The document outlines a decentralized disease surveillance system aimed at enhancing public health responses through improved efficiency in monitoring, assessment, and dissemination of health data. It emphasizes training human resources, integration of various surveillance components, and utilizing information technology for effective disease tracking, particularly for infectious and non-communicable diseases. The structure includes central, state, and district surveillance units to effectively manage and analyze health-related data and interventions.

1. SHARONTREESA ANTONY
ASSISTANT PROFESSOR
GOVT.COLLEGEOF NURSING
ALAPPUZHA

2.  A decentralized system of disease
surveillance for timely and effective public
health action with a focus on functional
integration of surveillance components of
various vertical programmes.
 This project aims at improving the efficiency
of disease surveillance for use in health
planning, management and evaluating
control strategies.

3.  To assess magnitude of problem
 To monitor implementation of health
programmes.
 To understand local epidemiology of the
problem
 To assess changes in the trend/monitor the
trend of magnitude/distribution of the problem.
 To identify specific population group at risk
 To enable predictions about patterns of diseases
occurrence
 To assess impact of the programme
interventions for control of the problem

4. • Decentralized Surveillance System.
•To identify risk factors for CD/NCD.
•Timely Initiation of Public Health action.
• Improvement of efficiency of Surveillance
activities
• Dissemination of relevant information to
HealthAdministration, community, other
stake holders about disease risk factors,
monitoring & evaluation.

5.  • 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, Rapid
Response Team and other Medical and Paramedical staff on
principles of disease surveillance.
 Use of Information Communication Technology for
collection, collation, compilation, analysis and
dissemination of data.
 Strengthening of public health laboratories
 Inter sectoral Co-ordination for zoonotic diseases

6.  Vector Borne Disease:
1. Malaria
(Other vector-borne diseases under this group) Like Dengue, JE, Leishmaniasis,
Chikunguniya etc.)
 Water Borne Disease:
2. Acute Diarrhoeal Disease (Cholera)
3.Typhoid
 Respiratory Diseases
4.Tuberculosis
 Vaccine Preventable Diseases:
5.Measles
 Diseases under Eradication:
6.Polio
 Other Conditions:
7.RoadTraffic Accidents (Link up with Police Computers)
 Other International Commitments
8.Plague
 Unusual Clinical Syndromes:
9.Menigoencephalitis / Respiratory Distress, Hemorrhagic fevers and other
undiagnosed conditions

7.  Sexually transmitted diseases / Blood
borne
10. HIV / HBV, HCV Other Conditions
11.Water Quality
12. Outdoor Air Quality (Large Urban Centres)

8.  NCD Risk Factors
13.Anthropometry,Physical Activity, Blood
Pressure,Tobacco, Nutrition, Blindness & any
other unusual Health condition.

9. 1. Acute Diarrhoeal Disease (including acute gastroenteritis)
2. Bacillary Dysentery
3. Viral Hepatitis
4. Enteric Fever
5. Malaria
6. Dengue / DHF / DSS
7. Chikungunya
8. Acute Encephalitis Syndrome
9. Meningitis
10. Measles
11. Diphtheria
12. Pertussis
13. Chicken Pox
14. Fever of Unknown Origin (PUO)
15. Respiratory Infection (ARI) / Influenza Like Illness (ILI)
16. Pneumonia
17. Leptospirosis
18. Acute Flaccid Paralysis < 15Years of Age
19. Dog bite
20. Snake bite
21. Any other State Specific Disease (Specify)
22. Unusual Syndromes NOT Captured above (Specify clinical diagnosis)

10. 1. Dengue / DHF / DSS
2. Chikungunya
3. JE
4. Meningococcal Meningitis
5. Typhoid Fever
6. Diphtheria
7. Cholera
8. Shigella Dysentery
9. Viral Hepatitis A
10. Viral Hepatitis E
11. Leptospirosis
12. Malaria

11.  Central Surveillance Unit (CSU): Integrated
administratively and financially with National
Centre for Disease Control (NCDC), Delhi
 State Surveillance Unit (SSU): One in each
State/UT with a regular officer identified as State
Surveillance Officer (SSO). Supported by 7
contractual staff. Con (Vet) added in 2013-14
 District Surveillance Unit (DSU): One in each
district with a regular officer as District
Surveillance Officer (DSO). Supported by 3
contractual staff

13. THANKYOU!!!