title: Hantavirus: emergency department response to a disaster from an emerging pathogen.
abstract: In May 1993, the appearance of critically ill patients with unexplained respiratory distress was noted in the Four Corners area formed by New Mexico, Arizona, and Colorado. This epidemic was ultimately linked to a hantavirus, an emerging pathogen. The impact on the emergency department of a new infectious disease with respiratory distress is described. A model is proposed to manage infectious disease disasters. Emerging infections that are important to emergency physicians are discussed. Recommendations that focus on disaster management and prevention of the spread of an unknown pathogen are developed.
authors.affiliation: Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque.
authors.forename: J C
authors.initials: JC
authors.lastname: Brillman
authors.forename: D P
authors.initials: DP
authors.lastname: Sklar
authors.forename: K D
authors.initials: KD
authors.lastname: Davis
authors.forename: A
authors.initials: A
authors.lastname: Beamsely
mesh_terms: D002044:Bunyaviridae Infections / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control* / Q000635:transmission; D004189:Disaster Planning / Q000458:organization & administration*; D004196:Disease Outbreaks; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006476:Orthohantavirus; D006801:Humans; D017053:Infection Control / Q000458:organization & administration*; D008171:Lung Diseases / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control*; D017146:Models, Organizational; D011641:Public Relations; D012017:Referral and Consultation / Q000458:organization & administration; D015206:Southwestern United States / Q000453:epidemiology; D013029:Space-Time Clustering; D014218:Triage / Q000458:organization & administration