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The NEEG’s successful structure and incident management approach is also used within APHA for other disease threats, such as bovine tuberculosis (bTB) or investigations of imported disease cases (such as Brucella canis from dogs). Read our blog on this scenario.

Once the recording begins, you will need to remain still throughout the test. Your healthcare provider may monitor you through a window in an adjoining room to observe any movements that can cause an inaccurate reading, such as swallowing or blinking. The recording may be stopped periodically to let you rest or reposition yourself. The NEEG leads regular training for veterinary, technical, and scientific staff. This includes training APHA vets on how to perform the duty epidemiologist role, how to draft epidemiological reports and briefs for the UK CVOs and how to conduct veterinary risk assessments. Once the test is completed, the electrodes will be removed and the electrode paste will be washed off with warm water, acetone, or witch hazel. In some cases, you may need to wash your hair again at home. Your healthcare provider will inform you when you may resume any medicines you stopped taking before the test. In cases where prolonged inpatient monitoring is not possible, your doctor may consider doing an ambulatory EEG.

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Along with gas we engage with water and electricity sectors. We also focus on standards, approvals and accreditations, house building policy and utility supply chain opportunities in UK infrastructure projects. We have strong engagement with and support from many organisations including Ofgem, BEIS, Utility Skills, BSI, HSE, ENA, LRQA, Achilles UVDB, HSE, Geospatial Commission, WRAS, Homes England and Homes Scotland and HS2. The group’s purpose is to provide the UK CVOs and both Defra and devolved administration policy teams with expert epidemiological opinion relevant to government policies designed to protect the UK from disease threats. Follow any directions your healthcare provider gives you about reducing your sleep the night before the test. Some EEG tests require that you sleep through the procedure, and some do not. If the EEG is to be done during sleep, adults may not be allowed to sleep more than 4 or 5 hours the night before the test. Children may not be allowed to sleep for more than 5 to 7 hours the night before. The NEEG is an APHA emergency group which is rapidly formed in response to disease incidents which have the potential for high impact on animal or public health, and rapid spread. These notifiable animal diseases must be reported to APHA. Typically, the NEEG is mobilised once a notifiable disease has been identified by our diagnostic team and confirmed at a disease confirmation teleconference led by the UK’s Chief Veterinary Officer (CVO) or the CVO for Wales, Scotland or Northern Ireland (depending on the where the outbreak is). One of the strengths of the NEEG is that it can also be mobilised before disease is confirmed, if there is a strong suspicion of a notifiable disease. This significantly increases the speed of the disease investigation, especially the gathering of potential source and spread tracings, which are key to disease control. UK Chief Veterinary Officer, Christine Middlemiss Each team plays a different role, bringing different skillsets to the virtual team across the UK with the overarching goal being the successful and timely response to the outbreak.

In between outbreaks, capability, expertise and relationships are maintained via specialised training and simulation exercises. The NEEG Management Team meet monthly to ensure all aspects of the ongoing outbreak preparedness development programme are up-to-date and still fit for purpose. Body or eye movement during the tests (but this will rarely, if ever, significantly interfere with the interpretation of the test) The virtual multidisciplinary NEEG relies heavily on key relationships with a range of experts, for example research and diagnostic scientists; disease experts; risk analysts; species experts; and teams that trace movements of infected animals and people (at Cardiff Customer Service Centre); international trade and disease monitoring. Inter-relationships between the science and policy groups during a disease outbreak are key to a successful response, and therefore many groups and committees meet and work collaboratively together to control and eradicate the disease during the outbreak. For this reason, a series of daily and weekly meetings are always established at the start of an outbreak to coordinate all activities, participants and events. An EEG may be done on an outpatient basis, or as part of your stay in a hospital. Procedures may vary depending on your condition and your healthcare provider's practices. Talk with your healthcare provider about what you will experience during your test.Other risks may be present, depending on your specific medical condition. Be sure to discuss any concerns with your healthcare provider before the procedure. The NEEG also provides expert input to national and local animal disease exercises. These simulations demonstrate the agency’s emergency preparedness capability to deal effectively with outbreaks of exotic notifiable diseases of animals. Each field team takes part in at least one full-scale simulation exercise per year involving many of our partners and stakeholders. Exercise assessment and the lessons learned from them is then used to highlight and promote best practice and to review and update contingency plans. People with lesions of their brain, which can result from tumors or stroke, may have unusually slow EEG waves, depending on the size and the location of the lesion. There may be other reasons for your healthcare provider to recommend an EEG. What are the risks of an EEG? Tell your healthcare provider of all medicines (prescription and over-the-counter) and herbal supplements that you are taking.

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