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Centers for Disease Control and Prevention
Epidemiology Program Office
Case Studies in Applied Epidemiology
No. 401-303
Oswego – An Outbreak
of Gastrointestinal Illness
Following a Church Supper
Students Guide
Learning Objectives
After completing this case study, the participant should be able to:
G Define the terms “cluster,” “outbreak,” and “epidemic;”
G List the steps in the investigation of an outbreak;
G Draw, interpret, and describe the value of an epidemic curve;
G Calculate and compare food-specific attack rates to identify possible vehicles;
G List reasons for investigating an outbreak that has apparently ended.
This case study is based on an investigation conducted by the New York State Department of
Public Health Division. The case study was developed by Wendell Ames, MD, Stafford
Wheeler, MD, and Alexander Langmuir, MD in the early 1940s. It has been substantially
updated and edited since then by Philip Brachman, Michael Gregg, and Richard Dicker, with
input from the many instructors who have reviewed and taught Oswego as part of the EIS
Summer Course each year.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
CDC-EIS, 2003: Oswego – GI Illness Following a Church Supper (401-303) - Students Guide Page 2
PART I - Background
On April 19, 1940, the local health officer in the previous evening, April 18. Family members
village of Lycoming, Oswego County, New York, who did not attend the church supper did not
reported
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