An investigation of pyrexia of unknown origin in Shamva District, Zimbabwe, September 2015
Daniel Chirundu1,2,&, Tsitsi Juru2, Nsiande Lema3, Rayyan Muhammad Garba4, Joseph Asamoah Frimpong5
1Kadoma City Health Department, Kadoma, Zimbabwe, 2Zimbabwe Field Epidemiology Training Program, Harare, Zimbabwe, 3Tanzania Field Epidemiology Training program, Dar es Salaam, Tanzania, 4Nigeria Field Epidemiology Training program, Abuja, Nigeria, 5African Field Epidemiology Network, Accra, Ghana
Daniel Chirundu, Kadoma City Health Department, Kadoma, Zimbabwe
Outbreak investigation is a key component of public health training. A good outbreak investigation can go beyond determining the causative agent by recommending policies to be formulated by policy makers. This case study simulates a real-life investigation of pyrexia of unknown origin in Shamva District, Zimbabwe, during the period of September to October 2015. It aims at reinforcing principles and skills taught in class on outbreak investigation, study design and policy initiation. The target audience for the case study is Field Epidemiologists at their advanced level of training. It is expected to be completed in approximately 2 hours.
How to use this case study
General instructions: ideally, 1 to 2 facilitator(s) is/are required
to facilitate the case study for 10 to 20 participants. The facilitator should
request participants to read a paragraph out loud, going around the room to
give each participant a chance to read. When the participant reads a question,
the facilitator encourages all participants to engage in discussions, perform
calculations, and draw graphs among other tasks. The facilitators request
the participants to play different roles or take different sides in answering
a question. As a result, participants learn from each other, not just from
Field Epidemiologist and other person(s) interested in the case study.
before using this case study, case study participants should have received lectures or other instruction in outbreak investigation, use of Epi info 7 visual dashboard to run aberration algorithm, study design, measures of association, and policy formulation and analysis.
flipchart or whiteboard with markers.
Level of training:
advanced outbreak investigation.
approximately 2 hours
Case study material
The authors declare no competing interests.
The African Field Epidemiology Network and Emory University are acknowledged for organising a case study development workshop through which this output was achieved. We acknowledge the Zimbabwe Field Epidemiology Program for allowing us to use their data for this case study. We acknowledge the following for peer review during the case study development: Tuya Nakale, Emmanuel Hikufe, Wilson Rubanzana, Mark Obonyo, Lazarus, Alice Manjate, Senesia Sitao, Hussein Muhammed, Joseph Ntaganira, Junaidu, Yusuf, Mikayla Farr, Desta Hiko, Herbert Brian Kazoora, Maley Mcleod, Yusuf Oyindamola, Junaid Kabir, Casey Daniel, Sorie Dumbuya, Evelyn Kamgang, Calbeth Alaribe, Ghada Farhat and Richard Dicker.
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