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Outbreak Investigation Procedure
Island County Public Health Personnel
(for internal use only)


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Communicable Disease / Outbreak Investigation

Definition: The term "Outbreak" has differing meanings in differing circumstances. For foodborne illness, it is 2 or more cases from a common source; for other diseases it may require 3 or more linked cases; if linkage is vague, the possibility of an outbreak must always be considered until further investigation proves otherwise.

What to do when a Communicable Disease (CD) is reported? (See ICPH Communicable Disease Manual — there is a manual at each Health Dept. facility, and it is available on the Health Department's "S" drive in folder CommDZ.)

Notifiable Condition Reporting Forms for Local Health Departments
http://www.doh.wa.gov/notify/forms/   

The Communicable Disease Nurse (or person assuming that role) will obtain the following information as soon as possible and enter it on the Acute and Communicable Disease Report Form (or the current protocol form for the disease being reported.)

1. Regarding the individual reporting the incident:

    1. Name and role of individual reporting the incident
    2. Telephone # of individual reporting the incident
    3. The disease being reported

2. Regarding the individual affected with the disease:

    1. Affected individual's name
    2. Phone # of the person affected
    3. Address of the affected individual
    4. Date of birth of the affected individual
    5. Sex of the affected individual
    6. Source of exposure, if known
    7. Date of exposure, if known
    8. Date symptoms began
    9. Date of laboratory tests and results, if known
    10. Name and Phone # of the health care provider
    11. Medications and/or treatment rendered
    12. Contacts… i.e., family, workplace, school, childcare center, etc.

3. Contact the Health Officer  pager/mobile (360) 914-0840

4. Contact State Health Department, Communicable Disease Division 
    Marcia Goldoft, State Epidemiologist (Communicable Disease) (206) 418-5433

5. Contact the Nursing Director, Suzanne Turner (360 679-7351)     

6. Contact Environmental Services Director,  (679-7350 x 7345), and if a foodborne illness, the Environmental Health Specialist, Sally Waters (food services: 679-5590 x 7672). The latter will assume the responsibility for investigating all foodborne illnesses.

7. If a public health alert is necessary, refer to Health Officer and Nursing Director

8. Monitor all cases and contacts to determine spread of disease and effectiveness of control measures


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Coupeville, WA 98239
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