Epi Summary Template

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Preliminary information and subject to change throughout the day

[Outbreak ID#] Multi-provincial outbreak of <pathogen>

Epidemiologic Summary, <date as of time EDT>

  Confirmed cases (n=#) Probable cases (n=#) Total (n=#)
P/T Case Count      

Age (years)

Mean

Median

Range

     
Sex:  % Male      
Hospitalizations      
Hemolytic Uremic Syndrome      
Deaths      
Onset date range      
Epidemic curve  
PFGE patterns      

 

Case definitions:

Confirmed

Probable

 

Data sources:

 

Updates

Epidemiological:

 

Laboratory:

 

Food Safety:

 

Communications:

 

Other:

 

Prepared by [insert agency name here]. This information is shared in confidence, further distribution should be done only in accordance with the Foodborne Illness Outbreak Response Protocol.