{"id":4473,"date":"2021-07-09T10:08:46","date_gmt":"2021-07-09T14:08:46","guid":{"rendered":"https:\/\/outbreaktools.ca\/?page_id=4473"},"modified":"2021-10-20T15:40:11","modified_gmt":"2021-10-20T19:40:11","slug":"proposal-for-declaring-the-outbreak-over-template","status":"publish","type":"page","link":"https:\/\/outbreaktools.ca\/fr\/tools\/proposal-for-declaring-the-outbreak-over-template\/","title":{"rendered":"Proposal for declaring the outbreak over template"},"content":{"rendered":"<p><a href=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/Proposal-for-OICC-deactivation-and-declaring-the-outbreak-over-template.docx\">Download alternative format<\/a><br \/>\n(Word format, 4 pages, 159KB)<\/p>\n<p style=\"text-align: center;\"><strong>[EVENT ID] Event title<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>Proposal for declaring the outbreak over <\/strong><\/p>\n<p style=\"text-align: center;\"><strong>DATE<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>PHAC-OMD proposes that the outbreak be declared over on <span style=\"color: #ff0000;\">[DATE]<\/span> based on the following rationale:<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"690\">\n<p><strong>Criterion 1<\/strong>: The number of outbreak cases being reported to public health authorities has returned to baseline levels.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"690\">\n<p>The expected baseline incidence of cases based on surveillance data prior to the outbreak and as defined by the outbreak case definition is <strong><span style=\"color: #ff0000;\">[N]<\/span>.<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"690\">\n<p><strong>Criterion 2<\/strong>: The last time that individuals may have been exposed to the implicated source has been identified or estimated.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"690\">\n<p>The last time that individual(s) may have been exposed to the outbreak source is estimated using <span style=\"color: #ff0000;\"><strong>[LAST EXPOSURE ESTIMATE] <\/strong><\/span>(e.g. hazard removal (i.e. restaurant closure, food recall); illness onset; or return to baseline) is <strong><span style=\"color: #ff0000;\">[DATE]<\/span>.<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"690\">\n<p><strong>Criterion 3<\/strong>: Sufficient time has lapsed for potentially exposed individuals to become ill and be reported to investigating public health authorities.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"690\">\n<p>The maximum incubation period of <span style=\"color: #ff0000;\"><strong>[PATHOGEN]<\/strong><\/span> infection is <span style=\"color: #ff0000;\"><strong>[X]<\/strong> <\/span>days and the <span style=\"color: #ff0000;\"><strong>[XX<sup>th<\/sup>]<\/strong><\/span> percentile in reporting delay observed in this outbreak is <span style=\"color: #ff0000;\"><strong>[Y]<\/strong><\/span> days.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>PHAC proposes to declare the outbreak over after the maximum incubation period (<span style=\"color: #ff0000;\"><strong>[X]<\/strong><\/span> days) and the <span style=\"color: #ff0000;\"><strong>[XX<sup>th<\/sup>]<\/strong><\/span> percentile in reporting delay (<span style=\"color: #ff0000;\"><strong>[Y]<\/strong><\/span> days) have elapsed since the last expected exposure on <span style=\"color: #ff0000;\"><strong>[DATE]<\/strong><\/span>. Therefore, if no additional cases are identified the outbreak would be declared over on<span style=\"color: #ff0000;\"> <strong>[OVER DATE]<\/strong><\/span><strong>.\u00a0\u00a0 <\/strong><strong>\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declared-ober.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4474 \" src=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declared-ober.png\" alt=\"\" width=\"796\" height=\"364\" srcset=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declared-ober.png 1034w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declared-ober-300x137.png 300w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declared-ober-1024x468.png 1024w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declared-ober-768x351.png 768w\" sizes=\"auto, (max-width: 796px) 100vw, 796px\" \/><\/a><\/p>\n<p><strong><u>\u00a0Definitions<\/u><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>N<\/strong>: cases per period of time (e.g. month, year etc.)<\/p>\n<p><strong>LAST EXPOSURE ESTIMATE<\/strong>: last exposure to the outbreak source estimated using date of hazard elimination, most recent illness onset, or return to baseline<\/p>\n<p><strong>DATE<\/strong>: date of last exposure estimate<\/p>\n<p><strong>X<\/strong>: maximum incubation period of the pathogen<\/p>\n<p><strong>Y<\/strong>: XX<sup>th <\/sup>percentile reporting delay as observed in the outbreak<\/p>\n<p><strong>OVER DATE<\/strong>: the date the outbreak is declared over based on the three criteria<\/p>\n<p><strong><u>Older:<\/u><\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff0000;\"><strong>[Outbreak title]<\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>Proposal for deactivating the OICC and declaring the outbreak over<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>The OICC will be deactivated and the outbreak declared over based on the following rationale:<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li><strong> <u>Deactivating the OICC<\/u><\/strong><\/li>\n<\/ol>\n<p><span style=\"color: #ff0000;\">[Lead agency]<\/span> proposes that the OICC be deactivated on<span style=\"color: #ff0000;\"> [date]<\/span>. <span style=\"color: #ff0000;\">[Lead agency]<\/span> will continue to monitor the situation and if new information suggests that there is an on-going risk the proposed timelines will be reassessed and revised as needed. Should the situation warrant it, the OICC can be reopened following discussion with the OICC members.<\/p>\n<p>&nbsp;<\/p>\n<p>The OICC deactivation is proposed for the following reasons:<\/p>\n<p><span style=\"color: #ff0000;\"><strong>[CONSIDER AND INCLUDE THE FOLLOWING, AS APPROPRIATE]<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"color: #ff0000;\">As per the FIORP, there is consensus among the OICC members that all avenues of investigation have been exhausted.<\/span><\/li>\n<li><span style=\"color: #ff0000;\">All of the investigation information has been shared and discussed among OICC members.<\/span><\/li>\n<li><span style=\"color: #ff0000;\">The epidemiological investigations for all cases are complete.<\/span><\/li>\n<li><span style=\"color: #ff0000;\">CFIA has indicated that the traceback investigation is complete and there is no additional information expected at this time.<\/span><\/li>\n<\/ul>\n<ol start=\"2\">\n<li><strong><u>Declaring the outbreak over<\/u><\/strong> <span style=\"color: #ff0000;\">[consider using a figure to illustrate the rationale, rather than or in addition to text]<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #ff0000;\">[Lead agency]<\/span> proposes that the outbreak be declared over on <span style=\"color: #ff0000;\">[date]<\/span> based on the following rationale:<\/p>\n<p><em>To determine when the outbreak can be declared over, consider three criteria (1) Identify the expected baseline levels (2) Identify the last time that individuals may have been exposed to the outbreak source, (3) Allow enough time to pass to allow individuals to become ill and be reported to public health authorities. <\/em><\/p>\n<p><span style=\"color: #ff0000;\"><em>\u00a0<\/em><strong>[PROVIDE ANALYSIS BASED ON ABOVE CRITERIA \/ ADDITIONAL BULLETS MAY BE REQUIRED]<\/strong><\/span><\/p>\n<ul>\n<li><strong>Criterion 1: <\/strong>The expected baseline incidence for PFGE pattern <span style=\"color: #ff0000;\">[X]<\/span> is <span style=\"color: #ff0000;\">[X cases per period of time (e.g., year, month, etc.). [Describe the period of time for which the number of cases reported has returned to baseline.]<\/span><\/li>\n<li><strong>Criterion 2: <\/strong><span style=\"color: #ff0000;\">The most recent date of illness onset is [date] <span style=\"color: #000000;\">or<\/span> The date of product recall, [date], is considered to be the last time individuals may have been exposed to the implicated source.<\/span><\/li>\n<li><strong>Criterion 3: <\/strong>The maximum incubation period of <span style=\"color: #ff0000;\">[PATHOGEN]<\/span> infection is <span style=\"color: #ff0000;\">[X]<\/span> days and the <span style=\"color: #ff0000;\">[XX<sup>th<\/sup>]*<\/span> percentile in reporting delay observed in this outbreak is <span style=\"color: #ff0000;\">[X]<\/span> <span style=\"color: #ff0000;\">[*use the 75<sup>th<\/sup> to 100<sup>th<\/sup> percentile]<\/span><\/li>\n<li><strong>Calculation: <\/strong>[Criterion 2 date] + [Criterion 3 reporting delay] = [Date to declare the outbreak over]<\/li>\n<li>Therefore this outbreak can be declared over on <span style=\"color: #ff0000;\">[date]<\/span>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #ff0000;\">[Insert figure which should include the outbreak epidemic curve, the maximum incubation period, the reporting delay and references to the three criteria. See example on next page]<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declaring-iover.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4456 size-large\" src=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declaring-iover-1024x573.png\" alt=\"\" width=\"1024\" height=\"573\" srcset=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declaring-iover-1024x573.png 1024w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declaring-iover-300x168.png 300w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declaring-iover-768x430.png 768w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/declaring-iover.png 1482w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p><em>* The date the outbreak could be declared over was calculated on day 35 of the outbreak (Thursday, June 11, 2020). Note that this date is not static and needs to be updated if new relevant information comes in (e.g., new traceback information suggests other products\/product lots may be contaminated).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Download alternative format (Word format, 4 pages, 159KB) [EVENT ID] Event title Proposal for declaring the outbreak over DATE &nbsp; PHAC-OMD proposes that the outbreak be declared over on [DATE] based on the following rationale: Criterion 1: The number of outbreak cases being reported to public health authorities has returned to baseline levels. The expected [&hellip;]<\/p>\n","protected":false},"author":33,"featured_media":0,"parent":88,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4473","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4473","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/comments?post=4473"}],"version-history":[{"count":2,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4473\/revisions"}],"predecessor-version":[{"id":4477,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4473\/revisions\/4477"}],"up":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/88"}],"wp:attachment":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/media?parent=4473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}