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Disease Surveillance and Operations

Provincial Health Office

Basic Policy
All organizations providing health services must keep a patients register on site. All organizations should designate a responsible person for surveillance and outbreak reporting (forms circulated) All diseases/events under surveillance must be reported to the district health authorities (by law) Reporting must be done on a daily basis

Patients Register
Information to be recorded
Name Sex Age Address (village and sub-district) Diagnosis (death)

Use own form

Surveillance Form
Epidemic prone diseases - standardized case definitions provided Morbidity and mortality Residents and IDPs <5 and >=5 For outpatients, emergency visits, newly admitted patients to field hospitals

A. Outpatient Surveillance Reporting Form Bring to District Health Office by 08.00 hours the following day Province: District: Town/Village/Settlement/Camp: . Population size Type of Health Facility: Sub district:

< 5 years . >= 5 years . Fixed Mobile with fixed catchments Mobile with varying catchments Reporting agency: Name and telephone number of reporting officer: .. Report compiled for <date> _____/_____/2006
MORBIDITY (cases) <5 years >5 years MORTALITY (deaths) <5 years >5 years

Number of Cases

A B C D E F G H I J K L

TOTAL CONSULTATIONS TOTAL DEATHS Acute watery diarrhoea Bloody diarrhoea Typhoid fever Malaria (confirmed by test) Dengue haemorrhagic fever Acute respiratory infection (ISPA) Pneumonia Suspected measles Acute jaundice syndrome Meningitis

Flow of Reporting
For health posts and puskesmas
Health officer will visit to extract data from patients register daily

For hospitals and NGOs clinics


Report directly to district health office using form (available in hardcopy and electronically)

Outbreak Alert
First occurrence of the following diseases/syndromes (suspected) MUST be reported immediately Acute jaundice syndromeMalaria Avian Influenza Measles Cholera Meningitis Dengue fever Typhoid Dysentery

Outbreak Alert
Report to the following number at Provincial Health Office by phone or SMS:

08122743093 (Ibu Rini)


Please record this number now
When reporting provide the following information
Time, Place Number of cases (deaths) Suspected diagnosis Contact details of case(s) Contact details of person reporting

Surveillance contact details for DHOs


- Bantul - Sleman - Kulonprogo - Gunung Kidul - Kota 081 667 0423 (dr. Gandung) 081 746 4015 (dr. Joko H) 081 227 53662 (dr. Yuwono) 081 226 935 04 (Mubari) 081 227 00182 (dr. Wulan)

Outbreak Response
DHO together with PHO will confirm report and send rapid response team to investigate Team will have
Sampling kits Rapid diagnostic tests: malaria, cholera, shigella (flexneri), Hep E, dengue

Feedback
Will be regularly provided during
health sector meetings CDC sub-group meetings

Standard Treatment Protocols


MOH/PHO/WHO guidelines will be made available in coming days for treatment of
Malaria ARI, measles, diarrhoea Cholera Dengue Tetanus Typhoid Shigella

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