UN Medical Directors' Guidelines on Establishment of a Fever Clinic

Fever clinics are facilities where patients with symptoms of pandemic influenza can be assessed and managed to minimize influenza transmission in the community. They are a significant part of an organized response to an influenza pandemic within the UN system and will be activated during Level 3 Emergency Mode. While the role played by fever clinics may be different for various duty stations, the level of resources necessary to operate them will depend on the stage of the pandemic and the demand by staff. Where fever clinics are not foreseen in national plans, UN Country Teams should develop plans to establish these facilities.When large localized clusters of influenza are occurring in the community, fever clinics will be vital to the rapid identification of suspected and confirmed cases, thus allowing the spread of the disease to be delayed through case isolation, rapid treatment and the provisions of antivirals to those at risk, education and information, and infection control practices. When widespread transmission is occurring in the community, fever clinics will provide standardized assessment, triage and management of patients with suspect influenza in accordance with UNCT plans. Cases will be streamed for care in home, or for admission to hospital.

Objectives

The objectives of fever clinics are as follows:

  • To provide standardized assessment and triage of suspected cases of pandemic influenza
  • To direct cases to the home for self-care or inpatient healthcare facilities
  • To decrease patient presentations to the normal healthcare facilities thereby allowing those facilities to continue their core business and reducing the risk of transmission within those settings
  • To minimize the number of healthcare workers and other patients exposed to patients with influenza
  • To maintain optimal infection control practices