title: An assessment of the case notification system 16 months after Typhoon Haiyan in Region 8, the Philippines.
abstract: BACKGROUND
  The Philippines Department of Health uses the Philippine Integrated Disease Surveillance and Response (PIDSR) system to monitor 25 diseases and syndromes that have the potential to cause outbreaks. The focus of this system is to strengthen the capacity of local government units for early detection and response to outbreaks. After Typhoon Haiyan, routine disease surveillance activities were suspended at the Epidemiology and Surveillance Units (ESUs) at the city and provincial levels, as well as laboratory services; surveillance resumed as soon as local conditions allowed.
  
  
  METHODS
  We conducted an assessment of PIDSR in March 2015, 16 months post-Haiyan, in Region 8, the most heavily affected region. We used key informant interviews and a review of data from the system to assess the core surveillance and support functions.
  
  
  RESULTS
  All ESUs reported they were performing all surveillance core functions, although laboratory confirmation needed to be strengthened at the regional reference laboratory. Access to working communication equipment also needed improvement as did timeliness and completeness of reporting.
  
  
  CONCLUSIONS
  Assessment of surveillance activities, resources and quality should be conducted post-disaster. The strength and operations of the disease surveillance system usually requires support from the local, regional and national governments, especially if there are legal mandates and legislation that includes the system in disaster planning. Regular monitoring of the system is recommended to ensure stability, system development, increased outbreak detection and fewer morbidities and fatalities.
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Flor D' Lyn
authors.initials: FD
authors.lastname: Gallardo
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Vikki Carr
authors.initials: VC
authors.lastname: de los Reyes
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Ma Nemia
authors.initials: MN
authors.lastname: Sucaldito
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Lilia
authors.initials: L
authors.lastname: Ligon-Imperio
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Johnette
authors.initials: J
authors.lastname: Peñas
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Niño
authors.initials: N
authors.lastname: Rebato
authors.affiliation: Epidemiology Bureau, Department of Health, Sta Cruz, Manila, Philippines .
authors.forename: Enrique
authors.initials: E
authors.lastname: Tayag
mesh_terms: D055867:Cyclonic Storms; D004190:Disasters; D018563:Disease Notification / Q000706:statistics & numerical data; D006801:Humans; D010679:Philippines / Q000453:epidemiology; D011159:Population Surveillance; D012066:Relief Work; D013997:Time Factors