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close this bookCommunicable Disease Control in Emergencies - A Field Manual (WHO - OMS, 2003, 223 p.)
View the document(introduction...)
View the documentACKNOWLEDGEMENTS
View the documentINTRODUCTION
Open this folder and view contentsCHAPTER 1: RAPID ASSESSMENT
Open this folder and view contentsCHAPTER 2: PREVENTION
Open this folder and view contentsCHAPTER 3: SURVEILLANCE
Open this folder and view contentsCHAPTER 4: OUTBREAK CONTROL
Open this folder and view contentsCHAPTER 5: DISEASE PREVENTION AND CONTROL
View the documentANNEX 1: WHO REFERENCE VALUES FOR EMERGENCIES
View the documentANNEX 2: SAMPLE HEALTH SURVEY FORMS
View the documentANNEX 3: NCHS/WHO NORMALIZED REFERENCE VALUES FOR WEIGHT FOR HEIGHT BY SEX
View the documentANNEX 4: SAMPLE WEEKLY SURVEILLANCE FORMS
View the documentANNEX 5: RECOMMENDED CASE DEFINITIONS
View the documentANNEX 6: OUTBREAK INVESTIGATION FORMS
View the documentANNEX 7: ORGANIZATION OF AN ISOLATION CENTRE
View the documentANNEX 8: BASIC LABORATORY SERVICES
View the documentANNEX 9: LABORATORY INVESTIGATION KIT
View the documentANNEX 10: TREATMENT GUIDELINES
View the documentANNEX 11: MANAGEMENT OF THE CHILD WITH COUGH OR DIFFICULTY IN BREATHING6
View the documentANNEX 12: ASSESSMENT AND TREATMENT OF DIARRHOEA
View the documentANNEX 13: FLOW CHARTS FOR SYNDROMIC MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS
View the documentANNEX 14: SAMPLE HEALTH CARD
View the documentANNEX 15: LIST OF WHO GUIDELINES ON COMMUNICABLE DISEASES
View the documentANNEX 16: LIST OF PUBLISHERS
View the documentANNEX 17: GENERAL REFERENCES

ANNEX 4: SAMPLE WEEKLY SURVEILLANCE FORMS

1. WEEKLY MORBIDITY REPORT

AGENCY:_______________________________ HEALTH FACILITY:____________________
REPORTING PERIOD:_________TO_______TOWN/DISTRICT:_______________________
POPULATION COVERED:______________________________________________________
NAME/TITLE OF SURVEILLANCE OFFICER:_______________________________________


NEW CASES


Under 5 years

5 years and over

TOTAL

Bloody diarrhoea




Watery diarrhoea




Suspected malaria




Pneumonia/lower respiratory tract infection




Measles




Suspected meningitis




Acute jaundice syndrome




Suspected poliomyelitis/acute flaccid paralysis




Neonatal tetanus




Scabies




Sexually transmitted infections




Fever (unknown)




Other communicable diseases (specify)




Trauma/injury




Malnutrition




Mental health problems




Other non-communicable diseases




Diseases with epidemic potential - report as soon as possible to your Health Coordinator

2. WEEKLY/MONTHLY DEMOGRAPHY FORM

Town/Village/Settlement/Camp:

Clinic:

Reporting period:

Name of surveillance officer:

Population at beginning of week/month

Children under 5 years of age

Total population

Births this week/month



Arrivals this week/month



Deaths this week/month



Departures this week/month



Estimated population at end of week/month



These forms may need to be adapted for specific situations.

The health worker must select the main cause for the consultation, i.e. one disease/syndrome for each case reported.

The first referral only should be reported; follow-up visits for the same disease should not be reported.

The list of diseases may require adaptation to local circumstances - refer to the rapid health assessment done early in the emergency phase or WHO data if available for that country/region.

In the event of an increase in the number of cases of a disease/syndrome being reported, surveillance activities may need to be enhanced For example, active case finding and case definitions may need to be revised, such as in the event of an outbreak of viral haemorrhagic fever.

At the end of each week, the reporter must count up all the cases and deaths from each disease as recorded in the outpatient and inpatient records. It is essential that the EXIT diagnosis is the one recorded in the weekly surveillance form.

3. WEEKLY MORTALITY REPORT

SITE.............................................

Date from Monday:....................... To Sunday:.............................

Total Population at beginning of this week:..........................

Births this week: ..........................

Deaths this week:.........................................

Arrivals this week (if applicable):........................

Departures this week:.......................

Total population at end of week:........................

Total population under 5 years:...........................






Direct Cause of Death

Underlying Causes


NO

First name

Family Name

Sex

Age (mos/ yrs)

Diarrhoea-bloody

Diarrhoea-Acute watery

Suspected Malaria

ALRI

Measles

Meningitis (suspected)

Acute jaundice syndrome

Neonatal (0-28 days)

Non accidental injury

Other (specify)

Unknown

AIDS

Malnutrition

Other (specify)

Date (dd/mm/yy)

Location in camp/ site

Died in hospital (hosp)/ home

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-frequency of reporting (i.e. daily or weekly) depends upon number of deaths

-deaths should not be reported solely from site health facilities, but should include reports from site and religious leaders, community workers, women's groups, and referral hospitals

-whenever possible, put case definitions on back of form

Crude mortality rate: Number of deaths/total number of population X 10,000 persons /7 persons = deaths/10,000 persons/day

<5 mortality rate: Number of deaths among children <5 years/total population <5 years x 10,000 persons / 7 days = deaths/10,000/day