Disease Reporting & Investigation

Question 1

In the US, the authority to require notification of cases of disease resides in the respective ____ _____

Answer 1

state legislatures (state statutes and/or state health department or board of health regulations)

Question 2

In the US, the Secretary of the ______ has statutory responsibility for preventing the introduction, transmission, and spread of communicable diseases

Answer 2

Department of Health and Human Services (HHS)

Question 3

Under HHS’s delegated authority, the Division of _____ works to prevent the spread of communicable disease through the:

1. Operation of quarantine stations at ports of entry
2. Medical exams of persons destined for the US
3. Admin of interstate and foreign quarantine regulations

Answer 3

Global Migration and Quarantine

Question 4

Under the ___ ___ ___ Act, the US Secretary of HHS is authorized to take measures to prevent the entry and spread of communicable diseases from foreign countries into the US and between states

Answer 4

Public Health Service Act

Question 5

This organization is authorized to detain, medically examine, and release persons arriving into the US and traveling between states who are suspected of carrying communicable diseases

Answer 5

CDC

Question 6

**Since 1961, the CDC has maintained and operated this database for the purpose of tabulating and disseminating summary morbidity data.

Answer 6

National Notifiable Diseases Surveillance System (NNDSS)

Question 7

• *To improve reporting, the CDC created this surveillance system to allow:
  1. Electronic transfer of info
  2. Reduce provider burden
  3. Enhance timeliness and quality of info
  4. Detect outbreaks rapidly and monitor health of the nation

Answer 7

National ELECTRONIC Disease Surveillance System (NEDSS)

Question 8

Name the 3 goals of Outbreak Investigation:

Answer 8

1. Control ongoing outbreak
2. Prevent future outbreaks
3. Advance knowledge about a disease

Question 9

**This describes a running report containing a list of cases w/information on each case displayed in a list/table, allowing a quick review of important case and exposure info that can help establish an initial case definition, identify who may be involved in the outbreak, and generate a hypothesis on the potential source of the outbreak.

Answer 9

Line List

Question 10

**This is a definition that is broad enough to identify nearly all cases. However, this broad definition may increase false positives, but is needed so no cases are missed

Answer 10

Sensitive Case Definition

Question 11

**As more cases are added to the line list, a ___ ___ ___ can be developed, which is usually narrowed down based on info obtained from the investigation. However, this may increase false negatives.

Answer 11

Specific Case Definition

Question 12

**This is a type of case which has laboratory or other confirmatory diagnostic findings

Answer 12

Confirmed Case

Question 13

**This is a type of case who has certain symptoms meeting a case definition WITHOUT diagnostic confirmation

Answer 13

Probable Case

Question 14

**This is a type of case which is currently demonstrating fewer of the typical clinical features

Answer 14

Suspect Case

Question 15

**This defines those who were likely exposed but did not develop symptoms and disease

Answer 15

Control Group