Integrated Disease Surveillance Project Introduction

Integrated Disease Surveillance Project INTRODUCTION

DR.R.K.MALVIYA MEDICAL OFFICER GENERAL HOSPITAL SIROHI

IDSP -- Decentralize,

state based system in

coun try.  Early warning signals of impending outbreaks.  Helps to initiate an effective response in a timely manner.  Provide data to monitor progress of ongoing disease control progammes.  Helps in health facility allocation.

SURVEILLANCE  DEFINITION

– ongoing systemic process of data collection, collation, analysis, and interpretation and dissemination of information for public health action.  TYPES Syndromic

surveillance –suspect case

Presumptive

case

surveillance – probable

Key to successful lab. Surveillance  Right

sample collection  Right time of sample collection  Right method of sample transportation  Right laboratory

DISEASES UNDER SURVEILLANCE  REGULAR vector

SURVEILLANCE -

born - malaria Water born – diarrhea ( cholera ) Resp. disease - tuberculosis Vaccine preventable – measles Under eradication – polio International – plague

SENTINEL SURVEILLANCE  HIV  HBV  HCV  WATER

QUALITY  OUTDOOR AIR QUALIYY

Regular periodic surveys  NCD

Risk factors – anthropometry, physical activity, blood pressure, tobacco, nutrition, blindness etc

 Additional

state priorities - 5 conditions for surveillance

ROLE OF LABORATORIES UNDER IDSP L-1

LABS – Peripheral labs & microscopic centers  L-2 LABS – District labs  L-3 LABS – State labs  L-4 LABS –Regional & quality assurance labs  L-5 LABS – Disease specific labs

PERIPHERAL LAB(L-1) FUNTIONS  Diagnosis

of malaria  Diagnosis of T.B.  Diagnosis of typhoid  Water chlorination  Diagnosis of fecal contamination of water by rapid H2S test  Proper collection & transportation of samples to higher labs

DIST.LABS.- TESTS TO BE DONE  All

functions of L-1  Blood culture for typhoid  Stool culture for cholera  Water quality – chlorination test, H2S test, MPN test  Tests for leptospirosis, diptheria dengue, syphilis, meningitis,  HIV / HBsAg / HCV / DENGUE  OTHERS – BSL, S. Cholesterol, lipid profile, LFT, KFT

STATE LABS (L-3)  Quality

control of L-1 & L-2  Confirmation of polio, measles, leptospirosis, dengue & hepatitis  Microscopy for presumptive plague / anthrax and sending sample to referral labs.

THANX