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TRANSCRIPT
(Cluster):
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(
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(Outbreak):
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3
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4
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: e.g.,
: e.g., , ,
, ,
: e.g.,
(histamine)
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( )
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5
( , TFDA. 2015)
6 . 2015. .
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2 2
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7 2011/1/3; http://www.fda.gov.tw/tc/siteContent.aspx?sid=2275#.U8yPjeOSxjY
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<<>> 4
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. 2005.
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. 2017.
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: ( )
=
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<< >> 43
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<< >> 13
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12 modified from: TFDA. 2015.
/
_
2012/9/5_08: 30 Z
X
9/4 (Day 0 or 1) X
9/5 (Day 2) Y
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9/5_15: 40 Z A
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e.g., /
14 . 20111206. - .pdf
(9/5_15:30)
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[9/4= Day 1]
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[9/5= Day 2]
FoodBorne Illness_Common Causes-1
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( )
( )
(e.g., 1~3 ) / /
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(working definition):
( )
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:
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( )
(e.g., 1~3 ) / /
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(working definition):
( ) 19
1.
2.
3. ( )
4.
5.
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7. ( )
8. ( )
9. .
10. :
11. 12.
13.
14.
: . 20111206. - .pdf 20
1244 ( ) 1231 1
74 4 16 111
:
21
4.
( )
:
2012/9/4~9/6
/
/ 2 38
C
:
22
(Epidemic Curve)
( )
23
Epi Curve
( )
(incidence)*
* :
(histogram)
( )
24
Epidemic Curve
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( )
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( )
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9/3
9/4
: ; :
5.
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29
30
(Case-control Study)
31 Modified from: . 20111206. - .pdf
OR: odds ratio,
OR > 1: p 95%
( )
e.g.,
e.g., ( )
e.g., /
32
33
6. \
X
3 1350 (
106 )
1244
74
16
11
4
1
34
X
123 ( : 123/1244= ~9.9%)
1F:
2F: 21
3F: 24
1~4
(i.e., )
: 1
4
35
:
:
: 2012/3
: 2012/8/26
( ) :
36
PCO (Pest Control
Operator) 9/6 PCO ( )
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5
OO
O
OO
OO
O
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(2012/9/3~9/6)
48
( 9/3 9/4
)
43 5
Outlier ( ): 5
39
A = = ( + +
)
B= = ( + )
(B/A) x100%=
40
(2012/9/3~9/6)
48
:
2 9/4_01: 30
1 9/5_21: 30 ( 44
hr)
26 9/4 14 9/5
9/4_16: 00~24: 00 14
(43/123=~) 35.0%
(48/1244= ~) 3.9%
41
42
7.
(9/1~2)
(43 ) 9/4 ?
9/3 ?
?
?
?
43
8. ( )
9/3 9/4
( ) ( : OR, p value,
95% CI)
( )
[9/5 ]
44
-1
45
-1
-2
46
-2
9/4 ?
9/3( ) O
9/4 OO
9/4_16:00~24:00 , 14
OO
2
200
O : 120
O : 55
: 20~30
48
9/4 ?
9/4
9/4 2 (
) 9/3 9/4
: 9/4~9/5 9/4 5
(1 4 )
9/4 1 4
1 9/4
( 9/6 )
0123456
0:00
2:00
8:00
10:0
0
16:0
018
:00
14:0
016
:00
18:0
020
:00
00:0
0
14:0
0
9/4 9/5 9/6
5 9/3
5 (1 4 )
9/3 9/4
Epi-curve (n= 44)
5 9/3
9/3 ?
9/3( ) O
O
6 30
5,260 ( : O O O O
O O O O O
O O )
9/3~9/4 O
9/4~9/7 16 (10 6 )
O O OO
:
52
9/3 ?
O 9/3
11~52
-- 9/3 17: 30 --
9/4_04: 30
9/6
9/5_21: 30
/ ?
53
9/3 ?
O 9/3
:
(1) 9/3 5
?
(2) 9/3 2 (
) 9/4 ?
( 9/6 )
54
0123456
0:00
2:00
8:00
10:0
0
16:0
018
:00
14:0
016
:00
18:0
020
:00
00:0
0
14:0
0
9/4 9/5 9/6
5 9/3
5 (1 4 )
9/3 9/4
Epi-curve (n= 44) 5 (1 4 )
9/3 9/4
:
9/3 ( O )
9/4 ( OO )
(1 ) / ( )
105 105
100 5
48 57
56
57 http: //vassarstats.net/odds2x2.html
58
9/3 9/4
(ca)
(cn) (ta) (tn) sum OR 95% CI p-Value
9/3 37 5 54 3 99 0.4111 0.0925-1.8264 0.2785
30 13 49 8 100 0.3768 0.1399-1.015 0.0810
27 16 41 16 100 0.6585 0.2825-1.535 0.3892
33 10 44 13 100 0.975 0.3809-2.4957 1.0000
29 14 38 19 100 1.0357 0.4459-2.4056 1.0000
16 27 18 39 100 1.284 0.558-2.9541 0.6704
9/4 3 40 0 57 100 Infinity NaN-Infinity 0.0763
37 6 53 4 100 0.4654 0.1227-1.7651 0.3200
32 11 40 17 100 1.2364 0.5079-3.0094 0.6609
9/3 9/4 (3 )
(ca)
(cn) (ta) (tn) sum OR 95% CI p-Value
9/3 29 11 38 19 97 1.3182 0.5435-3.1971 0.6566
16 24 18 39 97 1.4444 0.6212-3.3588 0.5170
9/4 32 8 40 17 97 1.7 0.6507-4.4414 0.3483
n= 105-5 = 100
n= 100-3 = 97
Epi Info
: http: //wwwn.cdc.gov/epiinfo/
: http: //wwwn.cdc.gov/epiinfo/html/downloads.htm
59
:
105 105 5
100
100
100
43 57
:
60
61
62
TFDA: ( )
63
9.
:
9/4 OO 4
9/4_01: 30 2
(9/3 9/4 )
9/3 9/4
O 11 (5260 / /36 )
9/3~7 16 (10
6 )
5 9/4
( ) 9/3 9/4 ?
64
10.
( ) 2 Norovirus
(9/3 9/4 )
> 105 CFU/g
Norovirus
9/3 ~9/4
+ +
OO : 200 / /2
65
11.
66
12.
(Norovirus) IP: 12~72 hr
Shedding: 3 dy ~? (21~182 dy !)
(Bacillus cereus, )
IP: 1~5 ; 8~16
(IP: incubation period, )
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13.
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68
(7W)
When
Where
How
Why
What
Who
How many, or how much
69
(Title)
(Abstract)
(Introduction)
(Main body, Text)
(Background)
(Materials and Methods)
(Results)
(Discussion and Conclusion)
(Suggestion)
(Acknowledgement)
(Reference)
70
1994/8/1_ 83046713
:
( )
( )
1. --
2. --
3. -- ( ) 71
72 . 2015.
(
)
(2 )
: 9/3 O 9/4 OO
( )
73
14.
( )
9/6
( / )
2012/9/20,
74
Take Home Message
:
75
(Q&A)
76