removing cases and exposed persons who were foodhandlers
themselves from work or putting them in less sensitive
positions until they no longer posed a threat for transmitting
the hepatitis A virus.
In most cases evaluation of the effectiveness of control
measures merely involves keeping an eye open for additional
complaints about the same establishment. In other instances,
surveillance activities may need to be increased or modified
to identify potential problem areas. In the case of the above
hepatitis outbreak, health care providers were notified and
asked to consider hepatitis A as a possible diagnosis for
persons with appropriate clinical presentations.
While outbreak investigations are often too late to be of
benefit to those most directly involved, lessons learned from
these investigations can be used to prevent future problems.
If nothing else, the sequence of events leading up to the
problem can be used as examples of carelessness. However,
we often find additional ways microbes have been able to
exploit our habits and practices, causing disease in human
populations.
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