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The CDC Field Epidemiology Manual$
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Sonja A. Rasmussen and Richard A. Goodman

Print publication date: 2019

Print ISBN-13: 9780190933692

Published to Oxford Scholarship Online: August 2019

DOI: 10.1093/oso/9780190933692.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 14 December 2019

Developing Interventions

Developing Interventions

(p.229) 11 Developing Interventions
The CDC Field Epidemiology Manual

James L. Hadler

Jay K. Varma

Duc J. Vugia

Richard A. Goodman

Oxford University Press

Interventions are control and prevention measures that public health officials select and implement at one or more points in time after initiating a field investigation in response to an acute public health problem. Regardless of the nature of the problem, an immediate need exists to understand what is happening and to recommend and implement control and prevention measures that are scientifically justified and acceptable to the community. Public health officials must recommend these actions often without incontrovertible epidemiologic proof of a causal association between the putative source or cause of the problem and occurrence of exposure and disease or injury. Under such circumstances, the key question for the field epidemiologist and decision-makers is: “How much epidemiologic certainty is required before initiating action?” This chapter discusses the decision-making process regarding interventions during the course of epidemiologic field investigations and concludes with a summary of actions relating to interventions that should be considered at each progressive stage of the field investigation.

Keywords:   intervention, control, prevention, outbreak, investigation, epidemiology

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