Comparing insights from clinic-based versus community-based outbreak investigations: a case study of chikungunya in Bangladesh.

ABSTRACT:

Background

Outbreak investigations typically focus their efforts on identifying cases that present at healthcare facilities. However, these cases rarely represent all cases in the wider community. In this context, community-based investigations may provide additional insight into key risk factors for infection, however, the benefits of these more laborious data collection strategies remains unclear.

Methods

We used different subsets of the data from a comprehensive outbreak investigation to compare the inferences we make in alternative investigation strategies.

Results

The outbreak investigation team interviewed 1,933 individuals from 460 homes. 364 (18%) of individuals had symptoms consistent with chikungunya. A theoretical clinic-based study would have identified 26

SUBMITTER: Paul KK 

PROVIDER: S-EPMC7264925 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature