HSA-6520 Managerial Epidemiology: Assignment Week 4

Case Study: Chapters 8, 9 and 10

Objective: The students will complete a Case study assignments that give the opportunity to synthesize and apply the thoughts learned in this and previous coursework to examine a real-world scenario. This scenario will illustrate through example the practical importance and implications of various roles and functions of a Health Care Administrator. The investigative trainings will advance students’ understanding and ability to contemplate critically about Experimental Study Designs, Measures of Effect, Data interpretation issues, and their problem-solving skills. As a result of this assignment, students will be better able to comprehend, scrutinize and assess respectable superiority and performance by all institutional employees.

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Students will critically measure the readings from Chapters 8 to 10 in your textbook. This assignment is planned to help your examination, evaluation, and apply the readings and strategies to your Health Care organization and Managerial Epidemiology.
You need to read the Chapters assigned for week 4 and develop a 3–4-page paper reproducing your understanding and capability to apply the readings to your Health Care organization and Epidemiology. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th edition format when referring to the selected articles and include a reference page.


1. Introduction (25%) Provide a short-lived outline of the significance (not a description) of each Chapter you read, in your own words that will apply to the case study presented.

2. Your Critique (50%):  Case Study

 “Gastroenteritis following a retirement party at the State Capitol” 1 Outbreak Summary Approximately 300 persons attended a retirement party at the Nebraska State Capitol held on May 27, 2018. Most of the attendees worked in the Capitol. A private caterer (Caterer A) prepared and served food for the reception. Based on initial telephone interviews of persons reporting illness, the predominant symptoms were nausea and diarrhea, and the incubation period was approximately 24-30 hours. The following foods were served at the retirement reception: Swedish meatballs, taco dip, crab dip, a vegetable tray and herbed ranch dip, cake, nuts and mints. The vegetable tray consisted of cucumbers, broccoli, cauliflower, carrots, celery, green peppers, and radishes. All foods were prepared onsite on the day of the reception with the exception of the nuts, which were purchased by a coworker, and the mints, which were made by a coworker. The Swedish meatballs consisted of ground beef, ground pork, sour cream and flour. The meatballs were cooked twice. The taco dip contained layers of cream cheese mixed with salsa, ground beef, tomatoes, lettuce, onion, cheese and salsa. The taco dip was prepared manually by Caterer A in the kitchen at the State Capitol, and was not cooked after assembly. The crab dip contained canned real crab, cream cheese and ketchup. The investigators received completed surveys from 227 attendees. Of those 227 attendees, 128 (56%) persons reported a gastrointestinal illness within 72 hours of the reception. The average interval between time of food consumption and onset of illness was 32.3 hours (range 6 to 67 hours). Table 1 shows the symptoms reported by ill attendees. The duration of symptoms generally lasted 24 to 36 hours. One person reported being symptomatic for five days. Eight persons sought medical treatment, mostly for re-hydration therapy. Persons working in the security office at the State Capitol ate samples of the items served at the reception except the taco dip. None of the people from this office reported illness.  

Table 1: Distribution of Symptoms Reported in Persons Meeting the Case-definition.

 Symptom Number       (%)

Nausea                      117 (92.9%)

Diarrhea                        111 (88.1%)

Abdominal Cramps       92 (74.2%)

Vomiting                            90 (72.0%)

Headache                       87 (70.7%)

Chills                              73 (59.8%)

Muscle aches                   72 (59.5%)

Sweats                                67 (55.4%)

Bloody diarrhea                  0 (0%)


1. What were the main finding in the case study?

2. What are the Conclusions from these findings?

3. What are the increased risk for people to get gastroenteritis?

3. Conclusion (15%)

 Fleetingly recapitulate your thoughts & assumption to your critique of the case study and provide a possible outcome for the Managerial epidemiology and this case study.  How did these Chapters influence your opinions about study designs?

Evaluation will be based on how clearly you respond to the above, in particular:

a) The clarity with which you critique the case study;

b) The depth, scope, and organization of your paper; and,

c) Your conclusions, including a description of the impact of these Case study on any Health Care Setting.