ASSIGNMENT : Outbreak Investigation Exercise

Three days into a voyage on a cruise ship 50 people developed fever, vomiting, and diarrhea. It was determined that all 50 of them attended a banquet the night before the onset of symptoms. You decide to take your team to investigate this sudden onset of illness among 50 people.

Requirements:

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Answer the following questions about your investigation:

How would you establish the existence of an outbreak?
What are steps or measures you will take to verify the diagnosis?
What will be your working case definition?
How will you find cases systematically and record information?
How will you communicate your findings of the investigations to the authorities and media?

SAMPLE SOLUTION

Outbreak Investigation Exercise

The investigation involves 50 people who developed fever, diarrhea, and vomiting who have been into a voyage on a cruise ship. The analysis will be based on facts that the 50 people attended a banquet before the onset of the symptoms. The following discussion shows how the investigating team will respond to the situation.

Establishing the Existence of an Outbreak

The decision regarding the nature and scope of an outbreak existence depends on various factors. Accurate investigation helps in defining the role of public health agencies. Our decision to establish the existence of an outbreak will be influenced by the severity of the illness, public relations, availability of control measures, the potential for spread, and available resources.  The team will first visit the site, analyze the situation, and establish whether the cases had a common cause (banquet) or related in any way. The investigators will use epidemiological approaches to analyze whether the situation is an outbreak, epidemic or pandemic. By understanding the exact ways that the disease/illness was acquired or transmitted, the team will know the source of infection and recommend the means to stopping the ailment or suffering.

Steps or Measures to Be Taken To Verify the Diagnosis Diagnosis is verified by first reviewing the clinical findings and the laboratory results to test inconsistencies. Ensure the lab technician use a recommended technique in analyzing results and secure sufficient sample specimens for future. Secondly, the medical and non-medical team members should visit many patients as possible to understand the clinical features of the outbreak. Conversation with patients can also help in generating…

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