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- W2600479993 abstract "IntroductionArboviruses have become significant causes of public health problems with potential for epidemics and unprecedented spread (1, 2). Large epidemics have occurred and will continue to occur, unless we remain extremely vigilant, respond promptly, and have more to offer than isolation and quarantine (3). Arboviral diseases include: West Nile virus disease, Yellow fever and dengue among others (4). These viruses have caused wide-spread morbidity in sub-Saharan Africa and worldwide (5). The changing epidemiology of arboviruses, the changing virulence of arboviruses, increased vector population responsible for transmission of diseases, the growing population sizes and rapid urbanization cause changes in equilibrium of vectors and hosts, thus, increasing chances of outbreaks and epidemics (6) and therefore a constant watch on the pattern of arboviral diseases through surveillance is inevitable.Public health surveillance which is the ongoing systematic collection, analysis, interpretation, and dissemination of health data (7) can serve as an early warning system for impending epidemics (8). The objectives of a public health surveillance system are to detect epidemics; to guide immediate action; to measure the burden of disease; to monitor trends; to evaluate public policy; to detect changes in health practices and their effects; to describe the clinical course of disease; to guide the planning, implementation and evaluation of program and to prioritize the allocation of health resources (9). There are two types of surveillance: Passive and active surveillance.Passive disease surveillance refers to the receipt of reports of disease from health staff that are required by law to submit such reports without being reminded to do so and forms may be collected from health facilities. Data from passive surveillance is often incomplete partly because there are no incentives for health staff to complete the forms. Active disease surveillance refers to contacting health staff that is provided with feedback or other incentives to search for cases and as a result data is more complete than that from passive surveillance. This type of surveillance is usually seasonal to coincide with periods of high disease frequency and generally yields a much higher percentage of actual cases as compared to passive surveillance. Active surveillance is used also during outbreaks to identify additional cases (10,11). Active surveillance of population movements can provide data for planning emergency interventions and for general disease surveillance (12).SurveillanceCharacteristics of well-conducted surveillance include: acceptability, flexibility, high predictive value positive, quality, representativeness, sensitivity, simplicity, stability, timeliness and validity (13) and among these, the following characteristics are more important in surveillance detecting outbreaks of diseases: Timeliness, stability, representativeness, flexibility (14) and validity. To validate the suspicions of the findings during surveillance, confirmed diagnosis through laboratory testing is a necessity. The laboratory plays a key role in providing information that can be used to target and focus resources containment and possible eradication of diseases (15).A number of epidemics caused by arboviruses have been documented over the centuries (16-20), and surveillance has played an important role in these milestones (21). The fact that arbovirus epidemics continue to occur, it suggests that public health surveillance is either nonexistence or has failed to detect impending epidemics. In resource constrained countries for structured surveillance, it has been suggested that emphasis should be placed on detecting alerts from formal (health facilities) or informal sources (community informants) rather than on analysis of surveillance data, which often is incomplete and has low timeliness (22).Brucner and Checchi (23) concluded in a systematic review that timeliness of detection, investigation and response was poor for most outbreaks that occurred in 22 of the resource constrained countries, thus making containment of the epidemics extremely difficulty. …" @default.
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- W2600479993 date "2016-01-01" @default.
- W2600479993 modified "2023-09-22" @default.
- W2600479993 title "Surveillance: An Important Strategy for Timely Detection of Outbreaks or Epidemics of Arboviral Diseases" @default.
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