INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease...
Transcript of INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease...
INTEGRATED DISEASE SURVEILLANCE PROGRAMME
(IDSP)
Dr. Seema AggarwalState Epidemiologist
IDSP
� IDSP is decentralized, state based
surveillance programme in the country.
Integrated Disease Surveillance Programme
� It is intended to detect early warning signals
of impending outbreaks and help initiate an
effective response in a timely manner.
Objectives of the IDSP
• To establish a decentralized district based system
of surveillance for communicable and non-
communicable diseases for timely and effective
public health actions to be initiated
• To integrate existing surveillance activities to avoid
duplication and facilitate sharing of information
across all disease control programes and other
stake holders.
Integrated Disease Surveillance Programme
• Launched in Nov. 2004 with World Bank Assistance in somestates
• Major Objective:– Early detection & response to disease outbreaks
• Major components:– Integration and Decentralization of Surveillance activities for
communicable and non-communicable diseasescommunicable and non-communicable diseases– To establish data base of diseases and ensure community
participation– Strengthening of Public Health Laboratories– Human Resource Development - Training of SSO, DSO,
RRT, other medical and paramedical staff– Use of Information Technology for collection, compilation,
analysis & dissemination of data
Introduction to Disease Surveillance
What is Public Health Surveillance?
• Surveillance is defined as –
� The ongoing systematic collection, collation,
analysis and interpretation of data.
� Dissemination of information to those who
need to know in so that action be taken.
� Surveillance is monitoring of behavior.
Components of Surveillance Activity
• Collection of data
• Compilation of data
• Analysis and interpretation
• Follow up action
• Feed back- IDSP ALERT
Why do we need to do 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
programme and resources during public health planning.
• Monitor effectiveness of prevention and control measures
and prevent outbreaks
• Identify high risk groups or geographical areas to target
interventions .
COUNTRY RESPONSE TO STRENGTHEN SURVEILLANCE
�1997-98: National Surveillance Programme for
Communicable Diseases (NSPCD) initiated
�Nodal point - NICD
� Implementing agencies - States/UTs� Implementing agencies - States/UTs
�Main components:
�Infrastructural strengthening - Laboratories
�Manpower development
�Uniform & regular reporting
�Monitoring & evaluation
Weaknesses in Disease Surveillance
• Lack of integration of Private Sector in surveillance activity
• Poor Laboratory capacity
• Lack of surv. infrastructure in urban areas• Lack of surv. infrastructure in urban areas
• Slow & inefficient sharing of surveillance information at district level
• Limited capacity to undertake analysis & response at district level
• Non-inclusion of NCDs in Surv. Program
Strategy for Surveillance in IDSP
• District level is the basic functional unit for
integrating surveillance functions.
• All surveillance activities are coordinated and
streamlined. Resources are combined to collect streamlined. Resources are combined to collect
information from single focal point at each level.
• Several activities are combined into one integrated
activity to take advantage of similar surveillance
functions, skills, resources and target populations.
Strategy for Surveillance in IDSP (Contd.)
• IDSP integrates both public and private sector by
involving private practitioners, Private hospitals, Private
labs, NGOs etc and also emphasis on community
participation- signing of MOU.
• Integrates communicable and non communicable
diseases.
• Integrates both rural and urban health system.
• Integration with medical colleges both Govt & private.
Important Information in Disease Surveillance- OUTBREAKS
• Who get the disease?
• How many get them?
• Where they get them?• Where they get them?
• When they get them?
• Why they get them?
• What needs to be done as public health
response?
Types of Surveillance in IDSP
• Syndromic: Information of diseases on the basis
of clinical pattern by paramedical personnel and
members of community.
• Presumptive: Diagnosis made on typical history, • Presumptive: Diagnosis made on typical history,
pattern and clinical examination by medical
officers
• Confirmed: Clinical diagnosis by medical officer
confirmed by positive laboratory investigation.
Reporting units of disease surveillance
Public health sector Private health sector
Rural SHC ,CHCs, PHCs Sentinel private
practitioners and
sentinel hospitalssentinel hospitals
Urban Distt. Hospitals, Urban
hospitals, ESI/
Railway hospitals/ Govt.
Medical college
Hospitals
Sentinel private
nursing homes,
sentinel hospitals
Medical colleges
( Private) and NGOs
& pvt. laboratories
Reporting units of disease surveillance (contd.)
• Sub centre: Health worker/ANM reports all patients on
basis of symptoms to PHC including from private clinics,
hospitals etc in the rural areas.
• PHC/CHC: Medical officer reports ,as probable cases of
diseases which cannot be confirmed by laboratory test at
periphery. Can confirm and report cases like +ve Malaria, periphery. Can confirm and report cases like +ve Malaria,
Sputum +ve Tuberculosis, typhoid etc. with available
facility at PHC,CHC.
• Sentinel private practitioner, Dist. hospitals, Municipal
hospitals, Medical colleges, Sentinel hospitals, NGOs-
Medical officers report as probable cases of interest, with
confirmation from Laboratories.
Data Management – Tools & Methods
• Weekly Data (Monday to Sunday)– Form S (Suspect Cases): Health Workers (Sub Centers)
– Form P (Probable Cases): Doctors (PHC, CHC, Hospitals)
– Form L (Lab Confirmed Cases): Laboratories
• SOS reporting for disease outbreaks – Early Warning Signal/outbreak reporting format
– Supplemental Information through – Supplemental Information through
» IDSP Toll free Number 1075
» Media Scanning
• Data Transmission from states/districts through IT Network– IDSP Portal (www.idsp.nic.in)
• Data compilation/analysis and response at all levels
What is integration?
• Sharing of surveillance information of disease control
programmes
• Developing effective partnership with health and non
health sectors in surveillance
• Including communicable and non communicable
diseases in the surveillance system
• Working with the private sector and NGOs
• Bringing academic institutions and medical colleges into
disease surveillance
Organizational structureOrganizational structure
National Surveillance CommitteeNational Surveillance Committee
Central Surveillance UnitCentral Surveillance Unit
State Surveillance Committee State Surveillance Committee State Surveillance Committee State Surveillance Committee
State Surveillance UnitState Surveillance Unit
District Surveillance Committee District Surveillance Committee
District Surveillance UnitDistrict Surveillance Unit
Reporting UnitReporting Unit(PRU)(PRU)
Data source (1)
• S, P & L forms (Weekly Reporting)
– Form S
(Syndromic Reporting) - Health Workers (Sub Centres)
– Form P
(Probable Cases which are clinically diagnosed by a (Probable Cases which are clinically diagnosed by a medical doctor) - PHC, CHC, Hospitals
– Form L - Lab Confirmed Cases
A probable case that is Laboratory confirmed
Data source (2)
• Weekly & SOS reporting on EWS format and monitoring of outbreaks
• Supplemental Information:
– IDSP 24x7 Call Centre
Information about outbreaks received on a toll free number – 1075 & information shared with SSO/DSO
– Media Scanning & Verification Cell
Provides information about outbreaks by scanning media; shared with stakeholders
Data transmission methods
• e-mail: S,P,L forms & EWS
• IDSP Portal (www.idsp.nic.in)
• SMS reporting thru mobiles piloted in • SMS reporting thru mobiles piloted in Andhra Pradesh
Levels Of Surveillance Activities
Activities Periphery District State
Detection and notification of cases
+++ ++ -
Consolidation of data + +++ +++
Analysis and interpretation + +++ +++Analysis and interpretation + +++ +++
Investigation and confirmation
+++ +++ +
Feed Back + +++ +++
Dissemination + ++ ++
Action ++ +++ +
DISEASES UNDER SURVEILLANCEDISEASES UNDER SURVEILLANCEDISEASES UNDER SURVEILLANCEDISEASES UNDER SURVEILLANCECore Diseases Regular Surveillance:
Vector Borne Disease : Malaria, Dengue, JE, Chickengunya etc.
Water Borne Disease : Acute Diarrhoeal Disease(Cholera)Typhoid, Gastro entritis, Hepatitis.
Respiratory Diseases : Tuberculosis
Vaccine Preventable Diseases : Measles
Diseases under eradication : Polio
Other International commitments : Plague, Yellow fever
Unusual Clinical syndromes : Meningococcal-encephalitis/ (Causing death/hospitalization) respiratory Distress,
Hemorrahgic fevers etc.
CCCCCCCCONTD.ONTD.
Sexually transmitted diseases : HIV/HBV, HCVBlood Borne
Other Conditions : Water Quality: Outdoor Air Quality
State Specific Diseases : State Specific Non-communicable
diseases like Cardiovascular, Diabetes, strokes, and Flurosis etc.
Yearwise cases of Acute Diarrhea under IDSPName of
the
District
Year
2008
Year
2009
Year
2010
Year
2011
Year
2012
Year
2013
Year
2014 Till
Septemb
er
Amritsar 2669 7580 9618 13690 23662 19134 13255
Barnala 14 0 1284 5394 3515 2379 2414
Bathinda 613 745 1336 2242 3917 3406 1862
Faridkot 780 2114 2846 8755 7335 5590 3302
F.G.Sahib 1498 1523 1450 2307 3232 2824 2783
Ferozepur 1191 4938 6249 1874 2792 2582 2400
Gurdaspur 2103 4669 120 24012 27561 18161 13162
Hoshiarpu
r
1398 5406 12497 12208 11635 8937 6314
Jalandhar 4065 8582 16957 46936 43586 38311 24725
Kapurthal 1084 4138 4366 14742 16264 13888 1149725000
30000
35000
40000
45000
50000
No
. o
f C
ases
DISTRICT WISE DISTRIBUTION OF ACUTE WATERY DIARRHEA CASES
YEAR 2008 – 2014 Till September
Year 2008
Year 2009
Year 2010
Kapurthal
a
1084 4138 4366 14742 16264 13888 11497
Ludhiana 4948 9498 9527 18258 23738 18861 7691
Mansa 228 85 76 1213 1791 6728 370
Moga 983 559 3314 4669 6966 5203 2707
Muktsar 1559 3244 4968 3719 2839 2436 1882
N.Shahar 506 1069 3340 4620 3552 3393 2811
Patiala 4168 4223 18608 19784 23529 18606 14155
Ropar 861 1928 3860 6553 6059 3761 2625
Sangrur 4406 5036 4415 14849 17689 16003 13288
S.A.S.
Nagar
2175 4777 4630 6456 8072 7621 7253
Tarn
Taran
172 793 320 178 3558 5314 1986
Total 35421 70907 109781 212459 241292 203138 136482
0
5000
10000
15000
20000
25000
Am
rits
ar
Barn
ala
B
ath
inda
Faridkot
F.G
.Sahib
F
ero
zepur
Gurd
aspur
Hoshia
rpur
Jala
ndhar
Kapurt
hala
Ludhia
na
Mansa
Moga
Mukts
ar
N.S
hahar
Patiala
Ropar
Sangru
r S
.A.S
. N
agar
Tarn
Tara
n
No
. o
f C
ases
Year 2011
Year 2012
Year 2013
Year 2014 Till September
Year wise distribution of Hepatitis A & E Cases Name of
the
District
Year
2008
Year
2009
Year
2010
Year
2011
Year
2012
Year
2013
Year
2014 Till
Septembe
r
Amritsar 160 40 3 229 37 13 0
Barnala 8 0 109 0 0 0 0
Bathinda 358 127 293 14 1 17 0
Faridkot 67 87 24 5 0 4 0
F.G.Sahi
b
55 74 56 0 0 3 0
Ferozepu
r
177 237 32 0 0 0 0
Gurdasp
ur
0 0 16 78 3 0 0
Hoshiarp
ur
3 25 1 0 0 0 0
Jalandha
r
54 84 17 90 117 66 56200
250
300
350
400
450
No
. o
f C
ases
DISTRICT WISE DISTRIBUTION OF Hepatitis CASES
2008 – 2014 Till SeptemberYear 2008
Year 2009
Year 2010
Year 2011
r
Kapurth
ala
0 1 2 0 0 4 0
Ludhiana 335 356 200 420 261 5 0
Mansa 159 67 79 213 145 75 3
Moga 186 320 378 4 0 2 0
Muktsar 157 337 57 1 0 0 0
N.Shahar 43 146 213 85 0 0 0
Patiala 57 37 1 3 0 1 4
Ropar 0 14 1 0 0 0 0
Sangrur 335 346 46 115 31 29 53
S.A.S.
Nagar
3 17 34 1 3 84 4
Tarn
Taran
18 0 0 0 0 0 0
Total 2175 2315 1562 1258 598 303 120
0
50
100
150
200
Am
rits
ar
Barn
ala
Bath
inda
Faridkot
F.G
.Sahib
Fero
zepur
Gurd
aspur
Hoshia
rpur
Jala
ndhar
Kapurt
hala
Ludhia
na
Mansa
Moga
Mukts
ar
N.S
hahar
Patiala
Ropar
Sangru
r
S.A
.S.
Nagar
Tarn
Tara
n
No
. o
f C
ases
Year 2012
Year 2013
Year 2014 Till September
Year wise distribution of Enteric Fever Cases Name of
the
District
Year
2008
Year
2009
Year
2010
Year
2011
Year
2012
Year
2013
Year
2014 Till
Septembe
r
Amritsar 792 1498 1197 1362 2238 1677 1300
Barnala 163 225 411 170 196 99 49Bathinda 888 1145 660 1444 1489 1419 1039
Faridkot 356 456 549 2003 2194 749 784
F.G.Sahi
b
435 272 307 523 347 209 78
Ferozepu
r
842 1301 1344 416 414 689 648
Gurdasp
ur
1801 2622 4158 4999 4173 2719 2247
Hoshiarp
ur
1009 1802 1695 947 1834 1982 1129
Jalandha 4726 2167 3600 5755 6915 8314 5583
5000
6000
7000
8000
9000
No
. o
f C
ases
DISTRICT WISE DISTRIBUTION OF ENTERIC FEVER CASES
2008 – 2014 Till September
Year 2008
Year 2009
Year 2010
Jalandha
r
4726 2167 3600 5755 6915 8314 5583
Kapurtha
la
331 1043 817 1778 1787 1688 1516
Ludhiana 2474 3633 4710 4545 3415 2844 1282
Mansa 752 703 409 1067 629 521 435Moga 67 325 1109 1359 1075 1139 932Muktsar 333 673 569 575 480 429 318
N.Shahar 852 1328 2736 1294 465 492 443
Patiala 358 258 304 663 1089 887 786Ropar 328 493 316 842 465 423 239Sangrur 1392 1622 2221 754 1011 733 503S.A.S.
Nagar
394 687 382 2055 1933 1634 622
Tarn
Taran
618 262 273 170 554 155 12
Total 18911 22515 27767 32721 32703 28802 19945
0
1000
2000
3000
4000
Am
rits
ar
Barn
ala
Bath
inda
Faridkot
F.G
.Sahib
Fero
zepur
Gurd
aspur
Hoshia
rpur
Jala
ndhar
Kapurt
hala
Ludhia
na
Mansa
Moga
Mukts
ar
N.S
hahar
Patiala
Ropar
Sangru
r
S.A
.S. N
agar
Tarn
Tara
n
No
. o
f C
ases
Year 2011
Year 2012
Year 2013
Year 2014 Till September
•100 % (39/39) of all outbreak investigations conducted by Distt. RRT within 48 hrs of the first case
information
•87% (34/39) of cases where appropriate human samples were sent for lab confirmation
•87% (34/39) of all outbreaks were etiologically confirmed, (12% i.e. 5/39 of all outbreaks were
clinically confirmed )
•100% (39/39)outbreaks had final outbreak report made available
%age of outbreaks had final outbreak report made
Outbreaks assessed based on competency assessment tool in year 2013
Outbreaks Assessment-2013
100
87
87
100
80 85 90 95 100 105
%age of all outbreak where investigations conducted within 48 hrs
%age of outbreaks where appropriate human samples were sent for lab confirmation
%age of outbreaks which were etiologically confirmed
%age of outbreaks had final outbreak report made available
Outbreaks Assessment-2014
•100 % (34/38) of all outbreak investigations conducted by Distt. RRT within 48 hrs of the first case
information
•78% (30/38) of cases where appropriate human samples were sent for lab confirmation
•78% (30/38) of all outbreaks were etiologically confirmed, (21% i.e. 8/38 of all outbreaks were
clinically confirmed )
•13% (5/38)outbreaks had final outbreak report made available
Outbreaks assessed based on competency assessment tool in year 2014
100
78
78
13
5
0 20 40 60 80 100 120
%age of all outbreak where investigations conducted within 48 hrs
%age of outbreaks where appropriate human samples were sent for lab confirmation
%age of outbreaks which were etiologically confirmed
%age of outbreaks which were clinically confirmed
%age of outbreaks had final outbreak report made available
Disease 2008 2009 2010 2011 2012 2013
2014 till
Septemb
er
Measles 2 1 2 4 0 1 2
Chickenpox 3 7 2 9 6 3 7
Food Poisoning 0 2 3
8 ( Includes 1
Dropsy
Outbreak) 4 5 3
Hepatitis 4 3 4 10 8 5 4
ADD/Gastro/
Cholera 9 10 11 15 30 10 14
Outbreaks reported during Year 2008, 2009, 2010, 2011, 2012, 2013 & 2014 (Till September)
Cholera 9 10 11 15 30 10 14
Dengue 1 1 12 (1 Dengue,
1 F.Malaria) 0 0 0
Viral Encephalitis 0 0 1 0 0 0 0
Mumps 0 0 1 2 1 3 5
Enteric Fever 0 0 0 0 0 3 0
Drug allergy 0 0 0 0 0 1 0
Brucellosis 0 0 0 0 0 1 0
Diptheria 0 0 0 0 0 5 3
Scrub Typhus 0 0 0 0 0 1 0
Total 19 24 25 50 49 38 38
Year wise distribution of outbreaks
reported-progress thereof Year Total No.
of outbreaks reported
Outbreaks lab accessed, out of total outbreaks
Outbreaks lab confirmed, out of total outbreaks (Pathogen identified)
Outbreaks clinically confirmed, out of total outbreaks
Number
percentage
Number
percentage
Number percentage
2008 19 1 5% 1 5% 5 26%
2009 24 4 16% 4 16% 7 29%
2010 25 13 52% 8 32% 5 20%
2011 50 37 74% 26 52% 12 24%
2012 49 43 87% 41 83% 7 14%
2013 39 34 87% 34 87% 5 12%
2014
(Till
Septe
38 30 78% 30 78% 5 13%
15
20
25
30
15
30
14
Outbreaks reported during Year 2008, 2009, 2010, 2011, 2012, 2013 & 2014 (Till Date)
2008
2009
2010
2011
2011-IncludesDROPSY outbreakat Nawan Shahar
2011-Includes
P.Falciparum in PTL
and Dengue in
Muktsar
0
5
10
23
0
4
9
10 0 0 0 0 0 0
1
7
23
10
10 0 0 0 0 0 0
2 23
4
11
1 1 10 0 0 0 0
4
98
10
2
0
2
0 0 0 0 00
6
4
8
0 01
0 0 0 0 01
3
5 5
10
0 0
3 3
1 1
5
12
7
34
0 0
5
0 0 0
3
0
2012
2013
2014 till Date
Swine Flu (H1N1) 2009 to 2014 (Till 29/05/2014)
Category-B
Treatment
without testing
Category-C
Suspected
cases
Total number
of cases Lab.
confirmed
Total Contact
cases given
treatment
Total No. of
deaths
Patients from
other
States who died in
Punjab
Total Cases of
H1N1 in the first
phase
(April, 2009 to
April, 2010)
305 641 252 3843 40 0
Post Pandemic
Phase (August, Phase (August,
2010 onwards
till December,
2011)
27 239 46 592 23 4
Post Pandemic
Phase (January
2012 to
December, 2012)
2 101 13 93 4 1
From 1st
January 2013 to
31-12-20130 582 183 2395 42 5
From 1st
January 2014 to
till date
0 112 27 92 6 3
LABORATORY NETWORK UNDER IDSP
SR. NO. LAB. IDENTIFIED LINKED DISTRICT
1 Deptt. of Microbiology, Govt. Medical College Amritsar
Amritsar, Tarn Taran, Kapurthala, Gurdaspur , Jalandhar and Pathankot
2 Deptt. of Microbiology, Govt. Medical College,
Faridkot, Ferozepur, Bathinda, Muktsar, Moga and FazilkaGovt. Medical College,
Faridkot Moga and Fazilka
3 Deptt. of Microbiology, Govt. Medical College, Patiala
Patiala, Sangrur, Mansa, Barnala and F.G Sahib
4 Deptt. of Microbiology, Christian Medical College , Ludhiana
Ropar, Nawan Shahar, Ludhiana and Hoshiarpur
5 District Priority Lab, Mohali
District Mohali
Upgradation of District Labs under IDSP
� 13 District Hospital labs (Barnala, Fatehgarh Sahib,
Ferozepur, Gurdaspur, Jalandhar, Kapurthala,Mansa,
Mukatsar, Nawanshahr, Ropar, Sangrur, Bathinda andMukatsar, Nawanshahr, Ropar, Sangrur, Bathinda and
Hoshiarpur) strengthened as the Referral lab facility where
all the tests for epidemic prone diseases will be conducted.
36
Minimum Diagnostic facilities available at Referral LabsMinimum Diagnostic facilities available at Referral Labs
� ELISA facilities for HAV ,HEV
� ELISA facilities for HbsAg, HCV
� ELISA facilities for Dengue, chikungunya, Leptospirosis, J.E etc.
� ELISA for Scrub Typhus
ELISA for Measles, Mumps� ELISA for Measles, Mumps
� Gram staining for sputum, throat swab, CSF, pus
� Blood Culture for Enteric Fever
� Diphtheria smear examination and Culture and ELISA
� Culture for Vibrio cholera
� Antimicrobial sensitivity
� Serotyping37
Performance of Microbiology District labs under IDSP
(Newly Upgraded)
Name of the
test
SA
S N
ag
ar
(Mo
ha
li)
SB
S N
ag
ar
Ro
pa
r
Ka
pu
rth
ala
Ma
nsa
Gu
rda
spu
r
Fer
oze
pu
r
Ho
shia
rpu
r
Ja
lan
dh
ar
Ba
rna
la Sa
ng
rur
F.G
Sa
hib
Mu
kts
ar
Ba
thin
da
To
tal
Urine
culture
1178 406 382 286 381 423 311 508 110 176 165 208 95 63 4692
Pus Culture 116 84 50 28 20 33 33 16 19 35 88 24 88 23 657Pus Culture 116 84 50 28 20 33 33 16 19 35 88 24 88 23 657
Stool 31 8 8 5 11 25 13 61 185 10 29 6 7 2 401
Blood
Culture
387 27 61 3 167 57 35 516 17 4 24 23 28 5 1354
Throat Swab 5 1 5 0 2 0 6 0 0 0 64 0 11 1 95
Others (OT
Swabs)
415 23 36 28 23 2 43 39 49 0 43 21 96 8 826
Grand Total 2132 549 542 350 604 540 441 1140 380 225 413 216 325 102 7959
Reporting Units under IDSP
Syndromic Surveillance (Sub Centres)
• No. of Reporting Units : 2972
Presumptive Surveillance Presumptive Surveillance (SHC/PHC/CHC/CH)
• No. of Reporting Units: 1627
Confirmed Surveillance
• No. of Reporting Units – 526
Number of RUs District-wise for S,P & L-Forms reporting under IDSP
S.NO. DISTRICTS RUs for Form-S RUs for Form-P RUs for Form-L
SyndromicSurveillance
Presumptive Surveillance
Laboratory Surveillance
1 AMRITSAR 190 138 50
2 BARNALA 67 52 11
3 BATHINDA 143 13 13
4 FIROZEPUR 231 117 25
5 FARIDKOT 64 38 12
6 FATEHGARH SAHIB
(SARHIND) 73 52 18
7 GURDASPUR 240 177 65
8 HOSHIARPUR 244 143 508 HOSHIARPUR 244 143 50
9 JALANDHAR 211 180 58
10 KAPURTHALA 88 57 17
11 LUDHIANA 287 104 32
12 MANSA 103 23 13
13 MOGA 124 85 17
14 MUKTSAR 109 69 9
15 NAWANSHAHR 96 29 11
16 PATIALA 192 110 31
17 RUPNAGAR 85 49 19
18 SASNAGAR 78 79 21
19 SANGRUR 194 16 16
20 TARN TARAN 153 96 38
Total 2972 1627 526
Data FlowData Flow
90% Districts report through E-Mail/portal; 80% districts through Portal
Monthwise reporting %age from January, 2013 to December, 2013
Month Form-S (Syndromic) Form-P (Presumptive) Form-L (Lab
Confirmation)
January, 2013 95.79 92.26 93.47
February, 2013 98.28 93.27 95.86
March, 2013 97.09 96.11 95.16
April, 2013 97.58 97.77 97.77
May, 2013 92.48 92.63 92.07
June, 2013 96.52 95.61 95.82June, 2013 96.52 95.61 95.82
July, 2013 95.21 93.87 94.12
August, 2013 94.24 88.83 93.68
September, 2013 93.84 89.74 94.92
October, 2013 91.51 77.66 93.64
November, 2013 91.25 77.45 94.59
December, 2013 91.69 77.12 93.59
Month Form-S Form-P Form-L
Jan-14 96.87 95.63 95.80
Feb-14 91.69 77.12 93.59
Mar-14 95.04 75.61 94.80
Monthwise reporting %age from January, 2014 to September, 2014
Apr-14 90.62 73.55 89.62
May-14 88.04 71.23 85.19
June-14 95.43 78.79 90.51
July-14 93.96 77.99 93.26
Aug-14 93.48 78.23 93.29
Sep-14 93.89 79.02 94.02
IDSP Portal ( www.idsp.nic.in)
Data Entry on IDSP Portal
Data Entry on IDSP Portal
Data Entry on IDSP Portal
IT Network• NIC is establishing & managing IT
network for:
• Data transmission
• Video-conferencing
• Training
• Total Sites: 800 (All State/District HQs, Govt. Medical Colleges, HQs, Govt. Medical Colleges, Premier institutes) to have terrestrial connectivity
• EDUSAT: 400 (ISRO) (All State/UTs HQs, all sites in North East, hilly and island states, Tamil Nadu, Gujarat, Maharashtra, all Govt Medical Colleges)
Video Conference Facility
• Video conference facility being utilized regularly for discussion on outbreak alerts & data transmission. data transmission.
• Training of Data Managers and Data Entry Operators is on going using the VC facilities.
Three Tiered Training under IDSP• Master Trainers (State/District) /RRT
– Training by 9 National level institutes
• Medical Officers, District Lab Technician– Training by Master Trainers at State level
• Health Workers, Lab Technician/Assistants atperipheral institutions
– Training by District officers/Medical Officers
• Health professionals under IDSP– Epidemiologist
– Microbiologist
– Entomologist
PROJECT PHASING
The Project would cover the entire country in a phased manner as depicted below:
PROJECT PHASING
�Ph I (2004-05): Madhya Pradesh, Andhra, Himachal,
Karnataka, Kerala, Maharashtra, Mizoram, Tamil Nadu & Uttaranchal
�Ph II (2005-06): Chattisgarh, Goa, Gujarat, Haryana, �Ph II (2005-06): Chattisgarh, Goa, Gujarat, Haryana,
Orissa, Rajasthan, West Bengal, Manipur, Meghalaya, Tripura, Chandigarh, Pondicherry, Nagaland, Delhi
�Ph III (2006-07): UP, Bihar, J&K, Punjab, Jharkhand,
Arunachal, Assam, Sikkim, A&N Island, D&N Haveli, Daman & Diu, Lakshadweep
• The State of Punjab has shown an exemplary
commitment and support for the implementation
of IDSP.
• The progress achieved in implementation of the
IDSP within a year of project launch in the State IDSP within a year of project launch in the State
is commendable.
Source:- India- IDSP- Mid Term Review.
Joint visit by GOI, WHO and world Bank
16June 2008-18 June 2008
Response Mechanism
� Multidisciplinary Rapid Response Team (RRT)constituted/ trained at all State and districtheadquarters; comprises of:
1.Public Health Expert (District Surveillance Officer/
Faculty of Community Medicine)2. Clinician2. Clinician3. Microbiologist/ Lab personnel4. Entomologist (for Vector Borne Diseases)
� Video Conferencing for interaction on outbreakinvestigations.
(a.) Trigger Level I- Suspected Outbreak- localresponse by HW/MO.
(b.) Trigger Level II- ConfirmedOutbreak/Epid.(b.) Trigger Level II- ConfirmedOutbreak/Epid.- local & regional response.
(c.) Trigger Level III- Widespread Epidemic-local , regional &state level response.
1. Principal Secretary Health & Family Welfare Chairman
2. Director Health Services Co-Chairman
3. Programme Officer of PH, TB, Malaria, HIV, Polio Member
4. Director Research and Medical Education (DRME) -do-
5. Representative from Department of Environment
& Home
-do-5.& Home
6. Coordinating member from State Medical
College Surveillance Team
-do-
7. Representative from the state Unit of the
Indian Medical Association
-do-
8. NGO representative -do-
9. Head of State Public Health Laboratory -do-
10. State Surveillance Officer Member Secretary
1. Deputy Commissioner of Distt. Chairman
2. Civil Surgeon of Distt. Co-Chairman
3. Programme Officer of PH, TB,
Malaria, HIV, Polio
Member
4. Representative of Medical college (if
any)
-do-
any)
5. Representative of SSP in District -do-
6. Representative from the Department of
Water Supply and Sanitation
-do-
7. NGO representative -do-
8. Chairman Zila Parishad -do-
9. Head of Distt. Public Health
Laboratory
-do-
10. The Distt. Surveillance Officer Member Secretary
Role of Dist Surveillance Officers under IDSP
• Supervision & Quality Control of Active Surveillance by field staff- as under NVBDCP
• Conduct Passive Surveillance of important diseases listed in IDSP- from institutional data.
• Supervise compilation & transmission of periodical reports- weekly under IDSP.reports- weekly under IDSP.
• Integrate selected Sentinel Private Practitioners in program from area- signing of MOU.
• Initiate Emergency Response to surveillance reports received in the Unit- outbreak response.
• Facilitate Epidemic Investigations & Outbreak response by State & Distt. Surveillance Unit through involvement of RRT.
TOLL FREE NUMBER UNDER IDSP
• In case of any enquiry related to disease or
information related to any disease epidemic/
outbreak, the “Toll Free No:- 1075” can be
contacted for assistance and information.