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Epidemiology · Public Health

Epidemiology: Disease Surveillance and Outbreak Investigation

Disease surveillance system types and the steps of an outbreak investigation tested at the introductory public health level.

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What is passive surveillance?
A system where health facilities report cases to public health authorities on their own initiative.
What is active surveillance?
A system where public health staff regularly contact providers or labs to actively search for cases.
What is a key trade-off of active surveillance compared to passive surveillance?
It is more complete and timely but requires more staff time and resources.
What is a major limitation of passive surveillance?
It tends to underreport cases because reporting depends on providers remembering to report.
What is sentinel surveillance?
Monitoring disease through a selected subset of reporting sites chosen to represent a larger population.
Why use sentinel surveillance instead of monitoring every site?
It lowers cost and workload while still detecting overall trends.
What is syndromic surveillance?
Monitoring patterns of symptoms, such as emergency room chief complaints, rather than confirmed diagnoses.
What is the main advantage of syndromic surveillance?
It can detect a possible outbreak earlier than waiting for lab-confirmed diagnoses.
What is laboratory-based surveillance?
A system that identifies cases from reports of positive laboratory test results.
What is a notifiable disease?
A disease that health care providers and labs are legally required to report to public health authorities.
In an outbreak investigation, what is the first step?
Prepare for field work.
What is the second step of an outbreak investigation?
Establish the existence of an outbreak.
How is an outbreak defined?
An occurrence of more cases of a disease than normally expected in a given area or group over a period of time.
What is a disease cluster?
An aggregation of cases in a given time and place, without yet confirming it exceeds the expected number.
What is the third step of an outbreak investigation?
Verify the diagnosis.

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