COMMUNICABLE DISEASES SURVEILLANCE SYSTEM IN BULGARIA

Transcription

1 COMMUNICABLE DISEASES SURVEILLANCE SYSTEM IN BULGARIA Episouth First Training module Madrid, September, 2007 Dr. Kremena Parmakova Dr. Teodora Georgieva Bulgaria BULGARIA MAIN CITIES AND NEIGHBORING COUNTRIES LEGAL FRAMEWORK OF CD SURVEILLANCE AND CONTROL IN BULGARIA Law on health, effective from 1 January 2005 Section five: CD Control, Articles 57, 58, 59, 60, 61, 62, 63 Ordinance No 21/18 July 2005 of the MoH on the procedure for registration, notification and reporting of communicable diseases (State Gazette, No 62 of 29 July 2005), adopting the list of CD, case definitions (possible, probable and confirmed case) for reporting CD Guidelines No 9/ 25 September, 2000 of the MoH on Surveillance and Control of Influenza and ARD Ordinance No 15/12 May 2005 of the MoH on Immunizations in Republic of Bulgaria and Guidelines for Surveillance of AEFI (7 April 2006) Ordinance No 2/10 January 2005 of the MoH on prevention and control of nosocomial infections Ordinance No 3/ 24 January 2005 of the MoH on disinfection, vector and rodent control Ordinance of the MoH on border health control, implementing IHR (5 October 2006)

2 CASE DEFININITIONS OF COMMUNICABLE DISEASES Possible case is a case with a supportive clinical picture, which is neither confirmed, nor probable. Probable case is a case with a compatible clinical picture or an epidemically linked case. Confirmed case is a case confirmed by a laboratory examination. ORDINANCE 21 of 18 July 2005) on the procedure for registration, notification and reporting of communicable diseases promulgated in State Gazette, 62 of ) LIST OF COMMUNICABLE DISEASES FOR COMPULSORY REPORTING (1) 1. Amoebiasis 2. Anthrax 3. Ascariasis 4. Bacterial Meningitis and Meningoencephalitis 4.1. specified: Pneumococcal Streptococcal H. influenzae type B other bacteria 4.2. unspecified 5. Botulism 6. Brucellosis 7. Campylobacter infection 8. Chlamydia trachomatis, genital infection 9. Cholera 10. Cryptosporidiosis 11. Diphtheria 12. Echinococcosis 13. Escherichiosis (Colienteritis) VTEC infection 14. Gastroenteritis, enterocolitis 15. Giardiasis 16. Gonorrhea 17. Haemophilus influenzae type B, invasive infection 18. Hepatitis, viral: Acute viral hepatitis type A, B, C, D, unspecified Chronic viral hepatitis type B, C, D 19. Hymenolepiasis 20. HIV / AIDS 21. Influenza and ARD 22. Legionellosis 23. Leishmaniasis 24. Leptospirosis 25. Listeriosis 26. Lyme Disease 27. Malaria 28. Measles 29. Mediterranean Spotted Fever LIST OF COMMUNICABLE DISEASES FOR COMPULSORY REPORTING (2) 30. Meningococcal infection (meningococcal 46. Taeniarhynchiosis meningitis and sepsis) 47. Tetanus 31. Mumps 48. Toxoplasmosis 32. Pertussis 49. Trichinellosis 33. Plague 50. Trichocephalosis 34. Poliomyelitis 51. Tuberculosis Acute Flaccid Paralysis 52. Tularemia 35. Psittacosis (Ornithosis) 53. Typhoid / Paratyphoid Fever 36. Q Fever 54. Typhus exanthematicus (Epidemic louseborne 37. Rabies typhus fever) 38. Rubella 55. Variant Creutzfeldt-Jakob s disease Congenital Rubella 56. Varicella 39. Salmonellosis 57. Viral Haemorrhagic fevers: 40. Scarlet Fever Ebola/Marburg fever 41. Severe Acute Respiratory Syndrome (SARS) Lassa fever 42. Shigellosis Crimean-Congo Hemorrhagic Fever 43. Smallpox Hemorrhagic Fever with Renal Syndrome 44. Streptococcus pneumoniae, invasive infection 58. Viral Meningitis and Meningoencephalitis 45. Syphilis 59. Yellow Fever 60. Yersiniosis ORDINANCE 21 of 18 July 2005) on the procedure for registration, notification and reporting of communicable diseases promulgated in State Gazette, 62 of ) Rapid notification form Case investigation form REPORTING FORMS FOR CD Communicable diseases report form (for reporting the aggregated number of CD from regional to national ) Special guidelines for investigation and management of case/contact of CD

3 STRUCTURE OF CD SURVEILLANCE AND CONTROL SYSTEM IN BULGARIA Minister of Health NATIONAL CENTER OF INFECTIOUS AND PARASITIC DISEASES - SOFIA, BULGARIA Chief State Public Health Inspector Ministry of Health Public Health CD Surveillance National Center of Infectious & Parasitic Diseases National Center of Public Health National Center of Health Information CD Surveillance Laboratory Environmental Investigation State Health Control Regional Inspectorate for Protection and Control of Public Health CD Control Laboratory Investigations ESTABLISHED 1881 ORGANIZATIONAL CHART OF THE NATIONAL CENTER OF INFECTIOUS AND PARASITIC DISEASES () Director EPIDEMIOLOGY AND SURVEILLANCE OF COMMUNICABLE DISEASES DEPARTMENT - Section Epidemiology Administrative, of of Financial and Technical Education and Epidemiology and Section ESEW Scientific Information Surveillance of Communicable Diseases Section Disinfection, vector and rodent control of Parasitology and of Immunology and of Virology of Microbiology Tropical Medicine Allergy NRL of Enteroviruses NRL of Mycology NRL for Diagnosis of Parasitic NRL Diseases of Immunology NRL of Viral Hepatitis NRL of Enteric Pathogens Outpatient Laboratory of Allergy NRL of Measles, Mumps NRL of Streptococci and and Rubella Corynebacteria Laboratory for Production of Laboratory of Parasitic Diagnostics Immunomorphology and NRL of Herpes Viruses NRL for Biohazard Level III Electronmicroscopy Laboratory of Mucosal NRL of Rikettsiae and Immunity Chlamidiae NRL of Anaerobic Laboratory of Mediators of NRL of Influenza and NRL of Leptospira, Borrelia, Immune Reactions Acute Respiratory Diseases Listeria National Confirmatory Laboratory of HIV NRL of Staphylococci and Neisseriae NRL for Control and Monitoring of Antibiotic Resistance ESCD Section Epidemiological Surveillance and Early Warning Section Epidemiology Vaccine-preventable infections Non vaccine preventable infections Section Disinfection, vector and rodent control Vector and rodent control Chemistry Disinfection, sterilization and bioindicators Immunization Center

4 REGIONAL INSPECTORATE FOR PROTECTION AND CONTROL OF PUBLIC HEALTH () Administrative -legal, Financial and Business Service 624 Health Control DIRECTOR 28 CHIEF SECRETARY 28 Laboratory Studies 675 Surveillance of Communicable Diseases 963 Protection of Public Health 237 FLOW OF INFORMATION FOR CD SURVEILLANCE IN BULGARIA Central routine surveillance outbreaks specific diseases Intermediate Peripheral GPs Ministry of Health NCHI SURVEILLANCE OF CD DEPARTMENT LABORATORIES Outpatient Specialized Medical Assistance for: Parasitic Diseases Infectious Diseases Measles, Mumps, Influenza, Polio, AFP, AMR, Rabies,Nosocomial Parasitic, Lice, Rabies, AMR, Immunization Hospital Wards.Infectious Diseases.Other Wards.Laboratories RHC National TB Control Programme Coordinator Tuberculosis Dispensaries Sexual Transmitted Dispensaries National HIV Control Programme Coordinator FIRST LEVEL - NOTIFIER HEALTH CENTERS, GPS, HOSPITALS, PRIVATE PHYSICIANS Means of communication Reporting form To identify cases, complete and send reporting form Within 24 hours Mail, telephone, , fax Rapid notification form SECOND LEVEL - INTERMEDIATE To collect, send aggregated data of suspected/ confirmed cases to national centre for health information Epidemiological investigation of cases/contacts and outbreaks Feedback to the 1-st Daily, Monthly, Annually Means of communication Fax, mail, Meetings, Press conferences Reporting form Tabular, CD Report form Case investigation form NCHI, MoH ( for outbreaks), 1-st, Local Media

5 THIRD LEVEL - NATIONAL NCHI THIRD LEVEL - NATIONAL MoH Computerized data processing Daily, Weekly, Monthly, Annually Data analysis and interpretation Exchange of surveillance data Investigation of large-scale outbreaks and epidemics Feedback Means of communication Mail Weekly, Annually Reporting form Tabular MoH,, Means of communication Annual CD Report presented on National CD meeting () Bulletin, Press Conferences, Press Release (MoH), Media: TV, Radio, Newspapers THANK YOU FOR YOUR ATTENTION!