1. National Early Warning, Alert & Response Surveillance Information System(NEWARSIS) System Developed By: ICT Unit Public Health Laboratory, DoPH, MoH Thimphu:Bhutan

2. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Data Flow Weekly Reporting Immediate Reporting Event Reporting Web- Database Server SMS Server Web Reports

3. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Reporting Timeline Reports Reporting Deadline Allowed Late Reporting Report Edit & Delete Deadline Weekly ReportEvery Monday For past 4 week (Current week - 4) Within 7 days of reporting (Date of Reporting - 7) Immediate Report As & when there is case/death For past 15 days (Current date - 15) Event Report As & when there is event For past 15 days (Current date - 15)

4. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Reporting Deadline Exercise 1.Current Week Number:? 2.What’s will be the Reporting Deadline for Current Weeks Weekly Report:? 3.For which all Weeks can we submit the Weekly Report:? 4.If we submit one Weekly Report today(18/9/15), say for Week Number 37, till which date can we edit/delete this report=?

5. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Reporting Deadline Exercise 5.There was an Mumps Outbreak on 3/9/2015 and we are reporting this Event today. Will system accept this report as late reporting=? 6.There was 1 Anthrax case on 15/9/15.  Ontime reporting deadline=?  Till which date can we report as late reporting=?

6. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Data Access Level DHO PHL BHU IBHU IIHospitalReferral Hospital NEWARSIS Web-Database Server

7. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reporting Process SMS Event Report Web Event Report Public Health Center Update Event SMS Notification Email Notification Event of Public Health Concern SMS/Email Alert PHL SFP & DHO All Stakeholders including DHO & Healthworker Assess Event Verify Event SMS Reply

8. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 How to Connect to Training Wifi NO INTERNET CONNECT AVAILABLE ON THIS WIFI Wifi Name : PHL-Demo1 or PHL-Demo2 Password : abcd1234 Recommended Browser: Google Chrome Type 192.168.0.2 on your browser to access NEWARS Training Temporary Server Please do not connect your mobile phone to this WIFI as System is not supported on mobile platform and to save the Bandwidth

9. Web Reporting WEB Reporting www.phls.gov.bt

10. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Dashboard

11. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting

12. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Submit Weekly Reporting

13. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Zero Reporting

14. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting

15. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Submit Immediate Reporting

16. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate & Weekly Reporting Exercise Case DateDisease/SyndromeNo. of CaseNo. of Death 31/08/2015Suspected Avian Influenza20 31/08/2015Suspected Measles10 31/08/2015Suspectd Cholera10 01/09/2015Suspected Avian Influenza31 01/09/2015Bacterial Meningitis10 02/09/2015 ARI Outbreak300 02/092015Conjunctivitis200 Week (37)Disease/SyndromeNo. of Case No. of Death Total CaseTotal Death Date of Reporting for Week 37 : 7/9/2015 Acute Respiratory Syndrome200 Fever with Rash20 Acute Watery Diarrhea350 Bacterial Meningitis00

17. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reporting

18. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Submit Event Reporting (Registered User)

19. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Submit Event Reporting (Public Page)

20. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 User Profile

21. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 New User Registration

22. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Password/Mobile#/Center Change

23. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Reports

24. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting Status

25. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reports

26. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reports

27. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reports

28. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Summary Event Report

29. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Summary Weekly Report

30. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Summary Immediate Report

31. SMS Reporting SMS Hotline Number 17123999 77123999 ( Will be available from October only )

32. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 New User Registration SMS Format: REGUSER Preferred_username*FullName*D esignation* Center Name REGUSER xyyyy*Xxxx Yyyy*Sr. Health Assistant*Public Health Laboratory To : 17123999 1 2 3

33. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 New User Registration Exercise Following are the details of new user to be registered: Username: nakula Fullname : Naku La Designation: Sr. HA Centername: XYZ BHU 1.nakula *Naku La*Sr HA*XYZ BHU 2.Reguser *Naku La*Sr HA*XYZ BHU 3.Reguser naku la*Naku La*Sr. HA*XYZ BHU 4.Reguser nakula* Naku La*Sr. HA* 5.Reguser nakula*Naku La*Sr. HA* XYZ BHU

34. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 New User Registration SMS Help SMS Format: HLPREGUSER To : 17123999

35. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Check Registered User Details SMS Format: CHKUSER To : 17123999

36. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Password SMS Format: CHGPASSWORD New_Password CHGPASSWORD xyz123 To : 17123999

37. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Help Change Password HLPCHGPASSWORD To : 17123999 SMS Format: HLPCHGPASSWORD

38. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Mobile Number SMS Format: CHGMOBILE New_Mobile_Number CHGMOBILE 77123999 To : 17123999

39. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Mobile Number HLPCHGMOBILE To : 17123999 SMS Format: HLPCHGMOBILE

40. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Mobile Number Exercise I have currently registered my Mobile Number 17777777 for NEWARS reporting. Now I am changing my Mobile Number from 17777777 to 77777777 using CHGMOBILE 77777777 Will my SMS report from Mobile Number 17777777 be accepted OR Will my SMS report from Mobile Number 77777777 be accepted

41. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Center SMS Format: CHGCENTER New_Center_Name CHGCENTER Mongar BHU II To : 17123999

42. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Center HLPCHGCENTER To : 17123999 SMS Format: HLPCHGCENTER

43. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Center Exercise I am currently registered under Public Health Laboratory and requested for center change to Mongar ERRH as I am transferred. I am sending Center Change SMS request using Now if I submit a report, will I be reporting on behave of PHL or Mongar ERRH?

44. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Change Center Exercise Now I get another SMS reply once my center change request has been approved by the System Administrator Now if I submit a report, will I be reporting on behave of PHL or Mongar ERRH?

45. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting Disease ID IDDisease/SyndromeIDDisease/Syndrome 1Anthrax12Diphtheria 2Acute Bloody Diarrhea13Fever with Rash 3Acute Watery Diarrhea14Food poisoning 4Acute Encephalitis Syndrome15Malaria 5Acute Flaccid Paralysis16Pertussis 6Acute Haemorrhagic Fever Syndrome17Rabies (human) 7Acute Jaundice Syndrome18Congenital Rubella Syndrome 8Acute Respiratory Infection19Multi-drug Resistance Tuberculosis 9Bacterial Meningitis20Tetanus 10Dengue fever21Typhoid /Paratyphoid fever 11Mumps22 Unusual Disease(s), Death(s) OR Event 23Severe Acute Respiratory Syndrome

46. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting Disease ID SMS Help To : 17123999 SMS Format: HLPWKDID

47. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting Disease ID IDDisease/Syndrome 100Anthrax (Suspected) 101Acute Flaccid Paralysis 102Acute Haemorrhagic Fever Syndrome 103Avian Influenza 104Cholera 105Bacterial Meningitis 106Malaria 107Measles 108Pertussis 109Pneumonic plaque 110Rabies (human) 111Rubella 112Neonatal Tetanus 113 Unusual Death (s) 114Acute Encephalitis Syndrome To : 17123999 SMS Format: HLPIMDID

48. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting Disease ID

49. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Age Group ID Age Group 0-29 Days 1-11 Months 1-4 Years 5-9 Years 10-14 Years 15-19 Years ID123456 Age Group 20-24 Years 25-49 Years 50-64 Years 65+ Years Unknown ID7891011 SMS Format: HLPAG To : 17123999 HLPAG

50. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Reporting Deadline SMS Help To : 17123999 SMS Format: CHKDEADLINE

51. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Check Start & End Date for Week Number To : 17123999 SMS Format: CHKWEEK WeekNumber CHKWEEK 33

52. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Check Week Number SMS Help To : 17123999 SMS Format: HLPCHKWEEK

53. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reporting To : 77123999 SMS Format : EVT DD.MM.YY(Event Date)*Event Name*Event Location*No. of Population Affected(Number) EVT 18.9.15*Suspect ed Mumps outbreak among students*Thimp hu HSS*250

54. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reporting SMS Replies Event Reporting Deadline Event Reporting Incorrect Date and Number of Population Affected Format Event Reporting Incorrect Date and Number of Population Affected Format Correct Event Reporting Event Notification to PHL SFP & DHO Event Confirmation as Event of Public Health Concern Event Confirmation as Event of Public Health Concern

55. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reporting Exercise 1.3.9.15*Suspected Mumps Outbreak Among Students*Bumthang High School*300 2.Evt 5.9.15* Suspected Mumps Outbreak Among Students*Bumthang High School*300 Students 3.Evt 18.9.15*Suspected Mumps Outbreak Among Students at Bumthang High School*300 4.Evt 20.9.15*Suspected Mumps Outbreak Among Students*Bumthang High School 5.Evt 19.9.15*Suspected Mumps Outbreak Among Students*Bumthang HSS*300

56. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Event Reporting Case Study There was an Suspected Outbreak of disease Xxxxx among construction worker at place called Aaaa Bbbb on 17 th September 2015. Around 50 laborers has visited your health center for treatment. Submit event report using SMS to 77123999

57. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly ZERO Reporting To : 17123999 SMS Format : ZERO WeekNo.Year(YY) ZERO 35.15

58. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Delete Weekly Reporting To : 17123999 SMS Format : DELWK WeekNo.Year(YY) DELWK 35.15

59. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 ZERO Reporting SMS Replies Zero Reporting Deadline Correct Zero Reporting Delete Weekly Reporting

60. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting To : 17123999 SMS Format (if there is Case and Death to be reported) : WK WeekNo.Year(YY)*WKDID- AG.Case.Death,AG.Case.Death*WKDID- AG.Case.Death,AG.Case.Death WK 35.15*1- 5.1.0*5- 1.10.0,5.7.1*22- 10.1.1

61. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting To : 17123999 SMS Format (if there is Case and no Death to be reported) : WK WeekNo.Year(YY)*WKDID- AG.Case,AG.Case*WKDID- AG.Case,AG.Case WK 35.15*1- 5.1*5- 1.10,5.7*22-10.2

62. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting SMS Help To : 17123999 SMS Format(Weekly Reporting) : HLPWK SMS Format(Delete Weekly Reporting) : HLPDELWK To : 17123999 HLPDELWK

63. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 General Tips for Weekly Reporting SMS Format  * : Separator between one or more diseases to be reported  - : Separator between Disease ID and Cases/Deaths to be reported according to age groups  There will be only one – between two * . : Separator between Age Group, Case and Death (AG.Case.Death) , : Separator between one or more age group wise reporting for particular Disease

64. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting SMS Reply Weekly Reporting Deadline Weekly Reporting Incorrect Disease ID and Age Group ID Weekly Reporting Incorrect Disease ID and Age Group ID Correct Weekly Reporting

65. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting Exercise WK 37.15*1-2.3.1,4.8,11.5.1*15- 5.8.1,11.5*21-3.1,8.2,6.1.1*23- 8.1.1,10.2 Weekly Report for Week Number: Weekly Report for Year: Total Disease Reported: Age Group Categorize Reported for DID 1 : Total Case Reported for DID 1: Total Death Reported for DID 1:

66. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting Exercise 1.36.15*1-5.12.1*20-11.2 2.Wk 33.15*1-1.2.1,5.1,11.2*8-6.5,9.1 3.Wk 35.15*25-11.2,6.1*2-10.4,5.1.1 4.Wk 34.15*8.1.1*9-5.1 5.Wk 38.15*10-13.1*5-1.5,11.5*10-7.5 6.Wk 37.15*7-5.12,7.2,5.1*23-11.5

67. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Weekly Reporting Case Study Weekly Report for any Week between 34 to 37 Acute Bloody Diarrhea:- 1-11M: 5C,1D; 15- 19Y:7C; Unknown:11C,1D Acute Respiratory Infection:-5-9Y: 5C,1D; 20- 24Y:5C; Unknown:2C Fever with Rash:- 65+:1C; 20-24Y:11C; Submit Weekly Report using SMS to 77123999

68. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting To : 17123999 SMS Format (if there is Case and Death to be reported) : IM DD.MM.YY(Case Date)*IMDID- AG.Case.Death,AG.Case.Death*IMDID- AG.Case.Death,AG.Case.Death IM 15.8.15*101- 5.1.0*105- 1.10.0,5.7.1*112 -10.0.1

69. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting To : 17123999 SMS Format (if there is Case and no Death to be reported) : IM DD.MM.YY(Case Date)*IMDID-AG.Case,AG.Case*IMDID- AG.Case,AG.Case IM 15.8.15*101- 5.1*105- 1.10,5.7*110- 10.1

70. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Delete Immediate Reporting To : 17123999 SMS Format : DELIM DD.MM.YY(Case Date) DELIM 15.8.15

71. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting SMS Help To : 17123999 SMS Format(Immediate Reporting) : HLPIM SMS Format(Delete Immediate Reporting) : HLPDELIM To : 17123999 HLPDELIM

72. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting Exercise IM 19.9.15*101-2.3.1,4.8,11.5.1*105- 5.8.1,11.5*109-3.1,8.2,6.1.1*113- 8.1.1,10.2 Date of reporting Total Disease Reported: Age Group Categorize Reported for DID 109 : Total Case Reported for DID 109: Total Death Reported for DID 109:

73. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting Exercise 1.3.9.15*100-5.12.1*105-11.2 2.Im 35.9.15*101-1.2.1,5.1,11.2*108-6.5,9.1 3.Im 10.9.15*102-11.2,6.1*107-10.4,5.1.1 4.im 18.9.15*108.1.1*109-5.1 5.im 19.9.15*101-13.1*105-1.5,11.5*101-7.5 6.im 19.9.15*107-5.12,7.2,5.1*112-11.5

74. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 Immediate Reporting Case Study Immediate Report between any dates between 5.9.15 to 19.9.15 Anthrax:- 50-64Y: 1C; Unknown:1C,1D Rabies:5-9Y: 5C,1D 20-24Y:5C, Unknown:2C Measles:- 65+:1C,Unknown:2C Submit Immediate Report using SMS to 77123999

75. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 SMS Reporting Master Keyword NEWARS KEYWORDS ARE NOT CASE SENSITIVE

76. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 SMS Help Keywords Help KeywordsDescription NEWARSReturns all KEYWORDS available for NEWARSIS HLPWKReturns SMS format for submitting Weekly Report HLPDELWKReturns SMS format for deleting Weekly Report HLPZEROReturns SMS format for submitting Weekly Zero Report HLPIMReturns SMS format for submitting Immediate Report HLPDELIMReturns SMS format for deleting Immediate Report HLPEVTReturns SMS format for submitting Event Report HLPCHGMOBILEReturn SMS format for changing Mobile Number HLPCHGPASSWORDReturn SMS format for changing Password HLPCHGCENTERReturn SMS format for requesting user center change HLPREGUSERReturn SMS format for NEWARSIS user self registration HLPWKDIDReturns list of Notifiable Disease ID & Diseases HLPIMDIDReturns list of Immediately reportable Disease ID & Diseases HLPAGReturns list of Age Group ID and Age Groups HLPCHKWEEKReturns starting and end date for the given week number

77. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 NEWARS Forms www.phls.gov.bt

78. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 NEWARS Manuals www.phls.gov.bt

79. Public Health Laboratorywww.phls.gov.bt Phone#02-323317/Fax#02-332464 NEWARS Focal at PHL Surveillance Focal : 1.Mr. Sonam Wangchuk, Chief Laboratory Officer, 17760958/ swangchuk@health.gov.bt 2.Mr. Binay Thapa, Dy. Chief Laboratory Officer, 17562422/bthapa@health.gov.bt 3.Mrs. Sonam Pelden, Sr. Laboratory Officer,17164120 System Focal: 1.Thinley Jamtsho, Sr. ICT Officer, 17766491/tjamtsho@health.gov.bt 2.Govinda Ghimeray, ICT Technicial Associate, 17960168/gghimeray@health.gov.bt OR type CHKSUPPORT as SMS and send to our SMS Number