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- Wehave unusually a high number of cases that are admitted with a myriad of similar symptoms.
- Charlote Maxeke Johannesburg Academic Hospital SA
- Charlote Maxeke Academic Hospital Boardroom
- We have also at the labarotory noticed an increase in the lab diagnosis of…..
- Charlote Maxeke Johannesburg Academic HospitalSA
- Alright Lets alert our district health manager, maybe this is the case in other hospitals inthe region.
- Charlote Maxeke Academic Hospital Boardroom
- ......
- It’s been 64 days since the discovery of the index case, was this localized to Charlot Maxeke or is it Distributed across the region
- Office of the Ditrict Health manager (DHM)
- Our health information systems show that Over a period of 60 days, 5890 cases of infected individuals were reported .
- I will alert the relevant political headsabout the situation and advise them to assembly a team of public health expertsto get to the bottom of this.
- Doctors and other allied medical staff are having their morning meetings i
- Office of the Ditrict Health manager (DHM)
- ....... .
- Telephonicconversation between Minister of health, DHM and the Mayor
- Doctors and other allied medical staff are having their morning meetings i
- So we have a possible disease outbreak with over 5890 cases in our district
- we have the patient records, with laboratory analysis and medical history at our disposal ....We can use the data at disposal to look similar exposures that the diseased have
- the task team headquarters where the team ofpublic health experts is debriefing and strategizing
- The DHM(Left) is having a meeting with the head of the health management systems Unit(Right) in the district
- AHA! Maybe we can do a case control study because of time, and besides its less expensive, requires a smaller sample size and is useful for rare diseases
- The minister called... we need to know what is causing the chaos?
- The DHM(Left) is having a meeting with the head of the health management systems Unit(Right) in the district
- Three way phone call between DHM(Upper slide ) , Mayor (Middle slide ) and minister of health(lower slide )
- By the powers vested in me by the constitution and the National Health Act 61 of 2003I will appoint a task team comprising of public health experts that will investigate this.
- We need to do something fast
- Discussion between public health experts on how to investigate outbreak
- Remember that case control studies cannot determine causality and are not too useful when it comes to rare exposures which might be the case here.
- I fully agree … let’s do a cohort study so that we can determine incidence and can determine causality of exposure because we have quite an adequate sample size here.
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