10. Driving without looking at the traffic? Is like making public health decisions in the absence of data
11. Surveillance: A role of the public health system The systematic process of collection, transmission, analysis and feedback of public health data for decision making Surveillance
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13. A dynamic vision of surveillance All levels use information to make decisions Surveillance The private sector can treat patients but only the public sector can coordinate surveillance Collect and transmit data Analyze data Feedback information Make decisions
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26. Attack Rate = number of cases x 100 population at risk Attack Rate = (145+155) = .030 ; 10,000 .03 x 100 = 3.0% There was a 3.0% attack rate. Based on the population, what does this attack rate indicate? (The attack rate is very high.This is a crisis situation. Response activities should be re-evaluated.)
27. Case Fatality Ratio (CFR)= number of deaths x 100 number of cases = 6 = .02 (145+155) = .02 x 100 = 2.0% There was a 2.0% CFR. Based on the standards for Measles treatment, what does this CFR indicate? (This exceeds the standard of 1%. Serious action needs to be taken to improve health seeking behaviour and response activities).
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29. PROLONGED STRESS- NOT/ ENOUGH FOOD- ZERO HYGIENE- OVERCROWDED POPULATION DISEASE DETERMINANTS IN CAMPS
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37. ENSURING POST NATAL CARE FOR MOTHER AND CHILD IN EMERGENCY ASHA THE REFERRAL LINK FROM VILLAGES TO DISTRICT HOSPITAL NSU
38. REFERRAL LINKAGE: ASHA WORKER PROVIDING POST NATAL CARE AND REFERRAL IN VILLAGES
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40. Government of Bihar Flood Response 2007 Daily IDSP Morbidity Reporting for the Facility / PHC / Mobile Clinic/Camp Name of PHC / GH / Municipal Health post: Team leader of the Mobile team: Date of reporting Syndrome Cases Reported Total (To put the total no. against each syndrome at the end of the day) Under 5 years 5 years and over No. of cases No. of deaths No. of cases No. of deaths 1. Fever 2. Fever with rash 3. Acute Diarrheal Diseases (including cholera) 4. Acute Jaundice 5. Acute Respiratory Infections 6. Others Total Total patients seen at the facility / Mobile Clinic: : Reporting Person (MO / I / C / Heath Officer) : Instructions: a) Each Mobile team to report consolidated figures for all sites visited at PHC level on a daily basis. b) The PHC to send compiled report of PHC and all other activities to District Data Cell and State Data Cell daily.
41. Government of Bihar Flood Response 2007 COMPILATION of Daily IDSP Morbidity Reporting for the PHC Area Name of PHC (District) Population under PHC Date of reporting PHC Mobile Clinics Other Fixed Sites under PHC TOTAL Syndrome No. of clinics / sites Fever Under 5 years 5 years and over Fever with Rash Under 5 years 5 years and over Acute Diarrheal Diseases (Including Cholera) Under 5 years 5 years and over Acute Jaundice Under 5 years 5 years and over Acute Respiratory Infections Under 5 years 5 years and over Others Under 5 years 5 years and over Total CASES Under 5 years 5 years and over TOTAL DEATHS Under 5 years 5 years and over Other Remarks / Comments: Reporting Person (MO / I / C / Health Officer) : Instructions: a) Each Mobile team to report consolidated figures for all sites visited at PHC level on a daily basis. b) The PHC to send compiled report of PHC and all other activities to District Data Cell and State Data Cell daily.
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44. DISTRICT HEALTH SOCIETY Daily Immunization Report Date- S No- Name of Block OPV Vit A Measles Pregent woman TT Any Adverse Reported No of team .
45. DISTRICT HEALTH SOCIETY Mobile Team Activity Chart: - Date: Name of PHC Reg. No. of Ambulance No. of Health Camp Visited by Mobile Team No. of Patients (Treated by Mobile Team) Medicines (Distributed by Mobile Team) Others Services provided by Mobile Team (if any) Name & No. of Contact Person of concerned PHC (Where Mobile team is deployed) Name Quantity
Facilitator asks : "How do we prevent illness and death from measles in emergencies?" Important points: Most important intervention is emergency measles vaccination campaign! Almost always appropriate unless you are very sure coverage is very high Measles vaccine included in routine childhood vaccination campaigns Do not forget treatment of measles illness Must give vitamin A Measles can produce very sudden vitamin A deficiency Treat bacterial infections with appropriate antibiotics Rehydration of children with diarrhea caused by measles
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