The CDC Field Epidemiology Manual

A NEW AND ESSENTIAL RESOURCE FOR THE PRACTICE OF EPIDEMIOLOGY AND PUBLIC HEALTH

The CDC Field Epidemiology Manual is a definitive guide to investigating acute public health events on the ground and in real time. Assembled and written by experts from the Centers for Disease Control and Prevention as well as other leading public health agencies, it offers current and field-tested guidance for every stage of an outbreak investigation -- from identification to intervention and other core considerations along the way.

Modeled after Michael Gregg's seminal book Field Epidemiology, this CDC manual ushers investigators through the core elements of field work, including many of the challenges inherent to outbreaks: working with multiple state and federal agencies or multinational organizations; legal considerations; and effective utilization of an incident-management approach.

Additional coverage includes:

· Updated guidance for new tools in field investigations, including the latest technologies for data collection and incorporating data from geographic information systems (GIS)
· Tips for investigations in unique settings, including healthcare and community-congregate sites
· Advice for responding to different types of outbreaks, including acute enteric disease; suspected biologic or toxic agents; and outbreaks of violence, suicide, and other forms of injury

For the ever-changing public health landscape, The CDC Field Epidemiology Manual offers a new, authoritative resource for effective outbreak response to acute and emerging threats.

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Oxford University Press will donate a portion of the proceeds from this book to the CDC Foundation, an independent nonprofit and the sole entity created by Congress to mobilize philanthropic and private-sector resources to support the Centers for Disease Control and Prevention's critical health protection work. To learn more about the CDC Foundation, visit www.cdcfoundation.org.

About the Editors

Sonja A. Rasmussen, MD, MS, was the Director of CDC's Division of Public Health Information Dissemination in the Center for Surveillance, Epidemiology, and Laboratory Services (CSELS) and Editor-in-Chief of the Morbidity and Mortality Weekly Report (MMWR) Series while serving as the editor of this book. She is currently CDC's Deputy Director for Infectious Diseases and Director of CDC's Office of Infectious Diseases. She has held leadership positions in several CDC emergency responses, including 2009 H1N1 influenza, Middle East Respiratory Syndrome (MERS) Coronavirus, and Ebola and Zika viruses.

Richard A. Goodman, MD, JD, MPH, is Professor of Medicine at Emory University's School of Medicine and Rollins School of Public Health. Dr. Goodman held leadership and senior staff positions at the Centers for Disease Control and Prevention from 1978 to 2015, serving as Editor-in-Chief of CDC's Morbidity and Mortality Weekly Report (MMWR) Series for a decade, Co-Director CDC's Public Health Law Program, and Associate Director of CDC's Epidemiology Program Office.

About the Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention (CDC), headquartered in Atlanta, Georgia, is a United States federal agency under the Department of Health and Human Services.

Dedication

About the Editors

Preface
Sonja A. Rasmussen, Richard A. Goodman

Preface to Michael Gregg's Field Epidemiology (2008)
Carl W. Tyler, Jr.

Acknowledgements

Contributors

Part One: Field Investigation

1. Defining Field Epidemiology
Richard A. Goodman, James W. Buehler, Joshua A. Mott

2. Initiating Operations
Duc J. Vugia, Richard A. Goodman, James Hadler, Danice K. Eaton

3. Conducting a Field Investigation
Michael King, Diana Bensyl, Richard A. Goodman, Sonja A. Rasmussen

4. Collecting Data
Katrina Hedberg, Julie Maher

5. Using Technologies for Data Collection and Management
Janet J. Hamilton

6. Describing Epidemiologic Data
Robert E. Fontaine

7. Designing and Conducting Analytic Studies in the Field
Brendan R. Jackson, Patricia M. Griffin

8. Analyzing and Interpreting Data
Richard Dicker

9. Optimizing Epidemiology-Laboratory Collaborations
M. Shannon Keckler, Reynolds M. Salerno, Michael W. Shaw

10. Collecting and Analyzing Qualitative Data
Brent Wolff, Frank Mahoney, Anna Lena-Lohivina, Melissa Corkum

11. Developing Interventions
James Hadler, Jay K. Varma, Duc J. Vugia, Richard A. Goodman

12. Communicating during an Outbreak or Public Health Investigation
Abbigail J. Tumpey, David Daigle, Glen Nowak

Part Two: Special Considerations

13. Legal Considerations
James D. Holt, Sudevi N. Ghosh, Jennifer R. Black

14. Coordination of Multiple States and Federal Agencies
Timothy Jones, Craig Hedberg

15. Multinational Outbreak Investigations
Frank Mahoney, James W. Le Duc

16. Emergency Operations Centers and Incident Management Structure
Jeffrey L. Bryant, Daniel M. Sosin, Tim W. Wiedrich, Stephen C. Redd

17. Geographic Information System Data
Stephanie Foster, Erica Adams, Ian Dunn, Andrew Dent

18. Health-Care Settings
Bryan E. Christensen, Ryan P. Fagan

19. Community Congregate Settings
Amra Uzicanin, Joanna Gaines

20. Exposures and Conditions of Acute Environmental Origin
Sharon M. Watkins, Jerry Fagliano

21. Occupational Disease and Injury
Kathleen Kreiss, Kristin J. Cummings

22. Natural and Human-Made Disasters
Ron Waldman

23. Acute Enteric Disease Outbreaks
Ian T. Williams, Laura Whitlock, Matthew E. Wise

24. Suspected Intentional Use of Biologic and Toxic Agents
Stephen Papagiotas, Kelly Shannon

25. Suicide, Violence, and Other Forms of Injury
Joseph E. Logan, James A. Mercy

Index