Download Role of ESR in Communicable Disease Surveillance

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
Christchurch Science Centre
• Food Safety Group
• Analytical Chemistry Lab
• Water Management Group
• CBRE response
• Laboratory Networks
• 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
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Disease trends and surveillance
Envirogenomics
Pesticide spraydrift
Waste management
• Communicable Disease Programme
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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
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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
Local Driftnet
Keyboard
Student Health
Clinics
ESR also acts
as a regional
coordinator
Regional
Coordinator
yearly
weekly (for 5 months
surveillance period)
Sexual Health
Clinics
Family Planning Clinics
quarterly
PHU
Coordinator
DriftNet
Keyboard
Access 2.0
BOPWk
STD
Access 97
Access 97
Influenza
2001
Local CISS
CISS
Access 97
monthly
STD
Influenza
2002
monthly
Access 97
Access 97
Influenza
2000
Influenza
1999
Auckland
STD
Access 97
Access 97
Access 97
PHEW WebSite
ESRLab
InteLab
(archive)
EpiSurv
ESR Labs
transactional
MVTerm
SQL Server
Access 97
EpiSurv
Analysis
weekly
Access 97
Manual
entry
Legionellosis
Virology
Meningococcal
Access 97
Access 97
Transaction
file for
electronic
upload
Paradox
Keyboard
Local EpiSurv
PHU
Coordinator
weekly
monthly
monthly
monthly
Local Case Management
(TB Ak Only)
Keyboard
Data
entered
using local
software
Automated
spreadsheet
TB Labs
GPs
Aids Epidemiological Unit,
University of Otago
Virology Labs Ak, Wk,
Ch, Dn, Wn, ESR
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
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is a web based application – simple to deploy
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is a secure application with a role based security model
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assists improved quality of data at the point of entry
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has enhanced Geographical Information System (GIS) capability
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has enhanced reporting capabilities
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provides real-time national data views
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is flexible - can add new diseases without application development change
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Is robust – can adapt to facilitate new databases eg. Labsurv, Pacsurv
EPISURV: WISH LIST
Public Health Units
SURVINZ
Medical Labs
Notifications
EPISURV
GP’s
Hospital Doctors
Other Labs
EARS
Outbreaks
ESR: Public Health Surveillance
Early Aberration Reporting System (EARS)
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Automated analytical tool
Notifiable Disease list
Salmonella serotyping results
Weekly analysis
» [email protected]
Interim
CurrentNotification
notificationFlows
flows
KEY:
Paper-based Order
HL7 Result Message
HL7 Notification Message
Direct Contact
Orders Test
Access Episurv
lt
s
nd
Se
su
Re
Notifies
PHU 1
Lab 1
Lab 2
etc
Episurv (ESR)
s
Send ion
t
a
c
i
f
Noti
PHU 2
Pre
Noti sents
ficat
ion
etc
Manage
Notifications
Labs
Labs
Notifies
Clinician
Target Notification Flows
KEY:
HL7 Order / Result Messages
HL7 Notification Message
HL7 Notification Message
– to be confirmed
Orders Test
Direct Contact
Access Episurv
s n
nd tio
e
S fica
i
ot
N
lt
s
nd
e
S
su
Re
PHU 1
Lab 1
Episurv (ESR)
Lab 2
etc
s
Send ion
a
c
fi t
Noti
PHU 2
Pre
Noti sents
ficat
ion
etc
Manage
Notifications
Labs
Labs
Clinician
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
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epidemiology
modelling
alerts
PulseNet and other information
links with biosecurity
risk assessment
– Microbiological research network and research collaboration
– Capability in scientific support
– Service collaboration
END
Thank You