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Ensure national and local surveillance systems are established. Evaluate differences in reporting, data quality, and international participation. Discuss priority and secondary diseases, mortality, and morbidities to strengthen surveillance. Implement guidelines for outbreak detection and capacity building.
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SURVEILLANCE OF WATER-RELATED DISEASES watsan@ecr.euro.who.int
Protocol obligations Art 8 • Ensure that comprehensive national and/or local surveillance and early-warning systems are established, improved or maintained • Within three years of becoming a Party, each Party shall establish the surveillance and early warning system, contingency plans and response capacity
Protocol obligations Article 12 • The establishment of joint or coordinated systems for surveillance and early-warning systems, contingency plans and response capacities as part of, or to complement, the national systems maintained in accordance with Article 8 • The development of integrated systems and databases, exchange of information and sharing of technical, legal knowledge
Current status of surveillance • Differences in: • Legal definition of water-borne diseases • National legal reporting requirements • Disease classification • Sampling protocols, laboratory analysis, data quality • Reporting practices • Electronic data transmission, management and interpretation • Participation in international monitoring and assessment
Discussion • Mortality: • reasonably comprehensive assessment • Morbidity: • Primary importance: EU covered, EFTA countries possibly look at diseases as “imported”, weak in eastern countries • Secondary importance: EU partly covered, very weak in eastern countries • EU legislation likely to improve coverage
Interim implementation • Consultation on assessment of evidence base and development of reporting system (Bonn, 2001) • Consultation on waterborne disease surveillance (Budapest, 2001 and 2006) • 5th Mtg of the WGWH
ACTION ELEMENTS • Evaluation national surveillance systems according WHO guidelines • Strengthening of national surveillance systems in • Technical areas incl diagnostic tools • Legal issues • Data recording, reporting, and interpretation • International cooperation, particularly ECDC
Work plan elements consideration • Surveillance guidance documents including translation into national languages based on work in intermediate period. • Development of integrated strategy for surveillance of water related diseases including reporting • Outbreak definition, detection, planning
Preparation of guidelines for surveillance, outbreak detection and early warning, contingency plans and capacity building Evaluation of surveillance systems through country missions – 6 missions TF for review and adaptation of WHO Guidelines – 3 mtgs Translation and publications (Russian) Staff time
Specific needs • Surveillance in other environments, i.e. recreational waters • Surveillance with specific targets in mind, i.e. children in line with CEHAPE • Surveillance in an environment of climate change.