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Integrated Training for Surveillance Officers

in Nigeria (ITSON)

Lesson 5:
Report Priority Diseases, Conditions
and Events
The surveillance cycle: Report
Identify

Evaluate Report

Communicate Analyze/Interpret

Prepare/Respond 2

Lesson 5: Report Priority Diseases, Conditions and Events


Learning objectives

At the end of this lesson, participants will be able to:


• Report information about epidemic-prone diseases
or events or conditions with potential to be public
health events of national or international concern
• Regularly report summary information to the next
level
• Improve the flow of data for timely and complete
reporting in your area
• Describe the rationale for zero reporting
• Describe limitations of reporting systems and ways 3

Lesson 5:to improve


Report reporting
Priority Diseases, Conditions and Events
Importance of reporting priority diseases,
conditions and events to the next level-1

1. Immediate reporting (within 24 hours) of case


based information allows for early detection of
public health events.
2. Weekly aggregated reporting provides data for
monitoring trends of diseases, conditions or
events to early detect outbreaks.
3. Monthly/quarterly aggregated reporting provides
data for monitoring the health status of the
population and impact of disease specific
programs, and for planning allocation of resources.
4
Importance of reporting priority diseases,
conditions and events to the next level-2

• Reliable reporting provides information for


surveillance officers from all levels and key
decision makers to
o Identify emerging problems and plan appropriate
responses
o Take action in a timely way
o Monitor disease trends in the area
o Evaluate the effectiveness of the response
5
Immediately report information about acute
epidemic-prone diseases, conditions, events-3

• Complete Case-based Investigation Form:


preliminary investigation of the suspected case
• Collect Patient’s information on:
o Identification and demography
o Geographical location.
o Date of onset of symptoms
o Vaccination history.
o any relevant risk factors

6
Immediately report information about acute
epidemic-prone diseases, conditions, events-4

• Collect information on Case(s):


 Contacts to the case(s)
 History of travel
 History of exposure (e.g. Animal)
 History of vaccination
 Laboratory results (if available)
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Rank these by importance

1. Upcoming presidential elections


2. A woman in labour
3. Global warming
4. A child with Helminth infection
5. COVID-19 Vaccination
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Lesson 5: Report Priority Diseases, Conditions and Events


Discussion

• How did you know what was most important?


• Knowing what to report (and when) can be
subjective
• That’s why IDSR created a standard list for
when and how to report specific diseases
• Not everything has to be a mystery!

Lesson 5: Report Priority Diseases, Conditions and Events


Framework of reporting immediate notifiable
events/disease

• Turn to Section 2, Annex 2A pg 102 of


the 3rd Edition IDSR Technical
Guidelines Chapter Two for the
Algorithm of reporting immediate
notifiable diseases, conditions and
events

10
Methods of immediate case-based reporting -1

• Make the initial report by the fastest means


possible:
 E.g. Telephone, e-mail, radiophone, text
message, WhatsApp
• HF notify LGA surveillance team immediately
• Follow up initial verbal report with a written
report using IDSR case-based reporting form

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Methods of immediate case-based reporting-2

• Complete and submit the form electronically


to the next level (where possible)
• If a laboratory specimen is requested:
 Ensure the patient’s identifying information
on the specimen, lab investigation form and
case-based reporting form all match

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Procedure for notifying a potential Public Health
Emergency of international concern (PHEIC) under
IHR 2005
• If a PHEIC is detected at the LGA:
 Disease Surveillance and Notification officers (DSNOs)
should report to the State surveillance team immediately
using fastest means
 State Surveillance team notifies the National IHR Focal
Point immediately

• If a PHEIC is detected at Point of Entry:


 immediate reporting should also be made to the National
IHR Focal Point, while at the same time notifying the LGA
and State Surveillance
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Diseases requiring immediate reporting
S/N Immediate (Case based) Reporting
1 Lassa fever 13 Neonatal tetanus
2 Cerebospinal Meningitis 14 Noma
3 Cholera 15 Buruli ulcer
4 Measles 16 Onchocerciasis
5 Yellow Fever 17 Pertusis
6 Monkeypox 18  Diphteria
7 Dengue 19 Dog bites (Rabies)
8 Acute flaccid paralysis/ poliomyelitis 20 Trachoma
9 Dracunculiasis (Guinea Worm Disease) 21 Yaws and endemic syphilis or bejel
10 Leprosy 22 Rubella
11 Lymphatic filariasis 23 Maternal deaths
12 Tuberculosis 24 Perinatal deaths
S/No Immediate Reporting of unusal disease / event
Ebola Diseases or event of international concern
Dengue Human influenza due to new subtype
Anthrax SARS
Chikungunya Smallpox
MERS Zika virus disease
Plague Yellow fever
Any public health event of international or national concern (infectious,
Zika Virus zoonotic, foodborne, chemical, radio nuclear, or due to unkown
Influenza due to new subtype
Unexplained cluster of illness/death from human
or animal/bird
Any public health event of international concern

All diseases or events of international concern 14

Lesson 5: Report Priority Diseases, Conditions and Events


Use of thresholds to initiate response-1

• Two types of thresholds used to initiate response:


– Alert threshold
– Action (epidemic) threshold
• Trained health care personnel should always
determine and monitor the thresholds
• Thresholds for epidemic prone diseases,
conditions or events are shown in Chapter 11 of
the 3rd Edition IDSR Technical Guidelines pg 372-
548
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Use of thresholds to initiate response-2

• Alert: An alert threshold tells health staff and


the surveillance team that further investigation
is needed
• Action (Epidemic): An Action (epidemic)
threshold triggers a definite response. It marks
the specific data or investigation finding that
signals an action beyond confirming or
clarifying the problem

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Report summary information for priority
diseases, conditions and events
• Summary information is the total number of cases
and deaths seen in a particular time period (for
example, weekly and monthly)
• During weekly reporting use “zero reporting”
• Zero reporting means that you should record a 0
(zero) on the reporting form when no cases of an
immediately reportable disease have been
diagnosed during the week

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Lesson 5: Report Priority Diseases, Conditions and Events


IDSR Reporting Tools

• Paper-based IDSR reporting tools:


 IDSR Immediate case-based reporting form
 IDSR case-based laboratory reporting forms
 Line list reporting form

• Electronic IDSR reporting tools:


 All the IDSR reporting paper-based forms are converted into
electronic forms using designated software
 Computers/tablets and phones are used to capture all the
IDSR data and transmitted to next level by internet
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IDSR data reporting tools

• IDSR case based surveillance form (001A)


• IDSR laboratory form (001B)
• IDSR health facility line listing form (001C)
• IDSR weekly reporting form (002)
• IDSR monthly reporting form (003)
• Suspected outbreak/rumour log book
• Tally sheet

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Lesson 5: Report Priority Diseases, Conditions and Events


Immediate/Case-based Surveillance Reporting Form IDSR 001A

REPORTING HEALTH FACILITY REPORTING LGA REPORTING STATE


IDENTIFICATION NUMBER IDSR 001A
Immediate/ Case-based Reporting Form
From Health Facility/Health Worker to LGA health team
Acute Flaccid Buruli Cholera Diphteria Dracunculiasis Dengue Influenza due to new subtype e.g Leprosy Lymphatic Filariasis Maternal Measles Meningitis Monkey Neonatal Noma Onchocerciasis Perinatal Pertusis Rabies (Dog bite) Rubella Trachoma Tuberculosis Viral Hemorrhagic Fever Yaw & endemic syphills or Yellow Fever Others/specify* e.g.Ebola, MERS SARS, Small pox,
Paralysis/Poliomye ulcer (Guinea Worm) H5N1 deaths pox Tetanus deaths (TB) e.g. Lassa fever bejel Plague, Anthrax, Plague, Zika Virus, Chikungunya etc
litis (AFP) (NNT)

Date form received at SMOH or the national level: / / (Day/Month/Year)


Name of Patient:

Date of Birth (DOB): / / / / (Day/Month/Year) Age (If DOB unknown): Year: Month (if <12): Day (NNT only)
Sex: M=Male; F=Female
Patient’s Address: Urban: Rural:
Settlement/Village
Ward LGA: State:

Exact residential address: If applicable or If the patient is neonate or child, please write full name of mother and father of the patient

Date seen at Health Facility (dd/mm/yyyy): / / Date Health Facility notified LGA: / / Date of Onset: / /

Number of vaccine doses received: 9 = unknown

For cases of Measles, NT (TT in mother), Yellow Fever, and Meningitis (For Measles, TT, YF - by card & for Meningitis, by history)
/ /
Date of last vaccination:
(Measles, Neonatal Tetanus (TT in mother), Yellow Fever and Meningitis only)
Close contact with infected poultry 1 = Yes; 2 = No
Close contact with suspected or confirmed case of Avian influenza 1 = Yes; 2 = No
Associated with an outbreak? 1 = Yes; 2 = No
In/Out Patient 1 = Inpatient; 2 = Outpatient
Outcome 1 = Alive; 2 = Dead; 9 = Unknown
Final Classification of case 1 = Confirmed; 2 = Probable; 3 = Discarded; 4 = Suspect
Final Classification for Measles 1 = Laboratory Confirmed; 2 = Confirmed by Epidemiological linkage; 3 = Clinical Compatible; 4 = Discard; 5 = Suspect with lab pending
Person completing form (Name) :
Signature:
Title: Address:
Date form sent to LGA: / / (Day/Month/Year) Date Form Received at LGA: / / (Day/Month/Year) Signature: 20

Lesson 5: Report Priority Diseases, Conditions and Events


LGA LEVEL
ROUTINE WEEKLY NOTIFICATION FORM: IDSR 002
Reporting LGA State Total No. of Health Facilities (HFs) LGA Reporting Status (T / L / N)

Reporting Week Year HFs Reporting Timely HFs Reporting Late HFs Not Reporting

Suspected cases Lab confirmed cases DEATHS


SN DISEASE 0-28 days 1-11 months 12-59 months 5-9 years 10-19 years 20-40 years >40 years Total 0-28 days 1-11 months 12-59 months 5-9 years 10-19 years 20-40 years >40 years Total 0-28 days 1-11 months 12-59 months 5-9 years 10-19 years 20-40 years >40 years Total

1 Acute Viral Hepatitis


2 Diarrhoea with dehydration (< 5yrs)
3 Diarrhoea with blood (Shigella)
4 HIV/ AIDS (New cases)
5 Human African Trypanosomiasis (HAT)
6a Malaria
6b Malaria (severe)
6c Malaria (Pregnant Women)
7 Non-neonatal Tetanus
8 New HIV/ AIDS cases
9 Schistosomiasis
10 Snake Bite
11 Soil transmitted helminths
12 Typhoid fever

Name of Reporting Officer Signature Date 21

Lesson 5: Report Priority Diseases, Conditions and Events


Disease conditions and events for IDSR weekly
reporting
S/N Weekly Aggregate Reporting
1 Malaria
2 Typhoid fever
3 Acute viral hepatitis
4 Non-neonatal tetanus
5 Schistosomiasis
6 Soil transmitted helminths
7 Trypanosomiasis
8 Diarrhoea with dehydration in children less than 5
years of age
9 Diarrhoea with Blood (Shigella)
10 Snake bite 22

Lesson 5: Report Priority Diseases, Conditions and Events


LGA LEVEL
ROUTINE MONTHLY NOTIFICATION FORM: IDSR 003
Reporting LGA State Total No. of Health Facilities (HFs) LGA Reporting Status (T / L / N)

Reporting Month Year HFs Reporting Timely HFs Reporting Late HFs Not Reporting

Cases out-patients Cases in-patients Total cases in DEATHS


& out patient
SN DISEASE 0-28 days 1-11 months 12-59 months 5-9 years 10-19 years 20-40 years >40 years Total 0-28 days 1-11 months 12-59 months 5-9 years 10-19 years 20-40 years >40 years Total 0-28 days 1-11 months 12-59 months 5-9 years 10-19 years 20-40 years >40 years Total

1 Sexually Transmitted Infections (STIs):


1a Vaginal discharge
1b Genital Ulcer
1c Urethral discharge
1d Others STIs
xx NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
2 Adverse Events following immunization
3 Diabetes Mellitus (New cases)
4 Hypertension
5 Injuries (Road Traffic Accident)
6 Malnutrition in children under 5 years of age
7 MNS Disorder (Epilepsy, Schizorphernia depression etc)
8 Severe pneumonia in chlidren under 5 years of age
9 Sickle Cell Disorder (New cases)

Name of Reporting Officer Signature Date 23

Lesson 5: Report Priority Diseases, Conditions and Events


Disease conditions and events for IDSR
Monthly reporting
S/N
IDSR/ DHIS Aggregate monthly reporting
1
Adverse events following immunisation (AEFI) * clarify
2
Diabetes mellitus (new cases)
3
Epilepsy
4
Hypertension (new cases)
5
Sickle cell disease( New Cases)
6
Injuries due to road traffic accidents
7
Malnutrition in children under 5 years of age
8
Severe pneumonia in children less than 5 years of age
9
HIV/AIDS (New Cases)
10
STIs 24

Lesson 5: Report Priority Diseases, Conditions and Events


Health facility register: [ ] Out Patients [ ] In-Patients (Shed the “0” if death)

Name of health facility -------------------------------------Month -------------------Date- -------------------------------------


Name of Age of patients
Disease, 0-28 days 1-11 months 12-59 5-9 yrs 10-19 yrs 20-40 yrs > 40 yrs Total
condition, months
Event

  00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 Cases Deaths
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000    
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000

Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total
  00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 Cases Deaths
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000    
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000

Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total
  00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 Cases Deaths
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000    
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000

Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total
  00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 Cases Deaths
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000    
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000

Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total
  00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 Cases Deaths
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000    
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000

Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total Sub Total
  00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 Cases Deaths
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000
00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000 00000

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Lesson 5: Report Priority Diseases, Conditions and Events


Guide on how to use the tally sheet -1

1. The tally sheet is to facilitate the extraction of


IDSR data from the health facility register at the
health facility levels
2. The tally sheet has the same age categorization
with the monthly reporting form (IDSR 003)
3. Tick the register from which data is being
extracted (out-patient register or in-patient
register)
4. Write the name of the health facility, the month
and the date data was extracted 26

Lesson 5: Report Priority Diseases, Conditions and Events


Guide on how to use the tally sheet -2

5. In the health facility register go to the first case


(Disease, Condition or Event) registered in the
month, look for the “Diagnosis” and write the
“Diagnosis” under the “Name of Disease,
Condition or Event” in the tally sheet
6. Check for the age and tally (put a slash) under the
corresponding age in the tally sheet
7. Go to the second case in the register and write
the disease and tally as above
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Lesson 5: Report Priority Diseases, Conditions and Events


Guide on how to use the tally sheet -3

8. If the second case is same with the first case just


tally it under the corresponding age
9. Continue until you finish the page and move to
the next page up to the end of the month
10.If “death” is identified shed “0” under the
corresponding age
11.At the end add up the sub-total for each age
group and final total for each disease enter the
sub-totals under the disease and age group in
IDSR 003 for the month 28

Lesson 5: Report Priority Diseases, Conditions and Events


Guide on how to use the tally sheet -4

• Note
– Cases are extracted according to standard case def.
– Where diagnosis is not clearly stated you may use the
presenting complaint to help you with the diagnosis
– You can tally a maximum of 50 under age groups for
each disease, condition or event
– If an age group has more than 50 repeat the name of
the disease, condition or event in another row and
continue with the tallying
– Ensure that sub-totals for the 2 or more rows for the
same disease, conditions or events are added before
transferring the information into the IDSR 003 29

Lesson 5: Report Priority Diseases, Conditions and Events


Priority Diseases conditions and events for IDSR
NIGERIA REVIEWED LIST OF PRIORITY DISEASES

Immediate (Case based) Reporting


S/N Weekly Aggregate Reporting IDSR/ DHIS Aggregate monthly reporting Immediate Reporting of unusal disease / event
1 Lassa fever Malaria Adverse events following immunisation (AEFI)Ebola
2 Cerebospinal Meningitis Thyphoid fever Diabetes mellitus (new cases) Dengue
3 Cholera Acute viral hepatitis Epilepsy Anthrax
4 Measles Non-neonatal tetanus Hypertension (new cases) Chikungunya
5 Yellow Fever HIV/AIDS (new cases) Sickle cell disease( New Cases) MERS
6 Monkeypox Schistosomiasis Injuries (road traffic accidents) Plague
7 Dengue Soil transmitted helminths Malnutrition in children under 5 years of age Zika Virus
8 Acute flaccid paralysis/ poliomyelitis Trypanosomiasis Severe pneumonia in children less than 5 yearsInfluenza
of age due to new subtype
Diarrhoea with dehydration Unexplained cluster of illness/death from human or
9 Dracunculiasis (Guinea Worm Disease) children less than 5 years of age
STIs animal/bird
10 Leprosy Diarrhoea with Blood (Shigella) Any public health event of international concern
11 Lymphatic filariasis Snake bite All diseases or events of international concern
12 Tuberculosis
13 Neonatal tetanus Diseases or event of international concern
14 Noma Human influenza due to new subtype
15 Buruli ulcer SARS
16 Onchocerciasis Smallpox
17 Pertusis Zika virus disease
18  Diphteria Yellow fever
Any public health event of international or national
concern (infectious, zoonotic, foodborne, chemical, radio
19 Dog bites (Rabies) nuclear, or due to unkown condition).
20 Trachoma

21 Yaws and endemic syphilis or bejel


22 Rubella
23 Maternal deaths
24 Perinatal deaths 30
Exercise 1: List your reportable
diseases
• Q1. Complete the table of reportable diseases in
your LGA by answering:
– Is this a priority disease in your LGA?
– How frequently do you report to the next level?
• Q2–Q5. Answer each question based on your
knowledge and experience
• After 10 minutes, compare your answers with your
group

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Lesson 5: Report Priority Diseases, Conditions and Events


Improve routine reporting practices

• In many health facilities, more than one person


is responsible for recording information about
patients seen in the facility
• Make sure that the flow of information is
reliable whether it is within a facility, between
health facility and the LGA, between LGA and
the State and from the State to the national level
• In many cases, health events will already be
32

known
Lesson 5: inDiseases,
Report Priority a community before cases reach a
Conditions and Events
Weekly reporting flow chart

33

Lesson 5: Report Priority Diseases, Conditions and Events


Monthly reporting flow chart

34

Lesson 5: Report Priority Diseases, Conditions and Events


Group work: Extraction of data
from tally sheet
• From the register select one month
• Use the tally sheet to extract data from the health
facility registers
– Identify the disease, condition and event in the
diagnosis column of the register (ensure it is
documented according to the standard case definition)
– Tally each disease, condition or events
• Use data from the tally sheet to complete the IDSR
003 for the month
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Lesson 5: Report Priority Diseases, Conditions and Events


International Health Regulations (2005) -1

• In 2005, the resolutions


WHA 58.3 adopted IHR
(2005)
• IHR (2005) entered into
force on 15 June 2007
• IHR (2005) is legally binding
for WHO 194 Member
States
– Includes all 47 WHO Member
States in the African region
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Lesson 5: Report Priority Diseases, Conditions and Events


International Health Regulations (2005) -2

• All cases of:


– Smallpox ― Poliomyelitis (wild-type)
– Human influenza caused by new subtype
– Severe acute respiratory syndrome (SARS)
• Unexpected or “impactful” cases of:
– Cholera ― Pneumonic plague
– Yellow fever ― VHFs ― West Nile fever
– Diseases of regional concern, e.g., dengue, rift valley fever,
meningococcal disease
• Any event of potential international PH concern
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Lesson 5: Report Priority Diseases, Conditions and Events


IHR decision instrument

NB: States Parties that


answer “yes” to
the question
whether the event
meets any two of
the four criteria
above shall notify
WHO according to
Article 6 of the IHR
38

Lesson 5: Report Priority Diseases, Conditions and Events


Using the IHR decision making
instrument: Notifying WHO
1. Is the public health impact of the event serious?
– Answer “yes” if you have answered “yes” to questions
1, 2 or 3 (refer to your workshop 1 pg 58)
2. Is the event unusual or unexpected?
– Answer “yes” if you have answered “yes” to questions
4 or 5 (refer to your workshop 1 pg 60)
3. Is there a significant risk of international
spread?
– Answer “yes” if you have answered “yes” to questions
6 or 7 (refer to your workshop 1 pg 61)
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Lesson 5: Report Priority Diseases, Conditions and Events


Using the IHR decision making
instrument: Notifying WHO
4. Is there a significant risk of international travel
or trade restrictions? international restrictions?
– Answer “yes” if you have answered “yes” to questions
8 or 9 (refer to your workshop 1 pg 63)
• NB: DOES THE EVENT MEET AT LEAST TWO OF
THE FOLLOWING CRITERIA?

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Lesson 5: Report Priority Diseases, Conditions and Events


Exercise 3

1. Work in your group to read the scenario you are


assigned and answer the questions pg 48-53
2. Use the IHR decision instrument in your
Participant Guide to assist your work pg 58

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Lesson 5: Report Priority Diseases, Conditions and Events


Class work: Availability of Reporting Tool

1. Review the list of reporting forms @pg 56 - 57

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Points to remember

1. Report priority diseases to the next level


2. Know which diseases and events require
immediate reporting and monthly reporting
3. Be sure to know whom to send the report to and
the reporting format
4. Involve the laboratory in confirmation of
appropriate priority diseases
5. Community should know which health
event/disease to report to the next level
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Lesson 5: Report Priority Diseases, Conditions and Events


How I can use this at my job

TOPIC HOW CAN I USE THIS AT MY JOB

Introduction to public health surveillance  

Identify priority diseases, conditions and


 
events
Report priority disease ,events and
 
conditions
Role of Laboratory  

Collect and Organize Data  

Analyze Data  

Interpret Data  

Outbreak investigation (Descriptive


 
Epidemiology)
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Lesson 5: Report Priority Diseases, Conditions and Events

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