2821 - Management of a Disease Outbreak Meningococcal...

Info iconThis preview shows pages 1–10. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Management of a Disease Outbreak Meningococcal Infection at a High School Luc Van Parijs, MD, MPH, DrPH Lgvanparijs@cs.com The author is a scholar of the North East Public Health Leadership Institute, Class of 2000. This lecture is one of series produced by the Allegheny County Health Department (PA), Bethlehem Health Bureau (PA) and the City of Elizabeth Department of Health & Human Services (NJ). The organizers of this project are scholars in the Northeast Regional Public Health Leadership Institute, Class of 2000. For information contact: dcw01@health.state.ny .us Luc G Van Parijs, MD MPH DrPH Public health physician - till recently Director of the Division of Communicable Disease Control of a local health department - with strong interest in disease reporting and the management of disease outbreaks. For 25 years epidemiologist and manager of national and international prevention programs (heart disease, cancer, STD and leprosy). Extensive experience in teaching African and Asian health care providers. Learning Objectives Know clinical and epidemiological features of meningococcal infection Know steps in outbreak control and required outcomes Appreciate need to work together with key persons Understand public perception/response to outbreak Understand relationship of leadership to success in controling an outbreak Performance Objectives list key features of meningococcal infection articulate outcomes of a control strategy discuss factors that influence control strategy provide consistent response to questions about meningococcal infection act timely and consistently in a crisis situation INTRODUCTION This lecture is an exercise in leadership analysis. It provides a unique perspective of analyzing a disease outbreak from the perspective of: * Clinical & Epidemiological Factors * Public Health Response * Leadership Leadership is often overlooked in successful disease outbreak management. The lessons learned from this case are applicable to other outbreak situations Clinical and Epidemiological Features Meningococcal infection -1 Bacterial (pathogenic) agent Neisseria meningitidis with multiple serogroups (A, B, C, Y, W). In US mainly B, C and Y ( ~ 30% each) Two clinical forms Meningitis, meningococcemia or combined Onset & Progression Abrupt, strikes healthy individuals without warning Case fatality Rate (CFR): meningitis ~10%, meningoccemia > 80% Meningococcal Infection -2 Incidence LOW, ~ 1 case per 100,000 US population, but public concern HIGH All ages affected. Highest rates in < 5 yr; more cases in winter/early spring Serotypes by age group: B > in infants, C > in young people/adults, Y >in older people In outbreaks: usually serogroup C 10-15 % carriage in nose/throat of healthy individuals (colonization of mucosa). However, unknown why a carrier develops invasive disease Risk factors: crowding (army barracks, college dorms, parties), immune disorders, smoking, respiratory infections, climate, poverty Meningococcal Infection -3...
View Full Document

This note was uploaded on 02/22/2012 for the course HIST 312 taught by Professor Staff during the Fall '10 term at Rutgers.

Page1 / 32

2821 - Management of a Disease Outbreak Meningococcal...

This preview shows document pages 1 - 10. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online