Abstract
For enteric disease outbreaks, effective control depends on timely intervention. Routine collection of metrics related to outbreak identification, investigation and control can help evaluate and improve interventions and inform further analyses and modelling of intervention effectiveness. To analyze data from enteric disease outbreaks in British Columbia, generate outbreak metrics and assess their use in evaluating the impact of outbreak interventions. This descriptive study analyzed data from 57 provincial and national enteric disease outbreak investigations involving the British Columbia Centre for Disease Control from 2005 to 2014. Data were extracted from internal files and the Canadian Network for Public Health Intelligence. Outbreak metrics analyzed included days to initiate investigation, days to intervention, number and type of interventions, duration of investigation, duration of outbreak and the total number of cases. The median time to initiate an outbreak investigation was 36 days and the median duration of investigations was 39 days. The median duration of outbreaks was 40 days and the median time to intervene was 10 days. Identification of the source was associated with use of one or more interventions (P<0.0001). The duration of outbreaks was correlated with the number of days to initiate an investigation (rs =0.72, P<0.0001) and number of days to intervene (rs =0.51, P=0.025). Identification and analysis of outbreak metrics establishes benchmarks that can be compared to other jurisdictions. This may support continuous quality improvement and enhance understanding of the impact of public health activities. Date information for public health actions is essential for evaluating the timing and effectiveness of outbreak interventions.
Highlights
The objective of an outbreak investigation is to identify the source and implement timely and appropriate interventions to control the outbreak [1]
Identification and analysis of outbreak metrics establishes benchmarks that can be compared to other jurisdictions
Salmonella and E. coli O157:H7 were implicated in 63% (n=36) of outbreaks and contributed to 76% (n=2291) of the outbreak-related cases
Summary
The objective of an outbreak investigation is to identify the source and implement timely and appropriate interventions to control the outbreak [1]. The timeliness of control measures often depends on how quickly an outbreak is first identified and solved. It is of value to track metrics (indicators that can be compared over time and to other jurisdictions) related to the timeliness of outbreak identification, investigation and control. Outbreak data have been used to assess the impact of interventions. Despite the usefulness of outbreak metrics, such measures are seldom evaluated or reported [5]. Routine collection of metrics related to outbreak identification, investigation and control can help evaluate and improve interventions and inform further analyses and modelling of intervention effectiveness
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