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GET OUT OF YOUR ELEMENT
AMIGOSINTERNATIONAL.ORG
Parent Preparation Module 2
Health and Safety
• A thorough overview of AMIGOS Health &
Safety
– Protocol & Procedures
– Participant Tools
– Health Screening
– Health Statistics
– Preventing Illness
– On-Call System
– Understanding the CALM Plan
Parent Preparation Module 2: Topics
• Pre-departure
– Health & safety round robins
– “Safeguarding Your Mental Health” activity
– Online health and safety assessments
– Decision making activity
• In-country Training
– Project specific health and safety review
– Host community specific information
Participant Training on Health &
Safety
• Participant Health, Safety & Travel Guidelines
• Prophylaxis & Immunization Requirements
• Project Information Packets
Participant Tools Acquired Here
• CALM Plan
• Weekly Self-Assessment Forms
– Completed by participant & PSup
• Health Logs
– Completed by participant
• Participant Performance Evaluations
– Completed by participant & Psup
All of these documents become a part of the participant’s
official file with AMIGOS.
Participant Tools in Country
Guidelines for:
• Host Community Selection
• Host Family Selection
• Meal Plan Guidelines
• Partnership Selection & Placements
– Includes sleeping arrangements
Summer Leadership Team’s Tools
The AMIGOS participant will not:
1. Engage in detrimental Behavior
2. Use or possess any drugs
3. Leave his/her assigned work area without
permission
4. Operate any motorized vehicle
5. Handle firearms or any other weapon
6. Engage in acts of disrespect, harassment, or
bullying
7. Engage in the consumption of alcohol
8. Engage in intimate or amorous relationships
9. Use or possess tobacco products
Participant Tools – Standards of Conduct
Standards Violation Process
• In the event of a standards violation a report will be
submitted by the in-country team along with a statement
written by the participant to the Emergency Management
Team.
A decision will then be made on the outcome of the violation:
– Warning: for minor, first time violations which do not
present a threat to the health and safety of any
participants
– Incident: a more serious and intentional violation which
could be potentially damaging to the individual,
organization, or host community/partner agency
– Dismissal: either repeated or severe violation that is
dangerous, harmful, or damaging. Individuals who are
dismissed from the program will be responsible for the
cost of their return ticket as well as a $250 fee to cover
all related expenses for their return.
Decision Making
• Talk about decision making, both good and bad.
• Remember that we want them to make the choice to
try, to push their boundaries, even if they fail. It’s part
of the experience.
• Encourage them to think through the effects of all
their actions and how in a program like AMIGOS they
can affect so many different people.
• Maintaining participant health & safety
– Top priority with primary focus being on
prevention of major issues
• All protocols are established by the
Medical Health & Safety Committee
– Based on Center for Disease Control
recommendations and when applicable the
National Institute of Health
– Tailored to specific project areas
From the AMIGOS Medical Director:
David Baron, MD
• All participants are screened in areas of physical
and mental health according to explicit criteria.
– Report any and all changes in health status at
once to AMIGOS International Office at
info@amigosinternational.org
Health Criteria & Screening
• Handled with the utmost confidentiality directly by
International Office Screening Team.
• Submit Confidential Health Forms directly to
application for review by International Office
Screening Team.
• Contact info@amigosinternational.org for any
questions about your participant’s Confidential
Health Screening process.
Health Screening Process
• Disclosure of health information does not
automatically disqualify applicants.
• Intentional non-disclosure or minimization of
health history (physical or psychological) will
likely result in immediate dismissal from the
program at the participant’s expense.
Non-Disclosure Policy
• Following table summarizes the most common
ailments reported to the On-Call System.
– This data is the number of cases NOT the number of
individuals.
– (An individual may have multiple cases)
• Data includes cases for both participants and
Summer Leadership Team
Health Statistics:
Defining the Numbers
Summer Health Statistics
(an average summer)
Illness / Incident Number of Cases
Animal Bite/scratch/lick 19
Post-Exposure Rabies Vaccination 2
Upper Respiratory Infection 13
GI Infections 166
Scabies 5
Appendectomy 1
Orthopedic Issues 8
Malaria 0
Dengue (Non-hemorrhagic) 2
Yellow Fever 0
Typhoid 0
Total Clinic Visits 301
• Hand-washing –saves lives and prevents
infections!
• Bathing - all participants must maintain good
hygiene and bath regularly.
• Clothing - wash clothing as the host family does.
Good Personal Hygiene Prevents Illness
• All participants are required to use a personal
water purification method.
– RECOMMENDED: chlorine drops or chloride dioxide.
(CDC)
– NOT recommended or reliable for the summer:
• UV light decontaminators
• Portable water filtration systems
Water Purification
• Host community meal plans are a donation from the
community.
– Participants need to be gracious guests and eat the food
offered!
• Many participants eat on a rotating meal plan
– Reduces the burden on the host family
– Popular with participants
– Great way to community
Community Meal Plans
• Properly clean, cook, and peel all produce before eating to
avoid infection.
• NO homemade juices, ice or water from an unknown
source.
• Participants are encouraged to help with mealtime chores.
Food Preparation
1. Participants will NOT become immune to microbes of
their host community.
2. Many host communities/project areas may not be able to
accommodate all special diets.
3. NO dieting!
4. Notify supervisor if there is a concern in-country
regarding meal plan ASAP
Dietary Concerns
1. Vegetarianism - In some project areas
2. Veganism - NOT able to support on any project
3. Religious Restrictions - May be able to support
minimal food item restrictions.
– NOT able to support elaborate dietary restrictions.
4. Other dietary restrictions - Allergies and other
dietary restrictions on some projects.
Can AMIGOS Accommodate Special
Dietary Requests?
• Participants will be living with a host
family and should take to reflect on what
being a good house guest will look like.
– Help with household chores
– Be home when expected
– Communicate plans
– Be tidy
– Be friendly and out-going
– Abide by household norms/rules
Being a Good House Guest
• Dehydration - one of the top causes of AMIGOS
participants seeking medical attention.
• Prevention: drink at least 2 L of purified water daily; avoid
contaminated food, and wash hands frequently.
• Rehydration – drink oral rehydration therapy (ORT) or
suero.
Dehydration & Rehydration
• About 40% of reported AMIGOS participant
medical cases involve stomach ailments.
• Prevention:
– Eating food that has been properly prepared.
– Drinking water that has been properly purified.
– Maintaining good hygiene
– Frequently & properly washing hands!
– Avoiding dehydration.
Preventing Stomach Related
Illness
• Participants may travel with One-Course Antibiotic
treatment to be taken for Travelers’ Diarrhea only.
– Travelers’ Diarrhea defined in the Parent Preparation Guide
(PPG)
• Treatment: single course antibiotics
– TAKE full course as directed by doctor
– Note in health log and notify supervisor
• Follow all protocol steps closely
One-Course Antibiotic Treatment for
Travelers’ Diarrhea ONLY
• AKA– the common cold
• Prevention:
– Hand washing, staying hydrated and well rested.
• Treatment:
– Rest and drink lots of fluid.
– Antibiotics do not treat viral infections (like the common
cold).
Upper Respiratory Infections
• AMIGOS participants spend much of their time outdoors in
tropical locations and/or at high elevation.
• Prevention:
• Avoid overexposure to the sun.
• Wear sunscreen of at least 35 SPF (apply sunscreen
first and then insect repellent).
• Wear long-sleeve clothing & hat to protect the skin.
Preventing Rashes and Sunburns
• AMIGOS works in areas where tropical diseases
such as malaria, dengue, yellow fever,
chikungunya and Chagas may be present.
• Low incidence rates
• Collaboration with the CDC to develop recommendation
and track our population’s incidence
• If participants follow our required guidelines the risk will
be greatly minimized.
• (For more details on specific diseases see
http://wwwnc.cdc.gov/travel/)
Preventing Insect Bite Related Illnesses
• ALWAYS sleep under a mosquito net.
• Wear cream-based bug repellent
– With 30-50% DEET (CDC)
• NO 51+% DEET!!!
– Apply after sunscreen
• Wear pants and long-sleeve shirts during times
of high mosquito activity.
Preventing Insect Bites
DEET vs No DEET
• Animal Bites, Scratches or Licks
• Type # of Cases
– Bite----------------------------12
– Scratch/Lick-------------------6
• In 2015, 3 animal exposure cases required post-exposure
rabies vaccination.
– Post-exposure rabies vaccination process is REQUIRED in the
event of an exposure where the animal cannot be monitored.
2015 Summer Health Statistics
• Rabies – due to lower rates of animal immunization, there
is an increased risk of animals carrying rabies.
– Rabies is lethal once signs of infection are present.
– Rabies may be transmitted anytime saliva makes
contact with the bloodstream.
– Post-exposure shots are REQUIRED, if an exposure
occurs and the animal cannot be monitored for 10 days.
Animal Bites, Scratches and Licks
• AMIGOS prevention policy is rigid
– NO TOUCHING animals, especially dogs, cats, bats
and monkeys (mammals).
– Latin American dog culture: generally dogs are not pets.
– Exceptions may be made in cases where transportation
is via horseback.
• Rabies pre-exposure immunization is not required by
AMIGOS.
Rabies Prevention
• All prescription medication AMIGOS participants
are taking during the summer must be disclosed.
– Staff must have information available in case of an
emergency to prevent harmful drug interactions.
Prescription Medications
• 24 hour On-Call system
• Supports the AMIGOS in-country Summer
Leadership Team
• Operated by International Office professional
staff
• See Administrative Policy for specific roles of all
parties involved.
Introduction to AMIGOS
On-Call Emergency Management System
• Focus is on supporting Latin American project staff
members and participants.
– Handles medical concerns, mental health issues, violations of
the Standards of Conduct, and other miscellaneous issues that
may impact the AMIGOS participants.
• AMIGOS On-Call Staff have direct access to consult with
medical and mental health professionals as necessary as a
part of the 24 hour On-Call System.
– All cases reported are reviewed by health professional
consultants.
On-Call System Focus
• A specific “911” plan developed for each
AMIGOS host community to connect them to
their Project Staff, emergency care and the
AMIGOS On-Call system.
• The CALM Plan requires participants to seek the
closest and most accessible source of assistance
first.
CALM Plan
• The 1st step in every participant’s CALM Plan is to contact their
Project Staff.
• Participants may always contact their parents, BUT if they call you
as first step of the CALM Plan – this is considered CALM Plan
circumvention and detrimental behavior.
• If you are contacted directly by your participant, make sure they
have already activated their CALM Plan before calling you so that
local help is on the way!
Avoiding CALM Plan Circumvention
• Support participants in preparing for a healthy and safe
summer.
• Empower participants to follow health and safety protocol.
• Understand AMIGOS protocol and know who you should
contact with questions.
Role of Parents

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2016-04-04-Health and Safety Parent Meeting powerpoint

  • 1. GET OUT OF YOUR ELEMENT AMIGOSINTERNATIONAL.ORG Parent Preparation Module 2 Health and Safety
  • 2. • A thorough overview of AMIGOS Health & Safety – Protocol & Procedures – Participant Tools – Health Screening – Health Statistics – Preventing Illness – On-Call System – Understanding the CALM Plan Parent Preparation Module 2: Topics
  • 3. • Pre-departure – Health & safety round robins – “Safeguarding Your Mental Health” activity – Online health and safety assessments – Decision making activity • In-country Training – Project specific health and safety review – Host community specific information Participant Training on Health & Safety
  • 4. • Participant Health, Safety & Travel Guidelines • Prophylaxis & Immunization Requirements • Project Information Packets Participant Tools Acquired Here
  • 5. • CALM Plan • Weekly Self-Assessment Forms – Completed by participant & PSup • Health Logs – Completed by participant • Participant Performance Evaluations – Completed by participant & Psup All of these documents become a part of the participant’s official file with AMIGOS. Participant Tools in Country
  • 6. Guidelines for: • Host Community Selection • Host Family Selection • Meal Plan Guidelines • Partnership Selection & Placements – Includes sleeping arrangements Summer Leadership Team’s Tools
  • 7. The AMIGOS participant will not: 1. Engage in detrimental Behavior 2. Use or possess any drugs 3. Leave his/her assigned work area without permission 4. Operate any motorized vehicle 5. Handle firearms or any other weapon 6. Engage in acts of disrespect, harassment, or bullying 7. Engage in the consumption of alcohol 8. Engage in intimate or amorous relationships 9. Use or possess tobacco products Participant Tools – Standards of Conduct
  • 8. Standards Violation Process • In the event of a standards violation a report will be submitted by the in-country team along with a statement written by the participant to the Emergency Management Team. A decision will then be made on the outcome of the violation: – Warning: for minor, first time violations which do not present a threat to the health and safety of any participants – Incident: a more serious and intentional violation which could be potentially damaging to the individual, organization, or host community/partner agency – Dismissal: either repeated or severe violation that is dangerous, harmful, or damaging. Individuals who are dismissed from the program will be responsible for the cost of their return ticket as well as a $250 fee to cover all related expenses for their return.
  • 9. Decision Making • Talk about decision making, both good and bad. • Remember that we want them to make the choice to try, to push their boundaries, even if they fail. It’s part of the experience. • Encourage them to think through the effects of all their actions and how in a program like AMIGOS they can affect so many different people.
  • 10. • Maintaining participant health & safety – Top priority with primary focus being on prevention of major issues • All protocols are established by the Medical Health & Safety Committee – Based on Center for Disease Control recommendations and when applicable the National Institute of Health – Tailored to specific project areas From the AMIGOS Medical Director: David Baron, MD
  • 11. • All participants are screened in areas of physical and mental health according to explicit criteria. – Report any and all changes in health status at once to AMIGOS International Office at info@amigosinternational.org Health Criteria & Screening
  • 12. • Handled with the utmost confidentiality directly by International Office Screening Team. • Submit Confidential Health Forms directly to application for review by International Office Screening Team. • Contact info@amigosinternational.org for any questions about your participant’s Confidential Health Screening process. Health Screening Process
  • 13. • Disclosure of health information does not automatically disqualify applicants. • Intentional non-disclosure or minimization of health history (physical or psychological) will likely result in immediate dismissal from the program at the participant’s expense. Non-Disclosure Policy
  • 14. • Following table summarizes the most common ailments reported to the On-Call System. – This data is the number of cases NOT the number of individuals. – (An individual may have multiple cases) • Data includes cases for both participants and Summer Leadership Team Health Statistics: Defining the Numbers
  • 15. Summer Health Statistics (an average summer) Illness / Incident Number of Cases Animal Bite/scratch/lick 19 Post-Exposure Rabies Vaccination 2 Upper Respiratory Infection 13 GI Infections 166 Scabies 5 Appendectomy 1 Orthopedic Issues 8 Malaria 0 Dengue (Non-hemorrhagic) 2 Yellow Fever 0 Typhoid 0 Total Clinic Visits 301
  • 16. • Hand-washing –saves lives and prevents infections! • Bathing - all participants must maintain good hygiene and bath regularly. • Clothing - wash clothing as the host family does. Good Personal Hygiene Prevents Illness
  • 17. • All participants are required to use a personal water purification method. – RECOMMENDED: chlorine drops or chloride dioxide. (CDC) – NOT recommended or reliable for the summer: • UV light decontaminators • Portable water filtration systems Water Purification
  • 18. • Host community meal plans are a donation from the community. – Participants need to be gracious guests and eat the food offered! • Many participants eat on a rotating meal plan – Reduces the burden on the host family – Popular with participants – Great way to community Community Meal Plans
  • 19. • Properly clean, cook, and peel all produce before eating to avoid infection. • NO homemade juices, ice or water from an unknown source. • Participants are encouraged to help with mealtime chores. Food Preparation
  • 20. 1. Participants will NOT become immune to microbes of their host community. 2. Many host communities/project areas may not be able to accommodate all special diets. 3. NO dieting! 4. Notify supervisor if there is a concern in-country regarding meal plan ASAP Dietary Concerns
  • 21. 1. Vegetarianism - In some project areas 2. Veganism - NOT able to support on any project 3. Religious Restrictions - May be able to support minimal food item restrictions. – NOT able to support elaborate dietary restrictions. 4. Other dietary restrictions - Allergies and other dietary restrictions on some projects. Can AMIGOS Accommodate Special Dietary Requests?
  • 22. • Participants will be living with a host family and should take to reflect on what being a good house guest will look like. – Help with household chores – Be home when expected – Communicate plans – Be tidy – Be friendly and out-going – Abide by household norms/rules Being a Good House Guest
  • 23. • Dehydration - one of the top causes of AMIGOS participants seeking medical attention. • Prevention: drink at least 2 L of purified water daily; avoid contaminated food, and wash hands frequently. • Rehydration – drink oral rehydration therapy (ORT) or suero. Dehydration & Rehydration
  • 24. • About 40% of reported AMIGOS participant medical cases involve stomach ailments. • Prevention: – Eating food that has been properly prepared. – Drinking water that has been properly purified. – Maintaining good hygiene – Frequently & properly washing hands! – Avoiding dehydration. Preventing Stomach Related Illness
  • 25. • Participants may travel with One-Course Antibiotic treatment to be taken for Travelers’ Diarrhea only. – Travelers’ Diarrhea defined in the Parent Preparation Guide (PPG) • Treatment: single course antibiotics – TAKE full course as directed by doctor – Note in health log and notify supervisor • Follow all protocol steps closely One-Course Antibiotic Treatment for Travelers’ Diarrhea ONLY
  • 26. • AKA– the common cold • Prevention: – Hand washing, staying hydrated and well rested. • Treatment: – Rest and drink lots of fluid. – Antibiotics do not treat viral infections (like the common cold). Upper Respiratory Infections
  • 27. • AMIGOS participants spend much of their time outdoors in tropical locations and/or at high elevation. • Prevention: • Avoid overexposure to the sun. • Wear sunscreen of at least 35 SPF (apply sunscreen first and then insect repellent). • Wear long-sleeve clothing & hat to protect the skin. Preventing Rashes and Sunburns
  • 28. • AMIGOS works in areas where tropical diseases such as malaria, dengue, yellow fever, chikungunya and Chagas may be present. • Low incidence rates • Collaboration with the CDC to develop recommendation and track our population’s incidence • If participants follow our required guidelines the risk will be greatly minimized. • (For more details on specific diseases see http://wwwnc.cdc.gov/travel/) Preventing Insect Bite Related Illnesses
  • 29. • ALWAYS sleep under a mosquito net. • Wear cream-based bug repellent – With 30-50% DEET (CDC) • NO 51+% DEET!!! – Apply after sunscreen • Wear pants and long-sleeve shirts during times of high mosquito activity. Preventing Insect Bites
  • 30. DEET vs No DEET
  • 31. • Animal Bites, Scratches or Licks • Type # of Cases – Bite----------------------------12 – Scratch/Lick-------------------6 • In 2015, 3 animal exposure cases required post-exposure rabies vaccination. – Post-exposure rabies vaccination process is REQUIRED in the event of an exposure where the animal cannot be monitored. 2015 Summer Health Statistics
  • 32. • Rabies – due to lower rates of animal immunization, there is an increased risk of animals carrying rabies. – Rabies is lethal once signs of infection are present. – Rabies may be transmitted anytime saliva makes contact with the bloodstream. – Post-exposure shots are REQUIRED, if an exposure occurs and the animal cannot be monitored for 10 days. Animal Bites, Scratches and Licks
  • 33. • AMIGOS prevention policy is rigid – NO TOUCHING animals, especially dogs, cats, bats and monkeys (mammals). – Latin American dog culture: generally dogs are not pets. – Exceptions may be made in cases where transportation is via horseback. • Rabies pre-exposure immunization is not required by AMIGOS. Rabies Prevention
  • 34. • All prescription medication AMIGOS participants are taking during the summer must be disclosed. – Staff must have information available in case of an emergency to prevent harmful drug interactions. Prescription Medications
  • 35. • 24 hour On-Call system • Supports the AMIGOS in-country Summer Leadership Team • Operated by International Office professional staff • See Administrative Policy for specific roles of all parties involved. Introduction to AMIGOS On-Call Emergency Management System
  • 36. • Focus is on supporting Latin American project staff members and participants. – Handles medical concerns, mental health issues, violations of the Standards of Conduct, and other miscellaneous issues that may impact the AMIGOS participants. • AMIGOS On-Call Staff have direct access to consult with medical and mental health professionals as necessary as a part of the 24 hour On-Call System. – All cases reported are reviewed by health professional consultants. On-Call System Focus
  • 37. • A specific “911” plan developed for each AMIGOS host community to connect them to their Project Staff, emergency care and the AMIGOS On-Call system. • The CALM Plan requires participants to seek the closest and most accessible source of assistance first. CALM Plan
  • 38. • The 1st step in every participant’s CALM Plan is to contact their Project Staff. • Participants may always contact their parents, BUT if they call you as first step of the CALM Plan – this is considered CALM Plan circumvention and detrimental behavior. • If you are contacted directly by your participant, make sure they have already activated their CALM Plan before calling you so that local help is on the way! Avoiding CALM Plan Circumvention
  • 39. • Support participants in preparing for a healthy and safe summer. • Empower participants to follow health and safety protocol. • Understand AMIGOS protocol and know who you should contact with questions. Role of Parents