T0 Initial case investigation form

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T0 case investigation form

Help field investigators to rapidly understand the outbreak and propose initial control measures.

  • Support the collection of minimum Epi Core Variables for outbreak investigation.
  • Help describes the outbreak over time (time), geographical spread (place) and persons affected (persons) to guide decision regarding the first measures to control the outbreak.
  • To generate hypothesis about cause, source and transmission mode.

 

Instructions to use T0:

  1. Variables with "*" represent the minimum data set of variables considered necessary to conduct the analysis by time, place and persons for rapid assessment of severity and risk of spread of the outbreak. Where resources are limited, those variables represent the minimum to collect with this form. 
  2. For location of the patient residency, use Admin level 1 to 4 as set in the country. e.g:

a) Admin 1: province, state, territory, prefecture, region;

b) Admin 2: district, county, local government area, department, province, municipality

c) Admin 3: sub-district, commune, zone;

d) Admin 4: community, ward, parish, commune.

Use GPS coordinates as much as possible

3. “Mass gathering events” refer to any event involving several persons. For example: a football game, wedding ceremony, family gathering, school attendance, church attendance.

Resources : 

T0 - pdf : download (english) or download (french)

T0 - word : download (english) or download (french)

T0 line-list & data dictionary (english and french) in excel:  download 

T0 for electronic devices :

T0 for "Kobo-collect": download