Outbreak Presentation Template

1. Outbreak Presentation Template • All red text, and text with in [brackets] provide guidance and should be replaced or removed. • Template may not fit for every outbreak in every setting, but can provide general guidance on where to start.

2. Outbreak of [Salmonella Saintpaul] infections,[United States] [August 1- November 25, 2008] ***Data are preliminary and subject to change; not for distribution. ***

3. [Salmonella] Overview • [1.2 million illnesses and 400 deaths annually] • [Many different sources] • [Meat, poultry, produce, processed foods, animal contact] • [>2,500 serotypes of Salmonellaenterica]

4. Outbreak Identification • [August 1, 2008] • [Health department received phone call reporting cluster of 8 persons ill with diarrhea] • [All 8 cases reported similar food exposure] • [Laboratory testing confirmed all cases were infected with SalmonellaSaintpaul]

5. Outbreak Overview Table 1. Cases of [Salmonella Saintpaul],as of [August 25, 2008] Case Definitions: • Probable case definition: • person with [Salmonella Saintpaul] infection, • residing in [Location] • with illness onset (or isolation, if onset date unknown) on[April 1, 2008 – present] • Confirmed case definition: • person with [Salmonella Saintpaul] infection, • residing in [Location] • with illness onset (or isolation, if onset date unknown) on[April 1, 2008 – present] Case Counts: • [1442]confirmed cases from [5] municipalities, • [300] confirmed cases from [5] municipalities, Range of Onset Dates • Reported onset dates range from [April 16]to[August 11, 2008] Clinical Features • Hospitalized: [286 ] • Deaths:[0 ]

6. Table 2. Demographics for cases of [Salmonella Saintpaul] as of [August 25, 2008] , (n=54) Break down into age categories as appropriate for the outbreak (i.e., if it’s not helpful to look at all age categories, don’t do it for the sake of doing it) Provide age and gender in demographic break-down. For age, use range and median (unless age is normally distributed, then use average Table 3. Patient outcomes for cases of [E.coliO157:H7] infection of [August 25, 2008] Can include other important clinical outcomes associated with the cause of the outbreak, for instance HUS for an outbreak of E. coli O157. , (n=44) *percentage based on number of cases for whom outcome is known

7. If possible make a map of the outbreak. It can include case counts, or even better attack rates (Number of cases per susceptible population). Cases infected with the outbreak strain of Salmonella Bareilly United States, by state, as of : [Date], (n= [Count]) NH 6 WA 18 ME 1 MT 1 VT 2 MN 31 OR 11 NY 41 MA 31 WI 13 ID 6 MI 28 PA 15 IA 2 RI 3 OH 10 NV 14 IN 21 IL 120 UT 3 CT 5 WV 1 VA 31 CO 17 KS 21 CA 16 MO 20 KY 2 NJ 16 NC 28 TN 10 MD 39 OK 38 AZ 59 SC 2 AR 21 NM 106 NM 115 DC 1 GA 42 AL 8 MS 2 LA 3 TX 559 FL 4 1-4 cases Categories and key should be relative to size of outbreak; categories should make sense 5-25 cases 26-75 cases 76 or more cases

8. Confirmed and Probable cases of [SalmonellaSaintpaul],by date of illness onset, [Location], [Date Range](n=[1414]for whom information was reported as of [DATE]) Number of persons Nationwide alert on tomatoes (June 7, 2008) NM Media Release (May 31, 2008) Mark important events Could also be broken into possible and confirmed cases CDC warning on Jalapeño, Serrano peppers (July 9, 2008) Date of illness onset

9. Public Health Response • Measures taken to reduce the impact of the outbreak included: • [Improving the medical services provided to case-patients] • [Recalling the contaminated food from stores] • [Improving public awareness through radio announcements and presentations at community health centers]

10. Outbreak Conclusion • [1742] cases of [Salmonella Saintpaul] infection were identified. • [The majority of cases were female, aged 20-40 years] • Circumstances that may have promoted the outbreak of infections include: • [Contaminated Peppers used to make hot sauce] • [Public health measures likely prevented additional illness]