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Briegel J discount 15mg abilify free shipping depression definition history, Forst H cheap abilify 20 mg without prescription neonatal depression definition, Haller M discount 20 mg abilify otc depression quotes images, et al: Stress doses of hydrocortisone binant human erythropoietin in the critically ill patient: A random- reverse hyperdynamic septic shock: A prospective cheap abilify 15mg free shipping manic depression definition webster, randomized, ized, double-blind, placebo-controlled trial. Crit Care als Group: Effcacy of recombinant human erythropoietin in Med 1998; 26:645–650 critically ill patients: A randomized controlled trial. College of American Pathologists: Practice parameter for the use 2008; 358:111–124 of fresh-frozen plasma, cryoprecipitate, and platelets. Clin Infect Dis 2009; 49:93–101 ponent Therapy: Practice guidelines for blood component therapy. Crit Care 2002; 6:251–259 transfusion on prothrombin time and bleeding in patients with mild 184. Transfusion 2006; 46:1279–1285 Multicenter comparison of cortisol as measured by different meth- 205. Intensive Care Med 2009; 35:1868–1876 Clinical Oncology: Platelet transfusion for patients with cancer: Clin- 188. Keh D, Boehnke T, Weber-Cartens S, et al: Immunologic and hemo- ical practice guidelines of the American Society of Clinical Oncol- dynamic effects of “low-dose” hydrocortisone in septic shock: A ogy. Br J Haematol 2003; Group: Drotrecogin alfa (activated) for adults with severe sepsis and 122:10–23 a low risk of death. Lancet 2007; 369:836–843 Treatment of neonatal sepsis with intravenous immune globulin. Darenberg J, Ihendyane N, Sjölin J, et al; StreptIg Study Group: Intra- ratory distress syndrome: The Berlin defnition. Clin Infect Dis 2003; 37:333–340 lower tidal volumes as compared with traditional tidal volumes for 215. N globulin in neutropenic patients with sepsis syndrome and septic Engl J Med 2000; 342:1301–1308 shock: A randomized, controlled, multiple-center trial. Rodríguez A, Rello J, Neira J, et al: Effects of high-dose of intrave- N Engl J Med 1998; 338:347–354 nous immunoglobulin and antibiotics on survival for severe sepsis 236. Brochard L, Roudot-Thoraval F, Roupie E, et al: Tidal volume reduc- undergoing surgery. Shock 2005; 23:298–304 tion for prevention of ventilator-induced lung injury in acute respi- 217. Crit tidal volume ventilation in acute respiratory distress syndrome Care Med 2007; 35:2686–2692 patients. Crit strategy to prevent barotrauma in patients at high risk for acute respi- Care Med 2007; 35:2677–2685 ratory distress syndrome. N Engl J Med 1998; 338:355–361 nous immunoglobulin in critically ill adult patients with sepsis. Putensen C, Theuerkauf N, Zinserling J, et al: Meta-analysis: Ventila- infammatory response syndrome, sepsis, and septic shock. Crit tion strategies and outcomes of the acute respiratory distress syn- Care Med 2007; 35:118–126 drome and acute lung injury. Crit Care Med 2004; mial pneumonia after major burns by trace element supplementation: 32:250–255 Aggregation of two randomised trials. Checkley W, Brower R, Korpak A, et al; Acute Respiratory Dis- tamine or seleNium Evaluative Trial Trials Group: Randomised trial of tress Syndrome Network Investigators: Effects of a clinical trial on glutamine, selenium, or both, to supplement parenteral nutrition for mechanical ventilation practices in patients with acute lung injury. N Engl J Med 2001; 344:699–709 J Respir Crit Care Med 2000; 162(4 Pt 1):1361–1365 229. Mancebo J, Fernández R, Blanch L, et al: A multicenter trial of pro- trolled trial. Crit Care 2010; 14:R1 longed prone ventilation in severe acute respiratory distress syn- 249. Am J Respir Crit Care Med 2006; 173:1233–1239 acute lung injury: Protocol-guided limitation of large tidal volume 269. Gattinoni L, Tognoni G, Pesenti A, et al; Prone-Supine Study Group: ventilation and inappropriate transfusion. Crit Care Med 2007; Effect of prone positioning on the survival of patients with acute 35:1660–6; quiz 1667 respiratory failure. Crit Care Med 1992; 20:1461–1472 membrane oxygenation center and mortality among patients with 253. Checkley W: Extracorporeal membrane oxygenation as a frst-line ing the adult respiratory distress syndrome. Crit Care Effcacy and economic assessment of conventional ventilatory sup- Med 1985; 13:34–37 port versus extracorporeal membrane oxygenation for severe adult 255. Lancet 2009; 374:1351–1363 acute lung injury and acute respiratory distress syndrome: A ran- 275. Crit Care lower positive end-expiratory pressures in patients with the acute Med 2006; 34:396–402 respiratory distress syndrome. Briel M, Meade M, Mercat A, et al: Higher vs lower positive end-expi- positive-pressure ventilation and conventional mechanical ventila- ratory pressure in patients with acute lung injury and acute respira- tion in patients with acute respiratory failure. Am J Respir the “open lung approach” with low distending pressures in acute Crit Care Med 2003; 168:1438–1444 respiratory distress syndrome. Am J Respir Crit Care Med 1995; 152(6 Pt patients with acute lung injury: Observational cohort study. Domenighetti G, Moccia A, Gayer R: Observational case-control with the acute respiratory distress syndrome. Chest 1997; 111:1008–1017 patients in intensive care (Awakening and Breathing Controlled 264. Crit Care Med 1998; 26:1977–1985 observer variability in measurement of pulmonary artery occlusion 266. Am J Respir Crit Care Med 1999; 160:415–420 positioning in hypoxemic acute respiratory failure: A randomized 287. N Engl J Med 1983; 308:263–267 Prone positioning in patients with moderate and severe acute respi- 288. Osman D, Ridel C, Ray P, et al: Cardiac flling pressures are not ratory distress syndrome: A randomized controlled trial. De Jonghe B, Cook D, Sharshar T, et al: Acquired neuromuscu- Catheter Study Group: Early use of the pulmonary artery catheter and lar disorders in critically ill patients: A systematic review. Groupe outcomes in patients with shock and acute respiratory distress syn- de Refexion et d’Etude sur les Neuromyopathies En Reanimation. Lancet 2009; 373:1874–1882 tion: Assessment of the clinical effectiveness of pulmonary artery 314. Intravascular guidelines for sustained neuromuscular blockade in the adult criti- Starling forces and extravascular lung water in the adult respiratory cally ill patient. Am Rev Respir Dis 1992; 145:990–998 a computer-controlled, closed-loop, vecuronium infusion in severe 298. Chest 1991; 100:1068–1075 gators: Neuromuscular blockers in early acute respiratory distress 299. Am tained neuromuscular blockade in the adult critically ill patient: An J Respir Crit Care Med 2006; 173:281–287 executive summary. Am J Resp Crit Care Med 2011; 184:561–568 after infusion of atracurium in two intensive care unit patients. J Trauma 1999; controlled evaluation of peripheral nerve stimulation versus stan- 46:625–9; discussion 629 dard clinical dosing of neuromuscular blocking agents in critically ill 304. Crit Care Med 1997; 25:575–583 ation of empiric versus protocol-based sedation and analgesia. Frankel H, Jeng J, Tilly E, et al: The impact of implementation of neu- Pharmacotherapy 2000; 20:662–672 romuscular blockade monitoring standards in a surgical intensive 305.

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For a larger group dedicated time is required for running clinics and other related medical tasks e discount 15 mg abilify visa depression symptoms home remedy. Risk Assessment/Needs Assessment: As alluded to in the introduction what you plan for depends on what you are worried about purchase abilify 20 mg otc depression pics. As part of your medical preparations you should undertake a detailed needs assessment abilify 10mg without a prescription bipolar depression journal articles. Have I considered how I will deal with difficult issues relating to practicing medicine: Confidentiality cheap abilify 10 mg with amex depression rehab, death and dying, sexuality, scarcity of resources, etc. What they complained of, the history and examination, what you diagnosed, and how you managed them, a very clear note of any drugs you administer, and a description of any surgical procedure you perform should all be recorded. Anyone with an ongoing problem should have a chronological record of their condition and treatment over time recorded. First is that for the ongoing care of the patient often it is only possible to make a diagnosis by looking over a course of events within retrospect and it is also important to have a record of objective findings to compare to recognise any changes over time in the patient condition. If and when things return to normal it may be important to justify why certain decisions were made. It is also useful to have medical records on members of your group prior to any event including things such as blood groups and any existing or potential medical problems. Subjective What the patient has complained about and the history associated with it, e. Assessment This is your assessment of what is wrong with the patient after your history taking, examination, and investigations, e. For both functional and infection control reasons it is worth having a dedicated area. How do you deal with the stranger dumped on you with the gunshot wound or pneumonia? People can often "live off the land," and forage for food but they cannot forage for penicillin. It’s also worth realising that these people may be more likely to be in poor general health and also carriers of infectious diseases. One possible option may be to quarantine the refugees for a period of time before any contact with your group. There is no perfect quarantine time frame – but 14 days should cover the vast majority of infectious diseases. The doctor-patient relationship: Another important area is that of confidentiality and trust. Obviously this has to be weighed against the "common good" of the group but unless it would place the group in danger there should be an absolute rule and practice of confidentiality. Fortunately it is possible to manage 90% of medical problems with only a moderate amount of basic equipment and drugs. Obviously the treatment may not be as high quality as that provided by a proper hospital but it may be life saving and reduce long term problems. For example; a general anaesthetic, an operation for an internal tibial nail, followed by pain management, and physiotherapy usually manages a broken tibia in a hospital setting. In a remote austere situation it can be managed by manipulation with analgesia, and immobilization with an external splint for 6-8 weeks, and as a result the patient may be in pain for a few weeks, and have a limp for life but still have a functioning leg. Also appendicitis has been treated with high-dose antibiotics when surgery has been unavailable such as on a submarine or in the Antarctic. Removal of an appendix has been done successfully many times under local anaesthesia. Although in each case management maybe sub-optimal and may have some risk in a survival situation it can be done and may be successful with limited medication and equipment. Below are some suggestions for legally obtaining medicines for use in a survival medicine situation. Demonstrate an understanding of what each drug is for and that you know how to safely use it. This approach depends on your relationship with your doctor, and how comfortably you are discussing these issues. Then return the meds when they have expired, this will confirm that you are not using them inappropriately. This includes antibiotics, strong narcotic analgesias, and a variety of other meds. Prescription medicines are available over the counter in many third world countries. While purchasing them certainly isn’t illegal, importation into your own country may well be. While it is unlikely that a single course of antibiotics would be a problem, extreme care should be exercised with more uncommon drugs or large amounts. Should you purchase drugs in the third (or second) world you need to be absolutely sure you are getting what you believe you are, the best way is to ensure that the medications are still sealed in the original manufactures packaging. We cannot recommend this method, but obviously for some it is the only viable option. Generally speaking most veterinary drugs come from the same batches and factories as the human version, the only difference being in the labelling. If you are going to purchase veterinary medications I strongly suggest only purchasing antibiotics or topical preparations and with the following cautions: (1) Make sure you know exactly what drug you are buying, (2) avoid preparations which contain combinations of drugs and also obscure drugs for which you can find no identical human preparation and (3) avoid drug preparations for specific animal conditions for which there is no human equivalent. A recent discussion with a number of doctors suggests that options ii and iii would be acceptable to the majority of those spoken too. In fact many were surprisingly broad in what they would be prepared to supply in those situations. However, be warned the majority of the same group considered the preparedness/survivalism philosophy to be unhealthy! Try looking in the yellow pages for medical, or emergency medical supply houses, or veterinary supplies. A number of commercial survival outfitters offer first aid and medical supplies, however, I would shop around before purchasing from these companies as their prices, in my experience, are higher than standard medical suppliers. The above approaches for obtaining medicines can also be used for obtaining medical equipment if you do have problems. The most important point is to be able to demonstrate an understanding of how to use what you are requesting. Pre-packaged Kits: Generally speaking it is considerably cheaper to purchase your own supplies and put together your own kit. The commercial kits cost 2-3 times more than the same kit would cost to put together yourself and frequently contain items which are of limited value. Storage and Rotation of Medications Medications can be one of the more expensive items in your storage inventory, and there can be a reluctance to rotate them due to this cost issue, and also due to difficulties in obtaining new stock. It is our experience that these are usually very easy to follow, without the confusing codes sometimes found on food products, e. We cannot endorse using medications which have expired, but having said that, the majority of medications are safe for at least 12 months following their expiration date. As with food the main problem with expired medicines is not that they become dangerous but that they lose potency over time and the manufacturer will no longer guarantee the dose/response effects of the drug. The important exception to this rule was always said to be the tetracycline group of antibiotics which could become toxic with time. However, it is thought that the toxicity with degrading tetracycline was due to citric acid which was part of the tablet composition. Citric acid is no longer used in the production of tetracycline, therefore, the dangers of toxicity with degradation of tetracycline is no longer a problem.

Each carcase should be double-bagged whilst using gloves and coveralls and the outside of bags and footwear should be disinfected before leaving the area buy cheap abilify 10 mg mood disorder organizations. Any other specimens should also be double-bagged in plastic before leaving the area generic abilify 10mg with mastercard depression zine. Disposable protective equipment should also be double-bagged and incinerated at high temperature where possible abilify 10mg lowest price depression test in hindi. Tissue collection If submitting an entire carcase for analysis is impractical purchase abilify 10mg otc key depression test means, it may be necessary to remove appropriate samples from specimens. It is advisable to first consult disease specialists about the method they require for sample preservation. The collection of parasites and their preservation should also be discussed (most parasites can be preserved in 70% ethanol). It is valuable to become familiar with these specialists, their fields of expertise and potentially the sample preservation methods they prefer, before an emergency situation occurs. For most tissue samples the following is appropriate: with a sharp knife or scalpel cut a thin (3-6 mm) section of tissue. If lesions are present include all or part of this affected tissue and adjacent apparently healthy tissue. Take care not to crush the tissue and place in a volume of preservative at least ten times the volume of the tissue to ensure adequate preservation. Supplies Basic supplies and equipment required will vary depending on the species and samples in question. Samples can be stored in appropriately sized plastic bags with a sterile interior as they are easily transported and labelled. Photography Photographing the site and carcases in situ can be extremely helpful to a diagnostician. Photographing any lesions (both external and internal) can provide useful information on their position and appearance. Include a ruler or other readily recognised objects in the photograph to provide scale, and keep a written record of contextual information on each photograph. Labelling For maintaining sample identity, proper labelling of samples is vital, together with preventing loss of readability of labels or their separation from samples. Write directly onto sample tubes or keep labels as close to the specimen as possible. Double labelling is advisable, for example, directly label the sample or sample tube and also the bag in which the sample is placed. This helps prevent confusion and possible errors when multiple samples are received at the same laboratory. The most durable tags are those made of soft metal that can be inscribed with a pencil. Waterproof paper can also be used when dealing with specimens from marine environments. Information marked on carcase tags should include: name, address and telephone number of the person submitting the carcase collection site date reference number whether the animal was found dead or euthanised (plus method of euthanasia) brief summary of clinical signs. Tissue samples taken into plastic bottles should be labelled on the outside of the bottle or a piece of masking tape placed around the tube. The label should include: date type of animal from which the sample came the type of tissue reference number. Do not insert tags into bottles or bags with samples as they may contaminate the sample. Preservation of specimens Chill or freeze all specimens depending on the length of time it will take for them to reach a diagnostic laboratory (understanding that chilled is preferable), unless they are chemically fixed, in which case samples can be kept at ambient temperature. Freezing can damage tissue or kill pathogens and hence reduce options for diagnosis. However, if samples must be held for more than a few days they should be frozen on the day of collection to minimise decomposition. Chapter 2, Field manual of wildlife diseases: general field procedures and diseases of birds. Where samples need to be chilled or frozen an understanding of the concept of the ‘cold-chain’ is required. This refers to the need for samples to remain at the desired temperature and not to experience cycles of change (e. The requirements for sample packaging and shipment vary between countries and diagnostic laboratories. It is, therefore, essential to contact the laboratory that will analyse samples to find out any specific shipping requirements as early as possible in the procedure. This will help with processing samples upon their arrival at the laboratory and reduce the risk of sample quality being compromised. Transporting and/or shipping samples must not pose a biosecurity or human health risk. Seek advice from veterinary authorities about safety and regulations for transporting and shipping samples. The most important considerations for successful sample transport and shipment are: prevent cross-contamination between specimens prevent decomposition of the specimen prevent leakage of fluids preserve individual identity of specimens properly label each specimen and the package in which they are sent. Prevent breakage and leakage Isolate individual specimens in their own containers and plastic bags. Protect samples from direct contact with coolants such as dry ice or freezer blocks. Ensure that if any sample breaks or leaks the liquid does not leak to the outside of the package by containing all materials inside plastic bags, or other leak-proof containers, where possible. Containing specimens The plastic bags for containing specimens need to be strong enough to resist being punctured by the materials they hold and those adjacent to them. Polystyrene boxes within cardboard boxes are useful for their insulating and shock absorbing properties. If polystyrene boxes are not available, sheets of this material can be cut to fit inside cardboard boxes with a similar effect (though the package is less leak-proof). The strength of the cardboard box needs to be sufficient for the weight of the package. If hard plastic or metal insulated boxes are used for transport, cardboard boxes around them can be used for protection and to attach labels. It is possible to make ice packs by freezing water inside a plastic bottle that is sealed (not filled completely and taped closed to prevent the top coming off in transit) and then placed in a sealed plastic bag to further prevent leakage. If frozen carcases are being transported they can act as a cool pack for other samples sent in the same container. When using ice packs they should be interspersed between samples to achieve a uniform temperature throughout. When submitting dead fish for post mortem examination they should be wrapped in moist paper to prevent them drying out and then refrigerated but not frozen. Fish decay very quickly but a fish refrigerated soon after death may be held for up to twelve hours before examination and sample fixation. Keeping samples frozen Dry ice (solid carbon dioxide) or in some circumstances liquid nitrogen can be used to ship frozen specimens. The gaseous carbon dioxide given off by dry ice can also damage some disease agents and this must be considered before using it for tissue transport. As the volume of both dry ice and liquid nitrogen expand as they change to gas, specialist containers that allow for this expansion are needed for their transportation. Note: Shipment of formalin, dry ice, liquid nitrogen and alcohol is regulated in many countries and must be cleared with a carrier before shipping. Samples preserved in formalin, other chemical fixative or alcohol can be transported without chilling. Shipping It is important to pack any space within packages with a substance such as newspaper which will prevent movement of containers, act as a shock absorber and may also soak up any potential leakages. Packaging and labelling Packaging and labelling of specimens must conform to the regulations of the country from which the package is sent and also those of the country in which it will be received (if it is being sent to a laboratory in another country).

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In some countries outbreaks occur in wild fish first and then spread to fish ponds buy generic abilify 20 mg line depression test by goldberg. Once an outbreak occurs in rivers/canals discount 10mg abilify fast delivery anxiety before work, the disease can spread downstream as well as upstream where susceptible fish species exist order abilify 15 mg with mastercard bipolar depression nac. Infected fish may float near the surface of the water yet become hyperactive with a jerky pattern of movement discount 10mg abilify overnight delivery key depression test. Take note of simple observations such as: abnormal fish behaviour date and time of observed outbreaks total estimate of mortalities species of fish affected and estimate of mortalities per species pattern of mortality (small number of fish dying every day, large number of fish dying at one time, etc. Aquaculture Actions should be directed firstly at prevention of the disease as subsequent control can be very difficult. The most important biosecurity measure to prevent the introduction onto farms is sourcing fish from safe, uninfected sources only. These include: All possible carriers or vectors such as freshly dead fish, birds or terrestrial animals as well as contaminated fishing gear and fish transport containers should be prevented from entering water bodies or fish ponds. In outbreaks occurring in small, closed water bodies, liming of water and improvement of water quality, together with removal of infected fish. Additional practical aquaculture biosecurity measures include: - Good farm hygiene (e. Early reporting or notification to concerned authorities of a disease outbreak or suspicion of any abnormal appearance, behaviour or other observations in fish stocks. Contact between fish-eating birds and aquaculture facilities should be minimised to reduce the risk of disease spread from an infected to an uninfected area. Indirect long- term effects may include threats to the environment and aquatic biodiversity through, for example, declining fish biomass and irreversible ecological disruption. Fisheries technical paper 402/2: Asia diagnostic guide to aquatic animal diseases. Report of the International Emergency Disease Investigation Task Force on a serious finfish disease in southern Africa. Review of biological factors relevant to import risk assessments for epizootic ulcerative syndrome (Aphanomyces invadans). Most of the hundreds of strains are harmless and some are even beneficial to humans and animals but others can cause illness. Once excreted from human and animal intestinal tracts, the bacteria may not survive, but some do find their way into lakes and streams, where they can persist for several weeks in water, sediment or sand. Dog and cat faeces may be carried along by storm sewers, deposited directly into streams and pathogens may be released into groundwater by insufficiently maintained septic systems. It is likely that widespread use of antibiotics in livestock has helped increased prevalence of E. The excretion of antibiotics into the environment directly from farms or even through sewage farms, contributes to genetically determined resistance in these and other bacteria in the environment. Infection occurs directly via contact with infected farm (or to a lesser extent wild) animals and their environments or from consumption of contaminated meat or unpasteurised milk. Scientists are now finding strong evidence that a significant amount of antibiotic resistance in human E. Environment Wetlands inhabited by susceptible species, particularly domestic ruminants. Susceptible animals include those which are immunocompromised, stressed, young, old, breeding or with associated environmental pressures. Infected animals, in particular young animals, shed the bacteria in their faeces, thus leading to exposure of other animals. In humans, incubation period ranges from 1-8 days but the duration of the illness is usually approximately 3–5 days. However, the bacteria can continue to be passed in faeces for up to three weeks post infection. Symptoms vary from mild to severe and include diarrhoea, vomiting, stomach-ache and fever. Accepting that domestic ruminants pose the greatest risk of transmission of pathogenic strains of E. If appropriate, wildlife can be kept away from possible sources of contamination e. Wetland treatment systems can also be used to reduce the risk of infection [►Environment]. Hands should be frequently washed with soap after handling animals, or working in their environment, and disposable gloves should be worn if in contact with sick animals. Wildlife populations may be in danger of fatalities or morbidity particularly if there are con-current infections or other stressors present. This is a problem of developed intensive agricultural systems and there is no evidence of widespread infection from extensive rangeland systems and natural environments. Effect on livestock Whilst domestic mammals generally only serve as carriers (or reservoirs) of the bacteria, some strains of E. Colibacillosis in pigeons and poultry is usually secondary to stress or con-current viral infection. There is now compelling evidence that animals reared for food are a reservoir for both antibiotic-resistant pathogenic and commensal E. Causal agent Toxin-producing species of algae, including: Alexandrium fundyense, Dinophysis spp, Gambierdiscus toxicus, Gymnodinium catenatum, Karenia brevis, Karenia brevisulcatum, Karlodinium veneficum, Lyngbya, Pfiesteria piscicda, Pfiesteria, Prorocentrum lima, Protoperidinium crassipes, Pseudo- nitzchia and Pyrodinium bahamense var. Environment Occur in both saltwater and freshwater environments, particularly where there are high nutrient levels (in particular high levels of nitrogen and phosphorus) but can also occur frequently in low nutrient environments. Livestock may drink contaminated water or lick themselves after bodily exposure and become ill. Affecting water quality by causing oxygen depletion from respiration and bacterial degradation, and blocking of sunlight. This may appear in conjunction with occurrence of a marine reddish/orange tide or freshwater bloom (which initially appear green and may later turn blue sometimes forming a scum/foam in the water). Signs such as irritation of the skin, vomiting, paralysis, lethargy and loss of muscle co-ordination may be observed in birds. Not all toxic algal blooms are visibly noticeable and so a sample of organisms from the bloom may be useful or necessary for diagnosis. Recommended action if Contact and seek assistance from animal and human health professionals suspected immediately if there is any illness in birds, fish, marine mammals and/or people. Diagnosis Confirmative diagnosis is difficult and relies on circumstantial evidence and supportive clinical and pathologic findings. There are also currently no established toxic thresholds for wildlife species and even when these exist it may be difficult to assess their significance. Collect samples during the die-off event as soon as possible after carcases are found. Contact a diagnostic laboratory for advice on appropriate sample collection and transport. Plants such as reeds and willow, and constructed treatment wetland systems can remove sediments and pollutants especially in places which release high volumes of nutrients, such as animal and human sewage outlets. Monitoring and surveillance Careful monitoring and early detection of potentially toxic algal blooms could allow time to initiate actions to prevent or reduce harmful effects e. Monitor for changes in nutrient load of water discharges, particularly sewage discharges (including septic tanks and cesspits) and agriculture. Patrol to observe and map discoloured water or dead fish for early detection of potentially toxic algal blooms. Humans Do not fish in an algal bloom/discoloured water and never eat fish which are dead when caught. When swimming, look for warnings of algal blooms and avoid swimming if you cannot see your feet when the water level is at your knees.

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