1. INTEGRATED DISEASE SURVEILLANCE PROJECT( IDSP)
Dr. KANUPRIYA CHATURVEDI

2. DR. KANUPRIYA CHATURVEDI
Lesson Objectives
To know the genesis of IDSP
To learn about the project objectives, activities and disease covered under surveillance
To learn about the formats and the IDSP Reporting system
To learn about the monitoring indicators
DR. KANUPRIYA CHATURVEDI

3. DR. KANUPRIYA CHATURVEDI
Evolution of IDSP
Launched as pilot project in 1997 in 5 districts
20 more districts included in
20 more districts included in
Scaled up to 101 districts in all states
National Institute of Communicable Disease (NICD) is the Nodal Agency for IDSP
The Government of India is initiating a decentralized, state based Integrated Disease Surveillance Project (IDSP) in the country in response to a long felt need expressed by various expert committees. The project would be able 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 allocate health resources more optimally.
DR. KANUPRIYA CHATURVEDI

4. DR. KANUPRIYA CHATURVEDI
Phasing of the IDSP
Phase I (commencing from FY )
Andhra Pradesh, Himachal Pradesh, Karnataka, Madhya Pradesh, Maharashtra, Uttaranchal,Tamil Nadu, Mizoram & Kerala
Phase II (commencing from FY )
Chhatisgarh, Goa, Gujarat, Haryana, Rajasthan, West Bengal, Manipur, Meghalaya, Orissa Tripura, Chandigarh, Pondicherry, Delhi
Phase III (commencing from FY )
Uttar Pradesh, Bihar, Jammu & Kashmir, Jharkhand, Punjab, Arunachal Pradesh, Assam,Nagaland, Sikkim, A & N Nicobar, D & N Haveli, Daman & Diu, Lakshdweep
DR. KANUPRIYA CHATURVEDI

5. DR. KANUPRIYA CHATURVEDI
Overall objectives
To establish a decentralized system of disease surveillance
Improve the efficiency of the existing surveillance activities of disease control programs for use in health planning, management and evaluating disease control strategies
DR. KANUPRIYA CHATURVEDI

6. DR. KANUPRIYA CHATURVEDI
Specific Objectives
To integrate, coordinate and decentralize surveillance activities
Undertake surveillance for limited number of health conditions and risk factors
To establish system for quality data collection, reporting, analysis and feedback using IT
To improve laboratory support for disease surveillance
To develop human resource for disease surveillance
To involve all stake holders including those in private sector and communities
DR. KANUPRIYA CHATURVEDI

7. DR. KANUPRIYA CHATURVEDI
Project Activities
Decentralizing and integrating surveillance mechanisms
Up gradation of laboratories
Information technology and communication
Human resources and development
Operational activities and response
Monitoring and evaluation
DR. KANUPRIYA CHATURVEDI

8. Diseases and Conditions Covered under IDSP
Regular Surveillance
Vector borne diseases
Malaria
Water borne diseases
Acute diarrheal disease,cholera, typhoid
Respiratory diseases
Tuberculosis
Vaccine Preventable Diseases
Measles
DR. KANUPRIYA CHATURVEDI

9. DR. KANUPRIYA CHATURVEDI
Contd.
Disease under eradication
polio
Other conditions
Road traffic accidents
Other international commitments
Plague, yellow fever
Unusual clinical syndromes
Meningococcal encephalitis/respiratory distress/hemorrhagic fevers/ other undiagnosed conditions
DR. KANUPRIYA CHATURVEDI

10. DR. KANUPRIYA CHATURVEDI
Contd.
Sentinel surveillance
STD/Blood borne diseases
HIV/ HBV/ HCV
Other conditions
Water quality, outdoor air quality( large urban area)
Regular periodic surveys
NCD risk factors
Anthropometry, physical activity, blood pressure, tobacco, nutrition and blindness
Additional state priorities
Each state may identify up to five additional conditions for surveillance
DR. KANUPRIYA CHATURVEDI

11. Administrative Structure
NATIONAL SURVEILLANCE COMMITTEE
CENTRAL SURVEILLANCE UNIT
STATE SURVEILLANCE COMMITTEE
STATE SURVEILLANCE UNIT
For Project implementation, Surveillance Units have been set up at Central, State and District level. Surveillance Committees at National, State and District levels are monitoring the Project. Currently linkages are being established with all State Head Quarters, District Head Quarters and all Government Medical Colleges on a Satellite Broadband Hybrid Network. The network on completion will enable 800 sites on a broadband network of which 400 sites will have dual connectivity with satellite and broadband. This network enables enhanced Speedy Data Transfer, Video Conferencing, Discussions, Training, Communication and in future e-learning for outbreaks and program monitoring under IDSP. A 24X7 call center with toll free telephone no 1075 accessible from BSNL/MTNL telephone from all states is in operation since February This receives disease alerts from anywhere in the country and diverges the information to the respective State/District Surveillance Units for verification and initiating appropriate actions wherever required
DISTRICT SURVEILLANCE COMMITTEE
DISTRICT SURVEILLANCE UNIT
DR. KANUPRIYA CHATURVEDI

12. Central Responsibilities
Development  of RRT guidelines, laboratory  & computer manuals, and training materials
Training of State Rapid Response Teams
Strengthening & networking of National and Regional laboratories
Establishing rapid communication network
Technical review, co-ordination, monitoring and evaluation
DR. KANUPRIYA CHATURVEDI

13. State Responsibilities
Strengthening  of epidemiological capabilities  at state and district   level by training  of district RRT and  health personnel at  the periphery
Modernization and computerization of state & district Epidemiology cell
Strengthening of state / district laboratories
Improving sub-district mobility and communication
IEC
DR. KANUPRIYA CHATURVEDI

14. DR. KANUPRIYA CHATURVEDI
Expected  Outcome 
Early  detection of outbreaks
Early institution of containment measures
Reduction in morbidity & mortality
Minimize economic loss
DR. KANUPRIYA CHATURVEDI

15. Format for Weekly Reports
Week  Starting
Week ending
Outbreak
Number
Nature
News Paper cutting
Report of epidemiological investigation
Name & Signature of Nodal Officer of District
DR. KANUPRIYA CHATURVEDI

16. DR. KANUPRIYA CHATURVEDI
IDSP Reporting
Form S ( Suspect Cases) by health workers( sub centers)
Form P (Probable Cases) by doctors (PHC,CHC,Hospitals)
Form L( lab confirmed cases) from laboratories
Frequency of reporting weekly
Data compilation/analysis and response at all levels
Under IDSP data is collected on a weekly (Monday–Sunday) basis. The information is collected on three specified reporting formats, namely “S” (suspected cases), “P” (presumptive cases) and “L” (Laboratory confirmed cases) filled by Health Workers, Clinician and Clinical Laboratory staff. The weekly data gives the time trends. Whenever there is a rising trend of illnesses in any area, it is investigated by the Medical Officers/Rapid Response Teams (RRT) to diagnose and control the outbreak. Data analysis and action are being undertaken by respective districts. Emphasis is being laid on reporting of surveillance data from major hospitals both in public and private sector and also Infectious Disease hospitals. The compilation and disease outbreak alerts has been started recently. On an average outbreaks are reported every week to Central Surveillance Unit, IDSP
DR. KANUPRIYA CHATURVEDI

17. DR. KANUPRIYA CHATURVEDI
New Initiatives
Alerts through IDSP call center
E- learning
Discussion forums
Online survey and assessment
Feedback
Frequently asked questions (FAQs)
Media scanning cells
To provide supplemental information about outbreaks
New Technology and real – time electronic media are vital to detect outbreaks of infectious diseases globally. In the age of real- time electronic media and television, journalists became a vital source of instant information that public health authorities could use to detect outbreaks, in addition to information from governments, non- governmental organizations and health- care workers. Media scanning is one of the important systems inEWS.
Benefits of Media scanning envisaged are:
 It increases the sensitivity of the official surveillance systems and may well
provide early warning of occurrence of new clusters of diseases in advance of
official notification, as the media are often the first to know of potential cases.
 Monitoring and mapping of occurrence of unusual health events or new a
DR. KANUPRIYA CHATURVEDI

18. Key Performance Indicators
Number and percentage of districts providing monthly surveillance reports on time – by state and overall;
Number and percentage of responses to disease-specific triggers on time - by state and overal
Number and percentage of responses to disease-specific triggers assessed to be adequate -by state and overall;
Number and percentage of laboratories providing adequate quality of information – by state and center;
DR. KANUPRIYA CHATURVEDI

19. DR. KANUPRIYA CHATURVEDI
Contd.
Number of districts in which private providers are contributing to disease information;
Number of reports derived from private health care providers;
Number of reports derived from private laboratories;
# and % of states in which surveillance information relating to various vertical disease control programs have been integrated
DR. KANUPRIYA CHATURVEDI

20. DR. KANUPRIYA CHATURVEDI
Contd.
# and % of project districts and states publishing annual surveillance reports within three months of the end of the fiscal year;
Publication by CSU of consolidated annual surveillance report (print, electronic,including posting on the websites) within three months of the end of fiscal year
DR. KANUPRIYA CHATURVEDI

21. DR. KANUPRIYA CHATURVEDI
Achievements 
Improved quality of detection, investigation and response to outbreaks
Rapid Response Teams with requisite knowledge and skills in place
Technical material on outbreaks investigation, manual on laboratory procedures and computer usage developed and made available in field
DR. KANUPRIYA CHATURVEDI

22. DR. KANUPRIYA CHATURVEDI
Contd.
Training  in computer application for data processing  and communication
Feedback mechanism in the form of “Outbreak News” & “CD Alert” and by frequent letters through /post
Improved capability of laboratories for etiological diagnosis
Rapid transmission of information
DR. KANUPRIYA CHATURVEDI