Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

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Analysis, interpretations, comments and recommendationsOther information:Comments on observed trends? Abnormal increase in cases? Lack of decrease of previous increasingtrends? Improving trends?Conclusions, actions taken and recommendations:Sent Date: _________________________ Received Date: _________________________ReportReportPerson: ______________________ Person: ______________________160Technical Guidelines for Integrated Disease Surveillance and Response in Ghana
Annex 14Cased-based Surveillance Report Form for BuruliUlcer (BU01)A copy of this form should be kept in the patient’s record at the health facility where treatment is provided.A. Institutional Information1. Name of institution, address: _________________________________________________2. Sub-district: ___________District: _____________Region: ______________Country:________________3. Name of officer completing this form (Last/ First):_____________________________________________4. Title: ___________________________________ Specialization: ________________________________B. Patient Information5. Health facility ID #:__________________________________ Date of admission(dd/mm/yy):___/___/___6. Name (Last/First): ______________________________ 7. Age: |__|__|years 8. Sex: M F9. Address/Village:________________________________________________________________________10. Sub-district: ______________District:_____________Region:____________Country:_______________11. Occupation of patient: Student Farmer Other, specify:___________________________12. Source of drinking water: Pipe-borne Borehole/well River/stream Pond/stagnant13. Patient classification:New caseRecurrence: same site different site Date of last treatment(dd/mm/yy) __/__/__14. Duration of illness before seeking care: |__|__| weeks |__|__| months15. Use of traditional treatment N Y16. History of cases in family/among relatives: N Y17. History of trauma at site of lesion: N Y18. BCG vaccination or scar: N YAnnex 14: Case-based Surveillance Report Form for Buruli Ulcer (BU01)161
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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
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Promote environmental sanitation: c
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Surveillance goal Use a rapid late
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OnchocerciasisBackground Filarial
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Poliomyelitis (Acute flaccid paraly
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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 164 and 165: (For reporting from health facility
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 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
Page 214 and 215: If the health facility does not kee
Page 216 and 217: Message:DO YOU PREPARE FOOD SAFELY?
Page 218 and 219: Reducing exposure to mosquitoesPERS
Page 221 and 222: Annex 30Estimating Vaccine Supplies
Page 223: 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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