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Steps in Epidemic
Activities Tools Indicator for completion of step
Investigation
History, PE, Laboratory Tests When the diagnosis has been
1. Verify diagnosis Case Definition
Compare with case definition established
Count the cases
When it is confirmed that the
2. Confirm existence of Compare with usual occurrence
Line Graph current incidence is markedly in
epidemic Determine if current incidence is in excess of the
excess of the usual
usual
Determine the type of epidemic
Determine the probable period of exposure
Determine the age- and sex- specific attack rates
Determine specific attack rates for other
When the characteristics as to
characteristics Epidemic Curve
3. Characterize as to person-place-time provide a
Determine where cases live, work or may have Attack rates (incidence rate)
person-place-time basis for the formulation of
been exposed Spot map
hypothesis
Observe for
Clustering
Patterns
Determine area- specific attack rates
Analytic studies
4. Identify source of When sources and mode of
Compute for the measure of association. (Retrospective cohort and
etiologic agent. transmission are identified
case control)
5. Institute control When control measures have
measures. been initiated.
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