1. DATA MANAGEMENT ACTIVITIES IN SRI LANKA P. Ratnesinghe Data Manager Epidemiological Unit- Sri Lanka

2. Overview Background and purpose Activities Future requirements

3. Background and Purpose

4. Background Responsible for Data Collecting and analyzing disaster data Interaction with the National Disaster Loss Database in DMC and Epidemiology Data

5. Geo-graphical distribution 26 district 305 MOH ( Medical Officer of Health areas)

6. Purpose To provide technical assistance for data management activities in EPI Unit with focus on National Disaster Loss Database for the target users and applications.

7. NOTIFIABLE DISEASE SYSTEM (Routine systems) NOTIFICATION SYSTEM Collected on form F399 (data source) 25 notifiable diseases Weekly Aggregate data Clipper/DBF3 CONFIRMATION SYSTEM Collected on form H411a (data source) Follow-up of reported notifiable diseases Sent with f399 after follow-up cases Case based data Clipper/DBF3 SPECIAL SURVEILLANCE Collected on CIFs Follow-up of confirmed cases Sent separately to EPID Unit Case based data VB/SQL SRI LANKA CURRENT EPIDEMIOLOGY UNIT DATA STRUCTURE

8. Other systems AEFI SURVEILLANCE Collected on AEFI Form – 2 Sent monthly to EPID Unit Aggregate data EPI6 / Rec File EPI Collected on Quarterly EPI return Form Number immunization, Usage and wastage Sent quarterly to EPID Unit Aggregate data VB/SQL MEASLES Data sent directly form labs on standardized form Data forwarded to EPID Unit every 2 weeks Now to be integrated into Special surveillance cases Case based data Excel converted to EPI Info(MS access (MDB)

9. AFP SURVEILLANCE AFP MRI SRI LANKA CURRENT EPIDEMIOLOGY UNIT DATA STRUCTURE Collected on special AFP forms Sent directly to EPID Unit (Case based data) Zero reporting forwarded weekly to SEARO EPI 6 /REC File Data sent directly from labs Data forwarded to EPID Unit Weekly Data integrated into EPID Unit system (Lab and epid data forwarded to WHO-SEARO as separate files) Case based data PFIFA2/MS Access MRI

10. Data processing, Analysis and reporting activities AFP -EPI info programms VPD-Crystal report systems and SPSS packages Notifiable and confirmed system - Software created by Data Manager SRI LANKA CURRENT EPIDEMIOLOGY UNIT DATA STRUCTURE

11. Data cleaning and feedback loops Standard Operating Procedures: Data cleaning takes place at the national level. After entering the data, ten percent of forms are randomly selected and then these are re-entered into the program and verified. Feedback report SRI LANKA CURRENT EPIDEMIOLOGY UNIT DATA STRUCTURE

12. There are three backup procedures currently running for epidemiological data: 1)a mirror system running with file server, 2)every Friday the data manager backs-up all databases to a hard drive in computer room and 1)floppies are used for day-to-day backup operations by data entry operators. Data back-up procedure SRI LANKA CURRENT EPIDEMIOLOGY UNIT DATA STRUCTURE

13. Country Bulletin processing procedures Type of EPI bulletinProcessTime frameContent WERData compiling by electronically Word processing by MS publisher weekly1.Leading article 2.Surveillance of VPD 3.diseases under surveillance 4.Laboratory surveillance 5.Selected notifiable diseases Quarterly Epidemiological Bulletin same as aboveQuarterly1.Surveillance and laboratory report 2.Notifiable diseases SRI LANKA CURRENT EPIDEMIOLOGY UNIT DATA STRUCTURE

14. Integrate data between Epidemiology unit and Disasters Management Center, Sri Lanka at online Future requirements

15. Thank you