Dicker.tephinet Case Study Information Form.2011!12!2
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Transcript of Dicker.tephinet Case Study Information Form.2011!12!2
Page 5
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Gastroenteritis Following a Church Supper
Short Title, if any
Oswego
Version (Year)Version CDC Code (YYX-MYY), if any
2007401-N07
Tags / Keywords
Outbreak investigation Steps Epidemic curve Food-specific attack rates Foodborne Staphylococcus
Brief Description
S. aureus outbreak among church picnic attendees, 1940; the classic, straightforward outbreak investigation in a defined population
Objectives
Define the terms cluster, outbreak, and epidemic; List the steps in the investigation of an outbreak; Draw, interpret, and describe the value of an epidemic curve; Calculate and compare food-specific attack rates to identify possible vehicles; List reasons for investigating an outbreak that has apparently ended.
Setting CountrySetting Year
United States1940
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1940
Authors of Original VersionUpdaters, Editor(s)
Wendell Ames, Stafford WheelerAlex Langmuir, Richard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xOswego.participant.401-N07.pdfxOswego.instructor.401-N07.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xOswego.Ref - Compendium.2006b.pdfxOswego.Ref - Gross.Oswqgo Revisited.PHR 1976.pdfxOswego.Ref - MMWR Supp 2006.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Epidemic Disease in South Carolina
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2010471-510
Tags / Keywords
Outbreak investigation Descriptive epidemiology Generate hypotheses Unknown disease Graphing non-ID
Brief Description
Based on Goldberger's studies of pellagra in the Southeastern United States in the 1910s; uses descriptive epidemiology and biologic categories of disease; presented as an unidentified illness (no clinical info) to focus thinking on epidemiologic features. Good as either introductory (descriptive epi) or wrap-up (epidemiologic reasoning) exercise.
Objectives
Apply the principles of descriptive epidemiology (time, place, person) in the investigation of a disease outbreak;
Characterize the epidemiology of a disease with appropriate tables, graphs, and charts, and generate hypotheses related to etiology.
Setting CountrySetting Year
United States1910s
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1947
Authors of Original VersionUpdaters, Editor(s)
Alex LangmuirRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xUnkDis_SC.participant.471-510.part1.pdfxUnkDis_SC.instructor.471-510.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xUnkDis_SC.participant.471-510.part2.pdfxUnkDis_SC.Ref - Fact Sheet.doc xUnkDis_SC.Ref - Harkness.PHR 1996.pdfxUnkDis_SC.Ref - Marks.2003.pdfxUnkDis_SC.Ref - Rajakumar.2000.pdfxUnkDis_SC.Ref - Schultz.AJE1977.pdfxUnkDis_SC.Ref - WHO 2000.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Jaundice in a Rural County
Short Title, if any
West Branch Hepatitis, Ogemaw County
Version (Year)Version CDC Code (YYX-MYY), if any
2011701-X11
Tags / Keywords
Outbreak investigation Case definition Epidemic curve Attack rates Time, place, person Hepatitis A Foodborne
Brief Description
Community outbreak of hepatitis A associated with glazed pastries, 1968; an outbreak investigation in a community.
Objectives
Define the term epidemic,
Create a case definition and explain its importance in an outbreak investigation,
Draw and interpret an epidemic curve,
Calculate an attack rate,
Characterize an outbreak by time, place, and person.
Setting CountrySetting Year
United States1968
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1970
Authors of Original VersionUpdaters, Editor(s)
Virgil Peavy, Fred HoeslyRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xWest Branch Hep.participant.701-X11.pdfxWest Branch Hep.instructor.701-X11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xWest Branch.ref Schoenbaum.AJE 1976.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Epidemic Measles in a Divided City
Short Title, if any
Texarkana
Version (Year)Version CDC Code (YYX-MYY), if any
2005711-505
Tags / Keywords
Outbreak investigation Case definition Vaccine efficacy
Attack rates Measles
Brief Description
Measles outbreak in a community on the border of two states the Arkansas side with required school immunization and high immunization rates, the Texas side without required immunization and low immunized rates, 1970.
Objectives
Discuss the advantages and disadvantages of using a sensitive and/or specific case definition in an epidemic investigation;
Calculate vaccine efficacy and discuss its interpretation; and
Discuss the advantages and limitations of selecting a specific age as the recommended target date for administering vaccinations.
Setting CountrySetting Year
United States1970
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1971
Authors of Original VersionUpdaters, Editor(s)
Philip Landrigan, Lyle Conrad, John WitteRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xTexarkana.participant.711-505.pdfxTexarkana.instructor.711-505.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xTexarkana.Ref - Landrigan.JAMA 1972.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Cigarette Smoking and Lung Cancer
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2011731-611
Tags / Keywords
study design Case-control study Prospective cohort study Bias Rate ratio Odds ratio Attributable risk percent Causation Analytic epidemiology non-ID
Brief Description
Based on the classic studies (both case-control study and cohort study of physician mortality) of Doll and Hill, 1950's; addresses study design, interpretation of measures of association, measures of impact, criteria of causation
Objectives
Define case-control and cohort studies and the advantages and disadvantages of each;
List some of the biases that might have affected these studies;
Describe person-time;
Calculate and interpret an odds ratio and a rate ratio; Review the criteria for causation.
Setting CountrySetting Year
United Kingdom1950s
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1973
Authors of Original VersionUpdaters, Editor(s)
Clark Heath, Godfrey Oakley, David Erickson, Howard OryNancy Binkin, Julie Magri, Richard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xSmoking.Student.731-611.pdfxSmoking.Instructor.731-611.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xSmoke.Ref - RichardDollInterview.pdfxSmoke.Ref - Doll and Hill original pub.pdfxSmoke.Ref - BMJ Doll and Hill followup.pdfxSmoke.Ref - BMJ Stampfer editorial on Doll and Hill followup.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Enteritis During a Pilgrimage to Mecca
Short Title, if any
Mecca
Version (Year)Version CDC Code (YYX-MYY), if any
2011801-611
Tags / Keywords
Outbreak investigation Case definition Epidemic curve Food-specific attack rates Foodborne C. perfringens
Brief Description
C. perfringens outbreak among members of the Kuwaiti medical mission during the pilgrimage to Mecca, 1979; a very straightforward outbreak investigation in a defined population with only 3 foods.
Objectives
Define the term epidemic;
Create and understand the uses of a case definition;
Draw an epidemic curve;
Calculate food-specific attack rates;
List the steps in investigating an acute outbreak.
Setting CountrySetting Year
Saudi Arabia1979
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1980
Authors of Original VersionUpdaters, Editor(s)
Fred Hoesly, Virgil PeavyRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xMecca.Participant.801-611.pdfxMecca.Instructor.801-611.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Vinyl Chloride Exposure and Angiosarcoma of the Liver
Short Title, if any
Vinyl Chloride, Vinyl Chloride and Cancer
Version (Year)Version CDC Code (YYX-MYY), if any
2011773-X11
Tags / Keywords
Cluster Occupational
proportionate mortality ratio (PMR) standardized mortality ratio (SMR) retrospective cohort study person-years
Brief Description
Four cases of hepatic angiosarcoma among polyvinyl chloride workers, 1974; addresses proportionate mortality ratio, standardized mortality ratio, persontime denominators
Objectives
Define and calculate a proportionate mortality ratio (PMR) and standardized mortality ratio (SMR) Discuss the strengths and weaknesses of the retrospective cohort study design, Describe and calculate person-years at risk, Discuss the key issues involved in selecting an appropriate study population.
Setting CountrySetting Year
United States1974
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1977
Authors of Original VersionUpdaters, Editor(s)
Henry Falk, Richard WaxweilerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xVinyl chloride.Participant.773-X11.pdfxVinyl chloride.Instructor.773-X11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xVinyl chloride.Ref - Waxweiler.NYAcadSci 1976.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Oral Contraceptive Use and Ovarian Cancer
Short Title, if any
OCs and Ovarian Cancer
Version (Year)Version CDC Code (YYX-MYY), if any
2011811-X11
Tags / Keywords
data analysis bias case-control study Mantel-Haenszel adjusted odds ratios confidence interval effect modification confounding non-ID
Brief Description
One of the first studies to address the association between oral contraceptive use and ovarian cancer; conducted by CDC using a multicenter case-control study design, 19801982
Objectives
List the elements needed for Informed Consent in an epidemiologic study Outline the sequence of an epidemiologic analysis Discuss the biases of particular concern in case-control studies and ways to minimize their influence Describe why and when to use crude and adjusted odds ratios and 95% confidence intervals, and how to interpret them Define and recognize effect modification and confounding
Setting CountrySetting Year
United States19801981
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1981
Authors of Original VersionUpdaters, Editor(s)
Richard Dicker, Peter LaydeRichard Dicker, Julie Magri
File Name of Student / Participants GuideFile Name of Instructors Guide
xOCs OvCa.participant.811-X11.pdfxOCs OvCa.Instructor.811-X11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xOCs OvCa.Ref - JAMA 1983 orig article.pdfxOCs OvCa.Ref - Lancet 2008 analysis.pdfxOCs OvCa.Ref - Lancet 2008 comment.pdfxOCs OvCa.Ref - Lancet 2008 editorial.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Hemorrhagic Fever in Africa
Short Title, if any
Ebola
Version (Year)Version CDC Code (YYX-MYY), if any
2010812-N10
Tags / Keywords
Outbreak investigation Unknown cause; steps Case definition Time, place, person Attack rates Modes of transmission Epidemic curve Stratified analysis
Incubation period
Brief Description
Investigation of the first recognized outbreak of Ebola hemorrhagic fever, in Zaire (now DRC), 1976; a practical outbreak investigation
Objectives
List the criteria for deciding whether a field investigation is warranted; Describe the key tasks involved in investigating an epidemic of unknown cause, and, given a real outbreak, perform each step; Describe the components of a case definition, and develop a case definition for a new disease; and Given the appropriate data, perform descriptive epidemiology and explain the importance of this step.
Setting CountrySetting Year
Zaire (now Democratic Republic of Congo)1976
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1981
Authors of Original VersionUpdaters, Editor(s)
David Heymann, Wayne BrownRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xEbola.participant.812-N10.pdfxEbola.instructor. 812-N10.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xEbola.Ref -Nat History.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
A Mixed Bag in Michigan
Short Title, if any
PBBs in Michigan
Version (Year)Version CDC Code (YYX-MYY), if any
2011813-D11
Tags / Keywords
Environmental exposure Sample size Sampling Survey Agency roles Registry Descriptive epidemiology Graphing non-ID
Brief Description
Based on the exposure of farm animals to feed contaminated with polybrominated biphenyl in 1973, and the subsequent concerns about human health.
Objectives
Describe the role of each government agency involved in a contaminated food situation;
Discuss different options for studying the human health effects following an environmental exposure;
Calculate sample size requirements for a community survey;
Discuss the reasons for and limitations of a registry following an environmental exposure.
Setting CountrySetting Year
United States1973
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1981
Authors of Original VersionUpdaters, Editor(s)
Clark HeathTom Gomez, Dori Reissman, Richard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xPBBs.participant.813-D11.pdfxPBBs.instructor.813-D11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Tampons and Toxic Shock Syndrome
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2004831-704
Tags / Keywords
Matching Case-control study Data analysis Control selection Odds ratio Bias Confounding
Brief Description
The initial outbreak investigations of toxic shock syndrome in 1980 using a series of matched case-control studies. Case study focuses on matching, secondarily on surveillance.
Objectives
Describe the concepts, applications, and limitations of matching in case-control studies; Analyze matched case-control data; and Discuss the issues involved in appropriate selection of controls in case-control studies.
Setting CountrySetting Year
United States1980
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1983
Authors of Original VersionUpdaters, Editor(s)
Richard Dicker, Ruth BerkelmanRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xTSS.participant.831-704.pdfxTSS.instructor.831-704.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xTSS.Ref - Shands.NEJM 1980.pdfxTSS.Ref - Schlech.JAMA 1982.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Screening for Antibodies to the Human Immunodeficiency Virus
Short Title, if any
Screening for HIV
Version (Year)Version CDC Code (YYX-MYY), if any
2011871-111
Tags / Keywords
Screening Sensitivity Specificity Predictive value positive Predictive-value negative;
Brief Description
Hypothetical health department anticipating the release of the first HIV antibody test in 1985. Case study focuses on screening issues.
Objectives
Define and perform calculations of sensitivity, specificity, predictive-value of a positive test, and predictive-value of a negative test; Describe the relationship between prevalence and predictive value; Discuss the trade-offs between sensitivity and specificity; List the principles of a good screening program.
Setting CountrySetting Year
United States1985
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1987
Authors of Original VersionUpdaters, Editor(s)
Lyle Peterson, Guthrie Birkhead, Richard DickerRichard Dicker, Julie Magri
File Name of Student / Participants GuideFile Name of Instructors Guide
xScreeningHIV.student.871-111.pdfxScreeningHIV.instructor.871-111.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xScreeningHIV.Ref - UNC.ERIC.Dx, Screen Tests.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Epidemic of Thyrotoxicosis
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2003873-703
Tags / Keywords
Outbreak investigation Unknown cause Agency roles Case definition Causation Foodborne non-ID
Brief Description
Outbreak with unknown etiology and mode of transmission, crossing state lines, 1985; a nice wrap-up study, but domestic U.S. focus.
Objectives
Define and perform calculations of sensitivity, specificity, predictive-value of a positive test, and predictive-value of a negative test; Describe the relationship between prevalence and predictive value; Discuss the trade-offs between sensitivity and specificity; List the principles of a good screening program.
Setting CountrySetting Year
United States1985
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1987
Authors of Original VersionUpdaters, Editor(s)
Frederic Shaw, Richard DickerRichard Dicker, Julie Magri
File Name of Student / Participants GuideFile Name of Instructors Guide
xThyrotox.participant.873-703.pdfxThyrotox.instructor.873-703.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xThyrotox.Ref - Hedberg.NEJM 1987.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Paralytic Illness in Ababo
Short Title, if any
Ababo
Version (Year)Version CDC Code (YYX-MYY), if any
2011891-N11
Tags / Keywords
incidence, prevalence Case-fatality rate Surveillance Case report form Case definition Sensitivity
Polio Descriptive epidemiology Generate hypotheses Cross-sectional survey
Brief Description
Development of a surveillance system for polio and lameness in a fictitious African country in 1991
Objectives
Define incidence, prevalence, and case-fatality rate; Define surveillance and identify the key features of a surveillance system; List the types of information that should be collected on a surveillance case report form; List the factors that can account for a change in the reported incidence of a disease; Define sensitivity of a surveillance system, and the effect of different case definitions on sensitivity.
Setting CountrySetting Year
Ababo (fictional African country)About 1991
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1989
Authors of Original VersionUpdaters, Editor(s)
Nancy BinkinRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xAbabo.participant.891-N11.pdfxAbabo.instructor.891-N11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
l-Tryptophan and Eosinophilia-Myalgia Syndrome
Short Title, if any
EMS
Version (Year)Version CDC Code (YYX-MYY), if any
2011901-N11
Tags / Keywords
Surveillance Unknown disease Case definition Case-control study\ Cohort study Bias Risk ratio, odds ratio Attributable risk percent Causation non-ID
Brief Description
National epidemic of a new syndrome in 1989 quickly traced to a commercial product. Case study addresses surveillance, bias, criteria for causation.
Objectives
Discuss issues related to rapid establishment of national surveillance for a newly recognized and little understood disorder;
Discuss development of case definitions;
Describe the elements of design and the advantages and disadvantages of casecontrol versus cohort studies;
Discuss some of the biases that might have affected these studies;
Calculate and interpret a relative risk, odds ratio, and attributable risk percent;
List and evaluate the criteria for causation..
Setting CountrySetting Year
United States1989
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1990
Authors of Original VersionUpdaters, Editor(s)
Leslie Swygert, Richard Dicker Richard Dicker, Philip Brachman
File Name of Student / Participants GuideFile Name of Instructors Guide
xEMS.participant.901-N11.pdfxEMS.instructor. 901-N11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
A Measles Outbreak in a Highly Vaccinated Population
Short Title, if any
Measles in Burundi
Version (Year)Version CDC Code (YYX-MYY), if any
2011911-111
Tags / Keywords
Vaccination coverage Sampling WHO EPI Survey Vaccine efficacy Case definition Measles
Brief Description
An outbreak of measles occurred in health sector Muyinga (Burundi), several years into an apparently successful vaccination program. This case study addresses estimation of vaccine coverage and vaccine efficacy in the field.
Objectives
Discuss methods for estimating vaccination coverage; Describe the difference between a convenience sample and a probability sample; Describe the sampling method used in WHO-EPI surveys; and
Calculate and interpret vaccine efficacy.
Setting CountrySetting Year
Burundi1988
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1991
Authors of Original VersionUpdaters, Editor(s)
Robert Chen, Bernard Morniere, Richard DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xBurundi.student.911-111.pdfxBurundi.instructor.911-111.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xBurundi.Ref - bullwho00089-0084.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Rapid Assessment of Health Status and Preventive Medicine Needs of Kampuchean Refugees in Thailand
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2011921-211
Tags / Keywords
Refugees
Surveillance Sampling Survey Age-specific mortality morbidity rate
Anthropometric data Nutrition
Brief Description
Development of surveillance system to identify health problems among Kampuchean (Cambodian) refugees in 1979 and target interventions accordingly.
Objectives
List health problems common among refugee populations; Identify sources of health information on persons living in refugee camps; Calculate crude and age-specific mortality and morbidity rates; Discuss the strengths and weaknesses of different survey methods for assessing the health needs of a displaced population; and Use anthropometric data to determine nutritional status of the population.
Setting CountrySetting Year
Thailand1979
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1992
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-GreenRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xKampucheanRefugee.participant.921-211.pdfxKampucheanRefugee.instructor.921-211.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xRefugee.Ref - MSF.Rapid_Health_Assess.pdfxRefugee.Ref - MSF.Refugee Health 1997.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Surveillance for E. coli O157:H7 Information for Action
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2007941-707
Tags / Keywords
Surveillance Notifiable disease Case report form Descriptive epidemiology Decision-making One Health
Brief Description
Focuses on whether E. coli O157:H7 should be added to Oregons reportable disease list, and the difficulties in dealing with an outbreak apparently linked to raw milk, 1993
Objectives
Discuss the process and criteria for placing a disease or condition on a state or national notifiable disease list;
List the categories of information that should be included in a surveillance instrument;
Summarize and interpret surveillance data;
Recognize difficulties in balancing public health concerns with consumer and industry considerations in emerging issues.
Setting CountrySetting Year
United States1993
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1994
Authors of Original VersionUpdaters, Editor(s)
Julie Crom, Richard DickerRichard Dicker, Julie Magri
File Name of Student / Participants GuideFile Name of Instructors Guide
xSurveillance E coli.Participant.941-707.pdfxSurveillance E coli.Instructor.941-707.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xSurveillance E coli.Ref - Keene JID 1997.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Outbreak of Group A Pharyngitis in Louisiana
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2011942-211
Tags / Keywords
Outbreak investigation Outbreak steps Case definition Questionnaire
Epidemic curve Food-specific attack rates Epi Info Data analysis Transmission Decision-making
Brief Description
Investigation of an outbreak of Streptococcal pharyngitis traced to foodborne transmission at a school banquet. Case study requires use of Epi Info and two small data files.
Objectives
Define the terms cluster, outbreak, and epidemic;
List the steps of an outbreak investigation;
Create a case definition and explain its importance in an outbreak investigation;
List five types of information to include in an outbreak questionnaire; Draw, interpret, and describe the value of an epidemic curve;
Calculate food-specific attack rates and risk ratios;
Use EPI INFO to perform basic descriptive analysis and cross-tabulations of epidemiologic data.
Setting CountrySetting Year
United States1991
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1994
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green, Richard DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xPharyngitis.participant.941-211.pdfxPharyngitis.instructor.942-211.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xPharyngitis.mdbxPharyngitis.Ref - Farley JID 1993.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Acute Renal Failure and a Long Night in Haiti
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2011971-111
Tags / Keywords
Outbreak investigation Outbreak steps Case definition Decision-making
Diethylene glycol
Non-ID
Brief Description
An outbreak of acute renal failure deaths among children in Haiti, eventually traced to paracetamol contaminated with diethylene glycol.
Objectives
Describe the questions and decisions to be addressed before departing on a field investigation;
List the steps of an outbreak investigation;
List the components of a case definition;
Discuss the role of epidemiologic evidence in public health decision-making.
Setting CountrySetting Year
Haiti1996
Case Study Source InstitutionCase Study Year Written
CDC (EIS)1997
Authors of Original VersionUpdaters, Editor(s)
Richard Dicker, Linda DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xARF Haiti.participant.971-111.pdfxARF Haiti.instructor.971-111.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xARF Haiti.Ref - O'Brien Selanikio.JAMA.pdfxARF Haiti.Ref - Woolf.editorial.JAMA.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
No Fair Warning: An Outbreak Following the 1999 Washington County Fair
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2005000-805
Tags / Keywords
Outbreak investigation Reasons to investigate Outbreak steps Case definition Epidemic curve E. coli Waterborne Generate hypotheses Choosing controls
Brief Description
Large outbreak of both E. coli and Campylobacter traced to unregulated fairground water supply, 1999; another straightforward outbreak investigation.
Objectives
List the reasons to investigate an outbreak;
List and discuss each step in the investigation of an outbreak;
Describe the features of an appropriate case definition; and
Construct an epidemic curve.
Setting CountrySetting Year
United States1999
Case Study Source InstitutionCase Study Year Written
CDC (EIS)2000
Authors of Original VersionUpdaters, Editor(s)
Richard DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xWashCo Fair.participant.000-805.pdfxWashCo Fair.instructor.000-805.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xWashCo Fair.Ref - MMWR.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Public Health Surveillance in New York City Then and Now
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2010021-310
Tags / Keywords
Surveillance
Case report form Notifiable disease Syndromic
Brief Description
Addresses basic elements of the traditional reportable disease list, as well as syndromic surveillance established after the World Trade Center attacks on September 11, 2001.
Objectives
Define surveillance and identify the key features of a surveillance system;
Apply criteria for deciding which diseases should be included in a notifiable disease surveillance system;
List the types of information that should be collected on a surveillance case report form;
Describe the differences between notifiable disease surveillance and syndromic surveillance.
Setting CountrySetting Year
United States2001
Case Study Source InstitutionCase Study Year Written
CDC (EIS)2002
Authors of Original VersionUpdaters, Editor(s)
Richard DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xSurv NYC.participant.021-310.pdfxSurv NYC.instructor.021-310.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xSurv NYC.Ref 1 - post-911 surveillance form.pdfxSurv NYC.Ref 2 - U.S. Nationallynotifiable.2011.docxSurv NYC.Ref 3 - Case Report Form examples.pdfxSurv NYC.Ref 4 - 3030G Case Report Form.pdfxSurv NYC.Ref 5 - Doyle.completeness.AJE.pdfxSurv NYC.Ref 6 - Global PH Surv Regs.pdfxSurv NYC.Ref 7 - Reingold.syndromic.pdfxSurv NYC.Ref 8 - DiabetesDiseaseSurv.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
A Multistate Outbreak of E. coli O157:H7 Infection
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2002N/A
Tags / Keywords
Outbreak investigation PFGE
Hypothesis-generating interview
Control selection Traceback
E. coli
Alfalfa sprouts
Foodborne
Brief Description
Based on two outbreak investigations undertaken in Michigan and Virginia in 1997, eventually linked to consumption of alfalfa sprouts.
Objectives
Describe the unique role the laboratory can play in the detection and investigation of a foodborne disease outbreak; Perform in-depth interviews of selected case-patients to generate hypotheses about the source of an outbreak and mode of transmission; Determine the most efficient epidemiologic study design to test a hypothesis (including the case definition and appropriate comparison group); List three ways to select a comparison group for a study and the advantages and disadvantages of each method; List detailed product information that will facilitate a traceback procedure; Discuss the relative merits of an intervention based on changes in product processing (or design) versus changes in consumer or producer behaviors.
Setting CountrySetting Year
United States1997
Case Study Source InstitutionCase Study Year Written
CDC (Food Safety Initiative)2002
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xEcoli Multistate.2002.student.pdfxEcoli Multistate.2002.instructor.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Botulism in Argentina
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2002N/A
Tags / Keywords
Outbreak investigation
Press release Questionnaire Food-specific attack rates Control measures
Botulism Foodborne
Brief Description
Based on an investigation of an outbreak of botulism among bus drivers in Buenos Aires in 1998.
Objectives
Describe outbreak situations in which acute control measures should be undertaken; Communicate information on an outbreak or outbreak investigation and write a press release; Given the leading hypothesis(es) in an outbreak, develop a questionnaire; Given details on the origin, distribution, and preparation of an implicated food item, identify critical points for the control of contamination and microbial survival and growth; Discuss possible barriers to implementation of specific interventions following an outbreak investigation; Describe measures that can be used to monitor the success of an intervention; Describe the occurrence, signs and symptoms, and control of foodborne botulism.
Setting CountrySetting Year
Argentina1998
Case Study Source InstitutionCase Study Year Written
CDC (Food Safety Initiative)2002
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xBotulismArgentina.2002.student.pdfBotulismArgentina.2002.instructor.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xBotulismArgentina.2002.Ref - Villar.JAMA 1999.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Gastroenteritis at a University in Texas
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2002N/A
Tags / Keywords
Outbreak investigation
Interview; specimens Laboratory Case definition Questionnaire
Generating hypotheses
Norovirus
Foodhandler
Foodborne
Brief Description
Based on an investigation of an outbreak of norovirus gastroenteritis among students at the University of Texas in 1998, eventually traced to a foodhandler who worked in one of the campus cafeterias.
Objectives
List categories and examples of questions that should be asked of key informants who have reported a suspected outbreak of foodborne disease;
List four criteria for establishing investigation priorities when food poisoning is suspected;
List three common pitfalls in the collection of clinical specimens for the investigation of suspected foodborne diseases;
Determine the most efficient epidemiologic study design to test a hypothesis (including the case definition and the appropriate comparison group;
Describe the advantages and disadvantages of different ways of administering questionnaires (e.g.: self-administered, by telephone, in person);
List key areas of focus in interviewing foodhandlers and observing kitchen practices in a foodborne disease outbreak.
Setting CountrySetting Year
United States1998
Case Study Source InstitutionCase Study Year Written
CDC (Food Safety Initiative)2002
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xGastroenteritisUTexas.student.2002.pdfxGastroenteritisUTexas.instruct.2002.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xGastroenteritisUTexas.Ref - Daniels.JID 2000.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
A Multistate Outbreak of Cyclosporiasis
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2004N/A
Tags / Keywords
Outbreak investigation Modes of transmission Incubation period Epidemiologic study Causation Control measures Bias Cyclospora Foodborne
Brief Description
Local outbreak of cyclosporiasis was harbinger of multistate outbreak in 1996-1997; initially thought linked to strawberries, ultimately traced to raspberries from Guatemala.
Objectives
Use the modes of transmission and incubation period for a disease to focus the search for the source of an outbreak; Describe the two most common types of epidemiologic studies routinely used to investigate outbreaks; Interpret the results of an epidemiologic study; Consider potential sources of error in designing or carrying out an epidemiologic study; Apply the criteria for causation to the results of an outbreak investigation; List considerations in implementing control measures before confirmation of the source of an outbreak; Describe the occurrence, signs and symptoms, and control of cyclosporiasis.
Setting CountrySetting Year
United States, Canada (and Guatemala)1996
Case Study Source InstitutionCase Study Year Written
CDC (Food Safety Initiative)2004
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xCyclosporiasis.student.2004-08.pdfxCyclosporiasis.instructor.2004-08.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xCyclosporiasis.Ref1 - Herwaldt.NEJM 1997.pdfxCyclosporiasis.Ref2 - Herwaldt.Ann IM 1999.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Salmonella in the Caribbean
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2004N/A
Tags / Keywords
Serotyping
Surveillance Laboratory Incidence Time, place, and person (descriptive epidemiology)
Graphs Control measures Eggs
Foodborne
Brief Description
Focus on laboratory-based surveillance of Salmonella in Trinidad and Tobago in 19981999, leading to a case-control study of risk factors for salmonellosis, and to control measures.
Objectives
Describe the signs and symptoms, means of diagnosis, and control of salmonellosis ; Describe how Salmonella serotyping can be used in public health practice; Given a disease, describe the desired characteristics of a surveillance system for that disease; Discuss how the inclusion of the laboratory in the surveillance of a disease impacts the characteristics of the surveillance system and the usefulness of the data; Calculate the incidence of a disease if given the number of cases and population size; Characterize a health problem by time, place, and person (e.g., perform the descriptive epidemiology); Create and interpret a graph; Interpret the measure of association for a case-control study.
Setting CountrySetting Year
Trinidad and Tobago19981999
Case Study Source InstitutionCase Study Year Written
CDC (Food Safety Initiative)2004
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xSalmonella Carib.2004.student.pdfxSalmonella Carib.2004.instructor.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xSalmonella Carib.Ref - Indar-Harrinauth CID 2001.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Riverina
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2005972-705
Tags / Keywords
Displaced persons
Refugees Mortality rates Morbidity Nutrition data Survey Sampling Anthropometric data Priority setting
Brief Description
Conduct of a rapid health assessment / cluster survey (including anthropometric measures) of an internally displaced population in a fictional African country.
Objectives
List the health problems common among displaced populations.
Identify sources of health information on persons living in displaced-person camps.
Calculate crude and age-specific mortality rates.
Use morbidity, mortality, and nutrition data to identify and prioritize specific health problems in a displaced population and plan interventions.
Plan a community survey based on objectives, resources, and geographic distribution of the population.
Use anthropometric data to determine nutritional status of a population.
Analyze and interpret survey data on nutritional status in order to plan appropriate nutrition programs.
Setting CountrySetting Year
Riverina (fictional country in Africa)Mid-1990s
Case Study Source InstitutionCase Study Year Written
CDC (Global Health)1997
Authors of Original VersionUpdaters, Editor(s)
Michael Toole
File Name of Student / Participants GuideFile Name of Instructors Guide
X.Eng.Riverina.972-705.student.pdfX.Eng.Riverina.972-705.instructor.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Brucellosis in Kyrgyzstan
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2011053-D11
Tags / Keywords
Public health surveillance
Reportable disease
Case definition Brucellosis
One Health
Brief Description
Examination of the brucellosis public health surveillance system and analysis of data from that system.
Objectives
Describe the key principles of public health surveillance,
Describe criteria for including a disease in a national surveillance system,
Describe the data flow of a surveillance system,
Discuss the advantages and disadvantages of diseases case definition,
Summarize and interpret surveillance data,
Define incidence and prevalence of a disease and calculate the incidence rate.
Setting CountrySetting Year
Kyrgyzstan2003
Case Study Source InstitutionCase Study Year Written
CDC (Global Health)2005
Authors of Original VersionUpdaters, Editor(s)
Julia ErshovaRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xBrucellosis_Kyrgyz.participant.053-D11.pdfxBrucellosis_Kyrgyz.instructor.053-D11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
A Cluster of Botulism Cases in Uzbekistan
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2011054-D11
Tags / Keywords
Outbreak investigation Bioterrorism agents Outbreak steps Case definition
Line listing Food-specific attack rates
Brief Description
Investigation of a cluster of botulism cases among guests who attended a social gathering at a home in Uzbekistan on December 31, 2003. Straightforward outbreak investigation case study with only 24 attendees and 8 foods, but addresses botulism as a possible bioterrorism agent.
Objectives
Assess whether an increase in the number of apparent cases represents an outbreak,
Optional: Describe some of the features that are consistent with an intentional or an unintentional exposure that results in an outbreak,
Describe some of the decisions that must be made before going to the field to conduct a field investigation,
Develop and apply a case definition in a field investigation,
Calculate and compare exposure-specific attack rates to identify possible vehicles.
Setting CountrySetting Year
Uzbekistan2004
Case Study Source InstitutionCase Study Year Written
CDC (Global Health)2005
Authors of Original VersionUpdaters, Editor(s)
Richard DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
XBot in UZ.student.054-D11.pdfXBot in UZ.instructor.054-D11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Gastroenteritis Among Warehouse Workers
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2010055-710
Tags / Keywords
Outbreak investigation
Case definition Questionnaire Risk ratio Stratified analysis Foodborne
Brief Description
Investigation of an outbreak of gastroenteritis among workers who ate catered food while taking inventory of a warehouse. Straightforward outbreak investigation case study.
Objectives
Develop a case definition for an outbreak of gastroenteritis,
Discuss why an epidemiologic study with a comparison group is useful in the investigation of an outbreak,
Discuss the types of studies one might conduct in an outbreak setting,
Calculate appropriate measures of association for the type of study selected,
Conduct a stratified analysis to address possible confounding, and
Properly interpret a test of statistical significance and confidence interval.
Setting CountrySetting Year
United States2003
Case Study Source InstitutionCase Study Year Written
CDC (Global Health)2005
Authors of Original VersionUpdaters, Editor(s)
Richard DickerRichard Dicker
File Name of Student / Participants GuideFile Name of Instructors Guide
xWarehouseWorkers.participant.055-710.pdfxWarehouseWorkers.instructor.055-710.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Botulism in the Republic of Georgia
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2008071-908
Tags / Keywords
Public health surveillance
Descriptive epidemiology
Sensitivity
Botulism
Brief Description
Analysis by time, place, and person of botulism surveillance data from Republic of Georgia, 1980 2002.
Objectives
After completing this case study, the participant should be able to:
Describe the key principles of public health surveillance,
Analyze surveillance data by time, place, and person,
Interpret surveillance data,
Discuss the uses of surveillance.
Setting CountrySetting Year
Georgia2003
Case Study Source InstitutionCase Study Year Written
CDC (Global Health)2007
Authors of Original VersionUpdaters, Editor(s)
Richard Dicker, Naile Malakmadze, Colleen Shane, and Eric Guenther
File Name of Student / Participants GuideFile Name of Instructors Guide
xBotulism_in_Georgia.071-908.participant.pdfxBotulism_in_Georgia.071-908.instructor.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xBotGeorgia Ref 5.Varma EID 2004.pdfxBotGeorgia Ref 6.Varma CID 2004.pdfxBotGeorgia Ref 7.Sobel CID 2005.pdfxBotGeorgia Ref 10.Hennessy Rotz.CID 2004.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Cryptosporidiosis in Georgia
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2010N/A
Tags / Keywords
Community survey Sampling Waterborne Cryptosporidium
Brief Description
Investigation of a large, community-wide outbreak of cryptosporidiosis in Georgia in 1987 that resulted from contamination of a public water supply that met all standards in effect at the time.
Objectives
After completing this case study, the student should be able to
1. discuss epidemiologic clues indicative of a waterborne disease outbreak as opposed to a foodborne disease outbreak;
2. describe a boil-water advisory and discuss problems that might be encountered in issuing such an advisory;
3. help plan a community survey to determine the prevalence and distribution of a health problem;
4. interpret a dose-response analysis for an exposure and development of a disease;
5. list activities that should be included in the evaluation of a public water system associated with an outbreak;
6. define turbidity and total coliform count and discuss how each are used to indicate drinking water quality;
7. discuss the typical steps used in the treatment of surface water at a community water treatment plant; and
8. describe the clinical features, epidemiology, and control of cryptosporidiosis.
Setting CountrySetting Year
United States (Georgia)1987
Case Study Source InstitutionCase Study Year Written
CDC (Waterborne)2010
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xCryptospordiosis GA.student.2010-09.pdfxCryptospordiosis GA.instructor.2010-09.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xCryptoGA.Ref - Hayes NEJM 1989.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Norovirus in Vermont
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2010N/A
Tags / Keywords
Swimming pool
Norovirus
Brief Description
Investigation of cluster of cases of vomiting and diarrhea among children who had attended a birthday party at an indoor swim club in Vermont in 2004.
Objectives
After completing this case study, the student should be able to
1. list categories and examples of questions that should be asked of key informants who report a suspected infectious disease outbreak;
2. discuss considerations in working with businesses that might be identified as a possible source of an outbreak;
3. outline components of swimming pool design and operation that help prevent the transmission of pathogenic agents;
4. discuss the action of chlorine to disinfect water and factors that influence its effectiveness;
5. interpret test results for chlorine and pH with respect to swimming pool water quality;
6. identify activities that increase a persons risk for exposure to pathogens in recreational water;
7. interpret results from a cohort study, including attack rates, relative risks, and P values; and 8. describe the steps for management of fecal incidents in treated recreational water venues.
Setting CountrySetting Year
United States (Vermont)2004
Case Study Source InstitutionCase Study Year Written
CDC (Waterborne)2010
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xNorovirus Vermont.student.2010-11.pdfxNorovirus Vermont.instructor.2010-11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xNorovirusVT.Ref1 - MMWR 2004.pdfxNorovirusVT.Ref2 - Podewils Epi Infect 2007.pdff
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Typhoid in Tajikistan
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
2010N/A
Tags / Keywords
Case definition
Hypothesis generation
Water supply Control measures
Typhoid fever
Brief Description
Investigation of an outbreak of several thousand cases of Typhoid fever in Dushanbe, Tajikistan in 1997 that resulted from inadequately maintained public water supply.
Objectives
After completing this case study, the student should be able to
1. list health problems common in countries with economic hardships, deteriorating infrastructure, and displaced populations;
2. discuss the steps typically used to develop hypotheses on the source of an infectious disease outbreak;
3. interpret the results of a matched case-control study;
4. list activities that should be included in the evaluation of a public water system associated with an outbreak;
5. define surface water and groundwater;
6. list the steps in collecting water samples from a point-of-use water tap;
7. describe point-of-use water disinfection and give examples of proven approaches; and 8. describe the clinical features, epidemiology, and control of typhoid fever.
Setting CountrySetting Year
Tajikistan1997
Case Study Source InstitutionCase Study Year Written
CDC (Waterborne)2010
Authors of Original VersionUpdaters, Editor(s)
Jeanette Stehr-Green
File Name of Student / Participants GuideFile Name of Instructors Guide
xTyphoid Tajik.student.2010-11.pdfxTyphoid Tajik.instructor.2010-11.pdf
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
xTyphoid Tajik.Ref1 - MMWR 1998.pdfxTyphoid Tajik.Ref2 - Mermin JID 1999.pdf
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Cholera in Parbatia, Orissa, India
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Outbreak investigation
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2005?
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
An Outbreak of Acute Hepatitis in Baripada, Orissa
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Outbreak investigation
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2005?
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Causes of Hepatitis B in Kerala, India
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2005?
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Using Bed Nets Against Malaria in West Bengal
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2006?
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Analyzing Malaria Surveillance Data in Darjeeling
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2005?
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Evaluating Public Health Surveillance in the Context of a Chikungunya Outbreak
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2006?
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011
TEPHINET CASE STUDY INFORMATION FORM
Long Title
Oswego Masala: Constructing and Epidemic Curve
Short Title, if any
Version (Year)Version CDC Code (YYX-MYY), if any
N/A
Tags / Keywords
Brief Description
Objectives
Setting CountrySetting Year
India
Case Study Source InstitutionCase Study Year Written
India MAE-FETP2008
Authors of Original VersionUpdaters, Editor(s)
Yvan Hutin
File Name of Student / Participants GuideFile Name of Instructors Guide
N/A
File Names of Other Required Files for StudentsFile Names of Optional Files for Instructors, Students
Submitted to TEPHINET bySubmission to TEPHINET on (Date)
Richard C. DickerDec. 23, 2011