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USES OF SURVEILLANCE. Estimate the magnitude of the problem Determine geographic distribution of health problems Potray the natural history of a disease Detect epidemics/define a problem Generate hypothesis, stimulate research Evaluate control measures Monitor changes in infectious agents
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USES OF SURVEILLANCE • Estimate the magnitude of the problem • Determine geographic distribution of health problems • Potray the natural history of a disease • Detect epidemics/define a problem • Generate hypothesis, stimulate research • Evaluate control measures • Monitor changes in infectious agents • Detect changes in health practices • Define public health priorities BPH/OEHP/DSDC/IDEP
INFLUENZAANTIGENIC CHANGE USA 1999-2002 http://www.cdc.gov/ncidod/diseases/flu/weeklychoice.htm
USES OF SURVEILLANCE • Estimate the magnitude of the problem • Determine geographic distribution of health problems • Potray the natural history of a disease • Detect epidemics/define a problem • Generate hypothesis, stimulate research • Evaluate control measures • Monitor changes in infectious agents • Detect changes in health practices • Define public health priorities BPH/OEHP/DSDC/IDEP
USES OF SURVEILLANCE • Estimate the magnitude of the problem • Determine geographic distribution of health problems • Potray the natural history of a disease • Detect epidemics/define a problem • Generate hypothesis, stimulate research • Evaluate control measures • Monitor changes in infectious agents • Detect changes in health practices • Define public health priorities BPH/OEHP/DSDC/IDEP
SMALLPOXPre-event VaccinationPost-event Vaccination INFLUENZAVaccinationAntiviralPrevention ( Hygiene) BPH/OEHP/DSDC/IDEP
LIMITATIONS OF SURVEILLANCE SYSTEMS BPH/OEHP/DSDC/IDEP
Limitations Cont….. • Underreporting • Incomplete data • Lack of representativeness of reported cases • Changing case definition • Misconceptions due to lack of knowledge • Lack of timeliness • Inconsistency of case definition • Confidentiality • Lack of manpower BPH/OEHP/DSDC/IDEP
Limitations Cont….. Underreporting • 5-80% cases reported • Food Borne Illness • Lack of knowledge of the reporting requirement • Negative attitude toward reporting • Waste of time • Too much paper work BPH/OEHP/DSDC/IDEP
Limitations Cont….. Incomplete Data • Forms • Missing information • Immunization record • Serotyping • Invasive Bacterial Diseases • No Follow up • Arbovirus testing • Pertussis BPH/OEHP/DSDC/IDEP