ASSIGNMENT: You must write an executive summary for your executive leadership in your agency. An executive summary provides an overview of a larger report; highlighting key points of the overall document. Executive summaries can vary in length but are typically between 2-10 pages depending on the report’s content (2-5 pages is acceptable for this assignment).
Scenario:
A woman traveling from China to Boston unknowingly became a carrier of SARS- the Severe Acute Respiratory Syndrome. The primary symptoms of the SARS are flu-like in nature, including fever, lethargy, gastrointestinal symptoms, cough and sore throat. Therefore, most initial cases were misdiagnosed as a common flu. Due to shortage of nurses and beds in greater Boston area emergency rooms, infected patients were not identified as contagious with a highly dangerous disease and were often placed in hallways or in shared rooms, increasing the spread of the disease.
SARS was identified in a patient at Mass General Hospital and was communicated to the Massachusetts Department of Public Health, with currently 3,500 suspected cases across the greater Boston area and 250 deaths.
The disease is spreading quickly through families and tight-knit communities, and as word is getting out about the disease, more and more people are fearful and are flocking to local emergency rooms. This is stressing the already maxed out hospitals and is increasing the spread of the disease.
Furthermore, as Boston is a huge hub for travel across the world, there is concern that SARS will spread outside Boston and will quickly become an international pandemic if not treated quickly.
SARS Information:
Mortality by age group is below 1% for people aged 24 or younger, 6% for those 25 to 44, 15% in those 45 to 64 and more than 50% for those over 65. For comparison, the case fatality rate for influenza is usually around 0.6% (primarily among the elderly) but can rise as high as 33% in locally severe epidemics of new strains. The mortality rate of the primary viral pneumonia form is about 70%.
- Antibiotics are ineffective as SARS is a viral disease. Treatment of SARS so far has been largely supportive with antipyretics, supplemental oxygen and ventilatory support as needed.
- Suspected cases of SARS must be isolated, preferably in negative pressure rooms, with complete barrier nursing precautions taken for any necessary contact with these patients.
- There was initially anecdotal support for steroids and the antiviral drug ribavirin, but no published evidence has supported this therapy.
· DAY 2-People in the community are reading on Facebook that SARS has caused thousands of deaths in Boston, even though there have been 250 deaths.
· DAY 3-A small group of protestors have emerged around the hospital saying they are to blame for the SARS outbreak.
· DAY 4-Doctors and nurses are working double shifts, tirelessly trying to help people. They are beginning to get exhausted and overworked to the point of being useless. Also, the majority of hospital janitorial workers belong to unions, which are advising them not to report to work because of a “hazardous work environment”. This is already affecting the amount of infected and dirty materials accumulating in hospitals. These two staffing issues need to be addressed immediately
· DAY 5-The Massachusetts Governor has declared a state of emergency.
· DAY 6-SARS confirmed cases are 3,100.
· DAY 6-SARS confirmed deaths are 300.
· DAY 7-The Mayor of Boston has contracted SARS and must be isolated.
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