An outbreak of multi-drug-resistant tuberculosis cases amongst the same family living in a rural area in Morocco, July-2017: a teaching case-study
Ilham Dahbi, Houda Moumni, Souaad Hassani, Assarag Bouchra, Adnan Tazi
Corresponding author: Ilham Dahbi, Directory of Epidemiology and Disease control, Morocco Field Epidemiology Training Program, Morocco 
Received: 02 Jul 2020 - Accepted: 20 Jul 2020 - Published: 04 Aug 2020
Domain: Infectious diseases epidemiology
Keywords: Multidrug-resistant tuberculosis, response measures
This article is published as part of the supplement Teaching case-studies in Field Epidemiology with a focus on the Eastern Mediterranean Region, commissioned by The Eastern Mediterranean Public Health Network (EMPHNET).
©Ilham Dahbi 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 (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Ilham Dahbi et al. An outbreak of multi-drug-resistant tuberculosis cases amongst the same family living in a rural area in Morocco, July-2017: a teaching case-study. Pan African Medical Journal. 2020;36(1):8. [doi: 10.11604/pamj.supp.2020.36.1.24760]
Available online at: https://www.panafrican-med-journal.com/content/series/36/1/8/full
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An outbreak of multi-drug-resistant tuberculosis cases amongst the same family living in a rural area in Morocco, July-2017: a teaching case-study
An outbreak of multi-drug-resistant tuberculosis cases amongst the same family living in a rural area in Morocco, July-2017: a teaching case-study
Ilham Dahbi1,&, Houda Moumni1, Souaad Hassani1, Assarag Bouchra2, Adnan Tazi2
&Corresponding author
Multidrug-resistant tuberculosis (MDR-TB) is a public health priority in Morocco, especially after the medical delegation of the province was acknowledged about confirmed MDR-TB cases. An investigation was conducted in Morocco to identify the characteristics of the reported cases and evaluate the undertaken response measures. Information about confirmed MDR-TB cases was collected by the Epidemiology Department of Health via the consultation registry and medical records. Additionally, a home survey with interviews of cases and contacts defined according to the National Tuberculosis Control Program. A total of eight MDR-TB cases were diagnosed (bacteriologically confirmed) from the same family living in a rural area. All cases had a tuberculosis contagion notion and were seronegative for the acquired immunodeficiency virus. The objective of this case study is to build the capacity of trainees on investigating outbreaks. The case study is designed for novice field epidemiology trainees. The case study can be completed in 3-4 hours.
General instructions: this case study should be used as an adjunct training material for novice epidemiology trainees to reinforce the concepts taught in prior lectures. The case study is ideally taught by a facilitator in groups of about 20 participants. Participants are to take turns reading the case study, usually a paragraph per student. The facilitator guides the discussion on possible responses to questions. The facilitator may make use of flip charts to illustrate certain points. Additional instructor´s notes for facilitation are coupled with each question in the instructor guide to aid facilitation.
Audience: this case study was developed for novice field epidemiology students. Participants, who actively engaged in the case study have a health care background and work experience in the county health departments. This includes medical doctors, nurses, environmental health officers, laboratory scientists and other public health-related specialists.
Prerequisites: before using this case study, participants should have received lectures on disease surveillance, detection, and control of outbreak.
Materials needed: Flash drive, flip charts, markers, computers
Level of training and associated public health activity: Novice - Outbreak investigation
Time required: 2-3 hours
Language: French - English
- Download the case study student guide (PDF - 369 KB)
- Request the case study facilitator guide
The authors declare no competing interests.
Authors would like to acknowledge The Eastern Mediterranean Public Health Network (EMPHNET) for their technical support.
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