INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease...

66
INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) Dr. Seema Aggarwal State Epidemiologist IDSP

Transcript of INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease...

Page 1: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

INTEGRATED DISEASE SURVEILLANCE PROGRAMME

(IDSP)

Dr. Seema AggarwalState Epidemiologist

IDSP

Page 2: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS
Page 3: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

� 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.

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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.

Page 5: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

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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.

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Components of Surveillance Activity

• Collection of data

• Compilation of data

• Analysis and interpretation

• Follow up action

• Feed back- IDSP ALERT

Page 8: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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 .

Page 9: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 10: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

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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.

Page 12: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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.

Page 13: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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?

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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.

Page 15: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 16: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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.

Page 17: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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)

– Email

• Data compilation/analysis and response at all levels

Page 18: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

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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)

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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

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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

Page 22: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 23: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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 ++ +++ +

Page 24: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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.

Page 25: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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.

Page 26: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 27: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 28: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 29: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

•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

Page 30: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 31: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 32: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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%

Page 33: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 34: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

Page 35: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) [Compatibility Mode].pdf · Integrated Disease Surveillance Programme ... – Form P (Probable Cases): Doctors ... S,P,L forms & EWS

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

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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

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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

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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

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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

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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

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Data FlowData Flow

90% Districts report through E-Mail/portal; 80% districts through Portal

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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

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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

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IDSP Portal ( www.idsp.nic.in)

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Data Entry on IDSP Portal

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Data Entry on IDSP Portal

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Data Entry on IDSP Portal

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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)

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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.

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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

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PROJECT PHASING

The Project would cover the entire country in a phased manner as depicted below:

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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

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• 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

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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.

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(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.

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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

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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

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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.

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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.

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