The Centers for Disease Control (CDC) collects and disseminates information about outbreaks of disease. H1N1, SARS, and West Nile virus are just a few of the disease outbreaks that the CDC has reported. You have been called upon to lead one of the investigations. Select a disease outbreak for which you will lead an investigation. 

In a report of 750-1000-words, present the following information: 

1. Identify and describe the necessary steps to be taken for an investigation of the disease outbreak. 

2. For each of the three prevention levels, provide at least two examples of prevention for this disease. 

3. Describe the criteria to be met before screening for this disease. 

4. Describe how the effectiveness of the screening program will be evaluated. 

You are required to use a minimum of three scholarly resources less than 5 years old. 

Prepare this assignment according to the APA guidelines found in the APA Style Guide.

Reflective Journal 

Learners are required to maintain a Reflective Journal integrating leadership and inquiry into current practice. 

In your journal, you will reflect on the personal knowledge and skills gained in the current course addressing a variable combination of the following: new practice approaches, intraprofessional collaboration, health care delivery and clinical systems, ethical considerations in health care, population health concerns, the role of technology in improving health care outcomes, health policy, leadership and economic models, and/or health disparities. Outline what you discovered about your professional practice, personal strengths and weaknesses that surfaced, what additional resources and abilities could be introduced to a given situation to influence optimal outcomes, and finally how you met the competencies aligned to this course.

Great discussion on HIV & inflammatory bowel disease (IBD). The two major phenotypes of inflammatory bowel disease are ulcerative colitis and Crohn’s disease. IBD is influenced by a complex interplay of genetics and immunologic factors. However, the exact etiology is unknown. Research on IBD includes focus on particular gut proteins and immune cells that are recruited to the gut. Stem cell research is a focus as well. What role does genetics play in the development of these disorders?

Please, write a response to the following discussion in one paragraph. APA format needed without cover page, one reference from peer-reviewed Nursing Journal required.

             Minorities such as the Hispanic population are having to deal with chronic conditions without the ability to access healthcare. They lack healthcare access because they are unable to afford a healthcare plan nor are they able to pay for doctor visits. In addition, they are unable to afford their daily medications that are needed to help control their health conditions. Many of the low-income Hispanics on average have an income of less than 25, 000 per year. They are financially unstable and worried about their finances. Because of this low income, they are unable to afford the costs associated with their illnesses leading to a lack of follow-up visits, lack of adherence to the medication regimen and many simply do not see a doctor. For the Hispanic population, diabetes is the most common chronic health condition affecting their family (Saulsberry, Blendon, & Benson, 2016).

            A program that has helped many people in the United States to obtain healthcare coverage is the Affordable Care Act. When ACA was signed into law in 2010, it allowed for the largest number of people to obtain coverage in fifty years (Sommers, Maylone, Blendon, Orav & Epstein, 2017). Because of ACA, there have been increased primary care visits, improved blood pressure control and PAP testing rates. Under the healthcare law, healthcare companies cannot refuse to insure people with pre-existing conditions. People with pre-existing chronic conditions have the most to gain because they are covered and will not be denied care. ACA has provided medical adherence, open communication with healthcare providers and it has improved access to healthcare and services to low income Hispanic communities. I hope that ACA continues to be a law, one providing better healthcare and access to all in the United States.

 What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.