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Joanna Cartwright

, Anjila Shah

, and Sam Ghebrehewet

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date: 20 April 2018

This chapter describes the background to, and management of, outbreaks of influenza-like illness (ILI). Clear terminology and definitions are given in relation to influenza biology and epidemiology. The role of the WHO Global Influenza Programme is explained, together with the national surveillance programmes within the UK. The chapter is structured around an outbreak of suspected ILI in a care home. The importance of obtaining appropriate samples and initial infection control implementation is emphasized. Guidance is given on current recommendations for the use of antivirals for prophylaxis and treatment in the care home setting. As the number of cases increases, the decision to convene an Outbreak Control Team (OCT) is described. Another component of the chapter is managing the media interest in the outbreak, including liaison with other agencies involved. The chapter concludes with alternative scenarios that may occur, including outbreaks in colleges, and a hospital setting.

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