The global pandemic of COVID-19 that began in late 2019 highlighted the importance of rapid and thorough investigations of outbreaks. The response to COVID-19 was at a scale not previously seen, involving all sectors of society, including government and private industry. To control and minimise the impact of COVID-19, huge and costly efforts were required to effectively coordinate many different organisations, many of which were not primarily concerned with public health. This type of re-focusing of resources is common in outbreak and public health emergency settings, but is rarely seen at such scale.In this chapter we look at outbreak investigation in more detail and, in doing so, focus on infectious diseases, although not exclusively, because other agents such as toxins and chemicals can also result in ‘outbreaks’ of non-communicable intoxications, injuries and cancer.
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