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Pertussis Outbreak: The Family Practice / Public Health Team

Pertussis Outbreak: The Family Practice / Public Health Team. D.C. Krulak, MD, MPH LCDR MC USN. Introduction. Epidemiology Case overview. Case Presentation. Index case Laboratory confirmation Outbreak Clinical Case definition Close contact Timeline Symptomatic contacts Close contacts.

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Pertussis Outbreak: The Family Practice / Public Health Team

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  1. Pertussis Outbreak:The 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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