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    Xandyaxes: X-Axis Y-Axis

    Uploaded by

    Annisa Fitriyani
    An epidemic curve, or epi curve, is a visual display of the onset of illness among cases associated with an outbreak. It is represented by a graph with two axes - a horizontal x-axis showing the date or time of illness onset and a vertical y-axis showing the number of cases. An epi curve can provide information about the magnitude, time trend, outliers, and inferences about the mode of spread of an outbreak from its pattern.

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    Xandyaxes: X-Axis Y-Axis

    Uploaded by

    Annisa Fitriyani
    58 views4 pages
    An epidemic curve, or epi curve, is a visual display of the onset of illness among cases associated with an outbreak. It is represented by a graph with two axes - a horizontal x-axis showing the date or time of illness onset and a vertical y-axis showing the number of cases. An epi curve can provide information about the magnitude, time trend, outliers, and inferences about the mode of spread of an outbreak from its pattern.

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    Center of Disease Control

    Original Title

    Epi Curve

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    An epidemic curve, or epi curve, is a visual display of the onset of illness among cases associated with an outbreak. It is represented by a graph with two axes - a horizontal x-axis showing the date or time of illness onset and a vertical y-axis showing the number of cases. An epi curve can provide information about the magnitude, time trend, outliers, and inferences about the mode of spread of an outbreak from its pattern.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    58 views4 pages

    Xandyaxes: X-Axis Y-Axis

    Uploaded by

    Annisa Fitriyani
    An epidemic curve, or epi curve, is a visual display of the onset of illness among cases associated with an outbreak. It is represented by a graph with two axes - a horizontal x-axis showing the date or time of illness onset and a vertical y-axis showing the number of cases. An epi curve can provide information about the magnitude, time trend, outliers, and inferences about the mode of spread of an outbreak from its pattern.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    X and Y Axes

    An epidemic curve, or “epi curve,” is a visual display of the onset of illness among cases associated
    with an outbreak. The epi curve is represented by a graph with two axes that intersect at right
    angles.

    The horizontal x-axis is the date or time of illness onset among cases.

    The vertical y-axis is the number of cases.

    Each axis is divided into equally spaced intervals, although the intervals for the two axes may differ.

    What an Epi Curve Can Tell You


    An epi curve is a visual display of the onset of illness among cases associated with an outbreak.

    You can learn a lot about an outbreak from an epi curve, such as

     Time trend of the outbreak, that is, the distribution of cases over time
     “Outliers,” or cases that stand apart from the overall pattern
     General sense of the outbreak's magnitude
     Inferences about the outbreak's pattern of spread
     Most likely time of exposure
     The magnitude of an outbreak can be assessed easily with a glance of the epi curve. Are
    there many cases or just a few?
     The time trend, or the distribution of cases over time, will give an indication of where the
    outbreak is in its course. Are cases still rising or has the outbreak already peaked? Does it
    appear that the outbreak is over? How long has it been since the last case occurred?
     Outliers are cases that stand apart from the other cases. Outliers include the index case,
    which might be the source of the outbreak, and cases that occur well after other cases,
    which might indicate secondary spread of the illness.

    Magnitude, Time Trend, and Outliers


    Below is the epi curve from an outbreak of hepatitis A. If today's date is August 17, what can you
    conclude about the outbreak?

    Select a link below to learn more.

    Note: The incubation period for hepatitis A is 25-30 days.

     Magnitude
     Time trend
     Outliers

    Hepatitis A Cases by Date of Onset in Port Yourtown, Washington, June - August 2010

    Mode of Spread: Point Source


    An epi curve can also be used to make inferences about inferences about an outbreak's most likely
    mode of spread, suggesting how a disease is transmitted. Transmission occurs in the following
    ways:

     Point source
     Continuous common source
     Person-to-person spread (propagation)
    In a point source outbreak, persons are exposed over a brief time to the same source, such as a
    single meal or an event. The number of cases rises rapidly to a peak and falls gradually. The
    majority of cases occur within one incubation period of the disease.

    Cryptospordiosis Cases Associated with a Child Care Center by Date of Onset in Port
    Yourtown, Washington, June 1998

    Mode of Spread: Continuous Common Source


    In a continuous common source outbreak, persons are exposed to the same source but exposure
    is prolonged over a period of days, weeks, or longer. The epi curve rises gradually and might
    plateau.

    Salmonellosis Cases Exposed to Contaminated Salami by Date of Onset, United States,


    December 2009 – January 2010

    Mode of Spread: Propagated Outbreak


    In a propagated outbreak, there is no common source because the outbreak spreads from person-
    to-person. The graph will assume the classic epi curve shape of progressively taller peaks, each
    being one incubation period apart.

    Measles Cases by Date of Onset in Aberdeen, South Dakota, October 15, 1970 – January 16,
    1971

    Analyzing the Mode of Spread


    Of course, the shape of an epi curve rarely fits any of these descriptions exactly. For propagated
    outbreaks, the shape might show overlapping waves of cases that obscure subsequent peaks, and
    peaks might diminish more slowly over time. You can, however, get a general sense about the mode
    of spread of an outbreak from its epi curve.

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