1. Country experience with PAHOFlu
Good morning.
Suriname

2. OUTLINE Historical information
Perspective from Laboratory and sentinel sites
Perspective from Epidemiology: Statistics, Reporting, Monitoring using on-line system
Advantages and recommendations

3. Historical data Before PIP:
Influenza testing in country was set up in dec 2009 (in MWI)
Since 2010, participation in WHO-EQAP program every year ( consecutive 100% score)
LH and SZN (MMC) as SARI sentinel sites since 2010
Start as PIP country: June 1 , 2015
ICU (AZP) as sentinel site since 2015
Reporting online since July 15, 2015
AZP (Pediatric ward) since 2016
Molecular ORV testing (MWI) since August 11, 2016
First virus sharing: Dec 2016
Rapid response training December 2017 (first in the region)
HAIDraft national action plan October 2017

4. Laboratory perspective
 Country use of the online system by the laboratory:
First use online reporting: July 15, 2015 (only for Influenza)
Since June 1, 2016: also weekly online reporting for RT-PCR ORV results
Country Benefits:
Additional possibility for data check of patient details
(investigation form vs online data)
No extra paperwork for the laboratory for result form
No time loss between availability lab result and reaching the sentinel site (especially important for the ICU)
International Benefits:
Lab results from the country in real time available across the globe, enabling swift actions/reactions if necessary

5. Issues to be addressed in the LAB tab:
Entering of lab results not possible in case of mistakes in dates on the clinical information; delay of results
no specification of the PCR test possible (Influenza or ORV); sites cannot determine from the summary whether or not ORV has been tested
no option to enter data from different tests on consecutive data, all results need to be entered the same day even if available earlier: delay in reporting

6. Perspective Hospital surveillance
· Data should be entered online as soon as possible · After result is available the case should be closed as soon as possible · Each week there is a weekly sentinel report available with the use of the automatic report generator

7. Epidemiology: statistics

8. Epidemiology: reporting

9. Epidemiology: Monitoring

10. Epidemiology: monitoring dashboard

11. Epidemiology: Dashboard, summary report

12. Advantages and recommendations
Real time reporting system
Less time consuming
M&E Dashboard
Easy to access and use
RECOMMENDATIONS
Lab tab: some adjustments need to be made to optimize the system and allow full functionality
Further updates to also automate preparation of the ILI report