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Outbreak Investigation/Surveillance Report part 2 PUBH 625

Resources:
https://www.who.int/emergencies/disease-outbreak-news/item/02-march-2018-cholera-drc-en
https://www.youtube.com/embed/dtM1lQYCdZ8?rel=0&autoplay=1&iv_load_policy=3
https://www.cdc.gov/csels/dsepd/
PART 2:
  1. Perform descriptive epidemiology (CDC Steps 6)
    • Provide the following information:
      • Systematic description of some of the key characteristics of the persons affected (descriptive epidemiology) that includes:
        • Time
        • Geographic distribution (place)
        • Populations affected by the disease (person)
  2. Develop hypotheses (CDC Steps 7)
    • Provide the following information:
      • Testable hypotheses
      • Things to consider:
        • What is known about the disease itself
        • Agent’s usual reservoir
        • How it is usually transmitted
        • Vehicles commonly implicated
        • Known risk factors
        • Other suspects
  3. Evaluate hypotheses epidemiologically (CDC Steps 8)
    • Provide the following information:
      • Evaluation of the plausibility of your hypotheses by one of two methods:
        • By comparing the hypotheses with the established facts
        • By using analytic epidemiology to quantify relationships and assess the role of chance
  4. As necessary, reconsider, refine, and re-evaluate hypotheses (CDC Steps 9)
    • Provide the following information:
      • In the situation in which analytic epidemiology is unrevealing, you should rethink your hypotheses
        • Consider interviewing case-patients to look for common links
        • Consider new vehicles or modes of disease transmission
    • The hypothesis may still need to be honed even when an association between an exposure and disease is identified
      • What questions still remain unanswered about the disease and what kinds of investigative study might reveal answers to those questions?

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