Community Health I 3323 Outbreak Investigation Clinical ...

Community Health I 3323 Outbreak Investigation
Community Health I 3323 Outbreak Investigation Clinical
Assignment
Standard Foodborne Outbreak Response and Surveillance Unit
Team Members:
Standard Foodborne Disease Outbreak Case Questionnaire and
Investigation
First form teams of four from your community health clinical
students
Next read the Outbreak Response Packet on Web CT
Plan a time to meet and conduct the investigation. You may choose a
time at your convenience.
Community members who will have the disease plan to meet to
determine how the responses needed in the interview process. For
example what restaurant, what day, what food is common to your
experience.
Investigators read the text to determine what questions are
necessary to obtain the diagnostic information.
All group members will go to the fast food restaurant as a team
The community members will participate in the observation of the
environment
Document the experience
Your group of 2 investigators has been contacted to investigate the report
of two cases of diarrheal disease in a class of Community Health nursing
students. Your job is to conduct a Foodborne Disease Outbreak case
questionnaire.
Divide your clinical group into two (2) investigators and (2) three members
of the community.
Organize: From your group choose a leader who will be responsible for the
organization of the group and a member to document the assignment.
Prepare: Prepare to investigate by reading:
1.) Summary of Salmonella serotype Enteritis Outbreak Reported in 2002
and
2.) Investigation table that shows the etiologic agent, incubation period,
clinical syndrome, and confirmation.

Community Health I 3323 Outbreak Investigation
Interview: Two community members who will role play as individuals who
now experience diarrheal disease. Use the standard foodborne disease
outbreak case questionnaire.
As a victim of the assigned etiologic agent role play all of the aspects of
the clinical syndrome. For example, abdominal pain, bloody diarrhea,
cramping, nausea etc. Check the time onset of symptoms compared to the
time of exposure.
Reveal this information only as you are interviewed. The investigators will
need to question you carefully to obtain this information. Stay in role
throughout the interview.
Analyze: After the interview, investigators will review the information and
investigate
common food-related exposure,
common environmental experience
common chemical exposures, air-borne exposures, common
stressors, and/or any other related information.
The community members that are being interviewed are to choose a
situation that involves a fast food restaurant in the local area and a
meal that they would have chosen on a school day.
Assume your role to reveal the symptoms or clues only with careful
questioning.
Interviews are to be done with only the community member and the
investigator present. Indicate on the questionnaire both names for
credit.
Interview script with case study for role play is given to the
individual community member and is not to be shared with the
investigator except in responding to questions in interview.
From the information gained in the interview the investigators will
analyze the information.
The investigators will go to the fast food restaurant to notice:
• Overall cleanliness
• Tables cleaned between meals
• Employees neat and clean
• Employees touching money do not handle food
• Floor clean in eating area
• Restroom clean

Community Health I 3323 Outbreak Investigation
• People in restroom wash hands (If you can observe and provide
privacy)
• Trash contained neatly
• Sanitation Scores noted if posted
• Food handler certification for each employee (The last employee
at a local restaurant stated that this was required for employees
in Wichita Falls.) You will not be able to know this, however it
would be relevant in an investigation
• Food storage off floor in closed containers
• Food temperature cold or hot as required
• Buffet clean and protected without contamination of servers or
people
• People in environment appear healthy
Determine the most probable diagnosis:
• Meet as a group to determine any common elements found in the
investigation.
• Review the Table Etiologic Agent Chart to find the most probable
disease agent.
Communicate the findings:
• Do not write or reveal the fast food establishment you
visited to anyone.
• Do not in your observation of the fast food establishment
show the purpose of the visit.
• Turn a one-page summary of the Investigation at the
beginning of your lab next week. Be sure to list team
members with roles and the final decision of the team.
Meet next Thursday at 3 in Room 305 to debrief.