Appendix D4: Threshold Determinants for the Use of Community Containment Measures

Supplement D: Community Containment Measures, Including Non-Hospital Isolation and Quarantine

Parameter	Variable
Epidemiologic parameters of the outbreak	Absolute number of cases Rate of incident cases Number of hospitalized cases Number and percent of cases with no identified epidemiologic link Morbidity (including disease severity) and mortality Number of contacts under surveillance and/or quarantine
Healthcare resources	Hospital/facility bed capacity Isolation/negative pressure room capacity Staff resources Patient/staff ratio Number of isolated or quarantined staff Availability of specifically trained specialists and ancillary staff
Equipment and supplies	Availability of ventilators Availability of other respiratory equipment Availability of personal protective equipment and other measures Availability of therapeutic medications (SARS and non-SARS specific)
Public health resources	Investigator to case and contact ratios Number of contacts under active surveillance Number of contacts under quarantine Ability to rapidly trace contacts (number of untraced/interviewed contacts) Ability to implement and monitor quarantine (staff to contact ratio) Ability to provide essential services (food, water, etc.)
Community cooperation, mobility and compliance	Degree of compliance with voluntary individual isolation Degree of compliance with active surveillance and voluntary individual quarantine Degree of movement out of the community Degree of compliance with community-containment measures

Format:

Page last reviewed: May 3, 2005
Page last updated: May 3, 2005
Content source:
- National Center for Immunization and Respiratory Diseases, Division of Viral Diseases