3.6 Initial conclusions

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.