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Epidemiological Surveillance Kumnuan Ungchusak Bureau of Epidemiology Department of Disease Control Ministry of Public Health.

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Presentation on theme: "Epidemiological Surveillance Kumnuan Ungchusak Bureau of Epidemiology Department of Disease Control Ministry of Public Health."— Presentation transcript:

1 Epidemiological Surveillance Kumnuan Ungchusak Bureau of Epidemiology Department of Disease Control Ministry of Public Health

2 Key points its significant surveillance system: How it works Source of information common weakness how to improve evaluation of surveillance system

3 Question : What are the role of these gods ?

4 Hakone’s Check point

5 Surveillance for Knowledge of the distribution of health events Rapid detection of outbreak Public health planning and evaluation I. The main purpose of Surveillance

6 II. Surveillance System: How it work? 1. Collection Record and report 2.Collation: data analysis 3. Information synthesis 4. Dissemination timely action oriented

7 III. Source of information 1.Morbidity 2.Mortality 3.Laboratory 4.Vaccines and drug 5.Outbreak news/ rumor 6.Vector 7.Behavior 8.Environmental 8.Demographic

8 Organization of Surveillance System Ministry of Public Health Dep of Disease Control International Organization Bureau of Epidemiology Provincial Epidemiological Unit Private hospitals and clinics Hospitals and clinic under universal coverage scheme District Surveillance information center Hospitals Under MOH And universal coverage schemes ข้อมูลรายงาน โรค ข่าวสาร / ข่าว กรอง Regional Disease Control Center

9 Important CD Diseases Notification within 24 hours 1 SARS and Avian Flu 2.Cholera 3. Acute severely ill or death of unknown etiology 4. Cluster of diseases with unknown etiology 5. Anthrax 6. Meningococcal meningitis 7. Food poisoning outbreak 8. Encephalitis 9. Acute flaccid paralysis (AFP) 10. Severe Adverse Events Following Immunization ๑๑ Diptheria ๑๒ Rabies

10 Important CD Diseases 1 Measles 2. Pertussis 3. Hand Foot and Mouth Diseases 4. Influenza 5. Leptospirosis 6. Dysentery 7. Severe pneumonia of unknown etiology 8. Cluster of infectious cases 9. Dengue/DHF

11 Weakness No action (surveillance for statistics) No mandate (no receptor) No funtional epidemiologist (CD4 <200) No motivation

12 How to improve Surveillance

13 Surveillance and Rapid Response Team (SRRT) Tsunami Avian influenza Cholera outbreak Dengue

14 ตำบล จังหวัด อำเภอ ส่วนกลาง D-SRRT P-SRRT R-SRRT C-SRRT เขต Surveillance and Rapid Response Team อสม ๑๐๐, ๐๐๐ หมู่บ้าน Intelligence Control action Information

15 1. New virus found 2. Human at risk 3. Human infection or inefficient H2H Confine easy H2H transmission 4. Confine easy H2H transmission 5. multiple outbreak 6 multi-countries Influenza Pandemic

16 “SRRT ” 1030 Surveillance and Rapid Response Team Health services SRRTs AI provincial Team (Human and Animal) MoPH assigned “ Mr. Bird Flu ” (800,000 village health volunteers & community leaders) Lay report Governor

17 Network History screening at all hospital Testing of respiratory specimen Survey of village and identify exposure Active case finding and monitor household member for 10 days Antiviral prophylaxis for family member of confirm H5 cases Culling of affected poultry Educated villagers to avoid risk (SRRT) Hospital Laboratory Veterinarian Pathologists

18 Early pandemic Alert phase 4 Ro = Operational criteria for action: “5 or more cases within 10 days” Epidemiological linkage Human-to-human Evidence of viral change Isolation & treat Antiviral prophylaxis for all contacts Stop work /class in affected area

19 Influenza A (H1) outbreak at Samutsakorn 1700 workers ILI 180 stop work Isolated dormitory Daily temperature

20 SRRT: Prae 13 yrs old boy, fever 3 day dead on arrival at district hospital, 6 April 3 out of 7 chicken died ?? Unknown pneumonia dead

21 Evaluation of surveillance system clear unclear institution functional staff skill equipment funding information ( timely & action oriented) investigation implementation public health practice morbidity mortality policy Mandate Structure Input Output Impact

22 Conclusion 1.Surveillance to safeguard the people 2.Start with priority disease reporting 3.Timeliness is most crucial 4.Detection of outbreak 5.Investigation to know the cause

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