title: [Practical lessons from the risk management of an outbreak of acute gastroenteritis in a public school].
abstract: We present our reflections on the management of an acute gastroenteritis outbreak in a public school, which caused a public health crisis, and the conclusions drawn from this experience. The methodology of strengths, weaknesses, opportunities, and threats (SWOT) analysis was used. This article describes the epidemiology of the incident and the policy decisions made, but focuses on operational aspects of outbreak management. The experience of the outbreak control team, liaison with other organizations, and data management are discussed. The difficulties encountered by the outbreak team related to delay in declaring in the outbreak, lack of training in some of the entities involved, and incorrect use of the surveillance circuits. Current protocols and specific action plans for the management of outbreaks should be improved through self-evaluation and updating of resources and knowledge.
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain. aurea@andaluciajunta.es
authors.forename: Aurea
authors.initials: A
authors.lastname: Morillo-García
authors.forename: Rocío
authors.initials: R
authors.lastname: Sillero-Sánchez
authors.forename: Josefa María
authors.initials: JM
authors.lastname: Aldana-Espinal
authors.forename: Pilar
authors.initials: P
authors.lastname: Nieto-Cervera
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002648:Child; D004196:Disease Outbreaks; D005759:Gastroenteritis / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D012308:Risk Management; D012574:Schools; D013030:Spain / Q000453:epidemiology