Enteric Disease Outbreak Investigation Model: Electronic Appendix B

The following worksheets contain templates for outbreak investigations. Investigators are encouraged to modify these workshe their needs. Contact Utah Department of Health for technical assistance.

1. Spreadsheet for logging public reports: This spreadsheet may be used for data entry of details from public reports of ente (see Electronic Appendix A ). The data should be shared between environmental health and communicable disease bureaus. health departments are encouraged to analyze data regularly to identify trends and person, place, and time associations. Ideall based foodborne illness reports are also analyzed at the regional and statewide level. Refer to Section 1a for more details on recognizing outbreaks from calls from the public.

2. Sample electronic spreadsheet for data entry, complete: This spreadsheet may be used for data entry for preliminary da analysis. The spreadsheet contains a complete list of data that would probably be available after a preliminary or routine investi Refer to Section 7 for more details on preliminary data analysis. 3. Sample electronic spreadsheet for data entry, abbreviated: This spreadsheet is an abbreviated version of the previous spreadsheet. This is useful for listing a brief summary of all cases and for sharing summary information between investigators. Section 7 for more details on preliminary data analysis.

4. Sample epidemic curve: This worksheet provides investigators with a template for drawing an epidemic curve. Enter data in provided and the curve will be updated. Refer to Section 7 for more details on drawing epidemic curves.

encouraged to modify these worksheets to fit

y of details from public reports of enteric illness and communicable disease bureaus. Local , place, and time associations. Ideally, publicr to Section 1a for more details on

used for data entry for preliminary data e after a preliminary or routine investigation.

abbreviated version of the previous y information between investigators. Refer to

wing an epidemic curve. Enter data in the table idemic curves.

Complaint ID

Date Complaint Type of Food Handler? Travel History? Day Care? Y/N Received Complaint Y/N Y/N

Other Risk Factor

Onset date

Number Ill

Symptoms and Signs N,V, D, C, F

Complaint ID

Alleged/Suspected Food Source

Where eaten within 72 hours

Water Source

Comments

Complete Data Entry

Name Last Name First Name Address City County Zip Phone Demographics Alternate Phone Date of Birth Age Gender Occupation

Complete Data Entry

Name Last Name First Name Workplace

Complete Data Entry

Name Last Name First Name Onset Date Onset Time Illness Information Bloody Abd Vomiting? Diarrhea? diarrhea? Cramps? Exposure Information Fever? Spec. coll. date Laboratory results Exposure Exposure Date

Complete Data Entry

Name Exposure Information Last Name First Name Exposure Time

Complete Data Entry

Name Last Name First Name Travel history Food history Risk History Health history Exposure to others with similar illness

Complete Data Entry

Name Last Name First Name Case status Comments

Abbreviated Data Entry

Last Name First Name Age Gender Date of Coll. Date of Onset City Exposure Exp Date Case Status Comments

Onset Date Number of Cases 1/1/2006 0 1/2/2006 1 1/3/2006 5 1/4/2006 8 1/5/2006 6 1/6/2006 2 1/7/2006 0 1/8/2006 0 1/9/2006 0 1/10/2006 1 1/11/2006 1 1/12/2006 0 1/13/2006 0 1/14/2006 1 1/15/2006 0 1/16/2006 0

Sample Epidemic Curve of Illness Onset

9 8 7 6 5 4 3 2 1 0
1/1 1/2 1/3 1/4 1/5 1/6 1/7 1/8 1/9 1/10 1/11 1/12

Number of Cases

Date of Onset

Illness Onset

1/12 1/13 1/14 1/15 1/16