"eruption, a sudden and violent manifestation" (of disease, hostilities, etc.), c. 1600, from the verbal phrase; see out (adv.) + break (v.). Outbreak (v.) "to break out, escape confinement" (c. 1300) was still in poetic use in 19c.
the outbreak of hostilities
out-and-out
outback
outbid
outboard
outbound
outbreak
outbuilding
outburst
outcast
outclass
outcome