Injury Outbreak Investigation In A Rural Texas City: Innovative Approaches & Lessons Learned

Injury Outbreak Investigation In A Rural Texas City: Innovative Approaches & Lessons Learned

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Contact Information

Safe States Alliance - Disaster Epidemiology Special Interest Group
(770) 690-9000

Course Time/Duration



Local, regional, and state public health officials conducted an injury outbreak investigation following a massive fertilizer plant explosion that occurred in a rural community in Texas in April 2013. The explosion killed 15 individuals and injured over 250 individuals in the community. In this webinar, epidemiologists will describe their approach in designing this investigation and identifying data sources. They will describe the characteristics of the nonfatal and fatal injuries (including an injury pyramid), the factors contributing to those injuries, and the location of the injured persons at the time of the blast (including injury maps). Innovative approaches and lessons learned will be discussed that will benefit local, state, and territorial injury programs.

At the end of this webinar, viewers will be able to:
1.) Identify the types of injuries to expect following a fertilizer plant explosion
2.) Identify factors contributing to those injuries
3.) Identify the unique challenges related to conducting an injury investigation
4.) Identify innovative approaches and lessons learned
5.) Participate in a dialogue about disaster epidemiology within the larger community of injury prevention programs at the state, territorial, and local levels.

The webinar was moderated by David Zane, Epidemiologist, from the Texas Department of State Health Services, and included presentations from Kahler Stone, Waco-McLennan County Public Health District; Hammad Akram, Waco-McLennan County Public Health District; and Bonnie Feldt, Texas Department of State Health Services.

Course Format


Current CEUs


Potential CEUs




Topics: Unintentional Injury
  • Disaster response/preparedness
Topics: Cross-Cutting
  • Data/assessment
  • Epidemiology
  • Research
Core Competencies: Public Health
  • Analytical/Assessment Skills
  • Communication Skills
  • Community Dimensions of Practice Skills
Core Competencies: Injury & Violence Prevention
  • 2. Ability to access, interpret, use and present injury and/or violence DATA
  • 6. Ability to DISSEMINATE INFORMATION related to injury and/or violence prevention to the community, other professionals, key policy makers and leaders through diverse communication networks
  • 7. Ability to STIMULATE CHANGE related to injury and/or violence prevention through policy, enforcement, advocacy and education
CHES Areas of Responsibility
  • Area I: Assess Needs, Resources, and Capacity for Health Education/Promotion
  • Area II: Plan Health Education/Promotion
  • Area IV: Conduct Evaluation and Research Related to Health Education/Promotion
  • Area VI: Serve as a Health Education/Promotion Resource Person
  • Area VII: Communicate, Promote, and Advocate for Health, Health Education/Promotion, and the Profession
CPH Core Areas
  • Environmental Health Sciences

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