As noted at the start of my “Chain of Infection game,” the chain of infection outlines the conditions that foster the spread of infectious diseases. To understand how to break the chain of infection, we must first understand the intricacies of the links in the chain. The concept of hypertext is akin to linking. As Bush (1945) and Engelbart (1963) claim, associative information structures will likely improve humans’ ability to approach and solve complex problems.
To Infection Preventionists, the chain of infection was created to help associate how the host, germ and environment are linked together to spread infections and what we can do to stop the spread or break the chain.

Figure: Mode of transmission of infection. Image courtesy of Toronto Public Health
There are several representations of the chain of infection, regardless, I utilized my knowledge from teaching people about the concept to create the Twine “game.” As a Twine newbie and person who is very visual when creating learning content, I found Twine difficult to work with in that respect. The game moves through the progression of the chain of infection and branches off as appropriate to provide additional context and information. As a Twine newbie, I lack images or changes in colour or font, which for a neurodiversity and learning disability, is not ideal. Still, I know that with time, I can go back to make those improvements and develop a more effective game, such as developing the educational content as a quest of some sort – maybe a play on Monty Python’s The Holy Grail “Not Dead Yet” scene.
References:
Bush, V. (1945). As we may think. The Atlantic Monthly, 176(1), 101-108. https://www.theatlantic.com/magazine/archive/1945/07/as-we-may-think/303881/
Engelbart, D. (1963). A conceptual framework for the augmentation of man’s. In P. W. Hawerton & D. C. Weeks (Eds.), Vistas in information handling, Volume I: The augmentation of man’s intellect by machine. Spartan Books. (Available as “Augmentation of human intellect: A conceptual framework”) https://web.archive.org/web/20080331110322/http:/www.bootstrap.org/augdocs/friedewald030402/augmentinghumanintellect/ahi62index.html