Outbreak is a term used in epidemiology to describe an occurrence of disease greater than would otherwise be expected in a particular time and place. It may be small and localized group or impact upon thousands of people across an entire continent. Two linked cases of a rare infectious disease may be sufficient to constitute an outbreak. Outbreaks may also refer to epidemics, which affect a region in a country or a group of countries, or pandemics, which describe global disease outbreaks.
Outbreak Investigation
When investigating disease outbreaks, the epidemiology profession has developed a number of widely accepted steps. As described by the Centers for Disease Control and Prevention, these include the following1:
- Verify the diagnosis related to the outbreak
- Identify the existence of the outbreak: is the group of ill persons normal for the time of year, geographic area, etc.?
- Create a case definition to define who/what is included as a case
- Complete descriptive epidemiology: describe outbreak with respect to time, place, and people
- Develop a hypothesis: what appears to be causing the outbreak?
- Study hypothesis: collect data and perform analysis
- Refine hypothesis and carry out further study
- Develop and implement control and prevention systems
- Release findings to greater community
Types
- Common source (Point source)
- Propagated
- Continuous source
- Behavioral risk related
- Zoonotic
Outbreak legislation
Outbreak legistlation is still in its infancy and not many countries have had a direct and complete set of the provisions 2, 3. However, some countries do manage the outbreaks using relevant acts, such as public health law 4.
Notes
- ^ EXCITE | Epidemiology in the Classroom | Outbreak Steps
- ^ Bioterrorism Training and Curriculum Development Program. "Outbreak Law". Retrieved on 2 August, 2008.
- ^ Star Publications. "‘Outbreak actions protected by law’". Retrieved on 2 August, 2008.
- ^ The State of Queensland Government. "Legislation and Powers of Entry". Retrieved on 2 August, 2008.
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