POPM 3240 Lecture Notes - Lecture 11: Disease Surveillance, Public Health Surveillance, Clostridium
Document Summary
An outbreak refers to an increase, often sudden, in cases of disease above what is expected in the pop. An outbreak refers to a more localized situation in space/time, while epidemic often refers to a more widespread situation. There are several important steps to conducting an outbreak investigation: Steps often happen simultaneously, overlap or even take place in a different order, depending on the unique situation. Steps 1 & 2: determine existence of an outbreak and confirm the diagnosis. There are two main ways an outbreak is detected: community-identified: illness is reported by individuals, physicians or others to public health authorities. Forms of syndromic surveillance (emergency room visits, etc. ) are improving the rate at which outbreaks are being community-identified. Lab-identified: ongoing surveillance of lab isolates by health departments is performed to determine if the observed number of cases exceeds the expected level (lab/death records, disease registries, etc. ). Labs also monitor for unusual or rare strains of common pathogens.