Investigation planning and data gathering.

The goal of outbreak investigation is the identification of the risk factors over which management has control; these factors are known as key determinants. The risk factor approach to disease causality is much more functional than simplistic theories such as agent causality. Many outbreaks, even of infectious disease, do not have simple microbiologic explanations. In the planning of an outbreak investigation, the most critical step is the identification of management procedures that have been found, by scientific studies, to influence risk of the type of disease present. During the investigation, specific disease data, rather than the client's impressions, should be collected so that temporal and risk group analyses may be performed. Performance evaluation should be conducted to determine the breadth of management systems involved and the duration of involvement. Management evaluation must be specific, comprehensive, and targeted by scientific studies, risk group and temporal analyses, physical examination, and laboratory diagnosis. The entire investigation--the planning, the data gathering, the sample collection--must be concentrated on identifying the ways in which management should be changed to restore equilibrium to a herd experiencing excessive losses due to disease.