1. How can surveillance help to detect and control the disease?
Surveillance is the effective method to detect case early because late identification may cause serious impact in dengue. It is highly infectious disease and can be public emergency condition. A good surveillance system can detect the cases and help to develop control measures as well.
2. Should we conduct active or passive surveillance or both for the disease, why?
Active surveillance is the best option to control the disease because the disease is transmissible by mosquitos and can not wait to report the case to health facility. It will be late and outbreak will occur if we do not find the case actively in the community and do not conduct control measure like vector control, precautions.
3. Which method should be best to identify cases, why?
Syndromic identification will be effective way to verify the case in active case detection. Health staff can easily confirm by checking common symptom of dengue in the community.
a. Cases in medical facilities VS community
Case finding in community is the more effective method because there might be hidden case or incubation period in the community. Health staff can track by tracing contact history or detected place.
b. Sentinel VS population-based surveillance
Population-based surveillance is the better choice to control the highly transmittible diseases because it can easily spread within community in the short time frame. The surveillance system should cover the whole population.
c. Case-based VS aggregated surveillance
Case-based surveillance is also important in dengue cases because it is helpful to conduct control measure based on geographical area, family members, travel history, age, contact tracing and vector control.
d. Syndromic VS laboratory-confirmed surveillance
Syndromic is quick and effective to report the suspected cases to facility. The further confirmation test can be conduct in the facility.
4. What dissemination tools will you choose to disseminate monkeypox surveillance information? Why do you choose this/these tools?
Ongoing and real time dissemination tools is the good choice to share information faster within the health staff. It is not only hospital cases but also public health alarming. The case information should be shared interoperability between public health intervention workers and hospital care units.