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ICES Report: Five policy recommendations from Toronto's SARS outbreak to improve the safety and efficacy of restrictions on hospital admissions to manage infectious disease outbreaks

Schull M, Stukel T, Zwarenstein M, Guttmann A, Alter D, Manuel D. ICES Report: Five policy recommendations from Toronto's SARS outbreak to improve the safety and efficacy of restrictions on hospital admissions to manage infectious disease outbreaks. Healthc Q.  2008; 12 (1): 30-32.

Infectious diseases have been in the spotlight in Ontario as a result of newly announced government-led public reporting of hospital-based infectious diseases.  These include Clostridiumdifficile, vancomycin-resistant Enterococcus and methicillin-resistant Staphylococcusaureus.  The increased attention to hospital-based infectious diseases in Canada comes as a result of multiple factors, including the 2003 outbreak of severe acute respiratory syndrome (SARS) in Toronto, which disrupted the healthcare system and killed 44 people (Schull et al. 2007; Hwang et al. 2007); the revelation that hospital-based outbreaks of Clostridiumdifficile killed an estimated 117 patients in Quebec in 2003 (Loo et al. 2005); and ongoing concern over the possibility of an influenza pandemic (World Health Organization n.d.).



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