title: A case exercise: outbreak investigation at a Vermont community hospital.
abstract: Fifteen employees became ill with headaches, nausea, and vomiting due to chemical poisoning at a Vermont community hospital on January 3, 1980. An epidemiologic and environmental investigation was conducted to determine the source of the illness. The investigation discovered that the vapors of a chemical called xylene, which had previously been disposed of down a drain, were drawn back through the sewer into specific work areas. These vapors were determined to be the most likely cause of the illnesses. This outbreak investigation was used to create an exercise that has been used in a variety of teaching settings.
authors.affiliation: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA.
authors.forename: Doug
authors.initials: D
authors.lastname: Klaucke
authors.forename: Richard
authors.initials: R
authors.lastname: Vogt
mesh_terms: D000328:Adult; D005260:Female; D015386:Hazardous Substances / Q000506:poisoning*; D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D008284:Maintenance and Engineering, Hospital; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000032:analysis*; D019982:Organizational Case Studies; D011041:Poisoning / Q000453:epidemiology; D011635:Public Health Administration; D012498:Sanitary Engineering; D014691:Ventilation; D014707:Vermont / Q000453:epidemiology; D014865:Waste Disposal, Fluid; D014992:Xylenes / Q000506:poisoning*
chemical_list: D015386:Hazardous Substances; D014992:Xylenes