Introduction to Integrated Health Information Platform and how different it is from the previous weekly surveillance program of IDSP

1. Integrated Disease Surveillance
Program
DR MALLAPPA O MBBS, MD, PGDHFWM
District Surveillance Officer
Shivamogga

2. OUTLINE
1. Introduction
2. Organizational Framework
3. District level committee
4. Objectives
5. Program components
6. Need for Surveillance
7. Types of Surveillance
8. Reporting units
9. Expected outcome
10. Diseases and syndrome
under surveillance
11. References
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3. INTRODUCTION
• Integrated Disease Surveillance Program (IDSP) was
launched in 2004 and is intended to detect early warning
signals of impending outbreaks and help initiate an effective
response in a timely manner.
• It is also expected to provide essential data to monitor
progress of on going disease control programs and help in
allocating the resources optimally
• Under the project weekly disease surveillance data on
epidemic prone disease were being collected from reporting
units on 'S' syndromic; 'P' probable; & 'L' laboratory formats
using standard case definitions.
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4. INTRODUCTION CONTD.
• The weekly data are analyzed by SSU/DSU for disease trends. Whenever
there is rising trend of illnesses, it is investigated by the RRT to diagnose
and control the outbreak.
• Media scanning and verification cell and a 24X7 call center was
established to receive disease alerts on a Toll Free number (1075) .The
information received is provided to the States/Districts surveillance Units
for investigation and response.
• District labs are being strengthened for diagnosis of epidemic prone
disease. Epidemiologist, Microbiologist, Entomologist and a veterinary
consultant at state level and a microbiologist and an epidemiologist at
district level are recruited under IDSP
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5. • Referral lab network has been established by
utilizing the existing functional labs in the
medical colleges for providing diagnostic
services for epidemic prone diseases during
outbreaks.
• NIC has provided the IT support for the IDSP
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6. STRUCTURAL/MANAGEMENT FRAMEWORK
C.S.U.
S.S.U
D.S.U.
MED COL.
DIST HOS.
PVT. HOS.
OTHER HOS.
LABS
SUB CENTRES
PHCs / CHCs
RURALPPs

7. District Surveillance Committee
Chairperson*
District Surveillance Committee
District Surveillance Officer
(Member Secretary)
DHO
(Co. Chair)
Representative
Water Board
Superintendent
Of Police
IMA
Representative
NGO
Representative
Zilla Panchayat
CEO
Chief District PH
Laboratory
Medical College
Representative
if any
Representative
Pollution Board
District Training Officer
(IDSP)
District Data Manager
(IDSP)
District Program Officers
RCH, Malaria, TB, HIV - AIDS
*District Collector or District Magistrate

8. OBJECTIVES
To strengthen the disease surveillance in the country by
establishing a decentralized State based surveillance system for
epidemic prone diseases to detect the early warning signals, so
that timely and effective public health actions can be initiated in
response to health challenges in the country at the Districts, State
and National level.
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9. PROGRAM COMPONENTS
• Integration and decentralization of surveillance activities
through the establishment of surveillance units at Centre, State
and District level.
• Human Resource Development – Training of State
Surveillance Officers, District Surveillance Officers, RRTs and
other Medical and Paramedical staff on principles of disease
surveillance.
• Use of IT for collection, collation, compilation, analysis and
dissemination of data.
• Strengthening of public health laboratories.
• Inter sectoral Co-ordination for zoonotic disease
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10. Need for surveillance
Recognize cases or cluster of cases to trigger
intervention to prevent transmission or reduce
morbidity and mortality
Assess the public health impact of health events or
determine and measure trends
Demonstrate the need for public health intervention
program and resources during public health planning

11. TYPES OF SURVEILLANCE
1. Previously data was analyzed on a weekly basis, but now IDSP
is integrated with IHIP, a web enabled real-time electronic
information system.
2. Syndromic: Knowledge regarding diseases by paramedical
staff and community members based on clinical symptoms,
Reported in ‘S’ form
3. Presumptive: Diagnosis by clinicians on typical history and
clinical examination. (‘P’ form)
4. Confirmed: Positive laboratory investigation confirms the
clinical diagnosis by a clinician (‘L’ form)
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12. Reporting units for routine disease
surveillance
Public health sector Private health sector
Rural SCs, PHCs, HWCs, CHCs,
SDH, District Hospitals
Private - practitioners,
hospitals, nursing
homes, Medical colleges
& laboratories.
Urban Hospitals (Urban PHCs,
Urban CHC, Municipal
Hospitals), Infectious
Disease Hospital/ ESI /
Railway /Medical college
hospitals, AYUSH
Hospitals
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13. Expected outcome
 Early detection of outbreaks
 Early institution of containment measures
 Reduction in morbidity & mortality
 Minimize economic loss

14. Diseases under routine surveillance
1.Anthrax
2.Chickenpox
3.Chikungunya
4.Cholera
5.Congo Crimean haemorrhagic
fever
6.Dengue
7.Diphtheria
8.Human Rabies
9.Japanese Encephalitis
10.KFD
11.Leptospirosis
12.Malaria
13.Measles
14.Meningitis
15.Meningococcal meningitis
16.Mumps
17.Non typhoidal salmonellosis
18.Pertussis
19.Rubella
20.Scrub Typhus
21.Shigellosis
22.Hepatitis A
23.Hepatitis E
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15. Syndromes under routine surveillance
1.Only Fever >= 7 days
2.Only Fever < 7 days
3.Fever with rash
4.Fever with bleeding
5.Fever with altered sensorium
6.Cough with fever <= 2 wks
7.Cough without fever <=2wks
8.Cough with fever >2weeks
9.Cough without fever >2wks
10.Loose watery stool with blood <2wks
11.Loose watery stool without blood <2wks
12.Jaundice of <4wks
13.Acute Flaccid Paralysis
14.Malaria Vivax RDT Positive
15.Malaria Falcicparum RDT positive
16.Malaria Mixed RTD Postive
17.Animal bite
18.Snake bite
19.Acute Encephalitic Syndrome
20.Acute Hepatitis
21.Dysentry (Blood in Stool)
22.ARI/Severe Acute Respiratory Infection
(SARI)
23.ARI/Influenza Like Illness(ILI)
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16. References
1. IHIP-Integrated Health Information Platform (ihip.nhp.gov.in)
2. NHP India, Integrated Disease Surveillance Program (IDSP) I
National Health Portal of India (nhp.gov.in)
3. Park’s Text Book of Preventive and Social Medicine 26th
Edition 2021
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