1. Infection Control Practices and Norovirus Knowledge Ashley Dorenkamp, Megan Evans, Rachel Force, Taylor FortuneAshley Dorenkamp, Megan Evans, Rachel Force, Taylor Fortune Benjamin Kimball, Tiffany Linares, Lyndsey Martin, and Makenze NugenBenjamin Kimball, Tiffany Linares, Lyndsey Martin, and Makenze Nugen Wichita State UniversityWichita State University

2. Overview (Taylor)  Service Learning Project with Sedgwick County Health Department  Norovirus and Adult Care Homes  Met with our mentor Chris Steward, MPH to learn what we would be doing.  Created an online survey with provided questions.

3. Overview Continued…  Prepared paper surveys for mail out to sixty-four Adult Care facilities in Sedgwick county.  Entered returned surveys in our online survey for data analyses.  Wrote a research paper and created charts and tables.

4. What we were investigating. (Tiffany)  How often each facility monitored disease trends.  What measures each facility was taking to stop spread and future outbreaks of Norovirus in their facilities.  Did they offer infection control training to their employees?  Did they provide written clean-up and disinfection procedures for vomiting and/or diarrhea?

5. What we were investigating, Continued…  Was there a return to work policy in place after an employee had symptoms of vomiting and/or diarrhea?  Would facilities be interested in learning more about Norovirus from educational materials provided by Sedgwick County Health Department.

6. What is Norovirus? (Megan)  Norovirus is a highly infectious and contagious disease.  Sometimes called the “stomach flu”, no relation to Influenza.  It is the leading cause of acute gastroenteritis and foodborne disease in the United States.  1 in 15 U.S. residents become ill each year.  Along with 56,000 – 71,000 hospitalizations.  570 – 800 deaths per year.  Predominantly affects young children and elderly.

7. How do you get it? (Megan)  CDC lists several ways you can contract Norovirus: 1)Contaminated food or water1)Contaminated food or water 2)Contact with infected person2)Contact with infected person 3)Touching a contaminated surface3)Touching a contaminated surface  Symptoms include: o Fever, body aches, headaches, nausea, vomiting, and diarrhea  Symptoms develop within 24 – 48 hours of exposure  Concerns: Severe Dehydration, continued exposure to others  Recovery can take one to three days.  Ways to prevent at: http://www.cdc.gov/Features/Norovirus/index.html http://www.cdc.gov/Features/Norovirus/index.html

8. Method (Makenze)  Created an online survey with provided questions from Sedgwick County Health Department.  Survey consisted of eight questions, some yes/no, others gave the opportunity to give more detail.  Reached out to facilities by phone, and mail.  Entered information from paper surveys into online version.  Analyzed survey data.

9. Results (Ben)  24 of 64 adult care homes provided responses to our surveys, which gave a response rate of 37.5%  13 were part of a larger network  10 monitored disease trends daily  1 monitored less frequently  2 did not monitor  11 were part of smaller network  4 monitored daily  1 monitored weekly  1 monitored monthly  2 monitored less frequently  3 did not monitor

10. Results Continued…  19 facilities had multiple levels of care:  Of the 19 with multiple levels of care:  5 offered infection control training more than three times per year.  7 offered training two to three times per year.  6 offered training once per year.  1 had never offered this type of training.  Facilities part of a larger network were more likely to offer this type of training.

11. Results Continued...  92% of the larger network facilities had return to work policies in place.  64% of non-network facilities also had return to work policies.  75% of the facilities involved in the study were interested in receiving educational materials from Sedgwick County Health Department.  Materials that were offered included:  Posters, brochures, fact sheets, and in-house presentations for staff and residents.

12. Charts and Tables (Ashley)

13. Charts and Tables Continued…

14. Level of Care by Size of Facility

15. Charts and Tables Continued…

18. Discussion (Lyndsey)  Focus of research was adult care homes within Sedgwick County.  Investigated the measures adult care homes are taking to monitor Norovirus outbreaks and disease trends in their facilities.  Examined infection control policies and procedures each facility had in place for employees.

19. Discussion Continued…  Ended up with a good variety of facilities that responded to the survey but sample size was small.  Limitations included:  Small sample size.  Follow-up calls to facilities – wrong numbers or disconnected numbers.  Some administrators did not have time to do the survey.  Time management:  Allowed more time? Maybe more facilities could have responded?  Improved knowledge of what some adult care home are doing to monitor and prevent outbreaks in their facilities.

20. The Future of Norovirus Control (Rachel)  There was a positive response overall from facilities about receiving educational materials from the Sedgwick County Health Department to enhance their knowledge, and understand the dangers of infectious diseases such as Norovirus.  By providing this education to facilities we hope to make administrators, staff, and residents more aware of preventative measures in order to limit spread and outbreaks.

21. THE END  For more information on the continuing effort to stop the spread of infectious diseases, visit the Centers for Disease Control and Prevention at:  www.cdc.gov www.cdc.gov

22. References Bitler, E. J., Matthews, J. E., Dickey, B. W., Eisenberg, J. S., & Leon, J. S. (2013). Norovirus outbreaks: a systematic review of commonly implicated transmission routes and vehicles. Epidemiology And Infection, 141(8), 1563-1571. doi:10.1017/S095026881300006X Hall, A. J., Wikswo, M. E., Pringle, K., Gould, L. H., & Parashar, U. D. (2014). Vital signs: foodborne norovirus outbreaks - United States, 2009-2012. MMWR. Morbidity And Mortality Weekly Report, 63(22), 491-495. Norovirus. (June 3, 2014). 2014, from http://www.cdc.gov/norovirus/about/index.html http://www.cdc.gov/norovirus/about/index.html