Out break investigation procedure Dr. Nugroho Susanto, SKM, M.Kes Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO Konsep Penyidikan Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Epidemiology Investigation Establish The Existence of An Outbreak Confirm The Diagnosis Establish the Case Definition and Count Cases Relate The OutBreak to Time, Place and Person Determine Who is at Risk of Becoming ill Formulate a Tentative Hypothesis Compare The Hypothesis With The Established Facts Plan a Detailed Epidemiologic Investigation Prepare a Writen Report Implement Control and Prevention Measures Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Establish The Existence of An Outbreak Available information about new cases with a predeterminan definition of an out break Compare current information with previous incidence in the community during the same time of year to determine if the observed number of case exceeds the expected. Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO Confirm The Diagnosis Natural History of Disease Analyze clinical histories of case Have standard laboratory tests performed to confirm or reject the suspected diagnosis To determine the type of agent associated with the illness (eg. Bacterial, viral, other) Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Establish the Case Definition and Count Cases Developing case definiton Establish methods for identifying Count cases Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Relate The OutBreak to Time, Place and Person Characterize the outbreak according to person, place or time by interviewing known or selected case to determine common experiences. When the became ill - time Where the became infected  place Who they are  Person Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Determine Who is at Risk of Becoming ill Count case and relate these counts to the appropriate population to find the group at risk. Contact those who can provide infrormation on the illness Assesment of environment circumtances that contributed to the autbreak Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Formulate a Tentative Hypothesis Formulate a tentative hypothesis to explain the most likely couse, source and distribution of cases Hypothesis can specifict for caused Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Compare The Hypothesis With The Established Facts The hypothesis willl direct the course of the investigation And will be tested by the various data gathered during the investigation Several successive hypotheses may be reguired Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Plan a Detailed Epidemiologi Investigation Determine from the collected data what other informationa is needed What sources available to test the hypothesis. Develop or obtain interview forms Gether sampling equipment Alert people who will take part in the investigation. Control study carry out the investigation. Interview people who are similar or who had similar experiences to the ill with respect to time or place but who are not ill. Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Prepare a Writen Report Use the information that has been collected during the investigation to control the current outbreak. Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

Implement Control and Prevention Measures Use the information that has been collected during investigation to control the current outbreak Intensive surveillance of the disease and agent If imminent danger exists, control measures should be initiated a tentative hypothesis has been formed. Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO

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