Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

TuberculosisSmear-positive pulmonary tuberculosisAny patient with cough for 3 weeks or more and:Other diseases of public health importanceBuruli ulcerAt least 2 sputum specimens positive for acid-fast bacilli by microscopyOR 1 sputum specimen smear positive for acid-fast bacilli and radiographic abnormalitiesconsistent with active pulmonary tuberculosis as determined by the treatingmedical officerOROne sputum specimen smear positive for acid-fast bacilli and one sputumspecimen culture positive for acid-fast bacilliAny person with painless nodule, papule, plaque or oedema evolving into a painlessulcer with undermined edges, often leading to invalidating sequelae in an endemic area.The different clinical forms of the active type of the disease are as follows:Diarrhoea in childrenless than 5 years ofageViral hepatitis Papule: painless and raised skin lesion less than 1cm in diameter Nodule: painless palpable firm lesion, 1-2 cm in diameter situated in the subcutaneoustissue and usually attached to the skin Plaque: usually painless, well-demarcated, elevated, indurated lesion more than 2cm in diameter Oedema: diffuse, extensive, non-pitting, ill defined margin, firm, and may be painfulwith or without colour change over the affected skinUlcer: painless skin lesion characterized by a necrotic center, undermined edgesand oedematous skin. An early ulcerative lesion has a diameter of less than 2 cmand a late ulcerative lesion has a diameter of more than 2 cmDiarrhoea with some dehydrationAny child less than 5 years of age with diarrhoea (passage of 3 or more watery or loosestools within the past 24 hours) and 2 or more of the following conditions:Restless or irritableSunken eyesDrinks eagerly, thirstySkin pinch goes back slowlyDiarrhoea with severe dehydrationAny child less than 5 years of age with diarrhoea and 2 or more of the following conditions:Lethargic or unconsciousSunken eyesNot able to drink or drinking poorlySkin pinch goes back very slowlyAny person with acute illness typically including: acute jaundice (within one week ofonset of fever); dark urine; anorexia; malaise; extreme fatigue; and right upperquadrant abdominal tendernessAnnex 2: Case Definitions for Identification and Reporting of Priority Diseases and Conditions123