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Pertussis Outbreak: The Family Practice / Public Health Team

Explore the successful containment of a pertussis outbreak by a family practice and public health team. Learn about epidemiology, case presentations, treatment strategies, and control measures. Discover the collaborative efforts that minimized operational impact and kept the community safe.

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Pertussis Outbreak: The Family Practice / Public Health Team

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  1. Pertussis Outbreak:The Family Practice / Public Health Team D.C. Krulak, MD, MPH LCDR MC USN

  2. Introduction • Epidemiology • Case overview

  3. Case Presentation • Index case • Laboratory confirmation • Outbreak Clinical Case definition • Close contact • Timeline • Symptomatic contacts • Close contacts

  4. Case Presentation Case Culture Prophylaxis Treatment

  5. Case Presentation • No other hospitalizations • No further lab confirmed cases • Operational impact was minimal

  6. Discussion - Investigation • Confirm the diagnosis • Generate a case definition • Confirm the outbreak • Inform stakeholders • Hypothesize re source and transmission • Implement control measures • Continue surveillance

  7. Discussion – Numbers • 88% of those evaluated were either treated or placed on prophylaxis • 10 symptomatic individuals were untreated • 97% of individuals fully up to date on immunizations • 33% of close contacts were symptomatic

  8. Conclusion • Successful containment of a pertussis outbreak • Negligible impact to the operating forces • Family physicians and community health leaders as a team • Threat of communicable disease epidemic

  9. Questions?

  10. Discussion - Pertussis • Bordetella pertussis • Clinical phases • Complications • Laboratory findings • Medical management • Prevention

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