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  1. This programme is suitable for public health practioners, clinicians, microbiologists, public health inspectors, nurses and other relevant health care practitioners. In the event of an outbreak occurring, the EIP fellows under training should play an active role in the management of the outbreak.

  2. Step 1. Detect and confirm the outbreak and agent Health-care systems • Detection by surveillance systems • Indicator and event based surveillance • Epidemiological • Microbiological • Health-care facilities reports Other signals • Absenteeism from work, schools • Increased sales of certain medications Water quality • Media reports

  3. 1. Confirmation of Outbreak. Is there an increase in the number of cases expected in the population/time/place? Confirm numbers; interview cases, review laboratory findings. Is further investigation needed? The extent and urgency of the investigation should be considered. 2. Verify Diagnosis. Obtain medical records and laboratory reports.

  4. The WHO Outbreak Toolkit responds to the need for standardization of tools to improve comparability and sharing of data collected between investigation teams, locations, and time frames. The WHO Outbreak Toolkit is especially designed for complex emergencies and limited resource settings.

  5. 1. Why do we investigate outbreaks? Determine cause of disease. Identify source of infection. Determine mode of transmission. Understand who is at risk. Control/prevention of additional illnesses. Establish Existence of Outbreak. Surveillance data. Contact health care providers, neighboring counties, states, or national data. Don’t be fooled by:

  6. 10 Steps of an Outbreak Investigation. Identify investigation team and resources. Establish existence of an outbreak. Verify the diagnosis.

  7. Feb 1, 2015 · The reader will learn about the major ten steps in the investigation, with examples, which starts by confirming the existence of the outbreak, verifying the diagnosis, gathering case information, descriptive epidemiology, formulating and testing the hypothesis when necessary, conducting environmental surveys to supplement epidemiological evidenc...