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Communicable Diseases Surveillance System in Aruba

Communicable Diseases Surveillance System in Aruba. A Multicultural Caribbean United Against HIV/AIDS Santo Domingo, Dominican Republic March 5-7, 2004. drs. Chanin Boekhoudt Department of Public Health Aruba. INFORMATION ON ARUBA. INFORMATION ON ARUBA. area: 193 sq km

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Communicable Diseases Surveillance System in Aruba

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  1. Communicable Diseases Surveillance System in Aruba A Multicultural Caribbean United Against HIV/AIDS Santo Domingo, Dominican Republic March 5-7, 2004 drs. Chanin Boekhoudt Department of Public Health Aruba

  2. INFORMATION ON ARUBA

  3. INFORMATION ON ARUBA • area: 193 sq km • population: 90.506 (Census 2000) • language: Dutch and Papiamento (English and Spanish are widely spoken) • dependency status: part of the Kingdom of the Netherlands

  4. HEALTH CARE SYSTEM • General Health Insurance (as of January 2001) • 38 General Practitioners • 60 Specialists (20 specialties) • 1 Hospital • 1 Medical Center • 1 Home nursing organization • 1 national laboratory + 3 private laboratories

  5. BOTTLENECKS SURVEILLANCE SYSTEM • Not clear WHERE to notify • FEEDBACK from Public Health to Physicians was lacking • Not clear WHAT and WHEN to notify • FORMS not appropriate • Not aware of the IMPORTANCE of notifying • NO INCENTIVES to participate • LAWS are outdated

  6. ADDRESSING THE CHALLENGES • WHERE to notify • FEEDBACK • 2 newsletters • INFORMATION (QUARTERLY) • ALERT • 1 – 2 pages • sent by fax • request to notify to: the section of Communicable Diseases

  7. Newsletters

  8. ADDRESSING THE CHALLENGES • WHAT and WHEN to notify • Communicable Diseases Manual • Dutch and Papiamento • Classification of diseases according to priority in notification • Group A: immediately • Group B: within 24 hours • Group C: within a week

  9. Communicable Diseases Manual

  10. ADDRESSING THE CHALLENGES • Appropriate FORMS • Develop new forms • 1 for group A+B • 1 for group C

  11. Form Group A+B

  12. Form Group C

  13. ADDRESSING THE CHALLENGES • Awareness onIMPORTANCE OF NOTIFICATION • INCENTIVEto Participate • Workshop for physicians and health care providers • importance of notification for public health • introduction Communicable Diseases Manual • introduction new notification forms • Continuous Medical Education accreditation

  14. Workshop

  15. ADDRESSING THE CHALLENGES • Modernizing LAWS • STILL TO BE ADDRESSED

  16. Surveillance System Aruba Physicians Manual Forms Section of Contagious Diseases

  17. Surveillance System Aruba Physicians Feedback on patient Section of Contagious Diseases

  18. Surveillance System Aruba Physicians Lab. requests Section of Contagious Diseases National Laboratory of Aruba

  19. Surveillance System Aruba Physicians Lab. results Section of Contagious Diseases National Laboratory of Aruba + Lab. results

  20. Surveillance System Aruba Physicians Section of Contagious Diseases National Laboratory of Aruba Section of Epidemiology & Research Submit data

  21. Surveillance System Aruba Physicians Section of Contagious Diseases National Laboratory of Aruba Section of Epidemiology & Research Health analysis

  22. Surveillance System Aruba Physicians PH Feedback 2 newsletters Section of Contagious Diseases National Laboratory of Aruba Section of Epidemiology & Research PH Feedback 2 newsletters

  23. Surveillance System Aruba Physicians Section of Contagious Diseases National Laboratory of Aruba Section of Epidemiology & Research

  24. OUTCOMES AFTER 1 YEAR • INCREASE IN NOTIFICATION • MORE CAPABLE TO ANTICIPATE OUTBREAKS • CARRYING OUT AN OUTBREAK INVESTIGATION • MORE CONTACT WITH PHYSICIANS

  25. LESSONS LEARNT • DEVELOP RAPPORT WITH STAKEHOLDERS • FEEDBACK • DEVELOP PARTNERSHIPS • EVALUATE SYSTEMS PERIODICALLY • SURVEILLANCE SYSTEM SHOULD BE SIMPLE ENOUGH TO MAINTAIN

  26. DANK U WEL MASHA DANKI

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