CASE STUDY

In July 2009, local, regional, state, and federal public health officials investigated a ___________ outbreak at a youth summer camp in North Carolina (kids ages 10-16). The investigation identified 46 laboratory-confirmed and probable ____________ cases at the camp. Analyses of data from a retrospective cohort study of staff members revealed that eating ____ from a sandwich bar that included camp-grown raw produce and sharing a cabin with an ill person were significantly associated with illness. This investigation underscores the importance of reducing the risk for ___________ transmission in camp settings and the value of _________ subtyping as a tool to elucidate _______________ epidemiology.

On June 24, owners of a North Carolina youth summer camp and health-care providers began identifying cases of diarrhea in campers and staff members and notified local public health officials. By June 30, local, regional, and state public health officials had identified four laboratory-confirmed cases of __________ and >30 cases of diarrhea at the camp. CDC was asked to collaborate on the investigation because no common outbreak exposure was identified and multiple potential outbreak sources were present at the camp. The investigation focused on identifying risk factors and implementing control measures to stop transmission at the camp.

So you are with Epidemiologists Unite!

You have some clues above.

Please be specific with your answers and do not answer generally

Q. What questions must you ask the campers and others on site?

Q. What needs specific investigation?

Q. How might animals be involved in disease transmission? Vectors?

Q. What are the potential diseases on your differential diagnosis?

Q. What is this mysterious disease?

Q. The media is at the camp and is trying to get information from anyone and everyone. One of the members of your team has been asked a question from the media. What do you do? Explain in detail.

Q. Why must you be extremely careful when interacting with the media?

Q. As an infectious disease epidemiologist, what future steps need to be taken here and elsewhere to help prevent more cases from occurring?

Q. Who would you collaborate with during the investigation and subsequent public health policy and administrative phases?

Q. Besides the campers, who else must you contact? Why?

You don’t have to fill the blanks. This is there just for me for not giving away the answers.


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