title: Implementation of Syndromic Surveillance Systems in Two Rural Villages in Senegal.
abstract: Infectious diseases still represent a major challenge for humanity. In this context, their surveillance is critical. From 2010 to 2016, two Point-Of-Care (POC) laboratories have been successfully implemented in the rural Saloum region of Senegal. In parallel, a homemade syndromic surveillance system called EPIMIC was implemented to monitor infectious diseases using data produced by the POC laboratory of the Timone hospital in Marseille, France. The aim of this study is to describe the steps necessary for implementing EPIMIC using data routinely produced by two POC laboratories (POC-L) established in rural Senegal villages. After improving EPIMIC, we started to monitor the 15 pathogens routinely diagnosed in the two POC-L using the same methodology we used in France. In 5 years, 2,577 deduplicated patients-samples couples from 775 different patients have been tested in the Dielmo and Ndiop POC-L. 739 deduplicated patients-samples couples were found to be positive to at least one of the tested pathogens. The retrospective analysis of the Dielmo and Ndiop POC data with EPIMIC allowed to generate 443 alarms. Since January 2016, 316 deduplicated patients-samples couples collected from 298 different patients were processed in the Niakhar POC laboratory. 56 deduplicated patients-samples couples were found to be positive to at least one of the tested pathogens. The retrospective analysis of the data of the Niakhar POC laboratory with EPIMIC allowed to generate 14 alarms. Although some improvements are still needed, EPIMIC has been successfully spread using data routinely produced by two rural POC-L in Senegal, West Africa.
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.|Campus IRD d' Hann Maristes, Dakar, Sénégal.
authors.forename: Cédric
authors.initials: C
authors.lastname: Abat
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Colson
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Chaudet
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Rolain
authors.affiliation: Campus IRD d' Hann Maristes, Dakar, Sénégal.
authors.forename: Hubert
authors.initials: H
authors.lastname: Bassene
authors.affiliation: Campus IRD d' Hann Maristes, Dakar, Sénégal.
authors.forename: Aldiouma
authors.initials: A
authors.lastname: Diallo
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.
authors.forename: Oleg
authors.initials: O
authors.lastname: Mediannikov
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.
authors.forename: Florence
authors.initials: F
authors.lastname: Fenollar
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.
authors.forename: Didier
authors.initials: D
authors.lastname: Raoult
authors.affiliation: Aix-Marseille Univ., URMITE UM 63 CNRS 7278 IRD 198 INSERM U1095, IHU Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, Marseille CEDEX 05, France.|Campus IRD d' Hann Maristes, Dakar, Sénégal.
authors.forename: Cheikh
authors.initials: C
authors.lastname: Sokhna
mesh_terms: D000293:Adolescent; D003141:Communicable Diseases / Q000453:epidemiology*; D005260:Female; D006801:Humans; D019095:Point-of-Care Systems; D012189:Retrospective Studies; D012424:Rural Population / Q000706:statistics & numerical data; D012675:Senegal / Q000453:epidemiology; D018571:Sentinel Surveillance