writing an outbreak report dr noorhaida ujang epid officer muar alor setar, 2013 1

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Basic Steps of an Outbreak Investigation 1.Verify the diagnosis and confirm the outbreak 2.Define a case and conduct case finding 3.Tabulate and orient data: time, place, person 4.Take immediate control measures 5.Formulate and test hypothesis 6.Plan and execute additional studies 7.Implement and evaluate control measures 8.Communicate findings

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Writing an Outbreak Report Dr Noorhaida Ujang Epid Officer Muar Alor Setar, Learning Objectives Understand the role of outbreak investigation reports Recognize elements to include in outbreak investigation reports Basic Steps of an Outbreak Investigation 1.Verify the diagnosis and confirm the outbreak 2.Define a case and conduct case finding 3.Tabulate and orient data: time, place, person 4.Take immediate control measures 5.Formulate and test hypothesis 6.Plan and execute additional studies 7.Implement and evaluate control measures 8.Communicate findings Why Communicate the Findings? Document for action Share new insights Record of performance Substantiate recommendations In order to Prevent future outbreaks Assist in investigation and control of similar incidents Provide a document for potential legal issues When is the Report Written? When the investigation is complete When the investigation is ongoing Further analysis of data collected in this investigation may require revision of these findings and recommendations. Because of the preliminary nature of this investigation, future correspondence, MMWR articles, or other published reports might present results, interpretations, and recommendations that are different. Who Writes the Report? The field epidemiology / outbreak team Visiting EIS officer Other authors as assigned All participating agencies must agree with what is in the report. Structure of Report Summary Background Methods Results Discussion Recommendations 7 Linking Sections Start with the end Recommendations are based upon conclusions Conclusions are based upon data and limitations of data Data collected is based up methods used Method used is based on study objectives Objectives are linked to the problem and be linked to the conclusions and recommendations 8 Order of Writing 1.Background 2.Methods 3.Results 4.Conclusions 5.Discussion 6.Summary 7.Title 9 Summary Newspaper article who, what, when, where One page 1 st parargraph 1 st sentence is general problem statement 2 nd sentence is specific problem. Following sentences describe problem outbreak potential End with objectives 2 nd paragraph methods 3 rd paragraph results 4 th paragraph recommendations 5 th paragraph actions taken 10 Background Describe disease sources, transmission, outbreak potential Describe population and place of outbreak Historic surveillance information Previous outbreaks Describe facility Maps 11 Outbreak Description How was reported Steps to confirm What was known to date Why was an investigation undertaken Objectives Who was on the team Describe initial reported cases 12 Methods Epidemiology Case definition Case finding Study design Describe target and study groups Sample size Data collection Plan of analysis Laboratory Sample collection tests Environmental studies Site visits 13 Results Include findings that lead to the conclusions. Rule in and rule out Response rate Number of cases identified Overall attack rate Descriptive epidemiology Hypothesis generated Analytical results 14 Table 1: Characteristics of people injured or killed by a landmine or ordnance explosion: May 1996-June 1998, Kabul City, Afghanistan CharacteristicLandmineOrdnanceTotal (278) (293)(571) Sex Female (13%) Male (86%) Unknown14 5 (1%) Mean age in years (SD)*243 (157)146 (119) 19.3 (14.7) Mean educational level (SD)*40(48)21 (25)2.7 (35) Primary occupation Daily worker* Farmer8210 Housewife11617 Shepherd Student* Teacher707 Unemployed Other Unknown *(p