+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Short communication: Strengthening sub-national communicable disease surveillance in a remote Pacific Island country by adapting a successful African outbreak surveillance model

Short communication: Strengthening sub-national communicable disease surveillance in a remote Pacific Island country by adapting a successful African outbreak surveillance model

Tropical Medicine and International Health 11(1): 17-21

Successful communicable disease surveillance depends on effective bidirectional information flow between clinicians at the periphery and communicable disease control units at regional, national and global levels. Resource-poor countries often struggle to establish and maintain the crucial link with the periphery. A simple syndrome-based outbreak surveillance system initially developed and evaluated in Mpumalanga Province, South Africa was adapted for the Pacific island nation of Tuvalu. Eight syndromes were identified for surveillance: acute flaccid paralysis (poliomyelitis), profuse watery diarrhoea (cholera), diarrhoea outbreak, dysentery outbreak, febrile disease with abdominal symptoms and headache (typhoid), febrile disease with generalized non-blistering rash (measles), febrile disease with intense headache and/or neck stiffness with or without haemorrhagic rash (meningococcal meningitis), and outbreaks of other febrile diseases of unknown origin. A user-oriented manual, the Tuvalu Outbreak Manual (http://www.wepi.org/books/tom/), was developed to support introduction of the surveillance system. Nurses working in seven outer island clinics and the hospital outpatient department on the main island rapidly report suspected outbreaks and submit weekly zero-reports to the central communicable disease control unit. An evaluation of the system after 12 months indicated that the Outbreak Manual was regarded as very useful by clinic nurses, and there was early evidence of improved surveillance and response to the disease syndromes under surveillance.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 012554039

Download citation: RISBibTeXText

PMID: 16398751

DOI: 10.1111/j.1365-3156.2005.01534.x

Related references

Communicable disease surveillance: Strengthening the national perspective. Canadian Journal of Infectious Diseases 6(3): 165-168, 1995

Establishing national noncommunicable disease surveillance in a developing country: a model for small island nations. Revista Panamericana de Salud Publica 39(2): 76-85, 2016

Communicable disease outbreak detection by using supplementary tools to conventional surveillance methods under Integrated Disease Surveillance Project (IDSP), India. Journal of Communicable Diseases 41(3): 149-159, 2009

Benchmarking national surveillance systems: a new tool for the comparison of communicable disease surveillance and control in Europe. European Journal of Public Health 17(4): 375-380, 2007

A model for non-communicable disease surveillance in Canada: the prairie pilot diabetes surveillance system. Chronic Diseases in Canada 25(1): 7, 2004

The role of connected diagnostics in strengthening regional, national and continental African disease surveillance. African Journal of Laboratory Medicine 7(2): 775, 2018

Can syndromic surveillance data detect local outbreaks of communicable disease? A model using a historical cryptosporidiosis outbreak. Epidemiology and Infection 134(1): 13-20, 2006

Can Syndromic Surveillance Data Detect Local Outbreaks of Communicable Disease? A Model Using a Historical Cryptosporidiosis Outbreak. Epidemiology and Infection 134(1): 13-20, 2006

Joint British Paediatric Association and Communicable Disease Surveillance Centre surveillance scheme for haemorrhagic shock encephalopathy syndrome: surveillance report for 1982-4. British Medical Journal 290(6481): 1578-1579, 1985

Strengthening systems for communicable disease surveillance: creating a laboratory network in Rwanda. Health Research Policy and Systems 9: 27, 2011

Surveillance of communicable diseases in Europe; more than just a means of communication among national institutes. Nederlands Tijdschrift Voor Geneeskunde 142(44): 2388-2390, 1998

Integrated Disease Investigations and Surveillance planning: a systems approach to strengthening national surveillance and detection of events of public health importance in support of the International Health Regulations. Bmc Public Health 10(Suppl. 1): S6, 2010

Early warning epidemic surveillance in the Pacific island nations: an evaluation of the Pacific syndromic surveillance system. Tropical Medicine and International Health 21(7): 917-927, 2016

Enhanced surveillance for foodborne disease in the Hunter A model for national surveillance in Australia?. Food Australia: official journal of CAFTA and AIFST 52(3): 97-99, 2000

Introducing a model for communicable diseases surveillance: cell phone surveillance (CPS). European Journal of Epidemiology 21(8): 627-632, 2006