Community Health and Population Focused Nursing Task 2
Cecilia D. Vazquez
Western Governors University

A. Identification of international outbreak
The communicable disease that caused an international outbreak is Swine Influenza A which is also known as H1N1. I will be describing the epidemiology and transmission of the outbreak, the effect of the outbreak on my community at a systems level and finally discuss what actions will be appropriate for a community health nurse when confronted with an outbreak of pandemic proportions.

A1. Details of international outbreak
Swine influenza A was first detected in the United States on April 13, 2009. The first identified patient was a 10year old male in San Diego California. He will be listed as patient A. He presented with fever, cough and vomiting to an outpatient clinic. Documented report of case from the Center for Disease Control includes information about his family members health history with child’s mother having respiratory symptoms without fever in the first few days of April, and the patient’s eight year old brother having respiratory illness two weeks prior to patient. The patient’s eight year old brother became ill again with cough, fever and rhinorrhea on April 11th. Next identified patient will be named patient B. Patient B is a nine year old female who resides in Imperial County, California which is 130 miles away from San Diego, California. She presented to an outpatient clinic on March 28, 2009 with cough and fever. A specimen was taken from her to check for influenza but the facility was unable to identify a subtype of Influenza so they forwarded it to the Naval Health Research center in San Diego who then forwarded the specimen to the CDC on April 17th, 2009. The CDC was then able to identify the specimen as Swine Influenza A (H1N1). On April 23, 2009 two additional cases of