Integrated Disease Surveillance Programme (IDSP), Punjab.

23
Integrated Disease Surveillance Programme (IDSP), Punjab

Transcript of Integrated Disease Surveillance Programme (IDSP), Punjab.

Page 1: Integrated Disease Surveillance Programme (IDSP), Punjab.

Integrated Disease Surveillance Programme (IDSP), Punjab

Page 2: Integrated Disease Surveillance Programme (IDSP), Punjab.

• IDSP was launched in Punjab at Bhawanigarh on 12th June, 2007, for early reporting of disease status and outbreaks identification.

• Designated State Surveillance Unit and District Surveillance Units in all 22 districts with Epidemiologist, Data Manager & Data Entry Operator.

• State & District Programme Officers have been identified.• Rapid Response Teams (RRTs) already identified and in place in all the

districts as well as at State level for outbreak investigation and management.

• State has identified 2972 subcentres, 1657 units in medical institutions and 546 laboratories as reporting units for disease surveillance.

• State Referral Lab Network established in GMC Amritsar, Faridkot, Patiala, CMC Ludhiana and Distt. Priority Lab Mohali to provide access to diagnostic facilities for epidemic prone diseases during outbreaks to the linked districts.

• District Priority Lab (DPL) identified at Civil Hospital Mohali and functioning exceptionally well since 2010 confirming the outbreaks.

Page 3: Integrated Disease Surveillance Programme (IDSP), Punjab.

S.NO DISTRICT RU'S IN RU'S IN RU'S INFORM- S FORM-L FORM-P

1 AMRITSAR 190 50 1382 BARNALA 67 11 523 BATHINDA 143 21 304 FIROZEPUR 232 27 1175 FARIDKOT 64 18 386 FATEHGARH SAHIB (SARHIND) 73 18 52

7 FAZILKA 109 11 508 GURDASPUR 240 65 177

9 HOSHIARPUR 244 50 143

10 JALANDHAR 211 58 17911 KAPURTHALA 88 15 56

12 LUDHIANA 287 32 10413 MANSA 103 13 2314 MOGA 124 17 8515 MUKTSAR 109 8 7016 NAWANSHAHR 96 11 29

17 PATHANKOT 59 13 38

18 PATIALA 192 38 12419 RUPNAGAR 85 19 4920 SASNAGAR 78 21 7921 SANGRUR 194 16 1622 TARN TARAN 153 38 96

Total 3141 570 1745

Reporting Units Under IDSP

Page 4: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year wise cases of Acute Diarrhea under IDSPName of the District Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Year 2015

Till JulyAmritsar 2669 7580 9618 13690 23692 19134 20623 9254

Barnala 14 0 1284 5394 3515 2379 3130 1995

Bathinda 613 745 1336 2242 3917 3406 2346 1180

Faridkot 780 2114 2846 2310 3239 2824 3850 1693

F.G.Sahib 1498 1523 1450 1874 2792 2582 2908 1340

Ferozepur 1191 4938 6249 8755 7352 5590 4257 1847

Fazilka           398

Gurdaspur 2103 4669 120 24012 27561 18161 16221 7056

Hoshiarpur 1398 5406 12497 12400 11635 8937 7594 3859

Jalandhar 4065 8582 16957 46936 43586 38307 30515 17805

Kapurthala 1084 4138 4366 14241 15762 13888 14949 8713

Ludhiana 4948 9498 9527 18258 23738 18861 9582 4592

Mansa 228 85 76 1213 1791 6728 505 457

Moga 983 559 3314 4669 6966 5203 3415 1809

Muktsar 1559 3244 4968 3841 2839 2436 2266 994

N.Shahar 506 1069 3340 4620 3552 3393 3256 1773

Pathankot           749

Patiala 4168 4223 18608 19660 23368 18606 18777 10539

Ropar 861 1928 3860 6553 6059 3761 3181 1717

Sangrur 4406 5036 4415 6456 8072 7621 9013 4621

S.A.S. Nagar 2175 4777 4630 14849 17689 16003 16522 10950

Tarn Taran 172 793 320 178 3558 5314 2526 1404

Total 35421 70907 109781 212151 240683 203134 175436 94745

Page 5: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till July

35421

70907

109781

212151

240683

203134

175436

94745

TOTAL NUMBER OF ACUTE WATERY DIARRHEA CASES REPORTED YEAR WISE- 2008 – 2015 Till July

Page 6: Integrated Disease Surveillance Programme (IDSP), Punjab.

Amritsar

Barnala

Bathinda

Faridkot

F.G.Sahib

Feroze

pur

Fazilka

Gurdasp

ur

Hoshiarp

ur

Jalandhar

Kapurthala

Ludhiana

MansaMoga

Muktsar

N.Shahar

Pathankot

Patiala

Ropar

Sangrur

S.A.S. Nagar

Tarn Taran

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

50000

DISTRICT WISE DISTRIBUTION OF ACUTE WATERY DIARRHEA CASES YEAR 2008 – 2015 Till July

Year 2008

Year 2009

Year 2010

Year 2011

Year 2012

Year 2013

Year 2014

Year 2015Till July

No.

of C

ases

Page 7: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year wise distribution of Hepatitis A & E Cases Name of the District

Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till July

Amritsar 160 40 3 229 37 13 22 0

Barnala 8 0 109 0 0 0 0 0

Bathinda 358 127 293 14 1 17 0 0

Faridkot 67 87 24 0 0 3 0 4

F.G.Sahib 55 74 56 0 0 0 0 0

Ferozepur 177 237 32 5 0 4 0 0

Fazilka         0

Gurdaspur 0 0 16 78 3 0 0 16

Hoshiarpur 3 25 1 0 0 0 0 8

Jalandhar 54 84 17 90 117 70 72 42

Kapurthala 0 1 2 0 0 0 0 0

Ludhiana 335 356 200 420 256 5 0 0

Mansa 159 67 79 213 150 79 3 0

Moga 186 320 378 4 0 0 0 0

Muktsar 157 337 57 1 0 0 0 0

N.Shahar 43 146 213 85 0 0 0 1

Pathankot         0

Patiala 57 37 1 3 0 1 4 10

Ropar 0 14 1 0 0 0 0 19

Sangrur 335 346 46 1 3 84 4 0

S.A.S. Nagar 3 17 34 115 31 29 67 49

Tarn Taran 18 0 0 0 0 0 0 0

Total 2175 2315 1562 1258 598 305 172 149

Page 8: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till July

21752315

1562

1258

598

305172 149

YEAR WISE DISTRIBUTION OF HEPATITIS A & E CASES 2008 – 2015 Till July

Page 9: Integrated Disease Surveillance Programme (IDSP), Punjab.

Amritsar

Barnala

Bathinda

Faridkot

F.G.Sahib

Feroze

pur

Fazilka

Gurdasp

ur

Hoshiarp

ur

Jalandhar

Kapurthala

Ludhiana

MansaMoga

Muktsar

N.Shahar

Pathankot

Patiala

Ropar

Sangrur

S.A.S. Nagar

Tarn Taran

0

50

100

150

200

250

300

350

400

450

DISTRICT WISE DISTRIBUTION OF Hepatitis CASES 2008 – 2015 Till July

Year 2008

Year 2009

Year 2010

Year 2011

Year 2012

Year 2013

Year 2014

Year 2015Till July

No.

of C

ases

Page 10: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year wise distribution of Enteric Fever Cases Name of the District

Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till July

Amritsar 792 1498 1197 1362 2238 1677 1940 1105

Barnala 163 225 411 170 196 99 74 68

Bathinda 888 1145 660 1444 1489 1419 1371 1208

Faridkot 356 456 549 523 347 213 100 113

F.G.Sahib 435 272 307 416 414 695 881 615

Ferozepur 842 1301 1344 2058 2193 783 1028 585

Fazilka           214

Gurdaspur 1801 2622 4158 4999 4173 2719 2721 1499

Hoshiarpur 1009 1802 1695 975 1834 1982 1360 588

Jalandhar 4726 2167 3600 5755 6915 8314 7020 4548

Kapurthala 331 1043 817 1754 1787 1686 1838 933

Ludhiana 2474 3633 4710 4545 3415 2844 1683 1545

Mansa 752 703 409 1067 629 521 536 355

Moga 67 325 1109 1359 1075 1139 1162 776

Muktsar 333 673 569 608 480 429 403 253

N.Shahar 852 1328 2736 1294 465 492 516 368

Pathankot           267

Patiala 358 258 304 663 1089 887 1114 653

Ropar 328 493 316 842 465 423 263 132

Sangrur 1392 1622 2221 2055 1933 1634 762 353

S.A.S. Nagar 394 687 382 754 1011 733 628 720

Tarn Taran 618 262 273 170 554 155 12 6

Total 18911 22515 27767 32813 32702 28844 25412 16904

Page 11: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till July

18911

22515

27767

32813 32702

28844

25412

16904

YEAR WISE DISTRIBUTION OF ENTERIC FEVER CASES 2008 – 2015 Till July

Page 12: Integrated Disease Surveillance Programme (IDSP), Punjab.

Amritsar

Barnala

Bathinda

Farid

kot

F.G.Sa

hib

Ferozep

ur

Fazilk

a

Gurdaspur

Hoshiar

pur

Jalan

dhar

Kapurth

ala

Ludhian

a

MansaMoga

Muktsar

N.Shah

ar

Pathan

kot

PatialaRopar

Sangru

r

S.A.S.

Nag

ar

Tarn Ta

ran

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

DISTRICT WISE DISTRIBUTION OF ENTERIC FEVER CASES 2008 – 2015 Till July

Year 2008

Year 2009

Year 2010

Year 2011

Year 2012

Year 2013

Year 2014

Year 2015Till July

No.

of C

ases

Page 13: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year wise distribution of Hepatitis A & E Cases Form-P Data

Districts Year 2011

Year 2012

Year 2013

Year 2014

Year 2015Till Date

AMRITSAR 935 1183 768 1158 59

BARNALA 120 109 128 16 5

BATHINDA 507 433 1077 353 213

FIROZEPUR 14 16 35 80 104

FARIDKOT 3 5 12 145 25

FATEHGARH SAHIB

10 7 3 0 0

FAZILKA 0

GURDASPUR/PATHANKOT

640 541 250 231 248

HOSHIARPUR 197 145 142 129 85

JALANDHAR 1696 1277 954 1129 496

KAPURTHALA 426 273 146 228 136

LUDHIANA 607 483 1 0 0

MANSA 455 1258 1212 24 37

MOGA 27 27 15 12 12

MUKTSAR 95 33 0 0 5

NAWANSHAHR 217 460 58 40 27

PATHANKOT 2

PATIALA 460 565 682 727 466

RUPNAGAR 27 27 4 6 8

SASNAGAR 1982 6923 5978 3891 2759

SANGRUR 56 67 215 152 93

TARN TARAN 0 25 215 0 0

Total 8474 13857 11895 8321 4780

AMRITSAR

BATHINDA

FARIDKOT

FAZIL

KA

HOSHIARPUR

KAPURTHALA

MANSA

MUKTSAR

PATHANKOT

RUPNAGAR

SANGRUR

0

1000

2000

3000

4000

5000

6000

7000

8000

Year wise distribution of Hepatitis A & E Cases

Form-P Data

Year 2011Year 2012Year 2013Year 2014 Year 2015Till Date

No.

of C

ases

Page 14: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till Date

0

2000

4000

6000

8000

10000

12000

14000

8474

13857

11895

8321

4780

Year wise distribution of Hepatitis A & E Cases Form-P Data

Page 15: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year wise distribution of Enteric Fever Cases Form-P Data 2011-2015 Till date

District Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till Date

AMRITSAR 5082 8491 4159 5077 3613

BARNALA 552 437 411 189 70

BATHINDA 2300 2812 2631 3507 4478

FIROZEPUR 2614 2609 1561 1659 1088

FARIDKOT 378 445 243 146 83

FATEHGARH SAHIB

615 521 771 1347 818

FAZILKA 219

GURDASPUR 13982 16675 12350 10221 6266

HOSHIARPUR 3269 3843 5956 4848 3105

JALANDHAR 19343 16494 19313 21550 12808

KAPURTHALA 6232 9391 5737 4906 3757

LUDHIANA 6298 7990 9812 10724 3639

MANSA 5289 4619 10024 1331 886

MOGA 2395 2593 2225 1716 884

MUKTSAR 570 361 295 242 264

NAWANSHAHR 2495 1685 1591 1072 592

PATHANKOT 522

PATIALA 1307 1525 1847 2457 1859

RUPNAGAR 1276 1267 755 519 293

SASNAGAR 4958 12582 6541 6584 4351

SANGRUR 3757 4045 3778 4244 1624

TARN TARAN 6 96 1232 486 404

Total 82718 98481 91232 82825 51623

AMRITSAR

BATHINDA

FARIDKOT

FAZIL

KA

HOSHIARPUR

KAPURTHALA

MANSA

MUKTSAR

PATHANKOT

RUPNAGAR

SANGRUR

0

5000

10000

15000

20000

25000

Year wise distribution of Enteric Fever Cases

Form-P Data 2011-2015 Till Date

Year 2011

Year 2012

Year 2013

Year 2014

Year 2015Till Date

No.

of C

ases

Page 16: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year 2011 Year 2012 Year 2013 Year 2014 Year 2015Till Date

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

100000

82718

98481

91232

82825

51623

Year wise distribution of Enteric Fever Cases Form-P Data 2011-2015 Till Date

Page 17: Integrated Disease Surveillance Programme (IDSP), Punjab.

Outbreaks Assessment-2014

%age of all outbreak where investigations conducted within 48 hrs

%age of outbreaks where appropriate human samples were sent for lab confirmation

%age of outbreaks which were etiologically confirmed

%age of outbreaks which were clinically confirmed

%age of outbreaks had final outbreak report made available

0 20 40 60 80 100 120

100

79

79

20

72

Outbreaks assessed based on competency assessment tool in year 2014

•100 % (48/48) of all outbreak investigations conducted by Distt. RRT within 48 hrs of the first case information

•79% (38/48) of cases where appropriate human samples were sent for lab confirmation

•79% (38/48) of all outbreaks were etiologically confirmed, (20% i.e. 10/48 of all outbreaks were clinically confirmed )

•72% (35/48)outbreaks had final outbreak report made available

Page 18: Integrated Disease Surveillance Programme (IDSP), Punjab.

Outbreaks Assessment-2015 Till Date

%age of all outbreak where investigations conducted within 48 hrs

%age of outbreaks where appropriate human samples were sent for lab confirmation

%age of outbreaks which were etiologically confirmed

%age of outbreaks which were clinically confirmed

%age of outbreaks had final outbreak report made available

0 20 40 60 80 100 120

100

80

75

19

66

Outbreaks assessed based on competency assessment tool in year 2015 Till Date

•100 % (36/36) of all outbreak investigations conducted by Distt. RRT within 48 hrs of the first case information

•80% (29/36) of cases where appropriate human samples were sent for lab confirmation

•75% (27/36) of all outbreaks were etiologically confirmed.

•19% (7/36) of all outbreaks were clinically confirmed.

•66% (24/36)outbreaks had final outbreak report made available

Page 19: Integrated Disease Surveillance Programme (IDSP), Punjab.

Measle

s

Chickenpox

Food Posio

ning

Hepatitis

ADD/Gastr

o/Cholera

Dengue

Viral E

ncephaliti

s

Mumps

Enteric Fe

ver

Drug alle

rgy

Tularemia

Diptheria

Scru

b Typhus

0

5

10

15

20

25

30

23

0

4

9

10 0 0 0 0 0 0

1

7

23

10

10 0 0 0 0 0 0

2 23

4

11

1 1 10 0 0 0 0

4

98

10

15

2

0

2

0 0 0 0 00

6

4

8

30

0 01

0 0 0 0 01

45 5

10

0 0

3 3

1 1

5

1

6

9

3

6

15

0 0

6

0 0 0

3

0

Outbreaks reported during Year 2008-2015 Till Date

Year 2008

Year 2009

Year 2010

Year 2011

Year 2012

Year 2013

Year 2014

2015 Till Date

2011-Includes DROPSY outbreak at Nawan Shahar

2011-IncludesP.Falciparum in PTL and Dengue in Muktsar

Page 20: Integrated Disease Surveillance Programme (IDSP), Punjab.

Outbreaks reported during Year 2008, 2009, 2010, 2011, 2012, 2013, 2014 & 2015 Till Date

Disease Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014

2015 Till Date

Measles 2 1 2 4 0 1 6 12

Chickenpox 3 7 2 9 6 4 9 4

Food Posioning 0 2 3 8 4 5 3 0

Hepatitis 4 3 4 10 8 5 6 7

ADD/Gastro/Cholera 9 10 11 15 30 10 15 7

Dengue 1 1 1 2 0 0 0 0

Viral Encephalitis 0 0 1 0 0 0 0 0

Mumps 0 0 1 2 1 3 6 6

Enteric Fever 0 0 0 0 0 3 0 0

Drug allergy 0 0 0 0 0 1 0 0

Tularemia 0 0 0 0 0 1 0 0

Diptheria 0 0 0 0 0 5 3 0

Scrub Typhus 0 0 0 0 0 1 0 0

19 24 25 50 49 39 48 36

Page 21: Integrated Disease Surveillance Programme (IDSP), Punjab.

Year wise distribution of outbreaks reported-progress thereof

Year Total No. of outbreaks reported

Outbreaks lab accessed, out of total outbreaks

Outbreaks lab confirmed, out of total outbreaks (Pathogen identified)

Outbreaks clinically confirmed, out of total outbreaks

Number %age Number %age Number %age

2008 19 1 5% 1 5% 5 26%

2009 24 4 16% 4 16% 7 29%

2010 25 13 52% 8 32% 5 20%

2011 50 37 74% 26 52% 12 24%

2012 49 43 87% 41 83% 7 14%

2013 39 34 87% 34 87% 5 12%

2014 48 38 79% 38 79% 10 20%

2015 36 29 80% 27 75% 7 19%

Page 22: Integrated Disease Surveillance Programme (IDSP), Punjab.

   

Category-B Treatment

without testing

Category-CSuspected

cases

Total number of cases Lab. confirmed

Total Contact cases given treatment

Total No. of deaths Patients from other States who died in

Punjab

Total Cases of H1N1 in the first phase(April, 2009 to April, 2010)

305 641 252 3843 40  

Post Pandemic Phase (August, 2010 onwards till December, 2011)

27 239 46 592 23 4

Post Pandemic Phase (January 2012 to December, 2012)

2 101 15 93 4 0

From 1st January 2013 to 31st December, 2013

0 582 183 2395 42 5

From 1st January 2014 to 31st December, 2014

0 121 27 92 3 3

Swine Flu (H1N1) Data

Page 23: Integrated Disease Surveillance Programme (IDSP), Punjab.

Swine Flu (H1N1) Data - 2015Sr. No Name of the

DisttCategory-B Category-

CTotal number of cases Lab. confirmed till previous day

No. of Cat-C cases Lab. confirmed during the day

Total number of cases Lab. confirmed till date including Punjab residents in other States

Total Contact cases given prophylactic treatment

Total No. of deaths Patients from other States who died in Punjab

Treatment without testing

Suspected cases

1.   Amritsar 10 68 30 0 30 12 7 0

2.   Barnala 0 11 3 0 3 11 2 0

3.   Bathinda 0 38 9 0 9 0 2 0

4.   Faridkot 10 8 3 0 3 17 2 0

5.   F.G.Sahib 0 10 5 0 5 8 1 0

6.   Ferozepur 0 18 6 0 6 0 1 0

7 Fazilka 0 13 6 0 6 4 2 0

8.   Gurdaspur 6 30 12 0 12 0 0 0

9.   Hoshiarpur 0 35 10 0 10 8 2 0

10.   Jalandhar 50 54 30 0 30 93 8 0

11 Kapurthala 18 15 7 0 7 121 4 0

12.   Ludhiana 121 139 48 0 48 6 4 0

13.   Mansa 0 3 2 0 2 0 0 0

14.   Moga 3 18 5 0 5 18 1 0

15.   Muktsar 0 12 2 0 2 0 0 0

16.   N.Shahar 0 6 3 0 3 12 0 0

17.   Patiala 8 46 18 0 18 18 2 0

18.   Pathankot 0 15 9 0 9 0 3 0

19.   Ropar 0 19 7 0 7 25 0 0

20.   Sangrur 0 25 12 0 12 27 4 0

21 S.A.S Nagar 41 99 36 0 36 113 6 0

22 Tarn Taran 0 19 7 0 7 0 2 0

Residents of other States

0 20 20 0 20 0 3 3

  Grand total 267 721 290 0 290 493 56 3