Role of ESR in Communicable Disease Surveillance Dr Don Bandaranayake MBBS, FFPHM, FAFPHM, PhD Public Health Physician & Senior Epidemiologist National Centre for Biosecurity & Infectious Disease Wallaceville Upper Hutt
Science Centre locations Mt Albert Science Centre Forensic Science Analytical Chemistry Lab Public Health Lab Kenepuru Science Centre Communicable Disease Labs Forensic Science Population & Environmental Health Pharmaceutical Testing Services National Centre for Biosecurity and Infectious Disease Zoonoses research Aberrant event surveillance CBRE response Laboratory Networks Christchurch Science Centre Food Safety Group Analytical Chemistry Lab Water Management Group Public Health Lab Forensic Science
Major programme areas Forensic science Communicable disease Population & environmental health Food safety Water quality & management Social science Pharmaceuticals Drug & alcohol free workplace programmes Science information management systems
ESR: Kenepuru Site Population & Environmental Health Disease trends and surveillance Envirogenomics Pesticide spraydrift Waste management Communicable Disease Programme Microbiology of pathogens Detection, identification and characterisation Public health management of infectious disease Rapid response capability National reference service Culture collection Antibacterial resistance
National Centre for Biosecurity & Infectious Disease (NCBID) Wallaceville site with PC3+ capability Ministry of Agriculture & Fisheries; AgResearch; AsureQuality on same site Collaborative efforts Protecting human health from Existing and emerging disease outbreaks Chemical and biological threats and events Biosecurity threats
ESR: Public Health Surveillance Information for NZ Public Health Action Surveillance Reports Antimicrobial Resistance Virological Surveillance Enteric Reference Laboratory EpiSurv LabSurv PacSurv» http://www.surv.esr.cri.nz/
Surveillance at ESR - Current The Problem PHU Coordinator GPs PHU Coordinator weekly (for 5 months surveillance period) PHU Coordinator Keyboard yearly Local Driftnet ESR also acts as a regional coordinator quarterly Regional Coordinator Student Health Clinics Sexual Health Clinics Family Planning Clinics Keyboard Local CISS CISS Influenza 2002 Influenza 2001 DriftNet Access 2.0 STD BOPWk STD monthly monthly Influenza Influenza 1999 2000 Auckland STD PHEW WebSite EpiSurv InteLab (archive) ESRLab transactional ESR Labs MVTerm SQL Server Local EpiSurv Keyboard weekly EpiSurv Analysis Virology Meningococcal Paradox Legionellosis Manual entry Transaction file for electronic upload Local Case Management (TB Ak Only) GPs PHU Coordinator monthly TB Labs monthly monthly Aids Epidemiological Unit, University of Otago weekly Virology Labs Ak, Wk, Ch, Dn, Wn, ESR Keyboard Data entered using local software Automated spreadsheet Draft 14/05/2002 CK
Surveillance at ESR - Future To integrate ESR's health, food safety and water surveillance systems in one platform providing flexibility, reliability and efficiency in surveillance data delivery on a national level
EPISURV 7 is a web based application simple to deploy is a secure application with a role based security model assists improved quality of data at the point of entry has enhanced Geographical Information System (GIS) capability has enhanced reporting capabilities provides real-time national data views is flexible - can add new diseases without application development change Is robust can adapt to facilitate new databases eg. Labsurv, Pacsurv
EPISURV: WISH LIST Public Health Units SURVINZ Notifications Medical Labs Other Labs EPISURV GP s Hospital Doctors EARS Outbreaks
ESR: Public Health Surveillance Early Aberration Reporting System (EARS) Automated analytical tool Notifiable Disease list Salmonella serotyping results Weekly analysis» survqueries@esr.cri.nz
Manage Notifications Notifies Interim Current Notification notification Flows flows KEY: Paper-based Order HL7 Result Message HL7 Notification Message Direct Contact Access Episurv Orders Test Clinician Labs Lab 1 Sends Result Notifies PHU 1 Lab 2 Episurv (ESR) PHU 2 etc Sends Notification Presents Notification etc
Manage Notifications Target Notification Flows KEY: HL7 Order / Result Messages HL7 Notification Message HL7 Notification Message to be confirmed Direct Contact Orders Test Access Episurv Clinician Labs Sends Result Sends Notification Lab 1 PHU 1 Lab 2 Episurv (ESR) PHU 2 etc Sends Notification Presents Notification etc
THE FOUR COMPONENTS OF DISEASE SURVEILLANCE
Can this or other support help you? To better safeguard New Zealanders health and economy from infectious diseases and other emerging threats? Timely information on infectious diseases/ other aberrant events in New Zealand and overseas epidemiology modelling alerts PulseNet and other information links with biosecurity risk assessment Microbiological research network and research collaboration Capability in scientific support Service collaboration
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