Pertussis Outbreak: The Family Practice Public Health Team

1
Pertussis OutbreakThe 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