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Outbreak management
including quarantine,
isolation, contact tracing
Case scenario 1
• Mr. X, Medical Officer of a primary health centre noticed increased number of
cases with symptoms of fever, sore throat and cough during third week of March.
While taking detailed history one patient had a history of international travel 2
weeks back from a place where some of his friends also had similar illness. In the
next week, one of the tertiary care hospitals in the city reported increased number
of severe acute respiratory illness among admitted patients and two of them died
due to this. As a Medical Officer or a member of a district health care team, how
do you investigate this and manage the situation?
Case scenario 2
Dr. X was appointed as Medical Officer of the Primary Health Centre. One of his
field staff reported three cases of watery diarrhoea and dehydration (two mild and
one severe) in his field area and he referred them for admission to the hospital. As a
health professional what do you think about this episode and how do we proceed to
investigate and control the situation.
Case scenario 3:
Dr. X was on casualty duty that day. Mr. Y, 49 years old, presented to Medicine
casualty with high grade fever (3 days), retro-orbital pain, myalgia and rash. While
eliciting detailed history from the patient, he revealed that there was history of fever
and body ache for his brother and brother’s wife one week back for which they took
treatment in a private hospital. Mr. Y and his four brothers lived in nearby houses in
the same compound (within 300 metres). He took paracetamol on the first two days
of fever thinking that he was feverish as he walked in the rain the previous day. As a
health professional what do you think about this episode and how do we proceed to
investigate and manage the situation.
Case scenario 4:
Mr. A,17 years old, was brought to Medicine casualty with history of headache,
myalgia and vomiting in the past 2 days. He reached home only 4 days back after a
tour along with 13 friends. The day after he came home, he had mild fever and body
ache. He thought it might be due to tedious travel and took rest at home. But last
night his friend phoned him and said that one of their friends was taken to hospital
following fever, vomiting and loss of consciousness. As a health professional what
do you think about this episode and how do we proceed to investigate and manage
the situation.

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Outbreak management including quarantine, isolation, contact.pptx

  • 2. Case scenario 1 • Mr. X, Medical Officer of a primary health centre noticed increased number of cases with symptoms of fever, sore throat and cough during third week of March. While taking detailed history one patient had a history of international travel 2 weeks back from a place where some of his friends also had similar illness. In the next week, one of the tertiary care hospitals in the city reported increased number of severe acute respiratory illness among admitted patients and two of them died due to this. As a Medical Officer or a member of a district health care team, how do you investigate this and manage the situation?
  • 3. Case scenario 2 Dr. X was appointed as Medical Officer of the Primary Health Centre. One of his field staff reported three cases of watery diarrhoea and dehydration (two mild and one severe) in his field area and he referred them for admission to the hospital. As a health professional what do you think about this episode and how do we proceed to investigate and control the situation.
  • 4. Case scenario 3: Dr. X was on casualty duty that day. Mr. Y, 49 years old, presented to Medicine casualty with high grade fever (3 days), retro-orbital pain, myalgia and rash. While eliciting detailed history from the patient, he revealed that there was history of fever and body ache for his brother and brother’s wife one week back for which they took treatment in a private hospital. Mr. Y and his four brothers lived in nearby houses in the same compound (within 300 metres). He took paracetamol on the first two days of fever thinking that he was feverish as he walked in the rain the previous day. As a health professional what do you think about this episode and how do we proceed to investigate and manage the situation.
  • 5. Case scenario 4: Mr. A,17 years old, was brought to Medicine casualty with history of headache, myalgia and vomiting in the past 2 days. He reached home only 4 days back after a tour along with 13 friends. The day after he came home, he had mild fever and body ache. He thought it might be due to tedious travel and took rest at home. But last night his friend phoned him and said that one of their friends was taken to hospital following fever, vomiting and loss of consciousness. As a health professional what do you think about this episode and how do we proceed to investigate and manage the situation.