Todd has schizophrenia and lives in an adult group home

Consider the following limited data. Answer each question using only the data given up to that point. In August 1999, an “unusual cluster of cases of meningoencephalitis associated with muscle weakness was reported to the New York City Department of Health”. What is the first thing they needed to determine and how would they do so? (2pts) What appears to be the “case definition” that was being used? Include all aspects that can be inferred from the above information. (3pts) The first 8 patients identified had no apparent common exposure EXCEPT all patients had reportedly “engaged in outdoor activities (e.g., gardening)”. What might this suggest? (1pt) “Active surveillance was implemented to identify patients hospitalized with viral encephalitis and meningitis. Cerebrospinal fluid, serum, and tissue specimens from patients with suspected cases underwent serologic and viral testing for evidence of arboviral infection.” Why was “active surveillance” necessary? Hint: consider this particular scenario. (2pts)

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