Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

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No. of casesactually identified(7)Date outbreak began(Date onset index case/date crossed thresholdor first cluster)(8)Date a case wasfirst seen at ahealth facility(9)Date appropriateintervention began(10)* Include indication as to whether report is rumour or fact in the comments column.Type of appropriateintervention that wasbegun(11)Date district notifiedregional level of theoutbreak(12)Date districtreceived regionalresponse(13)Comments*(14)178Technical Guidelines for Integrated Disease Surveillance and Response in Ghana
Instructions for filling suspected outbreaj and rumours log book1. Record the disease or condition which was initially reported and also the date on which this column is beingfilled. If the disease or condition is not stated, or its cause is unknown, write “unknown” in the field fordisease or condition is initially reported.2. Record the number of cases reported initially.3. Record the location or place where the cases of the disease or condition were seen.4. Record the date when district was first notified of the disease or condition.5. Record the date the district investigated the reported outbreak.6. Record the outcome of the investigation as “confirmed” if it is true, “ruled out” if it turned out not to be a trueoutbreak and “unknown” if the outbreak status is not known perhaps because laboratory results are not backyet.7. Record the number of cases actually identified when the investigation was carried out.8. Record the date outbreak actually began, i.e. the date the index/first case or first cluster was seen based onthe investigation.9. Record the date the first case was seen at the health facility.10. Record the date an appropriate intervention to control the disease was begun.11. Record exactly what intervention was carried out.12. Record the date when the district notified the regional and/or national level.13. Record the date when the district received a response from either the regional or national level.14. Note any comments concerning the event. This could cover issues like how prepared district was, thepromptness or otherwise of the response to the outbreak, whether the report was just a rumour etc.Annex 20: Log of Suspected Outbreaks and Rumours179
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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
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The global HIV pandemic has been a
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Respond toepidemicAnalyse and inter
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Public health action Case finding
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Annex 1Using Assessment Results to
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Tally, compile and report summary t
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Diseases of special public health f
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Pneumonia in childrenless than 5 ye
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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 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: Annex 20Log of Suspected Outbreaks
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
Page 226 and 227: Lab analysis and results:With text,
Page 228 and 229: District Epidemic Management Commit
Page 231 and 232: Annex 35Checklist for Supervising S
Page 233 and 234: Activity Supervisory Question Answe
Page 235 and 236: Annex 36Indicators for Monitoring t
Page 238: Partners for HealthReformplusU.S. A
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