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Disease Outbreak Qinghai  Medical College Wang Zhaofen Oct,27,2005
Investigating an Outbreak---a Challenge for the  Disease  Detective 1.What is an outbreak? 2.Uncovering Outbreaks 3.Why Investigate an Outbreak?
What Is an Outbreak? An outbreak, or an epidemic, exists when there are more cases of a particular disease: ,[object Object],[object Object],[object Object],[object Object]
Requirements of a Disease Outbreak ,[object Object],[object Object],[object Object]
Pathogen Mode of Transmission Factors  required for the development and maintenance of a disease outbreak Fig.1
Mode of Transmission in  Acute Outbreak of Disease ★ Person – to – person ★ common-source exposure
Uncovering Outbreaks ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why Initiate an Investigation? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Whether an Investigation Is Warranted? ◇ Apparent number of persons affected ◇ Presence of unusual or severe clinical symptoms ◇ Lack of an obvious explanation for disease  occurrence ◇ Perceived need to implement control  measures ◇ Level of public concern ◇ Potential for contributing to medical knowledge
Guidelines for Epidemiologic Field Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines for Epidemiologic Field Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Field Investigation: Time ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Field Investigation: Place ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Field Investigation: Person ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What interventions could terminate an outbreak? ◆ Removal or elimination of the source of the  pathogen  ◆ Blockage of the transmission process ◆ Elimination of susceptibility (eg, through  vaccination or medication )
Thank you

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Outbreak of disease ---www

  • 1. Disease Outbreak Qinghai Medical College Wang Zhaofen Oct,27,2005
  • 2. Investigating an Outbreak---a Challenge for the Disease Detective 1.What is an outbreak? 2.Uncovering Outbreaks 3.Why Investigate an Outbreak?
  • 3.
  • 4.
  • 5. Pathogen Mode of Transmission Factors required for the development and maintenance of a disease outbreak Fig.1
  • 6. Mode of Transmission in Acute Outbreak of Disease ★ Person – to – person ★ common-source exposure
  • 7.
  • 8.
  • 9. Whether an Investigation Is Warranted? ◇ Apparent number of persons affected ◇ Presence of unusual or severe clinical symptoms ◇ Lack of an obvious explanation for disease occurrence ◇ Perceived need to implement control measures ◇ Level of public concern ◇ Potential for contributing to medical knowledge
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. What interventions could terminate an outbreak? ◆ Removal or elimination of the source of the pathogen ◆ Blockage of the transmission process ◆ Elimination of susceptibility (eg, through vaccination or medication )