This document discusses Sri Lanka's notifiable disease reporting system. It explains that the system requires medical practitioners to report cases of infectious diseases on a mandatory list to public health authorities. The list includes diseases like cholera, plague, yellow fever, dengue, tuberculosis and more. It outlines the legal basis for the system and notes any practitioner who does not notify can be punished. Notifications should be made based on clinical suspicion without waiting for lab results. Data is collected centrally and used to monitor disease outbreaks. The goal is to help control the spread of infectious diseases in the country.

1. Lectue-4
By Dr-C

2. What is it?
 It is a cost effective method to report about patients who have certain
infectious risk. Or some times to report about epidemics like dengue.
Dengue isn’t not transmit human to human directly but it is included in
the list of notifiable list because it is one of the major infections which
sri lanka had experience of an epidemic.
 All the diseases in the list are infectious diseases.
 There are two groups under two titles. 1) group A. 2) group B

3. Legal basis and establishment of the
system
 Notification of the diseases categorized in the list of notifiable in Sri Lanka is
mandatory and a legal requirement which has to be fulfill by the medical
practitioner.
 It is a part of national surveillance about communicable/ infectious diseases.
 Start of the notification system mentioned as 1897
 There are proper list of medical superiors to be informed about a disease.(will
be discussed in following slides.
 In is obvious the system has been developed or adopted to limit or eliminate
certain infectious diseases from the country. The system enhance to ability
and speed of identifying people with the disease and also the areas prone to
the disease.

4.  Any medical practitioner who violates notification system will be
punished by law in a magistrate court in Sri Lanka.L
 Collected data is entered in to a central database in Epidemiology unit
Colombo
 Feedback information on notifiable diseases is communicated through
the Weekly Epidemiological Report and Quarterly Epidemiological
Bulletin both of which are available at web also

7. Notifiable diseases
 Group A- internationally notifiable diseases.
Group A include-
cholera
plague
yellow fever.
 By Telephone, Fax, E-mail or Telegram, and notification Form (H544)

8. Group B includes following.
 Polio Myelitis / Acute Flaccid Paralysis
 Diphtheria
 Dysentery
 Pertussis
 Enteric Fever
 Food Poisoning
 Tetanus/ Neonatal tetanus
 Measles
 Malaria
 Rubella/Congenital Rubella Syndrome
 Viral Hepatitis
 Leptospirosis
 Dengue Fever/ Dengue Haemorragic Fever
 Encephalitis (including Japanese Encephalitis)
 Human Rabies
 Mumps
 Meningitis
 Chicken Pox
 Simple continued fever of over 7 days or more
 Typhus Fever
 Severe Acute Respiratory Syndrome (SARS)
 Tuberculosis

9. Who can do the notification?
 Intern House Officers
 Grade Medical Officers
 Any other Medical Officers
 Consultants
 General Practitioners
 Family Physicians

10.  Do the notification without a delay. Always do the notification
depending on clinical diagnosis. Lab investigations isn’t mandatory.
 Notification depends on clinical suspicion or judgment.
 Notification system is explained so complex by some lecturers and
doctors, but the main idea of the notification system is to inform
relevant authority about the diseases that should be controlled with
adequate and sometimes using exceptional measures. Same times the
databases will also be updated regarding the disease. Notification
system made to make things easy with a minimal cost.
 It is an active part of the national disease surveillance system also.

11. Whom should be informed about the
notifiable disease?
 Group A-director general health services or his deputy. Director
General (Public Health Services). Epidemiologist and regional
epidemiologist. Divisional Director of Health Services, Medical Officer
of Health using form I (H-544)
 (H-544 is a form to be filled by the notifying doctor)

12.  Severe Acute Respiratory Syndrome (SARS) - Director General of
Health Services, Deputy Director General (Public Health
Services),Director/Quarantine, Air Port Health Officer, Port Health
Officer, Epidemiologist, Regional Epidemiologist, Divisional Director of
Health Services and Medical Officer of Health using form I (H-544)
 Tuberculosis - Director/National Program for Tuberculosis,Tuberculosis
Control and Chest Diseases using form II (H- 816)

17.  Given here are the basic knowledge.
 But the further knowledge also isn’t so complex one. The relevant
source data and materials will be published soon. Information given
here is more than enough to exams like EPRM and final year MBBS and
selection exams of post graduate courses.
 Thank Q