Enhanced surveillance during a public health emergency in a resource-limited setting: Experience from a large dengue outbreak in Solomon Islands, 2016-17

Autor: Cynthia Joshua, Bobby Teobasi, Kate Hardie, Tenneth Dalipanda, Alfred Dofai, John M. Kaldor, Alison Sio, Anthony Kolbe, Adam T. Craig
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Critical Care and Emergency Medicine
Research Facilities
Epidemiology
lcsh:Medicine
Geographical locations
Disease Outbreaks
Dengue
0302 clinical medicine
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Duration (project management)
lcsh:Science
Disease surveillance
Multidisciplinary
Warning system
Middle Aged
Infectious Diseases
Population Surveillance
Female
Medical emergency
Public Health
Research Laboratories
Research Article
Adult
medicine.medical_specialty
Infectious Disease Control
Adolescent
030231 tropical medicine
Oceania
Disease Surveillance
Research and Analysis Methods
Communicable Diseases
Interviews as Topic
03 medical and health sciences
Young Adult
Solomon Islands
medicine
Humans
Retrospective Studies
Data collection
Public health
lcsh:R
Health Services Administration and Management
Outbreak
medicine.disease
Health Care
Data quality
Infectious Disease Surveillance
lcsh:Q
Business
Melanesia
People and places
Government Laboratories
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 6, p e0198487 (2018)
ISSN: 1932-6203
Popis: Between August-2016 and April-2017, Solomon Islands experienced the largest and longest-running dengue outbreak on record in the country, with 12,329 suspected cases, 877 hospitalisations and 16 deaths. We conducted a retrospective review of related data and documents, and conducted key informant interviews to characterise the event and investigate the adaptability of syndromic surveillance for enhanced and expanded data collection during a public health emergency in a low resource country setting. While the outbreak quickly consumed available public and clinical resources, we found that authorities were able to scale up the conventional national syndrome-based early warning surveillance system to support the increased information demands during the event demonstrating the flexibility of the system and syndromic surveillance more broadly. Challenges in scaling up included upskilling and assisting staff with no previous experience of the tasks required; managing large volumes of data; maintaining data quality for the duration of the outbreak; harmonising routine and enhanced surveillance data and maintaining surveillance for other diseases; producing information optimally useful for response planning; and managing staff fatigue. Solomon Islands, along with other countries of the region remains vulnerable to outbreaks of dengue and other communicable diseases. Ensuring surveillance systems are robust and able to adapt to changing demands during emergencies should be a health protection priority.
Databáze: OpenAIRE
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