IHIP INTRODUCTION.pptx

Introduction to Integrated Health Information Platform and how different it is from the previous weekly surveillance program of IDSP

1. Integrated Disease Surveillance Program DR MALLAPPA O MBBS, MD, PGDHFWM District Surveillance Officer Shivamogga

2. OUTLINE Introduction Organizational Framework District level committee Objectives Program components Need for Surveillance Types of Surveillance Reporting units Expected outcome Diseases and syndrome under surveillance References 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 2

3. INTRODUCTION Integrated Disease Surveillance Program (IDSP) was launched in 2004 and is intended to detect early warning signals of impending outbreaks and help initiate an effective response in a timely manner. It is also expected to provide essential data to monitor progress of on going disease control programs and help in allocating the resources optimally Under the project weekly disease surveillance data on epidemic prone disease were being collected from reporting units on 'S' syndromic; 'P' probable; & 'L' laboratory formats using standard case definitions. 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 3

4. INTRODUCTION CONTD . The weekly data are analyzed by SSU/DSU for disease trends. Whenever there is rising trend of illnesses, it is investigated by the RRT to diagnose and control the outbreak. Media scanning and verification cell and a 24X7 call center was established to receive disease alerts on a Toll Free number (1075) .The information received is provided to the States/Districts surveillance Units for investigation and response. District labs are being strengthened for diagnosis of epidemic prone disease . Epidemiologist, Microbiologist, Entomologist and a veterinary consultant at state level and a microbiologist and an epidemiologist at district level are recruited under IDSP 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 4

5. R eferral lab network has been established by utilizing the existing functional labs in the medical colleges for providing diagnostic services for epidemic prone diseases during outbreaks. NIC has provided the IT support for the IDSP 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 5

6. STRUCTURAL/MANAGEMENT FRAMEWORK C.S.U. S.S.U D.S.U. MED COL. DIST HOS. PVT. HOS. OTHER HOS. LABS SUB CENTRES PHCs / CHCs RURALPPs

7. District Surveillance Committee Chairperson * District Surveillance Committee District Surveillance Officer (Member Secretary) DHO (Co. Chair ) Representative Water Board Superintendent Of Police IMA Representative NGO Representative Zilla Panchayat CEO Chief District PH Laboratory Medical College Representative if any Representative Pollution Board District Training Officer (IDSP) District Data Manager (IDSP) District Program Officers RCH, Malaria, TB, HIV - AIDS * District Collector or District Magistrate

8. OBJECTIVES To strengthen the disease surveillance in the country by establishing a decentralized State based surveillance system for epidemic prone diseases to detect the early warning signals , so that timely and effective public health actions can be initiated in response to health challenges in the country at the Districts, State and National level. 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 8

9. PROGRAM COMPONENTS Integration and decentralization of surveillance activities through the establishment of surveillance units at Centre, State and District level. Human Resource Development – Training of State Surveillance Officers, District Surveillance Officers, RRTs and other Medical and Paramedical staff on principles of disease surveillance. Use of IT for collection, collation, compilation, analysis and dissemination of data. Strengthening of public health laboratories. Inter sectoral Co-ordination for zoonotic disease 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 9

10. Need for surveillance Recognize cases or cluster of cases to trigger intervention to prevent transmission or reduce morbidity and mortality Assess the public health impact of health events or determine and measure trends Demonstrate the need for public health intervention program and resources during public health planning

11. TYPES OF SURVEILLANCE Previously data was analyzed on a weekly basis, but now IDSP is integrated with IHIP, a web enabled real-time electronic information system. Syndromic:  Knowledge regarding diseases by paramedical staff and community members based on clinical symptoms, Reported i n ‘S’ form Presumptive:  Diagnosis by clinicians on typical history and clinical examination. (‘P’ form) Confirmed:  Positive laboratory investigation confirms the clinical diagnosis by a clinician (‘L’ form) 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 11

12. Reporting units for routine disease surveillance Public health sector Private health sector Rural SCs, PHCs, HWCs, CHCs, SDH, District Hospitals Private - practitioners, hospitals, nursing homes, Medical colleges & laboratories. Urban Hospitals (Urban PHCs, Urban CHC, Municipal Hospitals), Infectious Disease Hospital/ ESI / Railway /Medical college hospitals, AYUSH Hospitals 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 12

13. Expected outcome Early detection of outbreaks Early institution of containment measures Reduction in morbidity & mortality Minimize economic loss

14. Diseases under routine surveillance Anthrax Chickenpox Chikungunya Cholera Congo Crimean haemorrhagic fever Dengue Diphtheria Human Rabies Japanese Encephalitis KFD Leptospirosis Malaria Measles Meningitis Meningococcal meningitis Mumps Non typhoidal salmonellosis Pertussis Rubella Scrub Typhus Shigellosis Hepatitis A Hepatitis E 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 14

15. Syndromes under routine surveillance Only Fever >= 7 days Only Fever < 7 days Fever with rash Fever with bleeding Fever with altered sensorium Cough with fever <= 2 wks Cough without fever <=2wks Cough with fever >2weeks Cough without fever >2wks Loose watery stool with blood <2wks Loose watery stool without blood <2wks Jaundice of <4wks Acute Flaccid Paralysis Malaria Vivax RDT Positive Malaria Falcicparum RDT positive Malaria Mixed RTD Postive Animal bite Snake bite Acute Encephalitic Syndrome Acute Hepatitis Dysentry (Blood in Stool) ARI/Severe Acute Respiratory Infection (SARI) ARI/Influenza Like Illness(ILI) 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 15

16. References IHIP-Integrated Health Information Platform (ihip.nhp.gov.in) NHP India, Integrated Disease Surveillance Program (IDSP) I National Health Portal of India (nhp.gov.in) Park’s Text Book of Preventive and Social Medicine 26 th Edition 2021 12-11-2022 DISTRICT SURVEILLANCE UNIT SHIVAMOGGA 16

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