3.8 Key points

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    • The investigation requires rigorous preparation.

    • The effectiveness of the response depends primarily on how quickly the outbreak is identified.

    • The case definition should be simple, clear, standardised and constant throughout the entire period.

    • Laboratory confirmation should be done on the first 5 to 10 cases, at a minimum.

    • Demographic data should be reliable and the choice, made by consensus, should be justified.

    • Describe the epidemic in terms of Time - Place - Person: scale and evolution, geographic spread, groups at risk.

    • The definition of an outbreak varies according to the context.

    • For each area, assess the outbreak’s severity and potential for spread using the analysis table.

    • Assess the initial actions taken to manage the outbreak and immediately step-up, if necessary, during the investigation phase (assessment/action).

    • Write an accurate, concise investigation report and distribute it.