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The investigation enables to analyse the initial actions taken.
3.5.1 Surveillance
- Availability and correct use of the case definition, registers and line lists
- Regular (at least weekly) forwarding of data and analyses
- Means available for laboratory confirmation: sample collection equipment, sample transport options, reference laboratory and diagnostic capacity
3.5.2 Outbreak management committee
- Composition, theoretical and actual operating mode, reactivation
- Was the outbreak officially declared?
3.5.3 Patient management
- Availability of, and prescriber adherence to, protocols
- Functional health care facilities: adequate stock of drugs and medical supplies (oxygen therapy), orders in progress, procurement strategy (current and anticipated)
- Care conditions (isolation and inpatient capacity for severe cases), referral arrangements (circuit and conditions)
- Access to care: no-cost, geographical, around-the-clock, for everyone (excluded groups?), etc.
- Comorbidities (malnutrition, malaria, other ongoing outbreaks)
3.5.4 Vaccination
- Stock of vaccines and vaccination supplies (quantity and expiry date), orders in progress, anticipated quantities and time frame, vaccination strategy (current and anticipated)
- Precise cold chain inventory and status (existing and available equipment, by type)
- Availability of experienced, trained vaccination teams
3.5.5 Health promotion and community engagement
- Existence of community- or association-based networks or a community-based surveillance system
- Knowledge, perceptions and attitudes regarding the disease, its management, and vaccination
- Acceptance of outbreak response vaccination