(9686,9686,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','52938974-241d-42d8-a59e-95e530061b06'),(9687,9687,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','cb5b3d4d-2031-4dd7-96bf-44d2f5c239dc'),(9688,9688,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','bc3b3b23-429d-4c51-b5a1-e34c049daacd'),(9689,9689,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:34','2024-05-17 19:37:34','b2c8c3f5-9a05-4947-82cc-69c927652cd3'),(9690,9690,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','6a870016-1ab3-469c-9315-191697b1b761'),(9691,9691,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:35','2024-05-17 19:37:35','908e7798-5d5d-4930-b341-a0c4165ecc96'),(9692,9692,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','19f3d045-c54f-45fb-b02c-4c2a48fa4d17'),(9693,9693,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','27e71a8e-7bb7-45ea-a375-4b1409ba00be'),(9694,9694,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','827900a7-e9b4-4659-ba70-0f3cdecf2abf'),(9695,9695,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:35','2024-05-17 19:37:35','debbeb4e-5fb9-4f03-a873-2a765fb30892'),(9696,9696,1,NULL,'__temp_ayygttpdyeztxdmlamcapplduajwpkixahxq',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>URLs in this document are valid as of May 31, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:37:35','2024-08-01 04:41:40','50e26ead-4fa9-4dbd-b85f-e58e538ce7bc'),(9697,9697,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:35','2024-05-17 19:37:35','f9c53232-e646-4d66-bd4f-1512e997bd39'),(9698,9698,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','1e626779-98b1-4e96-b4f7-c88eebf04ef8'),(9699,9699,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:35','2024-05-17 19:37:35','05a042d0-08f5-40c2-95de-78cd4183e40c'),(9700,9700,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','72e6cec5-cce2-4c12-b417-7f34acf76226'),(9701,9701,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','0d8b1709-c61b-4be0-9553-a336339d8c09'),(9702,9702,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','cbdb9e53-3eb2-4906-afd0-2929d2ac8107'),(9703,9703,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','f3ad9335-af9f-4d9b-91a7-a1c3a66bdcc0'),(9704,9704,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:35','2024-05-17 19:37:35','6017d30e-514a-4794-859b-6b106dd813f6'),(9705,9705,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:35','2024-05-17 19:37:35','75d68576-1d9b-4f6f-9ca1-744c6433f2fd'),(9706,9706,1,NULL,'__temp_dehgbsmofjgbnbkbdkkndkcmllvzejcdtrij',NULL,'{\"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:37:35','2024-06-06 17:54:35','2af464bd-6670-4651-89d2-7fcee49f17cf'),(9707,9707,1,'8 - Notification & Communication','notification-communication-2','chapters/notification-communication-2',NULL,1,'2024-05-17 19:37:36','2024-05-17 19:37:36','268ccd5b-c2af-49a1-bc0b-5f809d68acde'),(9708,9708,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','e56c25dc-76a6-49e4-bb97-44710bad37bd'),(9709,9709,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','eccde7f2-4ca4-45d5-9f19-6bd22fd05722'),(9710,9710,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','e07b5ef5-e0d8-4dc9-8554-0964418212a3'),(9711,9711,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','6fb8f858-3efa-46a4-b1d1-eb82ff512966'),(9712,9712,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','65248afd-c47a-413c-9bc1-3c22b5e4cc24'),(9713,9713,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:36','2024-05-17 19:37:36','f5599ed3-670c-4030-9b06-f583b42060f2'),(9715,9715,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:36','2024-05-17 19:37:36','697edcb7-8ebd-402e-b341-8fcb92195542'),(9716,9716,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','3b5a0d0f-ad3b-44d7-b68e-c15c45bd5f5e'),(9717,9717,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:36','2024-05-17 19:37:36','011869f0-227d-4cfe-9d7e-741fc1aba053'),(9718,9718,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','3e3cd91e-d6eb-4e07-88c9-76701c43c836'),(9719,9719,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','30532499-b655-4658-bc77-b5262f313a76'),(9720,9720,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','64e4b28a-9deb-4801-aa5d-f8b8ec1ecbd2'),(9721,9721,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','79e7038e-2c31-4342-82ae-dbc11d4e7d9d'),(9722,9722,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:36','2024-05-17 19:37:36','7ec85969-4604-44c8-a6ac-6fc69cd1a3de'),(9723,9723,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','253a5ea7-e961-4279-ab5b-6cfc618b98ff'),(9724,9724,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','58a2f156-529d-46d0-8c28-8aee39406fab'),(9725,9725,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:36','2024-05-17 19:37:36','219f807c-559d-4064-8834-14e270a0ebbc'),(9726,9726,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','f1d26c5e-d9c1-4618-9a07-7cb1249455be'),(9727,9727,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','4c567083-b8f6-4e00-82bc-98258f366082'),(9728,9728,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:37','2024-05-17 19:37:37','738a2e86-d91a-46c9-acb1-a7fd77eae707'),(9729,9729,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','71717c64-a792-449f-afe4-829d02f4bd07'),(9730,9730,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','0cc4c569-bc10-4aeb-a5c9-d12500f34a42'),(9731,9731,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','c8d0bcb6-a31a-4954-bdc9-ae4e12195be1'),(9732,9732,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:37','2024-05-17 19:37:37','fc2d436c-f883-4616-8cf7-56689c677355'),(9733,9733,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','622155cd-8890-462c-9e0e-1b66075bba5e'),(9734,9734,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:37','2024-05-17 19:37:37','52d77e46-7c5e-4755-854f-3b85cf8b197b'),(9735,9735,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','3cb91e66-7bd5-45e3-b856-2fa0fedb9ccc'),(9736,9736,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:37','2024-05-17 19:37:37','c2501469-5705-4af5-9d54-c0506bb82550'),(9737,9737,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','b0aee124-e532-461f-8016-b7d4eacc8a32'),(9738,9738,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','808c66da-ea16-44c2-8547-a82c736ae0ce'),(9739,9739,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','cb03ff9a-14fe-44f9-a24e-0657bbe3da57'),(9740,9740,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','1a7a43c9-391e-4dcb-9d4b-2a8b8decdbef'),(9741,9741,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','9c0b33ef-d0ec-4662-94b0-af3ffd7918b6'),(9742,9742,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:37:37','2024-05-17 19:37:37','b6729b16-6a12-4891-ab2f-8364033548f2'),(9743,9743,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a></li><li>Centers for Disease Control and Prevention (CDC). Outpatient Settings Policy Options for Improving Infection Prevention. October 2015. <a href=\\\"https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf\\\">https://www.cdc.gov/hai/pdfs/prevent/Outpatient-Settings-Policy-Options.pdf</a></li><li>US Department of Health &amp; Human Services(HHS). Public Health. 45 CFR 164.512(b). <a href=\\\"https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html\\\">https://www.hhs.gov/hipaa/for-professionals/special-topics/public-health/index.html</a> </li><li>US Department of Health &amp; Human Services(HHS). Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:37:37','2024-05-17 19:37:37','382f2fd1-4a52-441e-9efb-5bf3433431e9'),(9748,9748,1,'Home','home','__home__',NULL,1,'2024-05-17 19:38:06','2024-05-17 19:38:06','0e72bf6d-b9ed-4e23-8615-05d64270072d'),(9749,9749,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:38:06','2024-05-17 19:38:06','00eac450-4013-456f-b97e-b3e791e5e0af'),(9750,9750,1,'7 - Special Considerations for Multi-Facility & Multi-Jurisdiction Outbreaks','special-considerations-for-multi-facility-multi-jurisdiction-outbreaks','chapters/special-considerations-for-multi-facility-multi-jurisdiction-outbreaks',NULL,1,'2024-05-17 19:38:21','2024-05-17 19:38:21','33a14d15-c8a1-4985-85ff-885be742b157'),(9759,9759,1,'1 - Overview','overview','chapters/overview',NULL,1,'2024-05-17 19:47:26','2024-05-17 19:47:26','603de170-6755-421f-9967-b00b72465a1c'),(9760,9760,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:47:26','2024-05-17 19:47:26','8c7c5745-bdd8-4e01-881a-9b6204042ece'),(9765,9765,1,'1',NULL,NULL,NULL,1,'2024-05-17 19:49:05','2024-05-17 19:49:05','099ea01b-4e28-476e-b939-1ef244ac6c28'),(9766,9766,1,'2',NULL,NULL,NULL,1,'2024-05-17 19:49:06','2024-05-17 19:49:06','fe09d364-db43-4eb9-967d-1c776ad9f926'),(9767,9767,1,'3',NULL,NULL,NULL,1,'2024-05-17 19:49:06','2024-05-17 19:49:06','451c17f8-38c5-4cdf-a34e-ecf79c986f95'),(9768,9768,1,'1 - Overview','overview','chapters/overview',NULL,1,'2024-05-17 19:49:24','2024-05-17 19:49:24','3d9c26cf-7dc8-48ee-89cd-9502fc52f4de'),(9771,9771,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts',NULL,1,'2024-05-17 19:49:40','2024-05-17 19:49:40','c6d34dde-c87a-4cbb-9373-3ff378483ec4'),(9772,9772,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:49:40','2024-05-17 19:49:40','a7c9d342-e9c4-4197-aded-2f8ac9356320'),(9773,9773,1,'4',NULL,NULL,NULL,1,'2024-05-17 19:50:33','2024-05-17 19:50:33','bff350e4-fbdc-4a23-9f7f-de8901abd721'),(9774,9774,1,'5',NULL,NULL,NULL,1,'2024-05-17 19:50:34','2024-05-17 19:50:34','1252a76c-3b54-499a-b92b-6578d2c35e3a'),(9775,9775,1,'6',NULL,NULL,NULL,1,'2024-05-17 19:50:43','2024-05-17 19:50:43','ba53fad1-76f6-4dcc-93c9-d578561df718'),(9776,9776,1,'7',NULL,NULL,NULL,1,'2024-05-17 19:50:44','2024-05-17 19:50:44','7aa9012e-91b5-460f-9659-c944be538754'),(9777,9777,1,'8',NULL,NULL,NULL,1,'2024-05-17 19:50:44','2024-05-17 19:50:44','a35e0e1e-cce9-4809-9129-67ff55040412'),(9778,9778,1,'Medical product investigations',NULL,NULL,NULL,1,'2024-05-17 19:50:44','2024-05-17 19:50:44','ffeb903f-2732-4196-a659-f51e65a0c4be'),(9779,9779,1,'Supplement b',NULL,NULL,NULL,1,'2024-05-17 19:50:45','2024-05-17 19:50:45','ea12d82b-ec1e-44ee-8a7d-a0e5c8f8e6c0'),(9781,9781,1,'3 - Planning & Preparation','planning-preparation','chapters/planning-preparation',NULL,1,'2024-05-17 19:51:11','2024-05-17 19:51:11','7c07dd83-2fe5-490f-bd1d-0978514055ab'),(9783,9783,1,'4 - Outbreak Detection & Reporting','outbreak-detection-reporting','chapters/outbreak-detection-reporting',NULL,1,'2024-05-17 19:51:26','2024-05-17 19:51:26','c8b0d8db-c117-4e08-ac50-02eae2b6de9d'),(9785,9785,1,'5 - Investigation & Control','investigation-control','chapters/investigation-control',NULL,1,'2024-05-17 19:51:39','2024-05-17 19:51:39','9b6731fc-0e9d-4992-a820-65a2ee5cbea4'),(9787,9787,1,'6 - Laboratory Best Practices','laboratory-best-practices','chapters/laboratory-best-practices',NULL,1,'2024-05-17 19:51:52','2024-05-17 19:51:52','6f023272-4180-4aa3-b385-c5c6fab82b63'),(9789,9789,1,'7 - Special Considerations for Multi-Facility & Multi-Jurisdiction Outbreaks','special-considerations-for-multi-facility-multi-jurisdiction-outbreaks','chapters/special-considerations-for-multi-facility-multi-jurisdiction-outbreaks',NULL,1,'2024-05-17 19:52:05','2024-05-17 19:52:05','723654ab-aa0c-4d9e-9bc4-ab284a69bda7'),(9791,9791,1,'8 - Notification & Communication','notification-communication','chapters/notification-communication',NULL,1,'2024-05-17 19:52:24','2024-05-17 19:52:24','54237326-ef98-46f1-8a6b-0c37d863ddaf'),(9793,9793,1,'Infection Control Breach Investigations','infection-control-breach-investigations','chapters/infection-control-breach-investigations',NULL,1,'2024-05-17 19:52:40','2024-05-17 19:52:40','27d33ae7-db38-4b62-918f-b5cf2fdd06cc'),(9794,9794,1,'A - Medical Product Investigations','medical-product-investigations','chapters/medical-product-investigations','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Medical Product Investigations\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 9, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Supplement A\"}',1,'2024-05-17 19:52:46','2024-06-06 18:29:50','708216b2-8335-47fd-938b-eb83affcef4f'),(9795,9795,1,NULL,'__temp_mmumqcfxinobcukqqopefyharqkhkkjptzpk',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn how contaminated drugs, devices, and other medical products can cause outbreaks and the actions needed to prevent further harm.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Medical Product Investigations\"}',1,'2024-05-17 19:52:46','2024-06-11 19:04:35','99b898ea-3e34-4aaf-986c-3bf95eb46431'),(9796,9796,1,NULL,'__temp_lmznhsrbkwjitqzzlcwdgzkdtjjwqqjthfce',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:52:46','2024-06-06 18:29:50','d1e786ad-c932-4583-a25f-4eba39781b0d'),(9797,9797,1,NULL,'__temp_bvizcvynzvriobglsubbzowufvzxnmilbqvn',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:52:46','2024-06-06 18:29:50','43f85d80-8b60-4410-a530-7fb3d59dd91a'),(9798,9798,1,NULL,'__temp_crvbbblrqmoslxzwmayofwcuvvznezkegnfs',NULL,NULL,1,'2024-05-17 19:52:46','2024-06-06 18:29:50','0b14517c-fb5d-4cd6-9a7e-0c7d6f64da26'),(9799,9799,1,NULL,'__temp_afcejsjkicrdfkrrksbkwxvvdxidykcxexwq',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-05-17 19:52:46','2024-08-01 05:00:40','29000fe5-9374-4f94-95d9-0b2989a611ec'),(9800,9800,1,NULL,'__temp_elfdpznmnralswdqvniohmvsslqnxzksiorx',NULL,NULL,1,'2024-05-17 19:52:46','2024-06-06 18:29:50','4259953c-08ee-4d6e-87b8-6579d4b927fa'),(9802,9802,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:46','2024-05-17 19:52:46','b2abcd58-0ec4-4fe6-8f4f-380466117338'),(9803,9803,1,NULL,'__temp_gvhphhqianiqsivckmoruibnkugqqfbmphqd',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Healthcare-associated infections (HAIs) and outbreaks can be caused by use of contaminated medical products. These medical products include devices (also known as instruments or equipment) and drugs (also known as medications), as well as biological products, nutrition products, and patient care items. </p><p>The general principles outlined in the CORHA Principles and Practices can be employed when responding to events related to medical product contamination. These investigations often involve infection control assessments and require the active coordination of investigation partners across multiple jurisdictions. </p><p>In Supplement A, Medical Product Investigations, we address some unique challenges associated with identifying and responding to outbreaks related to contamination events. </p><p>This supplement contains information on:</p><ul><li>Intrinsic contamination, which occurs before a medical product arrives at its point of use in a healthcare facility </li><li>Extrinsic contamination, which results from errors made during a medical product’s storage, preparation, and use in a healthcare facility</li><li>Advice on recognizing and evaluating possible causes of product-related transmission relative to clinical illness and other factors </li><li>Investigation procedures for outbreaks that potentially involve drugs and devices, with an emphasis on intrinsic product contamination</li><li>Additional “Keys to Success” related to medical product investigations</li></ul>\"}',1,'2024-05-17 19:52:46','2024-06-06 18:29:50','2a885f53-e23f-4701-a5df-b32ea6750919'),(9804,9804,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:46','2024-05-17 19:52:46','7bd9b63e-8db7-42fb-82d2-09577ad83b50'),(9805,9805,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:52:46','2024-05-17 19:52:46','f29c32cb-f1f3-47a3-9ae2-8d743e72e195'),(9806,9806,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:46','2024-05-17 19:52:46','7fd026bc-2ea7-4923-9a0e-248c3f248e62'),(9807,9807,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:46','2024-05-17 19:52:46','586f74d9-86af-4585-869a-37efde573c8e'),(9808,9808,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','00841771-6f8d-42ae-925d-0f9c612cf560'),(9809,9809,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:47','2024-05-17 19:52:47','6bd76754-a04c-48a2-8e9d-c52cd888856b'),(9810,9810,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','578476e7-076b-473e-9017-41561d4e024d'),(9811,9811,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','d0806656-5b59-472e-97fe-ae0d43ac7bf4'),(9812,9812,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','73bcb79a-8738-4562-9b4d-8508f0ec37a8'),(9813,9813,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','8cc14f95-1cf1-42c8-a792-7c9c92d8e251'),(9814,9814,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','f6f882f9-61be-4160-b402-47b3fddce090'),(9815,9815,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:47','2024-05-17 19:52:47','188e76c8-e78d-480a-8f59-80e645c3c275'),(9816,9816,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','c57cfe50-4fae-4adc-967e-8980255cce30'),(9817,9817,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','783c01e8-0d17-40b3-9f9a-194fe74ac6d9'),(9818,9818,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','03556e79-5481-46a5-bdbb-c06c666cf8a0'),(9819,9819,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:47','2024-05-17 19:52:47','42f84861-2d58-498f-a03b-fc8973b25196'),(9820,9820,1,NULL,'__temp_cybgvddijrrftkbuutprhbrugnblolclejoh',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published March 2024</li><li>URLs in this document are valid as of May 31, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-05-17 19:52:47','2024-08-01 05:00:41','c3dd9d3f-3c5f-4fc1-b81e-ceff4f4f433f'),(9821,9821,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:47','2024-05-17 19:52:47','3b085030-9207-410b-839a-113c03cfa673'),(9822,9822,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','1758ab03-4235-45f5-90f2-6449bc02aebc'),(9823,9823,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:47','2024-05-17 19:52:47','0cedf4ca-c70b-4e9f-8020-f55566858b47'),(9824,9824,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','656be5b6-d356-42f4-b863-9b93d24a24a0'),(9825,9825,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','45360f31-47dd-46df-89b6-e2244b66198f'),(9826,9826,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','e84ead93-50e4-470d-9a63-c6b7126c2f50'),(9827,9827,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','79e113d0-0fe7-429b-95db-59eb3406de6e'),(9828,9828,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:47','2024-05-17 19:52:47','3774b394-e3a4-43ec-9870-3d0db8e8b262'),(9829,9829,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:47','2024-05-17 19:52:47','d7011e7d-fa48-4bcc-9256-67e73056c132'),(9830,9830,1,NULL,'__temp_etntecsaneliwxhfpdnbcwvxzehmjrzboxgv',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p><strong>Medical Product Investigations – Key Resources</strong></p><p>1. Dolan SA, Arias KM, Felizardo G et.al. APIC position paper: Safe injection, infusion, and<br />medication vial practices in health care. Am J Infect Control. 2016 Jul 1;44(7):750-7.</p><p>2. FDA. MedWatch. Accessed at: <a href=\\\"https://www.accessdata.fda.gov/scripts/medwatch/index.cfm.\\\">https://www.accessdata.fda.gov/scripts/medwatch/index.cfm.</a></p><p>3. FDA. Sharing Non-Public Information. Available at:<br /><a href=\\\"https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Pharmacy%20Compounding/UCM446165.pdf\\\">https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Pharmacy</a><br /><a href=\\\"https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Pharmacy%20Compounding/UCM446165.pdf\\\">Compounding/UCM446165.pdf</a>.</p><p><strong>Contaminated Medical Products – Selected Examples</strong></p><p><i>Endoscopes</i></p><p>1. Botana-Rial M, Leiro-Fernández V, Núñez-Delgado M, Álvarez-Fernández M, Otero-Fernández S,<br />et. al. A Pseudo-Outbreak of Pseudomonas putida and Stenotrophomonas maltophilia in a<br />Bronchoscopy Unit. 2016;92(4):274-278.</p><p>2. FDA. Infections Associated with Reprocessed Duodenoscopes. Available at:<br /><a href=\\\"https://www.fda.gov/medical-devices/reprocessing-reusable-medical-devices/infectionsassociated-reprocessed-duodenoscopes\\\">https://www.fda.gov/medical-devices/reprocessing-reusable-medical-devices/infectionsassociated-reprocessed-duodenoscopes</a> </p><p>3. Guy M, Vanhems P, Dananché C, Perraud M, Regard A, et. al. Outbreak of pulmonary<br />Pseudomonas aeruginosa and Stenotrophomonas maltophilia infections related to<br />contaminated bronchoscope suction valves, Lyon, France, 2014. Euro Surveill. 2016 Jul<br />14;21(28).</p><p>4. Humphries RM, Yang S, Kim S, Muthusamy VR, Russell D, et. al. Duodenoscope-Related<br />Outbreak of a Carbapenem-Resistant Klebsiella pneumoniae Identified Using Advanced<br />Molecular Diagnostics. Clin Infect Dis. 2017 Oct 1;65(7):1159-1166.</p><p>5. Kumarage J, Khonyongwa K, Khan A, Desai N, Hoffman P, Taori SK. Transmission of multi-drug<br />resistant Pseudomonas aeruginosa between two flexible ureteroscopes and an outbreak of<br />urinary tract infection: the fragility of endoscope decontamination. J Hosp Infect. 2019<br />May;102(1):89-94.</p><p>6. Rahman MR, Perisetti A, Coman R, Bansal P, Chhabra R, Goyal H. Duodenoscope-Associated<br />Infections: Update on an Emerging Problem. Dig Dis Sci. 2019 Jun;64(6):1409-1418.</p><p><i>Heater-Cooler Devices</i></p><p>1. CDC. Contaminated Heater-Cooler Devices: Health Alert. Available at:<br /><a href=\\\"https://www.cdc.gov/hai/outbreaks/heater-cooler.html\\\">https://www.cdc.gov/hai/outbreaks/heater-cooler.html</a> </p><p>2. Lyman MM, Grigg C, Kinsey CB, et. al. Invasive Nontuberculous Mycobacterial Infections among<br />Cardiothoracic Surgical Patients Exposed to Heater–Cooler Devices. Emerg Infect Dis. 2017<br />May; 23(5): 796–805.</p><p>3. Perkins KM, Lawsin A, Hasan NA, et al. Notes from the Field. Mycobacterium chimaera<br />Contamination of Heater-Cooler Devices Used in Cardiac Surgery — United States. MMWR<br />Morb Mortal Wkly Rep 2016;65:1117–1118. </p><p>4. van Ingen J, Kohl TA, Kranzer K, Hasse B, Keller PM, et. al. Global outbreak of severe Mycobacterium chimaera disease after cardiac surgery: a molecular epidemiological study. Lancet Infect Dis. 2017 Oct;17(10):1033-1041. </p><p><i>Medication/Product </i></p><p>1. Dolan SA, Littlehorn C, Glodé MP, Dowell E, Xavier K, et. al. Association of Bacillus cereus infection with contaminated alcohol prep pads. Infect Control Hosp Epidemiol. 2012 Jul;33(7):666-71. </p><p>2. Kainer MA, Reagan DR, Nguyen DB, et. al. Fungal Infections Associated with Contaminated Methylprednisolone in Tennessee. N Engl J Med. 2012 Dec 6; 367(23): 2194–2203. </p><p>3. West K, Janelle S, Schutz K, Hamilton S, Mayo K, et. al. Outbreak of Serratia marcescens bacteremia in pediatric patients epidemiologically linked to pre-filled heparin flushes. Infect Control Hosp Epidemiol. 2019 Jul 25:1-2. </p><p>4. Hudson MJ, Park SC, Mathers A, Parikh H, Glowicz J, Dar D, Nabili M, LiPuma JJ, Bumford A, Pettengill MA, Sterner Jr MR. Outbreak of Burkholderia stabilis infections associated with contaminated nonsterile, multiuse ultrasound gel—10 states, May–September 2021. Morbidity and Mortality Weekly Report. 2022 Dec 12;71(48):1517. </p><p>5. CDC. Outbreak of Extensively Drug-resistant Psuedomonas aeruginosa Associated with Artificial Tears. Available at: <a href=\\\"https://www.cdc.gov/hai/outbreaks/crpa-artificial-tears.html\\\">https://www.cdc.gov/hai/outbreaks/crpa-artificial-tears.html</a>  </p><p>6. Schwartz NG, Hernandez-Romieu AC, Annambhotla P, Filardo TD, Althomsons SP, Free RJ, Li R, Wilson WW, Deutsch-Feldman M, Drees M, Hanlin E. Nationwide tuberculosis outbreak in the USA linked to a bone graft product: an outbreak report. The Lancet Infectious Diseases. 2022 Nov 1;22(11):1617-25. </p><p>7. Hartnett KP, Powell KM, Rankin D, Gable P, Kim JJ, Spoto S, Breaker E, Hunter R, Dotson N, McAllister G, Stevens V. Investigation of Bacterial Infections Among Patients Treated With Umbilical Cord Blood–Derived Products Marketed as Stem Cell Therapies. JAMA Network Open. 2021 Oct 1;4(10):e2128615.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-05-17 19:52:47','2024-08-01 05:00:41','0130b654-f2d7-4be6-9792-39d3f19a8344'),(9831,9831,1,'Infection Control Breach Investigations','infection-control-breach-investigations-2','chapters/infection-control-breach-investigations-2',NULL,1,'2024-05-17 19:52:48','2024-05-17 19:52:48','ae53e7f7-3e03-41b5-9e40-fcc646f0c8e4'),(9832,9832,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','7a7c3bc4-7c93-4d73-9c56-ebc888704068'),(9833,9833,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','5332245b-8e0e-4f2f-b58f-6739e3288b28'),(9834,9834,1,NULL,NULL,NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','194b70ce-e0ee-4adf-bad5-a08c8c545f33'),(9835,9835,1,NULL,NULL,NULL,'{\"1e722570-9511-4fa1-8aef-4415e13072e1\": \"<p><a href=\\\"#\\\">Optional: Committee</a></p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','94e5d3c7-f9cb-49ca-bc44-df9470dacb7d'),(9836,9836,1,NULL,NULL,NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2021-09-01 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-01-05 08:00:00\"}}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','55d72cc0-715c-4b24-89fc-b7dcbaf09522'),(9837,9837,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:48','2024-05-17 19:52:48','94fde3bf-d2d8-4c74-b947-3416326df638'),(9839,9839,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:48','2024-05-17 19:52:48','96cac246-bbf5-41e8-a3b1-7de016838e69'),(9840,9840,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>Preparations made ahead of a healthcare-associated infection (HAI) or antimicrobial-resistant (AR) pathogen outbreak lay the groundwork for actions taken during the outbreak response. Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','51660b7d-7089-4e61-9198-c1156d596d5b'),(9841,9841,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:48','2024-05-17 19:52:48','54808398-d02b-47c2-a931-95b0411d6c94'),(9842,9842,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','0306a68f-7b2d-4a59-98da-88cd332ea033'),(9843,9843,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','8a2e5ccd-c5c4-476e-89c6-530e5b1d68de'),(9844,9844,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','9e12130d-42b6-4a8d-b305-97c183f54050'),(9845,9845,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','8c14dd47-c2f6-4432-a962-a18aa1469cfd'),(9846,9846,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:48','2024-05-17 19:52:48','62955969-cf0c-4bbc-8cf7-841dd8e2c333'),(9847,9847,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','08201b14-a3ea-4311-b33e-8788fa84195a'),(9848,9848,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','e1cd29d7-bf7f-4ed6-8a4d-296c611a08e2'),(9849,9849,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','b43ece18-773d-4506-a26b-6d36269a34d6'),(9850,9850,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','6a9f7f0d-6754-42da-9a1f-635f2cadd448'),(9851,9851,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','641fd8c7-576a-47c3-afd7-22887ab08778'),(9852,9852,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:48','2024-05-17 19:52:48','d9040a02-fd27-488c-a8ac-316616259c30'),(9853,9853,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','6cf1aeb9-f082-4341-bac0-9a3ce3567593'),(9854,9854,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:48','2024-05-17 19:52:48','9500f070-bbc5-4c1a-b11d-bf631b99bc2d'),(9855,9855,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','c57e6f32-7dec-4e43-a1ec-9aada558b2d9'),(9856,9856,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:49','2024-05-17 19:52:49','1ca47e17-7b33-4230-b2f3-b9cf553baf92'),(9857,9857,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Change Log</h2><p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','543a2cd2-b878-45bd-a527-b987a1abd8c7'),(9858,9858,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:49','2024-05-17 19:52:49','c2e78075-2720-42aa-a346-7e5a338ef692'),(9859,9859,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','f10770b3-ae36-4de1-b87e-99173eb17593'),(9860,9860,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:49','2024-05-17 19:52:49','8bef0c3a-d663-4bb4-b3d2-054046038137'),(9861,9861,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','9bdab530-648e-498d-838c-b54fcee3034b'),(9862,9862,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','483f776b-cec3-4837-955c-6ac2d06019a5'),(9863,9863,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','f05788ba-82ee-47b1-a6d6-f76139587896'),(9864,9864,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','293367c1-72c8-4cb5-83bc-3445a410a706'),(9865,9865,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','4e123e22-9e74-413d-8425-de3530574f93'),(9866,9866,1,NULL,NULL,NULL,NULL,1,'2024-05-17 19:52:49','2024-05-17 19:52:49','2a4a3fe9-ecfb-4cf7-aa9c-22bbd9e64c84'),(9867,9867,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter References</h2><ol><li>Centers for Disease Control and Prevention (CDC). Public Health Professionals Gateway: HealthDepartment Governance. <a href=\\\"https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html\\\">https://www.cdc.gov/publichealthgateway/sitesgovernance/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). State Based HAI Prevention Activities. <a href=\\\"https://www.cdc.gov/hai/state-based/index.html\\\">https://www.cdc.gov/hai/state-based/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak response capacity assessments and improvements among public health department health care-associated infection programs— United States, 2015-2017. J Public Health Manag Pract. 2020;2022; 28(2):116-125. DOI: 10.1097/PHH.0000000000001148</li><li>Centers for Disease Control and Prevention (CDC). Epidemic Intelligence Service: Urgent Assistance (Epi-Aids). <a href=\\\"https://www.cdc.gov/eis/request-services/epiaids.html\\\">https://www.cdc.gov/eis/request-services/epiaids.html</a></li><li>U.S. Food &amp; Drug Administration. Information Sharing. <a href=\\\"https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing\\\">https://www.fda.gov/federal-state-localtribal-and-territorial-officials/communications-outreach/information-sharing</a></li><li>Holt JD, Ghosh SN, Black JR. Legal Considerations. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 13. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Legal.html</a></li><li>California Hospital Association. Emergency Preparedness: Drills and Exercises. <a href=\\\"https://www.calhospitalprepare.org/exercises\\\">https://www.calhospitalprepare.org/exercises</a></li><li>Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs): Infection Control Assessment Tools. <a href=\\\"https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html\\\">https://www.cdc.gov/hai/prevent/infection-controlassessment-tools.html</a></li><li>Centers for Disease Control and Prevention (CDC). Quick Observation Tools (QUOTs) for Infection Prevention. <a href=\\\"https://www.cdc.gov/infectioncontrol/tools/quots.html\\\">https://www.cdc.gov/infectioncontrol/tools/quots.html</a></li><li>Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. APHA Press; 2015.</li><li>Centers for Medicare and Medicaid Services (CMS). Emergency Preparedness Rule. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertEmergPrep/Emergency-Prep-Rule.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. 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Summary of the HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html</li></ol>\"}',1,'2024-05-17 19:52:49','2024-05-17 19:52:49','58cc0300-5d85-4ad1-9daf-76fdf58283a7'),(9869,9869,1,'Medical Product Investigations','medical-product-investigations','chapters/medical-product-investigations',NULL,1,'2024-05-17 19:53:20','2024-05-17 19:53:20','13fe089a-155e-4063-a3e9-51a7d70603cd'),(9874,9874,1,'Planning & Preparation','1',NULL,'{\"b16fbf8b-59fc-49b9-bfd8-054caa73163e\": \"topicsDropdown\"}',1,'2024-05-17 21:25:39','2024-05-21 03:49:06','b1986905-bfee-4df1-b48b-6e9517ab7b37'),(9875,9875,1,'Detection & Reporting','1',NULL,'{\"b16fbf8b-59fc-49b9-bfd8-054caa73163e\": \"topicsDropdown\"}',1,'2024-05-17 21:25:55','2024-05-21 03:50:37','1ff586d0-e924-4631-b04e-a0daaa3f7d28'),(9876,9876,1,'Investigation & Control','1',NULL,'{\"b16fbf8b-59fc-49b9-bfd8-054caa73163e\": \"topicsDropdown\"}',1,'2024-05-17 21:26:14','2024-05-21 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\"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Epidemic Keratoconjunctivitis\"}',1,'2024-05-22 02:49:34','2024-07-29 19:47:05','7c3bc0fd-2741-496c-8f54-f7fc6c99d4ba'),(10229,10229,1,NULL,'__temp_gnqxifcfdtguttuniqunqojmswdaihfavyed',NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": \"Virus\", \"d057632f-79c8-4652-8fd8-748ac6166ec6\": {\"date\": \"2024-07-29 07:00:00\"}, \"f395977f-9fbd-4439-be7d-6e235b6699ac\": {\"date\": \"2021-02-01 08:00:00\"}}',1,'2024-05-22 02:49:34','2024-08-01 20:39:42','9888996f-2803-4ed5-99e0-4611a98ac49b'),(10230,10230,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','1f1c0ab9-6e86-4c0e-ac4b-642c1e5b3a52'),(10231,10231,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>EKC is a highly contagious viral conjunctivitis (\\\"pink eye\\\") that can result in reduced vision. EKC is typically caused by adenoviruses. Transmission can occur in healthcare settings via contact with contaminated hands, surfaces, equipment, or medical products. Outbreaks are often associated with eye care settings, with investigations of clinic transmission often pointing to contamination of multi-use drops and tonometer devices. Clustered EKC infections should be reported to the appropriate state or local health department.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"About EKC\"}',1,'2024-05-22 02:49:34','2024-05-22 02:49:34','dd86d550-711d-445e-ba5d-d140d1e5ad1b'),(10232,10232,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','d33630b1-8e6c-404c-9cd2-6da560f52929'),(10233,10233,1,NULL,'__temp_sseqicjaqacbrgitdiqarfslhndqaftaxqcp',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"Read more\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Key measures to prevent and control EKC transmission in healthcare settings include: </p><ul><li>Strict adherence to hand hygiene,</li><li>Use of disposable gloves for contact with eye secretions,</li><li>Effective environmental cleaning and disinfection of surfaces and equipment,</li><li>Using single use equipment and eye drops,</li><li>Cohorting of suspected conjunctivitis patients, and </li><li>Work restrictions for symptomatic healthcare personnel.</li></ul>\"}',1,'2024-05-22 02:49:34','2024-07-29 19:47:06','cf62e002-6a76-47af-8c79-2cd413f26608'),(10234,10234,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','3b4cfe6b-9e4a-4a4b-99f3-dbcba270e7cb'),(10235,10235,1,NULL,'__temp_axxbiufulhlhgjcxhxdyksgsnxreewobaywa',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Prevent Epidemic Keratoconjunctivitis\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/conjunctivitis/hcp/infection-control-ekc/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This resource provides cleaning and disinfection guidance for opthalmologic healthcare settings.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-05-22 02:49:34','2024-07-29 19:47:06','cdd194bd-ca0a-4c3b-b96a-ef477f16dfd2'),(10236,10236,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','225ececa-e3ad-46b4-8272-5754f3b44030'),(10237,10237,1,NULL,'__temp_exgohiqdmyewgvuucwzrodipwluabuazjezf',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Sample Line List\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2023-09-02 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.corha.org/wp-content/uploads/2019/03/Sample-EKC-Line-List.xlsx\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This is a ready-to-use template to document epidemic keratoconjunctivitis (EKC) outbreak information.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-05-22 02:49:34','2024-07-29 19:47:06','0a5109bc-c046-45c7-aec8-e9f54379eb83'),(10238,10238,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','d70055b2-9290-44b2-b519-31be4b7a21c5'),(10239,10239,1,NULL,'__temp_huosfuidmqiipycwnpphzdgpucpccorrnhqc',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Prevent EKC: How to Disinfect Surfaces and Equipment\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2020-04-03 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This is a ready-to-use template to document epidemic keratoconjunctivitis (EKC) outbreak information.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-05-22 02:49:34','2024-06-13 13:46:38','d9d596dc-7b04-4d2d-b8d6-a1029937e61d'),(10240,10240,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','ab7561ed-5f23-46ad-88dd-3a8cfb3a000c'),(10241,10241,1,NULL,'__temp_lvdujnegnjelanflaysjgkhpwxiovnjyhyvb',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Sample Epidemic Keratoconjunctivitis (EKC) Outbreak Patient Letter\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-22 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.corha.org/wp-content/uploads/2019/03/Sample-EKC-Patient-Letter.doc\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This resource provides sample language for healthcare facilities communicating with patients on epidemic keratoconjunctivitis (EKC) outbreaks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-05-22 02:49:34','2024-07-29 19:47:06','9bbe3cb6-658c-489f-b307-643a10b110cc'),(10242,10242,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','c811c496-172e-416e-ad61-121b575161f3'),(10243,10243,1,NULL,'__temp_wmsbktpozkcuekkhojrqiawwygtxtejasytv',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Adenovirus-Associated Epidemic Keratoconjunctivitis Outbreaks — Four States, 2008–2010\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2013-08-16 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6232a1.htm\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CDC MMWR summarizes EKC investigations across four states and recommends outbreak control measures.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-05-22 02:49:34','2024-06-13 13:46:38','14851cf3-2910-4e15-ab23-84b4b12ed4ce'),(10244,10244,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','25c8d6c6-dcf3-4efb-be59-31e4bef5daa9'),(10245,10245,1,NULL,NULL,NULL,'{\"0640481e-1b5e-4db5-b7d6-df2b008c94ea\": \"For infection prevention specialists\", \"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"MMWR | EKC Outbreak Associated with Human Adenovirus Type 8 : Preventing EKC Transmission\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2023-11-01 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-22 02:49:34','2024-05-22 02:49:34','e7355ba5-a3ad-49e5-8148-7b37d89fd2c9'),(10246,10246,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','3eb056fb-c73b-49a0-88c5-bcbcf244fe82'),(10247,10247,1,NULL,NULL,NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Principles & Practices\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-12 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Get comprehensive guidance to build or improve practices related to detection, reporting, investigation, or control of any HAI or AR outbreak.\"}',1,'2024-05-22 02:49:34','2024-05-22 02:49:34','1945db75-67cf-4df8-9e17-35257fb01527'),(10248,10248,1,'EKC','ekc-2','diseases-pathogens/ekc-2',NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','d2ee2a7e-079a-4daf-90d6-3f02682c5d4e'),(10249,10249,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Also called Epidemic Keratoconjunctivitis update Test</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"EKC Resources\"}',1,'2024-05-22 02:49:34','2024-05-22 02:49:34','fc6e04b9-93c8-4a1b-a313-d84aab21cff5'),(10250,10250,1,NULL,NULL,NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": \"Virus\", \"d057632f-79c8-4652-8fd8-748ac6166ec6\": {\"date\": \"2022-10-01 07:00:00\"}, \"f395977f-9fbd-4439-be7d-6e235b6699ac\": {\"date\": \"2021-02-01 08:00:00\"}}',1,'2024-05-22 02:49:34','2024-05-22 02:49:34','c6fecbd3-8554-423a-a8ac-353f962d35b0'),(10251,10251,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:34','2024-05-22 02:49:34','d00a5d3c-cd90-462a-8eea-ecec3390c278'),(10252,10252,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>Epidemic Keratoconjunctivitis (EKC), a contagious, severe form of viral conjunctivitis (“pink eye”) can cause  pain and blurred vision. EKC outbreaks are often associated with eye care settings, with investigations of clinic transmission often pointing to contamination of multi-use drops and tonometer devices. Clustered EKC infections should be reported to the appropriate state or local health department.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"About EKC\"}',1,'2024-05-22 02:49:34','2024-05-22 02:49:34','da553a2e-65d2-4a25-8fad-82b98cb2ff2f'),(10253,10253,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:35','2024-05-22 02:49:35','75def56e-7be0-4dfb-82c6-bdc954c106ec'),(10254,10254,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"Read more about EKC\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Epidemic Keratoconjunctivitis (EKC), a contagious, severe form of viral conjunctivitis (“pink eye”) can cause  pain and blurred vision. EKC outbreaks are often associated with eye care settings, with investigations of clinic transmission often pointing to contamination of multi-use drops and tonometer devices. Clustered EKC infections should be reported to the appropriate state or local health department.</p>\"}',1,'2024-05-22 02:49:35','2024-05-22 02:49:35','e276a87c-7eb2-4736-b53e-8298df4d6993'),(10255,10255,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:35','2024-05-22 02:49:35','57f2d1a4-fba2-4684-99c7-ce6986f23f26'),(10256,10256,1,NULL,NULL,NULL,'{\"0640481e-1b5e-4db5-b7d6-df2b008c94ea\": \"For infection prevention specialists\", \"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"EKC Line List: Sample Documentation Template\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-12 07:00:00\"}, \"6b9fa6e8-a0d8-49b0-a33f-871f787ec3ba\": \"For local health departments, healthcare facilities\", \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-22 02:49:35','2024-05-22 02:49:35','253ddc57-0e42-4824-9f90-4fb7d8cdc8d2'),(10257,10257,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:35','2024-05-22 02:49:35','35d0921f-a038-437e-aa7b-a2fcca669202'),(10258,10258,1,NULL,NULL,NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"EKC Outbreak Patient Letter: Sample Communications\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2023-09-02 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://#\"}',1,'2024-05-22 02:49:35','2024-05-22 02:49:35','ef597001-fc9b-4e39-83d7-9f462b44bda8'),(10259,10259,1,NULL,NULL,NULL,NULL,1,'2024-05-22 02:49:35','2024-05-22 02:49:35','fcb4ea4f-14df-4c3e-bbf6-c73572924750'),(10260,10260,1,NULL,NULL,NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Prevent EKC: How to Disinfect Surfaces and Equipment\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2020-04-03 07:00:00\"}, 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13:43:17','c6471dcb-5c11-414b-b55e-19e28ce672b0'),(10374,10374,1,NULL,NULL,NULL,NULL,1,'2024-05-22 13:43:17','2024-05-22 13:43:17','dd788bfb-37c9-42ab-8152-3eeaeade6823'),(10375,10375,1,NULL,NULL,NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Scabies Prevention and Control Manual\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-04 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.michigan.gov/mdhhs/keep-mi-healthy/communicablediseases/diseasesandimmunization/overview-of-the-division-of-communicable-disease\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This summary or excerpt should describe the contents in enough detail that users do not have to guess when such a resource should be used, and by whom.\"}',1,'2024-05-22 13:43:17','2024-05-22 13:43:17','cd33e865-f929-4adb-b336-4eb3e0a68585'),(10379,10379,1,'7 - Special Considerations for Multi-Facility & Multi-Jurisdiction 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Activities that prepare public health agencies to respond to outbreaks involving healthcare delivery include developing the capacity to rapidly collect and analyze large amounts of information, take rapid action to stop transmission, and communicate effectively with stakeholders.</p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Special Considerations for Multi-Facility & Multi-Jurisdiction Outbreaks\"}',1,'2024-05-22 15:53:50','2024-05-22 15:53:50','717aa509-e9a7-4985-97ba-b89d58720c6a'),(10384,10384,1,'Infection Control Breach Investigations','infection-control-breach-investigations','chapters/infection-control-breach-investigations','{\"68c04e47-b499-4e50-88f0-a409394e673e\": 9}',1,'2024-05-22 15:54:14','2024-05-22 15:54:14','bf3b9480-5ff4-4e1b-97db-de33cf67c7c9'),(10385,10385,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Infection Control Breach Investigations\"}',1,'2024-05-22 15:54:14','2024-05-22 15:54:14','91b1d981-f79c-4476-a96c-1e0bcfff1587'),(10518,10518,1,'1 - Overview','overview','chapters/overview','{\"68c04e47-b499-4e50-88f0-a409394e673e\": 1}',1,'2024-05-22 17:53:37','2024-05-22 17:53:37','7875ecb4-7513-452d-a9b3-e669b6f92812'),(10519,10519,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Additional subhead text can go here if needed</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Overview\"}',1,'2024-05-22 17:53:37','2024-05-22 17:53:37','843f6740-49c9-48e9-8ae9-8f123438a97c'),(10522,10522,1,'1 - Overview','overview','chapters/overview','{\"68c04e47-b499-4e50-88f0-a409394e673e\": 1}',1,'2024-05-22 18:51:14','2024-05-22 18:51:14','5b2d700a-62af-4aba-917f-b9b9ec32915a'),(10524,10524,1,NULL,NULL,NULL,NULL,1,'2024-05-22 21:36:51','2024-05-22 21:36:51','cd14d74a-18aa-4b73-b28a-5cecc7a0eb41'),(10525,10525,1,'About CORHA','about-corha','about-corha',NULL,1,'2024-05-22 21:36:51','2024-05-22 21:36:51','74e40733-447c-48ac-aa36-bb694a195221'),(10526,10526,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Healthcare-associated Infections (HAIs) including antimicrobial-resistant (AR) pathogens cause hundreds of thousands of illnesses and deaths among U.S. patients each year. CORHA is a multidisciplinary collaboration of national associations and federal agencies working together since 2015 to improve methods to detect, investigate, control, and prevent HAI/AR outbreaks.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"About CORHA\"}',1,'2024-05-22 21:36:51','2024-05-22 21:36:51','0e472e6d-d966-485e-9cf7-1ab0fa295c8a'),(10527,10527,1,NULL,NULL,NULL,NULL,1,'2024-05-22 21:36:51','2024-05-22 21:36:51','be4e640a-555e-41c0-a9e5-aabcfd00f29b'),(10528,10528,1,NULL,NULL,NULL,NULL,1,'2024-05-22 21:36:51','2024-05-22 21:36:51','a6dbff5c-7b98-4647-8775-5a743ac85294'),(10529,10529,1,NULL,NULL,NULL,'{\"d34ad5d6-4524-4c40-8376-ad2cf3772110\": \"halfHalfWidth\"}',1,'2024-05-22 21:36:51','2024-05-22 21:36:51','089bfdb1-c3b6-4023-bd9f-ae3ee3346ad3'),(10530,10530,1,NULL,NULL,NULL,NULL,1,'2024-05-22 21:36:51','2024-05-22 21:36:51','40e11cd5-2cba-44f1-aa89-760c43d1ebae'),(10531,10531,1,NULL,NULL,NULL,NULL,1,'2024-05-22 21:36:51','2024-05-22 21:36:51','4ae4a172-53b9-4541-b2cd-84e09393be64'),(10532,10532,1,'CORHA Strategic Map','corha-strategic-map','corha-strategic-map',NULL,1,'2024-05-22 21:44:30','2024-05-22 21:44:30','b2f0db41-a7f8-47f3-b244-700e1746a386'),(10533,10533,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>CORHA’s Strategic Map identifies the following key priorities as necessary to address its central challenge of building capacity for public health and healthcare to improve outbreak detection,  response and prevention.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"CORHA Strategic Map\"}',1,'2024-05-22 21:44:30','2024-05-22 21:44:30','9879ad18-aa8e-4a47-952d-c8185a471494'),(10534,10534,1,NULL,NULL,NULL,NULL,1,'2024-05-22 21:44:30','2024-05-22 21:44:30','aa4bd33e-5661-4a29-8a36-d536ade3965a'),