1. How can surveillance help to detect and control the disease?
For dengue, surveillance helps to detect and control the disease in terms of early outbreak detection by monitoring the disease patterns, highlighting outbreak areas, and enhancing resource allocation. This surveillance enables responding to the outbreak early and controlling the disease with the efficient use of resources.
2. Should we conduct active or passive surveillance or both for the disease, why?
Active surveillance will enable early case detection and control, but may have limitations in resources to be sustainable in large areas over long periods. So, passive surveillance will fill the sustainability gap, but in some cases, like mild cases, it can be missed. In dengue, a mixture of both surveillance methods should be conducted.
3. Which method should be best to identify cases, why?
a. Cases in medical facilities VS community
Medical facility-based surveillance can capture moderate and severe cases but can miss mild cases. If the objective is to estimate total burden, community-based methods are more effective. However, we should opt for a combined approach, considering resource limitations.
b. Sentinel VS population-based surveillance
Sentinel surveillance should be used, taking into account cost efficiency and higher data quality.
c. Case-based VS aggregated surveillance
For dengue, I would favor case-based surveillance for detailed information collection per case, like demographic, location, time, etc. This data enables epidemiological analysis.
d. Syndromic VS laboratory-confirmed surveillance
We should be used to syndromic surveillance for early detection in resource-limited areas. Laboratory-confirmed surveillance may take more time and be more costly.
4. What dissemination tools will you choose to disseminate monkeypox surveillance information? Why do you choose this/these tools?
For the dissemination of monkeypox surveillance information, I would choose the following tools:
Dashboard: A national online surveillance information dashboard with interactive features will be applied by highlighting case numbers, geographical distribution, and trends. This enhances the real-time surveillance system and tracking of monkeypox.
Alert system: If an outbreak is detected, send an alert to relevant stakeholders. This will enable early warning and response.
Social media: I will use social media to inform the public about monkeypox risk, symptoms, preventive behaviors, and where to seek care. This will promote awareness in communities.
Report: For deeper analysis, I will develop a technical report and article to advocate for policymakers.
Report submission for international surveillance system: I will send the report via platforms such as WHO and ProMED, ensuring global visibility and allowing comparison with the data from other countries