{"id":7172,"date":"2026-04-16T14:30:00","date_gmt":"2026-04-16T13:30:00","guid":{"rendered":"https:\/\/services.nhslothian.scot\/carehomes\/?page_id=7172"},"modified":"2026-04-16T14:41:06","modified_gmt":"2026-04-16T13:41:06","slug":"outbreaks-prevention-testing-and-management-of-common-illnesses","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/carehomes\/outbreaks-prevention-testing-and-management-of-common-illnesses\/","title":{"rendered":"Outbreaks: Prevention, testing and management of common illnesses and infections"},"content":{"rendered":"\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Outbreak Information, Guidance and Education<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">This page provides information and guidance to help prepare for, and support people, with common infections which can be linked to outbreaks.<br><br>You will find information on prevention, testing and control of infection, including, <a href=\"#Education-available\">respiratory and gastrointestinal infections<\/a> and <strong><a href=\"#scabies-itchy\">scabies<\/a><\/strong>. You will also find details of the <a href=\"#Care-Home-Outbreak-Box\">Care Home Outbreak Box<\/a> for use in outbreaks or suspected outbreaks of gastrointestial or respiratory infection. Some of these infections tend to happen during the Winter months and may be referred to as Winter infections, Winter illnesses or Winter bugs but they can also happen outwith Winter. <br><br>Please visit the &#8220;<a href=\"http:\/\/Vaccination \u2013 Information on Power of Attorney\" target=\"_blank\" rel=\"noreferrer noopener\">Vaccinations and Power of Attorney<\/a>&#8221; webpage to find out more infomation on Care Homes residents consenting to vaccinations and Care Home preperation for a visit by the Vaccination team.<\/p>\n\n\n\n<p>Please visit the <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/health-protection\/\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Health Protection Service<\/a> webpage for outbreak notification forms for acute respiratory &amp; GI infections and Scabies.<\/p>\n\n\n\n<p class=\"has-light-accent-green-background-color has-background has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Further to the resources on this page the NHS Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) team in Scotland have launched a <a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/winter-preparedness-campaign-2025\/\" target=\"_blank\" rel=\"noreferrer noopener\">Winter Preparedness Campaign<\/a> . This contains additional information such as how to prepare for a potential outbreak; essential communications with staff and visitors if they are feeling unwell to help prevent a potential outbreak; and reflective discussions to learn from previous outbreaks.<br><br>ARHAI have also developed a page of various visuals (assets) that you can download and use, this includes: images to print off or use on socal media, email signatures and teams backgrounds. You can find these resources on the <a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/resources\/campaigns\/winter-planning\/winter-preparedness-campaign-assets\/\" target=\"_blank\" rel=\"noreferrer noopener\">Winter preparedness campaign assets&nbsp;<\/a>page.<\/p>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\"><strong>**Please note**<\/strong> <br>All documents and links on this page are reviewed (at least) annually, usually in the run up to Winter, please always check that you are using the most up to date version of any document. All documents reviewed October 2025 and updated as required.<\/p>\n\n\n\n<p class=\"has-text-align-center has-light-accent-plum-background-color has-background\">The most up to date national information and guidance can be found online within <a href=\"https:\/\/nipcm.hps.scot.nhs.uk\/care-home-infection-prevention-and-control-manual-ch-ipcm\/\" target=\"_blank\" rel=\"noreferrer noopener\">Care Home Infection Prevention and Control Manual (CH IPCM) <\/a>.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-left\" id=\"Education-available\">Video: Overview of common infections and related measures<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:500\">This short video has kindly been shared by <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/health-protection\/\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Health Protection Service<\/a> and covers <strong>common respiratory and gastrointestinal infections<\/strong>. These are most common during Winter although they may occur at other times of the year. This video includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>How to identify infection and interventions to limit transmission of infections and outbreaks.<\/li>\n\n\n\n<li>Testing processes and infection outbreak management<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-light-accent-grey-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Care home webinar Oct24 recording\" src=\"https:\/\/player.vimeo.com\/video\/1027617107?dnt=1&amp;app_id=122963\" width=\"1520\" height=\"855\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">All information correct to cover Winter 2025\/2026<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\" id=\"scabies-itchy\"><h2 id=\"at-71720\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Scabies<\/h2><div id=\"ac-71720\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">What is Scabies?<\/h4>\n\n\n\n<p>Scabies&nbsp;is a contagious (infectious) skin condition caused by the mite Sarcoptes scabiei var. hominis; it can be found in many areas, including, Care Homes and schools. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Groups most likely to be affected<\/h4>\n\n\n\n<p>Groups most at risk are those with a weakened immune system, elderly people and people who are disabled (particularly those with neurological disorders). <\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-light-accent-green-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\">Typical Scabies<\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">Signs and Symptoms<\/h5>\n\n\n\n<p>Infestations normally affect skin folds, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Between fingers<\/li>\n\n\n\n<li>On the: \n<ul class=\"wp-block-list\">\n<li>Wrist<\/li>\n\n\n\n<li>Elbows<\/li>\n\n\n\n<li>Knees<\/li>\n\n\n\n<li>Around the buttock or breast creases<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p> <br>The main symptom of scabies infestation is intense itching of affected areas, particularly at night. There can also be a pimple-like skin rash or tiny raised lines caused by the mite burrowing into the skin to lay eggs.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Transmission<\/h5>\n\n\n\n<p>Transmission normally only occurs with prolonged direct contact with an affected person, though can be spread indirectly via the sharing of clothing, towels or bedding. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-light-accent-green-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\"><strong>Crusted (Norwegian) Scabies&nbsp;<\/strong><\/h4>\n\n\n\n<p>Is a severe form of the disease.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Signs and Symptoms<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The skin develops thick crusts containing large amounts of mites\/eggs. <\/li>\n\n\n\n<li>Often persons with crusted scabies do not have the usual signs and symptoms making the disease harder to diagnose. <\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">Transmission<\/h5>\n\n\n\n<p>Crusted scabies is highly contagious either from direct or indirect contact and requires quick, aggressive treatment to prevent outbreaks.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading has-text-align-center\">Outbreaks<\/h4>\n\n\n\n<p>Outbreaks are most common in the winter and tend to occur in populations in close, prolonged contact, such as children in school\/nursery (and their parents) and nursing home residents.<br><br>Please visit the <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/health-protection\/\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Health Protection Service<\/a>&nbsp;webpage for outbreak notification forms for Scabies. Please remember it is a Care setting&#8217;s\/service&#8217;s responsibility to proactively implement control measures as per guidance immediately and independently in response to symptomatic residents.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-light-accent-grey-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center\"><strong>Incubation Period<\/strong><\/p>\n\n\n\n<p>&nbsp;Symptoms can appear 3 to 6 weeks after the initial infection. <br><br>However, these can occur earlier (1 to 3 days) in a reinfested person.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-light-accent-grey-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center\"><strong>Exclusion Period <\/strong><\/p>\n\n\n\n<p>24 hours after first treatment.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-light-accent-grey-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center\"><strong>Period of Infectivity<\/strong><\/p>\n\n\n\n<p>During incubation and infestation.<br><br>24 hours after treatment has commenced, individuals are no longer infectious.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading has-text-align-center\"><strong>Guidance and supporting materials<\/strong><\/h4>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\">Scabies Back to Basics Webinar<\/h4>\n\n\n\n<p class=\"has-text-align-center\">Please view the video of the <a href=\"https:\/\/www.nipcm.scot.nhs.uk\/media\/2370\/20241107-chipc2425-_6-scabies-recorded-presn-final-v010.ppsx\" target=\"_blank\" rel=\"noreferrer noopener\">Scabies Back to Basics webinar<\/a> (please note this is a download) available on the <a href=\"https:\/\/www.nipcm.scot.nhs.uk\/resources\/care-home-ipc-webinar-scabies-back-to-basics-23-october-2024\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Infection Prevention and Control Manual website<\/a>.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\"><strong>Scottish<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.nhsinform.scot%2Fillnesses-and-conditions%2Fskin-hair-and-nails%2Fscabies%2F&amp;data=05%7C02%7Chazel.stewart8%40nhs.scot%7Cf6fc3c40aab14a172cae08de963d9fa6%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C639113388568422536%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=rF%2FkfB0iqLNWa9gcVf0gml9YLmleYqgLgFIwNg8GpCU%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Scabies, (NHS Inform)&nbsp;<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fpublichealthscotland.scot%2Fpublications%2Fpublic-health-management-of-scabies%2Fpublic-health-management-of-scabies-version-1%2Foverview%2F&amp;data=05%7C02%7Chazel.stewart8%40nhs.scot%7Cf6fc3c40aab14a172cae08de963d9fa6%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C639113388568438897%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=Bl03kF0S8xGP5S7dPcHXMKeezxOSOPJ72qy5CnGYoFQ%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Public health management of scabies, (PHS)<\/a><\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\">UK<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Fscabies-management-advice-for-health-professionals%2Fukhsa-guidance-on-the-management-of-scabies-cases-and-outbreaks-in-long-term-care-facilities-and-other-closed-settings&amp;data=05%7C02%7Chazel.stewart8%40nhs.scot%7Cf6fc3c40aab14a172cae08de963d9fa6%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C639113388568474028%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=pODiFIWclV1P9Z3F%2FT7AFQnnx2NzeocgFZBudv1WPcE%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">UKHSA guidelines for the management of scabies cases and outbreaks in communal residential settings, (UKHSA)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fcks.nice.org.uk%2Fscabies&amp;data=05%7C02%7Chazel.stewart8%40nhs.scot%7Cf6fc3c40aab14a172cae08de963d9fa6%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C639113388568456913%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=48RESUDSKzgQJ2z34pYNcq9%2Fz1ldUElA7BkTZ1D2HKs%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Scabies. Clinical Knowledge Summary, (NICE)<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\" id=\"Care-Home-Outbreak-Box\"><h2 id=\"at-71721\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Care Home Outbreak Box &#8211; Gastrointestinal &amp; Respiratory<\/h2><div id=\"ac-71721\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-71722\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">How the boxes originated, information, feedback and questions<\/h2><div id=\"ac-71722\" class=\"c-accordion__content\">\n<p class=\"has-light-accent-green-background-color has-background\">The Care Home Outbreak Box (AKA Outbreak Grab Box) was initially suggested by the Midlothian Care Home Support Team (CHST) during Winter preparedness discussions in 2024 and how we may be able to assist Care Homes with outbreaks or suspected outbreaks in a way useful to them.<br><br>The opportunity for a box was then discussed at NHS Lothians weekly Operational Group Meeting, which has representatives from NHS Lothian, the four HSCPs, Care Inspectorate and Scottish Care. <br><br>It was suggested that we asked the Care Homes if they thought this type of box would be useful and 99% of respondents agreed that it would be a good resource to have access to.<br><br>100 boxes were created and offered to all Care Homes in Lothian, in December 2024 these were distibuted by the Care Home Support Team (CHST) in each local authority area. The uptake was very encouraging with the majority of Care Homes accepting a box. <br><br>After the initial supply of an outbreak box Care Homes are required to keep information up to date themselves with assistance as required from their CHST. Relevant documents will also be placed on this webpage to assist with updating materials. <br><br>The team behind the the Care Home Outbreak Box collated information to gain feedback on the boxes; what worked well and what didn&#8217;t work so well in relation to the boxes during an outbreak or suspected outbreak &#8211; so that we could ensure they meet the needs of Care Homes.<br><br>The responses from feedback were very positive, with 80% of respondents to a survey saying they had used the box and it\u2019s contents and 90% saying they would recommend others to use the box.<br><br>If you wish to give feedback on the Care Home Outbreak Box , ask questions or gain more information please do not hesitate to email <a href=\"mailto:loth.carehomesqistandards@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian Quality Improvement Team for Care Homes and Primary Care Settings<\/a> or contact your local CHST.<\/p>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">What is a Care Home Outbreak Box?<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Although it is recognised Care Homes manage outbreaks of infection well, the idea of the Care Home Outbreak Box (AKA Outbreak Grab Box) is to have outbreak information and resources available in one central point within the Care Home. <br><br>The Care Homes outbreak box aims to contain information required during an outbreak and contains guidance and posters on various aspects from PPE to sampling procedures.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"724\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label-1024x724.png\" alt=\"Care Home Outbreak Box Box Label\" class=\"wp-image-12332\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label-1024x724.png 1024w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label-300x212.png 300w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label-768x543.png 768w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label-1536x1086.png 1536w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label-1520x1075.png 1520w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Care-Home-Outbreak-Box-Box-Label.png 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<p>It is entirely voluntary if a Care Home chooses to have or use an outbreak box although the East Region Health Protection Service (formerly Health Protection Team (HPT)) do encourage their use during outbreaks or suspected outbreaks.<br><br>We do not have any physical outbreak boxes remaining, however, you can download all the materials below. <\/p>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-71723\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">What is in a Care Home Outbreak Box &#8211; downloadable materials<\/h2><div id=\"ac-71723\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>The Care Homes Outbreak Box consists of a <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/Label-for-Care-Homes-Outbreak-Box-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">label for the box<\/a>and the materials below: a red folder (gastrointestinal infection), a blue folder (respiratory infection) and additional information, such as, posters for outbreaks and hand hygiene<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Update for Winter 2025\/26<\/h5>\n\n\n\n<p>All information has been reviewed and where required updated for this 2025\/26 Winter season. There are some new items to the box which are highlighted below, please also see the <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/CH-Managers-Electronic-Letter-re-PCR-swabs-and-Winter-2025-2026.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Care Home Managers Letter <\/a>for information on PCR swabs for this year; this was emailed to all Care Homes in Lothian on October 13th 2025.<br><br>**Please note** All items below will open in a new window<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-light-accent-green-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\">Red Folder<\/h4>\n\n\n\n<p class=\"has-text-align-center has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Gastrointestinal Infection<\/p>\n\n\n<div class=\"wp-block-image is-style-rounded\">\n<figure class=\"aligncenter size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"887\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Gastrointestinal-1-1024x887.png\" alt=\"Gastrointestinal\" class=\"has-border-color has-accent-colour-border-color wp-image-12932\" style=\"border-width:5px\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Gastrointestinal-1-1024x887.png 1024w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Gastrointestinal-1-300x260.png 300w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Gastrointestinal-1-768x665.png 768w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Gastrointestinal-1.png 1288w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/1.-Contact-Precautions-Poster.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Contact Precauations Poster<\/a><\/li>\n\n\n\n<li><strong>**UPDATED for 2025\/26**<\/strong><br><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2026\/01\/Norovirus-Sampling-Poster-1-2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Norovirus Specimen Collection Guidance<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/3.-Bristol-Stool-Chart.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Bristol Stool Chart<\/a><\/li>\n\n\n\n<li><strong>**UPDATED for 2025\/26** <\/strong><a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/resources\/care-home-ipc-resource-for-gastro-intestinal-illness\/\" target=\"_blank\" rel=\"noreferrer noopener\">Care Home IPC Guidance for Gastrointestinal Infection V3<\/a> &#8211; includes checklists<\/li>\n\n\n\n<li><strong>**NEW for 2025\/26**<\/strong><br><a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/resources\/norovirus-key-steps-to-help-stop-the-spread-of-infection-poster\/\" target=\"_blank\" rel=\"noreferrer noopener\">Norovirus &#8211; key steps to help stop the spread of infection (poster)<\/a><\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-light-accent-green-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\">Blue Folder<\/h4>\n\n\n\n<p class=\"has-text-align-center has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Respiratory Infection<\/p>\n\n\n<div class=\"wp-block-image is-style-rounded\">\n<figure class=\"aligncenter size-large is-resized has-custom-border\"><img decoding=\"async\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Respiratory.png\" alt=\"Gastrointestinal\" class=\"has-border-color has-accent-colour-border-color\" style=\"border-width:5px;width:171px;height:auto\" \/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-standard-black-color has-text-color\"><strong>**NEW for 2025\/26** <\/strong><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Care-Homes-PCR-flowchart-2025-When-to-test.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">PCR Flow Chart &#8211; When to carry out a PCR test with Care Home Residents<\/a><\/li>\n\n\n\n<li><strong>**NEW for 2025\/26** <\/strong><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/PCR-Order-Form-v1-to-be-sent-with-sample.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">PCR Order Form &#8211; To be completed and sent with samples<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/1.-Droplet-Precautions-Poster.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Droplet Precautions Poster<\/a> <\/li>\n\n\n\n<li><strong>**UPDATED for 2025\/26** <\/strong><a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/resources\/care-home-ipc-resource-for-respiratory-illness\/\" target=\"_blank\" rel=\"noreferrer noopener\">Care Home IPC Guidance for Respiratory Infection V4<\/a> &#8211; includes checklists<\/li>\n\n\n\n<li><strong>**NEW for 2025\/26**<\/strong><br><a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/resources\/respiratory-infections-key-steps-to-stop-the-spread-poster\/\" data-type=\"page\" data-id=\"592\" target=\"_blank\" rel=\"noreferrer noopener\">Respiratory infections &#8211; key steps to stop the spread (poster)<\/a><\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-light-accent-green-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\">Additional Information<\/h4>\n\n\n<div class=\"wp-block-image is-style-rounded\">\n<figure class=\"aligncenter size-large is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1002\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Additional-Information-1024x1002.png\" alt=\"Additional Information\" class=\"has-border-color has-accent-colour-border-color wp-image-12960\" style=\"border-width:5px;width:199px;height:auto\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Additional-Information-1024x1002.png 1024w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Additional-Information-300x294.png 300w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Additional-Information-768x751.png 768w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Additional-Information-1165x1140.png 1165w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/Additional-Information.png 1393w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/1.-Donning-Doffing-PPE-Poster.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Donning &amp; Doffing PPE Poster<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/2.-WHO-4-Moments-of-Hand-Hygiene-Poster.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">WHO 4 Moments of Hand Hygiene Poster<\/a><\/li>\n\n\n\n<li><strong>**NEW for 2025\/26**<\/strong><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/How-to-hand-Wash.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> How to Hand Wash &#8211; Step by Step Poster<\/a><\/li>\n\n\n\n<li><strong>**NEW for 2025\/26**<\/strong><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/10\/How-to-hand-Rub.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> How to Hand Rub &#8211; Step by Step Poster<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2025\/06\/4.-Outbreak-in-Progress-Door-Sign-Poster.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Outbreak in Progress Door Sign Poster<\/a><\/li>\n\n\n\n<li><strong>**NEW for 2025\/26**<\/strong><br><a href=\"https:\/\/www.nipcm.hps.scot.nhs.uk\/resources\/campaigns\/winter-planning\/winter-preparedness-campaign-assets\/\" target=\"_blank\" rel=\"noreferrer noopener\">ARHAI Visuals for printing, web, email and teams backgrounds<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-71724\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Useful Links and Resources<\/h2><div id=\"ac-71724\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"useful-links-HPT\">Useful Links and Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/vaccination-information-on-power-of-attorney\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vaccination \u2013 Information on Power of Attorney<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/health-protection\/\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Health Protection Service \u2013 Formerly Health Protection Team (HPT)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/infection-prevention-and-control\/\" target=\"_blank\" rel=\"noreferrer noopener\">Infection Prevention and Contol Care Home Team (IPCT)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nhsinform.scot\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Inform Homepage<\/a> &#8211;  if you need more general information<\/li>\n\n\n\n<li><a href=\"https:\/\/www.nss.nhs.scot\/departments\/antimicrobial-resistance-and-healthcare-associated-infection-scotland\/\" target=\"_blank\" rel=\"noreferrer noopener\">Antimicrobial Resistance and Healthcare Associated Infection Scotland (ARHAI)<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Updated April 2026 AP and HS<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Outbreak Information, Guidance and Education This page provides information and guidance to help prepare for, and support people, with common infections which can be linked to outbreaks. You will find information on prevention, testing and control of infection, including, respiratory and gastrointestinal infections and scabies. You will also find details of the Care Home Outbreak<\/p>\n","protected":false},"author":47,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/mainmenuvertical.php","meta":{"footnotes":""},"categories":[],"class_list":["post-7172","page","type-page","status-publish","hentry"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"hazelstewart","author_link":"https:\/\/services.nhslothian.scot\/carehomes\/author\/hazelstewart\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"Outbreak Information, Guidance and Education This page provides information and guidance to help prepare for, and support people, with common infections which can be linked to outbreaks. You will find information on prevention, testing and control of infection, including, respiratory and gastrointestinal infections and scabies. You will also find details of the Care Home Outbreak","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/7172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/users\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/comments?post=7172"}],"version-history":[{"count":60,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/7172\/revisions"}],"predecessor-version":[{"id":14219,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/7172\/revisions\/14219"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/media?parent=7172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/categories?post=7172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}