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Surveillance of Rickettsia in Jordan since 2013
Supplement article - Supplement | Volume 33 (1): 4. 14 May 2019 | 10.11604/pamj.supp.2019.33.1.18650

Surveillance of Rickettsia in Jordan since 2013

Sultan Alqasrawi, Mohammad Maayaa, Ghaith Weiss, Malak Shaheen, Yousef Khader

Corresponding author: Sultan Alqasrawi, Communicable Disease Directorate, Ministry of Health, Jordan

Received: 10 Mar 2019 - Accepted: 08 May 2019 - Published: 14 May 2019

Domain: Infectious diseases epidemiology

Keywords: Outbreak, rickettsia, Jordan

This articles is published as part of the supplement Case Studies for Public Health in the Eastern Mediterranean Region - 2019, commissioned by Yousef S Khader (

©Sultan Alqasrawi et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Sultan Alqasrawi et al. Surveillance of Rickettsia in Jordan since 2013. Pan African Medical Journal. 2019;33(1):4. [doi: 10.11604/pamj.supp.2019.33.1.18650]

Available online at:

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Surveillance of Rickettsia in Jordan since 2013

Surveillance of Rickettsia in Jordan since 2013

Sultan Alqasrawi1,&, Mohammad Maayaa1, Ghaith Weiss2, Malak Shaheen3, Yousef Khader4


1Communicable Disease Directorate, Ministry of Health, Jordan, 2Jordan Field Epidemiology Training Program, Ministry of Health, Jordan, 3Ain Shams University, Egypt, 4Jordan University of Science and Technology, Jordan



&Corresponding author
Sultan Alqasrawi, Communicable Disease Directorate, Ministry of Health, Jordan




This case study was written based on an outbreak of fever and rash that affected 19 children in two governorates (Alkarak and Madaba) in Jordan during summer 2013. Outbreak investigation data were collected through medical records, line listing form, interview treating physicians, and laboratory results. Outbreak investigations revealed that this outbreak was due to Rickettsia, which has not been reported in Jordan previously. After that, Jordan Ministry of health introduced rickettsia to the list of notifiable diseases and to the surveillance guidelines manual (version 2015). Participants of this case study are focal points of surveillance, Field Epidemiology Training Program (FETP) trainees, and other health professionals. At the end of the case study, participants should able to detect rickettsia, apply the principals of the outbreak investigation, use surveillance data to respond to an outbreak, engage the community to prevent the disease, and cooperate with other authorities to control the disease.



How to use this case study    Down

General instructions: this case study should be used as adjunct training material for surveillance trainees to reinforce the concepts taught in prior lectures. The case study is ideally taught by 3 facilitators in 3 groups of 8 participants in each group. Participants are to take turns reading the case study, usually a paragraph per student. The facilitators guide the discussion on possible responses to questions. The facilitators may make use of flip charts to illustrate certain points.

Audience: this case study was developed for surveillance officers, trainees of the Field Epidemiology Training program (FETP), and others who are interested in this topic.

Prerequisites: Before using this case study, participants should have received lectures on disease surveillance and outbreak investigation.

Materials needed: Flash drive, flip charts, markers, computers with MS Excel

Level of training and associated public health activity: Novice Outbreak investigation

Time required: 3 hours

Language: English



Case study material Up    Down

  • Download the case study student guide
  • Request the case study facilitator guide



Competing interest Up    Down

The authors declare no competing interests.



Acknowledgement Up    Down

Authors would like to acknowledge The Eastern Mediterranean Public Health Network (EMPHNET) for their technical support.



References Up    Down

  1. Raoult D, Tissot-Dupont H, Caraco P, Brouqui P, Drancourt M, Charrel C. Mediterranean spotted fever in Marseille: descriptive epidemiology and the influence of climatic factors. Eur J Epidemiol. 1992 Mar;8(2):192-7. PubMed | Google Scholar

  2. Nafi O, Tarawnah Y, Tarawnah A. Epidemiological evaluation of Mediterranean spotted fever in children of the Karak province in south Jordan. J Infect Dev Ctries. 2017 Mar 31;11(3):242-246. PubMed | Google Scholar































Surveillance of Rickettsia in Jordan since 2013


Surveillance of Rickettsia in Jordan since 2013


Surveillance of Rickettsia in Jordan since 2013

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