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The document is organized into four levels of progressively more detailed
information: 1) executive summary; 2) core document; 3) stand-alone supplements
that address the key measures for SARS preparedness and response; and
4) attachments to each supplement that provide guidance and tools for
local-level preparedness and response activities.
The Supplements included in this document are:
Supplement
A: Command and Control
Supplement
B: SARS Surveillance
Supplement
C: Preparedness and Response in Healthcare Facilities
Supplement
D: Community Containment Measures, Including Non-Hospital Isolation
and Quarantine
Supplement
E: Managing International Travel-Related Transmission Risk
Supplement
F: Laboratory Diagnosis
Supplement
G: Communication and Education
Supplement
H: Plans for SARS Investigations and Epidemiologic Research (under
development)
Supplement
I: Infection Control in Healthcare, Home, and Community Settings
Each Supplement outlines, and in some cases describes in some detail,
many of the interrelated and multifaceted activities that need to or
could be undertaken at the local level to prepare for and respond to
the reemergence of SARS. Also included are guidelines and resource materials
to assist public health officials and healthcare facilities in planning
and implementing a response. To address the dynamic nature of a SARS
outbreak and each jurisdiction's unique situation, each Supplement considers,
as applicable:
- Recommendations
for preparedness and contingency planning that should occur prior to
the reappearance of SARS
- Strategies
for a basic level of response in U.S. communities to the reappearance
of SARS in other parts of the world
- Options
for enhancing the intensity and scope of local strategies to address
changing dynamics of the outbreak or response
- Options
for modifying the response in reaction to new information on transmission
dynamics, improved diagnostic testing, or introduction of new therapeutic
or prophylactic interventions
- Criteria
and approaches for de-escalating the response as SARS-CoV transmission
is controlled and eliminated
Using this guidance document, localities can develop operational SARS
preparedness and response plans that reflect consistent approaches among
and within jurisdictions to outbreaks of similar characteristics, while
taking into account available healthcare and public health resources,
public perceptions, and other factors that are unique to each community.
The document will be updated as necessary to reflect increased understanding
of SARS-CoV transmission dynamics and availability of improved prevention
tools.
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