Health investigation following an outbreak of highly pathogenic Avian Influenza A (H5N1) in Poultry in Nabi Chit, Lebanon, 2016: a teaching case-study
Zeina Farah, Nada Ghosn, Walid Ammar, Yousef Khader
The Pan African Medical Journal. 2019;33 (Supp 1):18. doi:10.11604/pamj.supp.2019.33.1.18649


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Health investigation following an outbreak of highly pathogenic Avian Influenza A (H5N1) in Poultry in Nabi Chit, Lebanon, 2016: a teaching case-study

Cite this: The Pan African Medical Journal. 2019;33 (Supp 1):18. doi:10.11604/pamj.supp.2019.33.1.18649

Received: 09/03/2019 - Accepted: 08/05/2019 - Published: 16/05/2019

Key words: Outbreak, H5N1, poultry, Lebanon

© Zeina Farah et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/series/33/1/18/full

Corresponding author: Zeina Farah, Epidemiological Surveillance Program, Ministry of Public Health, Lebanon (zfarah.esu@gmail.com)

This article is published as part of the supplement “Case Studies for Public Health in the Eastern Mediterranean Region” sponsored by The Eastern Mediterranean Public Health Network (EMPHNET)

Guest editors: Pr Yousef S Khader (yskhader@just.edu.jo) - Department of Community Medicine, Public Health and Family Medicine Faculty of Medicine,Jordan University of Science & Technology, Jordan


Health investigation following an outbreak of highly pathogenic Avian Influenza A (H5N1) in Poultry in Nabi Chit, Lebanon, 2016: a teaching case-study

Zeina E. Farah1,&, Nada Ghosn1, Walid Ammar1, Yousef Khader2

 

1Epidemiological Surveillance Program, Ministry of Public Health, Lebanon, 2Jordan University of Science and Technology, Jordan

 

 

&Corresponding author
Zeina E. Farah, Epidemiological Surveillance Program, Ministry of Public Health, Lebanon

 

 

Abstract

In Lebanon, no cases of influenza A (H5N1) were reported among poultry or humans before 2016. In April 2016, the Ministry of Agriculture confirmed the incursion of H5N1 in two poultry farms in Nabi Chit village in Lebanon. The disease led to the death of 20,000 domestic birds. This case study is based on the actions taken by the Ministry of Public Health during this outbreak to prevent the spread of the disease to humans. It simulates an outbreak investigation including laboratory confirmation, active case and exposed finding, descriptive epidemiology and implementation of preventive and control measures. This case study is designed for the training of basic level field epidemiology trainees or any other health care workers working in public health-related fields. It can be administered in 3-4 hours. Used as adjunct training material, the case study provides the trainees with competencies in investigating an outbreak in preparation for the actual real-life experience of such outbreaks.

 

 

How to use this case study    Down

General instructions: this case study should be used as adjunct training material for novice epidemiology trainees to reinforce the concepts taught in prior lectures. The case study is ideally taught by a facilitator in groups of about 8 participants. Participants are to take turns reading the case study, usually a paragraph per student. The facilitator guides the discussion on possible responses to questions. The facilitator may make use of flip charts to illustrate certain points. Additional instructor’s notes for facilitation are coupled with each question in the instructor’s guide to aid facilitation.

 

Audience: this case study was developed for novice field epidemiology students. These participants are commonly health care workers working in the county departments of health whose background may be as medical doctors, nurses, environmental health officers or laboratory scientists who work in public health-related fields. Most have a health science or biology background.

 

Prerequisites: before using this case study, participants should have received lectures on disease surveillance and outbreak investigation.

 

Materials needed: Flash drive, flip charts and markers.

 

Level of training and associated public health activity: Novice – Outbreak investigation

 

Time required: 3-4 hours

 

Language: English

 

 

Case study material Up    Down

  • Download the case study student guide
  • Request the case study facilitator guide

 

 

Competing interest Up    Down

The authors declare no competing interests.

 

 

Acknowledgement Up    Down

Authors would like to thank the Eastern Mediterranean Public Health Network (EMPHNET) for their technical support. We also acknowledge officers at the epidemiological surveillance program and communicable diseases department at the Ministry of Public Health who conducted the outbreak investigation on which this case study is based. We also wish to thank the Ministry of Agriculture, the National Influenza Center and the World Health Organization for their collaboration.

 

 

Annexe Up    Down

Annex 1: case study H5N1-Lebanon- table 2

 

 

References Up    Down

  1. World Health Organization. Frequently Asked Questions: H5N1 Influenza. 2012. Accessed on 20 December 2018.

  2. Centers for Disease Control and Prevention. Highly pathogenic Asian avian influenza A (H5N1) virus. 2015. Accessed on 20 December 2018.

  3. Food and Agriculture Organization of the United Nations. Highly pathogenic avian influenza (H5N1 HPAI) spread in the Middle East: risk assessment. Rome. EMPRES Watch. September 2016; 36.

  4. Asmar, Fadi. Lebanon; country pasture forage resource profile, 2011. Accessed on 20 December 2018.

  5. World Health Organization. Early detection, assessment and response to acute public health events: implementation of early warning and response with a focus on event-based surveillance. 2014 WHO/HSE/GCR/LYO/2014.4. Google Scholar

  6. Farah ZE, Khatib O, Hamadeh S et al. Containment of Highly Pathogenic Avian Influenza A(H5N1) Virus, Lebanon, 201 Emerg Infect Dis. 2018 Feb;24(2):374-376. PubMed | Google Scholar

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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