Schools advised to stagger students seeking medical checks, says Perak health exco

The Perak government advised schools to coordinate with health offices to avoid overcrowding at clinics when bringing students for medical examinations after a recent outbreak.

An outbreak at a boarding school led to 57 students being taken to a clinic without prior notice, disrupting patient management due to lack of identification documents.

The Perak Health Department is conducting ongoing investigations and monitoring to identify case patterns and risk factors following the Influenza A cluster at the school.

IPOH, Sept 16 — The Perak government has advised schools to coordinate with District Health Offices and relevant health facilities before bringing large numbers of students for medical examinations following an outbreak.

The advice came after a boarding school in Ipoh brought 57 students with Influenza-Like Illness (ILI) to a nearby health clinic simultaneously, despite being advised to bring them in stages.

Perak Health, Human Resources, Indian Affairs and National Integration Committee chairman Datuk A. Sivanesan said bringing symptomatic students in stages would help prevent congestion at health facilities and reduce the risk of infection transmission.

“The affected boarding school has been advised not to bring large numbers of symptomatic students to health facilities at the same time if more cases are identified,” he said in a statement.

Sivanesan said the Perak Health Department, through the Kinta District Health Office (PKD Kinta), was managing an Influenza A cluster at a boarding secondary school in Ipoh, with control measures, screening and epidemiological investigations carried out immediately.

Following the incident, he said health authorities conducted clinical screening and assessments, epidemiological investigations, laboratory sampling and other prevention and control measures to contain the spread among the school community.

“On September 14 at 12.08pm, 57 symptomatic students were brought simultaneously by bus to a nearby health clinic without prior notification.

“Some of the students also did not bring identification documents, affecting the smooth management of patients at the clinic,” he said.

Sivanesan said an integrated PKD Kinta and clinic team was also deployed to the school at around 2pm the same day to conduct centralised health screening and assessments.

“The team comprised a medical officer, assistant medical officer, healthcare assistant, pharmacist, an infection prevention and control team member and three PKD Kinta surveillance unit members,” he added.

However, on September 15, the school reported another 27 symptomatic students.

“Although the school was advised to bring symptomatic students to health facilities in stages to avoid overcrowding at the clinic, the school informed authorities that it intended to transport the students using a school bus.

“The clinic then coordinated with the school to ensure the admission, screening and assessment process could be carried out in an orderly manner,” Sivanesan said.

He said a further 12 symptomatic students were identified, bringing the total number assessed that day to 39.

“The assessment was completed at 1pm, with all students reported to be in stable condition.

“A total of 61 students had undergone health screening and assessment. Of these, 46 were diagnosed with ILI, 14 with upper respiratory tract infection (URTI) and one with conjunctivitis,” he said.

“Nasopharyngeal swab samples were also taken from six students for laboratory testing, with the results being monitored by PKD Kinta to determine further action,” he added.

Sivanesan said PKD Kinta was continuing epidemiological investigations and monitoring new cases among the school community to identify transmission patterns, the number of cases, contacts and related risk factors.

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Perak exco: 46 students at Influenza A cluster school suffer flu-like illness

霹雳州政府建议学校与卫生部门协调，避免在最近疫情爆发后，带学生进行体检时诊所人满为患。

一所寄宿学校爆发疫情，导致 57 名学生在没有事先通知的情况下被送往诊所，由于缺乏身份证明文件，扰乱了患者管理。

霹雳州卫生局正在对该校发生的甲型流感聚集性疫情进行持续调查和监测，以确定病例模式和风险因素。

怡保，9月16日讯——霹雳州政府建议各学校在疫情爆发后，在安排大量学生进行体检前，应先与地区卫生局和相关医疗机构协调。

此前，怡保一所寄宿学校将 57 名患有流感样疾病 (ILI) 的学生同时送往附近的一家卫生诊所，尽管校方建议分阶段送医。

霹雳州卫生、人力资源、印第安事务和国家融合委员会主席拿督A·西瓦内桑表示，分阶段接收有症状的学生将有助于防止医疗机构拥挤，并降低感染传播的风险。

他在一份声明中说：“已建议受影响的寄宿学校，如果发现更多病例，不要同时将大量有症状的学生送往医疗机构。”

西瓦内桑表示，霹雳州卫生局通过金塔县卫生局（PKD Kinta）正在处理怡保一所寄宿中学发生的甲型流感聚集性疫情，并立即采取了控制措施、筛查和流行病学调查。

事件发生后，他表示卫生部门开展了临床筛查和评估、流行病学调查、实验室采样以及其他预防和控制措施，以遏制疫情在学校社区的蔓延。

“9月14日下午12点08分，57名出现症状的学生在没有事先通知的情况下被同时用公共汽车送到附近的一家卫生诊所。

他说：“有些学生也没有携带身份证件，影响了诊所对病人的顺利管理。”

Sivanesan 表示，当天下午 2 点左右，一支综合性 PKD Kinta 和诊所团队也被派往学校，进行集中健康筛查和评估。

“该团队由一名医务官、一名助理医务官、一名医疗保健助理、一名药剂师、一名感染预防和控制团队成员以及三名 PKD Kinta 监测小组成员组成，”他补充道。

然而，9 月 15 日，该校报告又有 27 名学生出现症状。

“尽管学校被建议分阶段将有症状的学生送往医疗机构，以避免诊所人满为患，但学校告知当局，它打算用校车运送学生。

“诊所随后与学校协调，以确保入学、筛查和评估过程能够有序进行，”西瓦内桑说。

他说，又发现了 12 名有症状的学生，使当天接受评估的总人数达到 39 人。

“评估于下午 1 点完成，所有学生的情况均稳定。”

他说：“共有61名学生接受了健康筛查和评估。其中，46人被诊断出患有流感样疾病（ILI），14人患有上呼吸道感染（URTI），1人患有结膜炎。”

他还补充说：“我们还采集了六名学生的鼻咽拭子样本进行实验室检测，PKD Kinta 正在监测检测结果，以确定进一步的行动。”

Sivanesan表示，PKD Kinta正在继续进行流行病学调查，并监测学校社区中的新病例，以确定传播模式、病例数量、接触者和相关风险因素。

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