title: Pacific-wide simplified syndromic surveillance for early warning of outbreaks.
abstract: The International Health Regulations require timely detection and response to outbreaks. Many attempts to set up an outbreak early warning system in Pacific island countries and territories (PICTs) have failed. Most were modelled on systems from large countries; large amounts of data often overwhelmed small public health teams. Many conditions required overseas laboratory confirmation, further reducing timeliness and completeness. To improve timeliness and reduce the data burden, simplified surveillance was proposed, with case definitions based on clinical signs and symptoms without the need for laboratory confirmation or information on symptoms, location, sex and age. After trials in three PICTs, this system was implemented throughout the Pacific. Enthusiastic adoption by public health staff resulted in 20 of 22 PICTs reporting weekly to the World Health Organization within 12 months of starting to use the system. In the first year, the system has detected many infectious disease outbreaks and facilitated timely implementation of control measures. For several Pacific countries and territories, this is the first functional and timely infectious disease surveillance system. When outbreak detection is the principal objective, simplification of surveillance should be a priority in countries with a limited public health system capacity.
authors: Emerging Disease Surveillance and Response unit, Division of Pacific Technical Support, World Health Organization, Suva, Fiji. koolj@wpro.who.int
authors: Jacob L
authors: JL
authors: Kool
authors: Beverley
authors: B
authors: Paterson
authors: Boris I
authors: BI
authors: Pavlin
authors: David
authors: D
authors: Durrheim
authors: Jennie
authors: J
authors: Musto
authors: Anthony
authors: A
authors: Kolbe
mesh_terms: D003140:Communicable Disease Control / Q000379:methods; D019937:Diagnostic Techniques and Procedures; D004196:Disease Outbreaks / Q000517:prevention & control* / Q000706:statistics & numerical data; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010139:Pacific Islands / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods*; D011635:Public Health Administration / Q000379:methods*; D018571:Sentinel Surveillance; D013997:Time Factors