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SURVEILLANCE OF WATER-RELATED DISEASES

SURVEILLANCE OF WATER-RELATED DISEASES. watsan@ecr.euro.who.int. Protocol obligations Art 8 . Ensure that comprehensive national and/or local surveillance and early-warning systems are established , improved or maintained

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SURVEILLANCE OF WATER-RELATED DISEASES

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  1. SURVEILLANCE OF WATER-RELATED DISEASES watsan@ecr.euro.who.int

  2. Protocol obligations Art 8 • Ensure that comprehensive national and/or local surveillance and early-warning systems are established, improved or maintained • Within three years of becoming a Party, each Party shall establish the surveillance and early warning system, contingency plans and response capacity

  3. Protocol obligations Article 12 • The establishment of joint or coordinated systems for surveillance and early-warning systems, contingency plans and response capacities as part of, or to complement, the national systems maintained in accordance with Article 8 • The development of integrated systems and databases, exchange of information and sharing of technical, legal knowledge

  4. Current status of surveillance • Differences in: • Legal definition of water-borne diseases • National legal reporting requirements • Disease classification • Sampling protocols, laboratory analysis, data quality • Reporting practices • Electronic data transmission, management and interpretation • Participation in international monitoring and assessment

  5. Priority diseases (1999 – 2006)

  6. Secondary diseases (1999 – 2006)

  7. Discussion • Mortality: • reasonably comprehensive assessment • Morbidity: • Primary importance: EU covered, EFTA countries possibly look at diseases as “imported”, weak in eastern countries • Secondary importance: EU partly covered, very weak in eastern countries • EU legislation likely to improve coverage

  8. Interim implementation • Consultation on assessment of evidence base and development of reporting system (Bonn, 2001) • Consultation on waterborne disease surveillance (Budapest, 2001 and 2006) • 5th Mtg of the WGWH

  9. ACTION ELEMENTS • Evaluation national surveillance systems according WHO guidelines • Strengthening of national surveillance systems in • Technical areas incl diagnostic tools • Legal issues • Data recording, reporting, and interpretation • International cooperation, particularly ECDC

  10. Work plan elements consideration • Surveillance guidance documents including translation into national languages based on work in intermediate period. • Development of integrated strategy for surveillance of water related diseases including reporting • Outbreak definition, detection, planning

  11. Preparation of guidelines for surveillance, outbreak detection and early warning, contingency plans and capacity building Evaluation of surveillance systems through country missions – 6 missions TF for review and adaptation of WHO Guidelines – 3 mtgs Translation and publications (Russian) Staff time

  12. Specific needs • Surveillance in other environments, i.e. recreational waters • Surveillance with specific targets in mind, i.e. children in line with CEHAPE • Surveillance in an environment of climate change.

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