Disease surveillance during a large religious mass gathering in India: The Prayagraj Kumbh 2019 experience (original) (raw)
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The administrative responsibility for disease surveillance in India is shared between the central government and the respective state governments. While the central government is responsible for the central health programs the state governments are in charge of the municipality based disease surveillance. This leads to a high variability in the comprehensiveness and efficacy of the surveillance systems. Though the Integrated Disease Surveillance project (IDSP) has tried to overcome some of these problems very much still depends on regional initiatives. Two examples of new approaches to disease surveillance that both include gis components will be presented and discussed. The leading emergency medical service provider in India, gvK Emergency management and Research Institute, routinely collects electronic information on each medical emergency case in its dispatch centres. A pilot study assessed the potential of this data source for syndromic surveillance of infectious diseases in the state of Andhra pradesh. Based on a context and stakeholder analysis the framework conditions for syndromic surveillance in India were explored and a pilot system was developed. pune was one of the cities in India most affected during the H1N1 pandemic 2009. Though early outbreak detection is still weak at municipal level in India, the pune municipal Corporation established a systematic health screening and hospital based disease surveillance system for H1N1. Using also concepts of health geography spatial and statistical analyses were conducted. The experiences from pune and Andhra pradesh indicate that surveillance systems can be established and maintained even in countries where in general the health data quality and monitoring is still in a state of development.
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New Approaches to Disease Surveillance and Early Outbreak Detection in India
The administrative responsibility for disease surveillance in India is shared between the central government and the respective state governments. While the central government is responsible for the central health programs the state government is in charge of the municipality based disease surveillance. This leads to a high variability in the comprehensiveness and efficacy of the surveillance systems. Though the Integrated Disease Surveillance Project (IDSP) has tried to overcome some of these problems very much still depends on regional initiatives. Two examples of new approaches to disease surveillance that both include GIS components will be presented and discussed. The leading emergency medical service provider in India, GVK Emergency Management and Research Institute, routinely collects electronic information on each medical emergency case in its dispatch centres. A pilot study assessed the potential of this data source for syndromic surveillance of infectious diseases in the state of Andhra Pradesh. Based on a context and stakeholder analysis the framework conditions for syndromic surveillance in India were explored and a pilot system was developed. Pune was one of the cities in India most affected during the H1N1 pandemic 2009. Though early outbreak detection is still weak at municipal level in India, the Pune Municipal Corporation established a systematic health screening and hospital based disease surveillance system for H1N1. Using also concepts of health geography spatial and statistical analyses were conducted. The experiences from Pune and Andhra Pradesh proved that surveillance systems can be established and maintained even in countries where in general the health data quality and monitoring is still in a state of development.
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American Journal of Public Health, 2003
A system designed to rapidly identify an infectious disease outbreak or bioterrorism attack and provide important demographic and geographic information is lacking in most health departments nationwide. The Department of Defense Global Emerging Infections System sponsored a meeting and workshop in May 2000 in which participants discussed prototype systems and developed recommendations for new surveillance systems. The authors provide a summary of the group’s findings, including expectations and recommendations for new surveillance systems. The consensus of the group was that a nationally led effort in developing health indicator surveillance methods is needed to promote effective, innovative systems.
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Journal of urban health : bulletin of the New York Academy of Medicine, 2003
The Electronic Surveillance System for the Early Notification of Community-Based Epidemics, or ESSENCE II, uses syndromic and nontraditional health information to provide very early warning of abnormal health conditions in the National Capital Area (NCA). ESSENCE II is being developed for the Department of Defense Global Emerging Infections System and is the only known system to combine both military and civilian health care information for daily outbreak surveillance. The National Capital Area has a complicated, multijurisdictional structure that makes data sharing and integrated regional surveillance challenging. However, the strong military presence in all jurisdictions facilitates the collection of health care information across the region. ESSENCE II integrates clinical and nonclinical human behavior indicators as a means of identifying the abnormality as close to the time of onset of symptoms as possible. Clinical data sets include emergency room syndromes, private practice bi...
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