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Table 1 Dates used to estimate delays in detection, investigation, and response for cholera outbreaks

From: Early detection of cholera epidemics to support control in fragile states: estimation of delays and potential epidemic sizes

Date

Defined as earliest date (by priority)

Date of start of outbreak

1. Symptom onset for first identified case

2. Case presentation to health facility (less 1 day)

Date of alert/outbreak detection

Alert issued from health facility, community health worker, community member, local public health office, or laboratory

Date of investigation

Investigation by local authorities

Date of earliest response

Any cholera-specific response activity (case-finding, control measures by health facility or public health office, household/community WASH, case management)

Date of laboratory confirmation

First documented culture confirmation