Measles Outbreak

Surveillance:
Data collection and management

District Measles Surveillance

Workshop

Courtesy: Ms S Durrani; Dr A S Bose

Forms: When and How
 Weekly routine reports – to
trigger investigation

Outbreak investigation reports

– to direct immunization
activities and prevent deaths
Weekly routine reports – to
trigger investigation
Form Number and Purpose FROM TO Frequency
(VPD-XXXX)
H002: clinical measles and AFP case RU NP DIO Weekly
reporting
H003: ACS by RU Nodal person (RU-NP) RU NP RU NP Weekly
for record
D001: District report for clinical measles DIO SEPIO Weekly
and AFP (include measles cases reported
to IDSP etc.)
S001: State report for clinical measles and SEPIO GOI / Weekly
AFP (SEPIO shares with IDSP) NPSU
OB-003: Measles cases Line list (filled up PHC/ DIO / SMO With detailed OB-
during HTH search by ANM)* BPHC Inv
OB-004: Summary of outbreak DIO SEPIO / Prelim & detailed
investigation NPSP OB-Inv
OB-002: Community Survey - used PHC/ DIO / SMO With detailed OB-
occasionally* BPHC Inv
Measles Outbreak Line list SMO NPSU Weekly for all
flagged OB

*Also Lab Request forms; OB = Outbreak

 Weekly routine reports
• Routine measles forms merged with AFP
forms

• Data flow:
Reporting Units Mondays Districts
(VPD-H002)

Tuesdays
Districts State
(VPD-D001)

Wednesdays
State GoI/NPSU
(VPD-S001)
 Form VPD-H002
Name Weekly hospital report

Purpose Transmits hospital surveillance

findings to the RCHO

Prepared by Nodal person of the hospital

Sent to RCHO

Report day Monday

VPD-H002

F ill u p in f o r m a t

P a t ie n t 's n a m e
A
and
m
 Form VPD-D003

Name Active case search form

Purpose To assure each reporting unit is

actively searched for AFP
cases and Measles cases

Prepared by Person conducting active case

search

Sent to State
Outbreak investigation
reports:
to direct immunization
activities and prevent
deaths
 Actions following Outbreak Flag
• Allot outbreak identification number
MOB-state code-district code-year-outbreak number
• Preliminary Investigation & Summary Report [VPD-
OB004]
• Desk review
• Field Visit
• Detailed Investigation [VPD-OB 002 and 003]
• HTH search and Line list measles cases [OB003]
• Sometimes: Community Survey (cases and non-
cases) [OB002]
• Allot identification number to cases for which
blood sample is collected
• Summary Reports: VPD-OB004
Form Number and Purpose FROM TO Frequency
(VPD-XXXX)
H002: clinical measles and AFP case RU NP DIO Weekly
reporting
H003: ACS by RU Nodal person (RU-NP) RU NP RU NP Weekly
for record
D001: District report for clinical measles DIO SEPIO Weekly
and AFP (include measles cases reported
to IDSP etc.)
S001: State report for clinical measles and SEPIO GOI / Weekly
AFP (SEPIO shares with IDSP) NPSU
OB-003: Measles cases Line list (filled up PHC/ DIO / SMO With detailed OB-
during HTH search by ANM)* BPHC Inv
OB-004: Summary of outbreak DIO SEPIO / Prelim & detailed
investigation NPSP OB-Inv
OB-002: Community Survey - used PHC/ DIO / SMO With detailed OB-
occasionally* BPHC Inv
Measles Outbreak Line list SMO NPSU Weekly for all
flagged OB

*Also Lab Request forms; OB = Outbreak

 Form VPD-OB002
Name Community Survey/Census method

Purpose To get key data from measles

and non-measles cases in the
outbreak; Calculate attack rates
and VE

Prepared by District response team during

house to house search

Sent to District/ State/NPSP

V illa g e / L o c a lit y n a
 Form VPD-OB003
Name Linelisting of measles cases

Purpose To get key data of suspected

measles cases found in the
outbreak

Prepared by District response team during

house to house search

Sent to District/ State/ GoI/ NPSP

Form VPD -O B 003

Village / Area: ___

 MOBKABLK06001

2 01 / 08 / 06

4 01 / 08 / 06

5
 Form VPD-MLRF1
Name Measles lab request form-blood

Purpose To accompany blood specimens

collected from measles cases
to lab

Prepared by Person collecting blood samples

Sent to - Laboratory
- Laboratory to State/ GoI/ NPSU
after processing
 MOBKABLK06001

MOBKABLK
06001-B2
MOBKABLK
06001-B4
MOBKABLK
06001-B8
MOBKABLK
06001-B17
MOBKABLK
06001-B18
 Form VPD-OB004 (Page 1)
Name Measles outbreak investigation -
summary

Purpose To summarize the information and

result of the outbreak

Prepared by DIO

Sent to State/ GoI/ NPSU

FormVPD-OB004

Notification
Sourceofnotification:Weekly

Indexcasereportedby:______

Designation:________________
Dateofnotificationofindexca
Form VPD -O B
Preliminary
Desk review: d
FormVPD-OB004

Notification
Sourceofnotification:Weekly

Indexcasereportedby:______

Designation:________________
Dateofnotificationofindexca
THANK YOU
Back-up slides
 Integrated AFP-Measles Surveillance
Data Flow System
Weekly Reporting

OB* Flag? NO No Action

Flag: > 5 case / block or
adjacent blocks / week

Yes
OR
> 1 Death//block/week
Prelim OB Inv:
Desk + Field
No HTH OB Inv;
Manage cases;
Large OB? NO
sensitize PHC staff
Yes

Full OB Investigation:
*OB: Outbreak HTH search for cases/Deaths/Lab Tests
*HTH: House to Case management
house
 Outbreak ID: How to generate

RJ JPR 09 001

MOB- XX - XXX - XX -- XXX

OF INDEX CASE (2)

YR OF ONSET

OB Srl No. (3)

DISTRICT (3)
STATE (2)
 Form VPD-OB004 (Page 2)

Name Measles data analysis

Purpose To calculate age distribution of

measles cases, fatality
rates

Prepared by District team

Sent to State/ GoI/ NPSP

 Form VPD-D001

Name Weekly district report

Purpose - Transmits district surveillance

findings to the Addnl Dir
- Helps RCHO to trigger investigation

Prepared by RCHO

Sent to Addnl Dir (State)/DSO

Report day Tuesday

 VPD-D001
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 VPD – D001

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 Form VPD-S001
Name Weekly state report

Purpose Transmits state surveillance

findings to GoI

Prepared by Addnl Dir

Shared with State IDSP Nodal person

Sent to GoI / NPSP

Report day Wednesday

 VPD-S001
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