3.6 Initial conclusions

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    When the investigation is over, write an accurate, concise report. It should contain the following elements:


    1 - Summary


    2 - Introduction
    – Quick description of the overall, health and epidemiological context:
    • geographic, administrative, and logistical (access, distances, etc.) information,
    • population data,
    • security, population movements, social events, etc.,
    • health system,
    • epidemiological situation in previous years: cases, deaths, vaccination coverage (EPI and campaigns, specify the target population), dates of most recent outbreaks, and risk factors,
    • succinct description of the surveillance system: case definition, reporting system, data transmission and analysis.


    3 - Objectives of the investigation and methods
    – How was the alert given?
    – General and specific objectives
    – Team composition, resources and sequence of events
    – People met with


    4 - Results
    – Laboratory confirmation: type of specimens, number and results
    – Epidemiological description (time, place and person):
    • date of the alert and the first cases,
    • number of cases and deaths, case fatality rate,
    • epidemic curve,
    • attack rate by location,
    • attack rate by age group.
    Describe the situation, from the general to the specific (e.g., regions and districts, IDP camps and sectors, city and neighbourhoods). Specify the data source.


    5 - Analysis of results and discussion
    – Is the outbreak confirmed, and according to which definition?
    – Is there laboratory confirmation?
    – Which are the hardest hit places and populations?
    – Which control measures have been implemented?
    – What are the current response capabilities? Are they appropriate and sufficient?
    • surveillance and laboratory,
    • patient management (treatment protocol, availability of drugs and supplies, human resources, etc.),
    • vaccination,
    • information.
    – Available resources: staff, laboratory, medical and non-medical supplies, etc.


    6 - Conclusion(s)


    7 - Recommendations/proposed interventions
    – Surveillance and laboratory
    – Patient management
    – Vaccination
    – Informing the population
    Specify the protocols, target populations, strategies and means.


    8 - Appendices
    – Tables
    – Graphs


    To speed up or improve the response, technical support may be needed for:
    – surveillance ;
    – case management: organisation, supervision and procurement ;
    – the vaccination campaign: logistics and medical support for planning, organisation, supervision and assessment;
    – assessing the intervention: functioning, results, impact, cost ;
    – emergency preparedness: technical support and training.
    Evaluate the need for technical support as soon as the outbreak begins. Draw up the terms of reference or collaboration.