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Pertussis Outbreak: The Family Practice Public Health Team

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Outbreak Clinical Case definition. Close contact. Timeline. Symptomatic ... Clinical phases. Complications. Laboratory findings. Medical management. Prevention ... – PowerPoint PPT presentation

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Title: Pertussis Outbreak: The Family Practice Public Health Team


1
Pertussis OutbreakThe Family Practice / Public
Health Team
  • D.C. Krulak, MD, MPH
  • LCDR MC USN

2
Introduction
  • Epidemiology
  • Case overview

3
Case Presentation
  • Index case
  • Laboratory confirmation
  • Outbreak Clinical Case definition
  • Close contact
  • Timeline
  • Symptomatic contacts
  • Close contacts

4
Case Presentation
Case
Culture
Prophylaxis
Treatment
5
Case Presentation
  • No other hospitalizations
  • No further lab confirmed cases
  • Operational impact was minimal

6
Discussion - Investigation
  • Confirm the diagnosis
  • Generate a case definition
  • Confirm the outbreak
  • Inform stakeholders
  • Hypothesize re source and transmission
  • Implement control measures
  • Continue surveillance

7
Discussion Numbers
  • 88 of those evaluated were either treated or
    placed on prophylaxis
  • 10 symptomatic individuals were untreated
  • 97 of individuals fully up to date on
    immunizations
  • 33 of close contacts were symptomatic

8
Conclusion
  • Successful containment of a pertussis outbreak
  • Negligible impact to the operating forces
  • Family physicians and community health leaders as
    a team
  • Threat of communicable disease epidemic

9
Questions?
10
Discussion - Pertussis
  • Bordetella pertussis
  • Clinical phases
  • Complications
  • Laboratory findings
  • Medical management
  • Prevention
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