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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 • • • • 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 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 • 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 Medical Labs Notifications EPISURV GP’s Hospital Doctors Other Labs EARS Outbreaks ESR: Public Health Surveillance Early Aberration Reporting System (EARS) • • • • 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 • • • • • • 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