Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

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(For reporting from health facility to district and for use during outbreaks)(1) Health facility: _____________________ Sub-district_______________ District_________________ Region__________________(2) Date form completed_____________________________________ (4) Date received at district: ________________________________(3) Disease/Condition: ____________________________________________(5)ID Number(assigned at thedistrict level only)001, 002, etc.(6)(O)ut/(I)nPatient(7)Patientname(8)Place of residenceCommunity/ Sub-Suburb/ districtTown(9)Sex(10)Age(in yearsor inmonths if
To be completed by the health facility:Instructions for completing line list form1. Complete the name of the health facility and sub-district by submitting the form. Record the name of thesub-district, district and region that is receiving the report.2. Indicate the date the form is completed.3. Record the disease or condition which is being reported. If the disease or condition is not stated, or itscause is unknown, write “unknown” in the field for “Disease/Condition”.To be completed by the district:4. Record the date that the line list is received at the district level.5. Assign and record the unique identification number (ID number) for the case. The ID number shouldhave 11 fields as follows:The first 3 letters should represent the unique regional codeThe second 3 letters should represent the unique district codeThe third 2 numbers should represent the year of reportingThe last 3 numbers should represent the numerical position of that particular case for a specificdisease for the year of reporting.For example, if the last time a case of meningitis was reported in Dangme West District was December2000, and it was the 30 th case in that year, it would be have the number GAR-DAW-00-030. A first caseof meningitis reported in the year 2001 will have the number GAR-DAW-01-001. On the other hand ifthe last time a case was reported was January 2001, and it was the 30 th case since the first of the year, itwould be reported in February 2001 as GAR-DAW-01-031. In other words, for every disease, numberingstarts from 001 at each New Year.6. Record whether the patient is an inpatient or outpatient at the time the case is reported by indicating “I”for inpatient and “O” for outpatient.7. Record the name of the patient.8. Record information about the patient’s place of residence. Include the name of the sub-district and thecommunity/town/suburb where the patient lives.9. Record “M” for Male, and “F” for Female.10. Record the patient’s age in years, or in months if the patient is less than 12 months old.11. Record the date the patient is seen at the health facility.12. Record the date of onset of the disease.Annex 9: Line List for Reporting Case-based Information When Several Cases Occur During a Short Period151
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Technical Guidelines forIntegrated
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3.3.1 Review the updated charts, ta
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7.1.2 Monitor timeliness and comple
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List of TablesTable 1: Surveillance
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AcronymsAFROAFPAIDSCBSCBSWCDCDHMTE-
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An ill person presents to medical a
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How are surveillance functions desc
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4.0 Investigate** 5.0 Respond 6.0 P
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National4.0 Investigate** 5.0 Respo
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In general, the health of Ghanaians
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How does Ghana’s MOH/GHS support
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1.0 Identify Cases of Priority Dise
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1.2 Improve district procedures for
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Section 2Report Priority Diseases a
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Name of diseaseRoutine summary repo
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Identify and train CBS volunteers o
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Clinicians, ward nurses or other re
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3.0 Analyse DataAnalysing trends of
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3. Label all the rows and columns,
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Figure 4: Meningitis cases from Bol
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The first step in analysing data by
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3.2.3.3 Calculate case fatality rat
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Table 6: Alert and epidemic/action
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3.4 Use the analysis results to imp
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4.0 Investigate Reported Outbreaks
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4.4 Prepare to conduct an investiga
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Review laboratory results with the
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Draw a histogram representing the c
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If the shape of the curve suddenly
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5.0 Prepare and Respond to Outbreak
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Periodically review and update othe
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3. Select appropriate communication
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Improve safe disposal of human wast
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Table 7: Daily water needs per pers
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Recommendations for improving epide
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6.0 Provide FeedbackData are report
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The newsletter can be produced simp
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7.0 Evaluate and Improve Surveillan
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Table 8 lists possible indicators t
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Priority diseases are recorded in t
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Indicators for measuring quality of
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Section 8Community-based Surveillan
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members to take action in the event
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Participate in information dissemin
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Section 9Summary Guidelines for Spe
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Analyse and interpretdataReferenceT
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Buruli UlcerBackground Buruli ulce
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Cholera may cause severe dehydratio
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Respond to epidemicthresholdIf a su
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In Ghana, the disease was endemic i
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ReferenceA guide to eliminating lep
Page 113 and 114: Promote environmental sanitation: c
Page 115 and 116: Surveillance goal Use a rapid late
Page 117 and 118: OnchocerciasisBackground Filarial
Page 119 and 120: Poliomyelitis (Acute flaccid paraly
Page 122 and 123: Public health action Conduct activ
Page 124 and 125: The global HIV pandemic has been a
Page 126 and 127: Respond toepidemicAnalyse and inter
Page 128 and 129: Public health action Case finding
Page 131 and 132: Annex 1Using Assessment Results to
Page 133: Tally, compile and report summary t
Page 136 and 137: Diseases of special public health f
Page 138 and 139: Pneumonia in childrenless than 5 ye
Page 140 and 141: Other diseases of public health imp
Page 143 and 144: Annex 5Laboratory Tests for Confirm
Page 145 and 146: Suspected disease orconditionCholer
Page 147 and 148: Suspected disease orconditionDiagno
Page 153: Annex 6List of Laboratories for Con
Page 157 and 158: Annex 8Case-based Surveillance Repo
Page 159 and 160: If laboratory specimen collectedFor
Page 161: 16. When the investigation of the c
Page 166 and 167: 13. For vaccine-preventable disease
Page 169 and 170: Annex 11Total Number of Patients Se
Page 171: Annex 12Year ___________ Quarter __
Page 174 and 175: Analysis, interpretations, comments
Page 176 and 177: C. Location of Lesion(s)19. Upper l
Page 179 and 180: Annex 15Monthly Registration of Bur
Page 181: Classification a Location of Lesion
Page 185: Annex 17Managing Public Health Surv
Page 189 and 190: Annex 19Sample Tables for Person An
Page 191 and 192: Annex 20Log of Suspected Outbreaks
Page 193: Instructions for filling suspected
Page 196 and 197: INITIAL CLINICAL HISTORYPlease use
Page 198 and 199: SPECIMEN COLLECTIONDate Sent toDate
Page 200 and 201: 186Technical Guidelines for Integra
Page 202 and 203: 188Technical Guidelines for Integra
Page 205 and 206: Annex 25Treat Cases During an Outbr
Page 207 and 208: Also give home-based fluids as foll
Page 209 and 210: 3. Give vitamin A to children with
Page 211: Annex 26Preparing Disinfectant Solu
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If the health facility does not kee
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Message:DO YOU PREPARE FOOD SAFELY?
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Reducing exposure to mosquitoesPERS
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Annex 30Estimating Vaccine Supplies
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Annex 31Recommended Immunization Pr
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Lab analysis and results:With text,
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District Epidemic Management Commit
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Annex 35Checklist for Supervising S
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Activity Supervisory Question Answe
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Annex 36Indicators for Monitoring t
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