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

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

3. 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

4. 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

5. 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

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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO
THANK’S
Materi Kuliah Surveilans Kesehatan Masyarakat UNRIYO