Integrated diseases surveillance programme

A decentralized system of disease surveillance for timely and effective public health action with a focus on functional integration of surveillance components of various vertical programmes.

1. Integrated Disease Surveillance Programme SHARON TREESA ANTONY ASSISTANT PROFESSOR GOVT.COLLEGE OF NURSING ALAPPUZHA

2. Integrated Disease Surveillance Project (IDSP) A decentralized system of disease surveillance for timely and effective public health action with a focus on functional integration of surveillance components of various vertical programmes . This project aims at improving the efficiency of disease surveillance for use in health planning, management and evaluating control strategies.

3. USES OF SURVEILLANCE To assess magnitude of problem T o monitor implementation of health programmes . To understand local epidemiology of the problem To assess changes in the trend/monitor the trend of magnitude/distribution of the problem. To identify specific population group at risk To enable predictions about patterns of diseases occurrence To assess impact of the programme interventions for control of the problem

4. OBJECTIVES • Decentralized Surveillance System. • To identify risk factors for CD/NCD. • Timely Initiation of Public Health action. • Improvement of efficiency of Surveillance activities • Dissemination of relevant information to Health Administration, community, other stake holders about disease risk factors, monitoring & evaluation.

5. Programme 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, Rapid Response Team and other Medical and Paramedical staff on principles of disease surveillance. Use of Information Communication Technology for collection, collation, compilation, analysis and dissemination of data. Strengthening of public health laboratories Inter sectoral Co-ordination for zoonotic diseases

6. Regular Surveillance Vector Borne Disease: 1. Malaria (Other vector-borne diseases under this group) Like Dengue, JE, Leishmaniasis , Chikunguniya etc.) Water Borne Disease: 2. Acute Diarrhoeal Disease (Cholera) 3.Typhoid Respiratory Diseases 4.Tuberculosis Vaccine Preventable Diseases : 5.Measles Diseases under Eradication : 6.Polio Other Conditions: 7.Road Traffic Accidents (Link up with Police Computers) Other International Commitments 8.Plague Unusual Clinical Syndromes: 9.Menigoencephalitis / Respiratory Distress, Hemorrhagic fevers and other undiagnosed conditions

7. Sentinel Surveillance Sexually transmitted diseases / Blood borne 10. HIV / HBV, HCV Other Conditions 11. Water Quality 12. Outdoor Air Quality (Large Urban Centres )

8. Regular Periodic Surveys NCD Risk Factors 13.Anthropometry,Physical Activity, Blood Pressure, Tobacco, Nutrition, Blindness & any other unusual Health condition.

9. Diseases under Surveillance: Presumptive (P Form) Acute Diarrhoeal Disease (including acute gastroenteritis) Bacillary Dysentery Viral Hepatitis Enteric Fever Malaria Dengue / DHF / DSS Chikungunya Acute Encephalitis Syndrome Meningitis Measles Diphtheria Pertussis Chicken Pox Fever of Unknown Origin (PUO) Respiratory Infection (ARI) / Influenza Like Illness (ILI) Pneumonia Leptospirosis Acute Flaccid Paralysis < 15 Years of Age Dog bite Snake bite Any other State Specific Disease (Specify ) Unusual Syndromes NOT Captured above (Specify clinical diagnosis)

10. Diseases under Surveillance: Laboratory Confirmed (L Form) Dengue / DHF / DSS Chikungunya JE Meningococcal Meningitis Typhoid Fever Diphtheria Cholera Shigella Dysentery Viral Hepatitis A Viral Hepatitis E Leptospirosis Malaria

11. Organisation Structure Central Surveillance Unit (CSU):  Integrated administratively and financially with National Centre for Disease Control (NCDC), Delhi State Surveillance Unit (SSU):  One in each State/UT with a regular officer identified as State Surveillance Officer (SSO). Supported by 7 contractual staff. Con (Vet) added in 2013-14 District Surveillance Unit (DSU):  One in each district with a regular officer as District Surveillance Officer (DSO). Supported by 3 contractual staff

12. Organisation Structure

13. THANK YOU!!!