Cholera outbreak in Funpur, Winland
Muhammad Nadeem Shah, Esra Saleh, Eva Mertens, Hedia Bellali, Elizeus Rutebemberwa
Corresponding author: Eva Mertens, Bernhard Nocht Institute for Tropical Medicine, Department of Infectious Disease Epidemiology, Bernhard-Nocht-Strasse 74, 20359 Hamburg, Germany 
Received: 02 Aug 2021 - Accepted: 09 Oct 2021 - Published: 16 Dec 2021
Domain: Health communication,Infectious diseases epidemiology,Public health
Keywords: Man-made outbreak, biosafety, biosecurity, International Health Regulation
This article is published as part of the supplement Case studies on the management of public health events in Africa, Central Asia, South Asia, and the Middle East – the GIBACHT approach, commissioned by Bernhard Nocht Institute for Tropical Medicine, Bernhard-Nocht-Straße 74, 20539, Hamburg, Germany.
©Muhammad Nadeem Shah et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Muhammad Nadeem Shah et al. Cholera outbreak in Funpur, Winland. Pan African Medical Journal. 2021;40(2):4. [doi: 10.11604/pamj.supp.2021.40.2.30989]
Available online at: https://www.panafrican-med-journal.com//content/series/40/2/4/full
Case study 
Cholera outbreak in Funpur, Winland
Cholera outbreak in Funpur, Winland
Muhammad Nadeem Shah1, Esra Saleh2, Eva Mertens3,4,&, Hedia Bellali5,6, Elizeus Rutebemberwa7,8,9
&Corresponding author
Vibrio Cholerae is a category B agent which has moderate to high potential to be used in bioterrorist events. This fictitious case study is based on man-made outbreak investigation and response carried out by disease surveillance and response unit of country Winland. The numbers of acute watery diarrhoea cases (AWDs) were concentrated in city Funpur of country Winland which share international border with Robiland, another country with poor health infrastructure. Regular movement of nomadic population between two countries has additional risk of international spread. This case study is designed for the training of public health students and workers on steps of outbreak investigation, packaging of biological samples, understanding IHR reporting algorithm, understanding difference between biosafety and biosecurity, different categories of bioterrorism organisms and PPE & its zones. This case study can be used as supporting training tool for application of learned concepts to a real situation and can be carried out in 2-3 hours.
General instructions: this case study is a supporting teaching training tool designed for application of learned concepts to a real situation. This Case study is to be used for beginner and intermediate level trainees. During teaching sessions, the trainees can be divided into smaller groups of 5-8 persons, and each person can be asked by a facilitator to sub-facilitate a particular section. The facilitator needs to guide the overall discussion and bring discussion back on track, through questions, whenever the group loses the direction. He/She may also use flip charts to explain certain points.
Target audience: the study aims to target all public health workers with beginner to intermediate level training. Field Epidemiologists, Environmental Health Officers, Laboratory Scientists, Health Educationists and Epidemiology students are key public health officials to be targeted.
Pre-requisites: participants need to be aware of disease surveillance and outbreak investigations concepts.
Materials needed: pen, papers, markers and Flip Papers/Charts
Time required: 2-3 hours
Language: English
- Download the case study student guide (PDF - 876 KB)
- Request the case study facilitator guide: contact info@gibacht.org
The authors declare no competing interests.
We wish to acknowledge the Global Partnership Initiated Academia for Controlling Health Threats (GIBACHT) and their funding body, the German Federal Foreign Office, for their support in developing this case study.
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