Special Pathogen Response Network (SPRN)
Following the 2014-15 Ebola outbreak in West Africa, and the resulting 11 cases treated in the United States the State of Michigan established the Special Pathogens Response Network (SPRN) to prepare for and respond to highly infectious diseases that produce severe disease in humans. MDHHS realized that preparedness efforts for Ebola also provide an opportunity to prepare for outbreaks of other special pathogens.
The 2014 Ebola epidemic was the largest in history, affecting multiple countries in West Africa. As of March 2016, MDHHS and Local Health Department partners successfully monitored 414 travelers with a recent travel history to West African countries in which there was an ongoing Ebola outbreak. None of the travelers exhibited any signs of Ebola infection during their 21-day monitoring period. MDHHS continued monitoring the referred travelers until all national monitoring ended in December 2015.
This video provides a brief introduction to the SPRN program and describes special pathogens:
Below is a compilation of special pathogen, including Ebola, guidance resources for the community and clinicians. Anyone who may be showing symptoms of Ebola or similar illness should receive medical evaluation and subsequent follow up with public health.
Important clinical guidance for high-consequence pathogens can be found at: https://www.cdc.gov/ncezid/dhcpp/.
Information specific to Ebola can be found at www.cdc.gov/vhf/ebola. Of particular interest is the document related to the twelve domains of hospital preparedness entitled "Infection Prevention and Control Recommendations for Hospitalized Patients Under Investigation (PUIs) for Ebola Virus Disease (EVD) in U.S. Hospitals."
More references and science based support is found on the HHS ASPR TRACIE website.
Special Pathogen Information for Michigan Healthcare Providers:
- Four Tiers of MI Hospitals for EVD Preparedness and Response (defined)
- MI Hospital Tier levels by Region
- Hospital PPE Support Algorithm
Special Pathogen Information for EMS Providers:
- Ebola Action Guide for EMS, 9-1-1 and PSAPS
- EMS Agencies Designated for Transport of Patients with Special Pathogens
- Category A Biohazard Waste Management for Residential Locations
- Ebola/SPRN Crematory Services Contacts
- SPRN Hospitals, EMS and Crematory Services Map
- Michigan Medical Control Authority Protocols
The MDHHS Bureau of Laboratories website contains information to assist in proper collection and submission of specimens. The site lists off-hours contact information, a lab services guide, and a biosafety laboratory preparedness section which includes malaria testing and clinical lab risk assessment template.