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CASE 1

Jill is a nurse working with an international non-governmental organization.  As well as her nursing training, Jill completed a Masters degree in Public Health.  In her present posting, Jill is part of a project to provide health care services in a refugee camp that is situated in an isolated region of a country where there is an ongoing civil war. The health centre is very short staffed due to the recent departure of the team’s physician.  At present, Jill is running the small health clinic with one other nurse.  

Over the past two days ten individuals have been brought to the clinic with symptoms of cholera.   These individuals live in a village 20 kms to the East of the camp.  

How should Jill respond to this situation? She questions whether she should leave the health centre to go seek out the source of the outbreak, or to stay and treat the many patients who need her assistance.  The organization’s mandate is to treat the refugees.  How should this affect Jill’s response to the situation?

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