Skelefon framework concept for defence against risks in unusual epidemics:Steps by public health offices

Necessary anti-epidemic measures have to be promulgated or taken immediatel y in case of a suspected case of pneumonic plague or a viral haemorrhagic f ever which can be transmitted from human to human. A live threatening highl y contagious infectious disease may occur at any place in Germany. Therefor e each health office should have the relevant information on the available infrastructure in Germany concerning treatment and competence centres, diag nostic laboratories, dispatch of samples and patient transportation, They s hould also be able to give qualified recommendations to physicians and hosp itals concerning the necessary measures in such a case. Contacts at risk ha ve to be notified. Based on a risk assessment and the special living condit ions of the contact person they should decide if and which further measures have to be initiated, especially in the case of post-exposure prophylaxis, separation and prohibition of work. In general, imported cases of dangerou s infectious diseases quickly find the interest of the media, including all the implications resulting from this. A well-organized cooperation with th e media and public relations helps to avoid unnecessary irritations and pan ic.