Outbreak Presentation Template• All red text, and text with in [brackets] provide

guidance and should be replaced or removed.• Template may not fit for every outbreak in

every setting, but can provide general guidance on where to start.

Outbreak of [Salmonella Saintpaul] infections, [United States]

[August 1- November 25, 2008]

***Data are preliminary and subject to change; not for distribution. ***

[Salmonella] Overview

• [1.2 million illnesses and 400 deaths annually]• [Many different sources]

– [Meat, poultry, produce, processed foods, animal contact]

• [>2,500 serotypes of Salmonella enterica]

Outbreak Identification

• [August 1, 2008] – [Health department received phone call reporting

cluster of 8 persons ill with diarrhea]– [All 8 cases reported similar food exposure] – [Laboratory testing confirmed all cases were

infected with Salmonella Saintpaul]

Table 1. Cases of [Salmonella Saintpaul], as of [August 25, 2008]

Case Definitions:• Probable case definition:

– person with [Salmonella Saintpaul] infection,

– residing in [Location]– with illness onset (or isolation, if onset date

unknown) on [April 1, 2008 – present] • Confirmed case definition:

– person with [Salmonella Saintpaul] infection, – residing in [Location] – with illness onset (or isolation, if onset date

unknown) on [April 1, 2008 – present]

Case Counts:• [1442] confirmed cases from [5]

municipalities, • [300] confirmed cases from [5] municipalities,

Range of Onset Dates• Reported onset dates range from [April 16]

to [August 11, 2008]

Clinical Features• Hospitalized: [286 ] • Deaths: [0 ]

Municipality Confirmed Cases

Probable Cases

Total

[Munic 1]

[Munic 2]

[Munic 3]

Total 1442 300

Outbreak Overview

*percentage based on number of cases for whom outcome is known

Table 3. Patient outcomes for cases of [E.coli O157:H7] infection of [August 25, 2008]

Table 2. Demographics for cases of [Salmonella Saintpaul] as of [August 25, 2008]

DemographicsAge, range (median) 2-57 (14)

Gender, n (%) Female 39 (72%) Male 15 (28%)

Outcomes n (%)*Hospitalized 25 (57)HUS 7 (18)Died 0 (0)

AgeGrp Percent Female<5 years 80%5 to 9 years 58%10 to 14 years 45%15 to 19 years 91%20 to 24 years 75%25 to 29 years 100%30 to 34 years 100%35 to 39 years 67%40 to 44 years 100%45 to 49 years 100%55 to 59 years 100%Overall 72%

Break down into age categories as appropriate for the outbreak (i.e., if it’s not helpful to look at all age categories, don’t do it for the sake of doing it)

Provide age and gender in demographic break-down. For age, use range and median (unless age is normally distributed, then use average

, (n=54)

, (n=44)Can include other important clinical outcomes associated with the cause of the outbreak, for instance HUS for an outbreak of E. coli O157.

26-75 cases 5-25 cases 1-4 cases

AR21

AZ59

CA16

CT5

FL4

GA42

ID6

IL120

WI13

KS21

KY2

MD39

MA31

MI28

MO20

NH6

NJ16

NM106

NY41

NC28

OH10

OK38

OR11

PA15

RI3

TN10

TX559

UT3 VA

31

VT2

WA18

IN21

DC1

NV14

76 or more cases

Cases infected with the outbreak strain of Salmonella Bareilly United States, by state,

as of : [Date], (n= [Count]) ME1

MN31

AL8

SC2

IA2

LA3

WV1

MS2

MT1

CO17

NM115

Categories and key should be relative to size of outbreak; categories should make sense

If possible make a map of the outbreak. It can include case counts, or even better attack rates (Number of cases per susceptible population).

Confirmed and Probable cases of [Salmonella Saintpaul], by date of illness onset, [Location], [Date Range](n=[1414] for whom information was reported as of [DATE])

0

5

10

15

20

25

30

35

40

45

50

4/1

4/8

4/15

4/22

4/29 5/

65/

135/

205/

27 6/3

6/10

6/17

6/24 7/

17/

87/

157/

227/

29 8/5

8/12

8/19

8/26

Estimated onset date*, N=366

Reported onset date, N=1041

Date of illness onset

Number of persons NM Media Release(May 31, 2008)Nationwide alert on tomatoes(June 7, 2008)

CDC warning on Jalapeño, Serrano peppers(July 9, 2008)

Mark important events

Could also be broken into possible and confirmed cases

Public Health Response

• Measures taken to reduce the impact of the outbreak included:– [Improving the medical services provided to case-patients]– [Recalling the contaminated food from stores]– [Improving public awareness through radio

announcements and presentations at community health centers]

Outbreak Conclusion

• [1742] cases of [Salmonella Saintpaul] infection were identified.

• [The majority of cases were female, aged 20-40 years]• Circumstances that may have promoted the outbreak of

infections include:– [Contaminated Peppers used to make hot sauce]

• [Public health measures likely prevented additional illness]