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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
(VPD-XXXX)
FROM TO Frequency
H002: clinical measles and AFP case reporting
RU NP DIO Weekly
H003: ACS by RU Nodal person (RU-NP) for record
RU NP RU NP Weekly
D001: District report for clinical measles and AFP (include measles cases reported to IDSP etc.)
DIO SEPIO Weekly
S001: State report for clinical measles and AFP (SEPIO shares with IDSP)
SEPIO GOI / NPSU
Weekly
OB-003: Measles cases Line list (filled up during HTH search by ANM)*
PHC/ BPHC
DIO / SMO
With detailed OB-Inv
OB-004: Summary of outbreak investigation
DIO SEPIO / NPSP
Prelim & detailed OB-Inv
OB-002: Community Survey - used occasionally*
PHC/ BPHC
DIO / SMO
With detailed OB-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 Districts (VPD-H002)
Districts State (VPD-D001)
State GoI/NPSU (VPD-S001)
Mondays
Tuesdays
Wednesdays
Form VPD-H002Name Weekly hospital report
Purpose Transmits hospital surveillance findings to the RCHO
Prepared by Nodal person of the hospital
Sent to RCHO
Report day Monday
Fill up information on all Measles cases below:
Patient's name and
Father's name
Age in months
Sex
Received measles vaccine (Y/N/U)*
Village name and landmark
PHC name Block name District nameOutcome:
Died? (Y/N/U)*
VPD-H002
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 numberMOB-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
(VPD-XXXX)
FROM TO Frequency
H002: clinical measles and AFP case reporting
RU NP DIO Weekly
H003: ACS by RU Nodal person (RU-NP) for record
RU NP RU NP Weekly
D001: District report for clinical measles and AFP (include measles cases reported to IDSP etc.)
DIO SEPIO Weekly
S001: State report for clinical measles and AFP (SEPIO shares with IDSP)
SEPIO GOI / NPSU
Weekly
OB-003: Measles cases Line list (filled up during HTH search by ANM)*
PHC/ BPHC
DIO / SMO
With detailed OB-Inv
OB-004: Summary of outbreak investigation
DIO SEPIO / NPSP
Prelim & detailed OB-Inv
OB-002: Community Survey - used occasionally*
PHC/ BPHC
DIO / SMO
With detailed OB-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
Village / Locality name: ______________________________ Date of search: ________________
Block/ Urban Ward: ___________________________ Search done by:__________________
District:______________________________ Outbreak id_________________________
Fill up information of persons surveyed
Tally Mark Number Tally Mark Number Tally Mark Number
Measles
Non-measles
Death due to measles
Measles
Non-measles
Death due to measles
Measles
Non-measles
Death due to measles
OUTBREAK INVESTIGATION: COMMUNITY SURVEY
1 < 1 year
2 1-4 years
3 5-9 years
Serial Number
CategoryNumber received measles vaccine Unknown measles vaccination status
Age GroupNumber not received measles vaccine
Addl Form B
Form VPD-OB003
Name Linelisting of measles cases
Purpose To get key data of suspectedmeasles cases found in the
outbreak Prepared by District response team during
house to house search
Sent to District/ State/ GoI/ NPSP
Form VPD-OB003
Village / Area: ________________ PHC:_________________ Block:__________________________ District:__________________________ State:___________________
Outbreak ID: _________________________________ Report sent by:_____________________Date Sent: ____________
SexDate of last
measles vaccine
Date of onset of rash
If died, date of death
Date of blood specimen collection
M/F Years Months dd/mm/yyyy dd/mm/yyyy dd/mm/yyyy dd/mm/yyyy
Unknown Unknown
Unknown Unknown
Unknown Unknown
Yes
No
Yes Yes
No No
Yes
Setting: Urban / Rural
No
Age
Yes Yes
No No
Patient's name, father's name and address
Patient number
Received measles vaccine (circle)
MEASLES OUTBREAK INVESTIGATION: DATA ON CASES
Death (circle)
1
2
3
4
5
01 / 08 / 06
01 / 08 / 06
MOBKABLK06001
Form VPD-MLRF1Name 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
MOBKABLK06001-B2
MOBKABLK06001-B4
MOBKABLK06001-B8
MOBKABLK06001-B17
MOBKABLK06001-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
Form VPD-OB004
Outbreak ID: _______________________ Notification
Source of notification: Weekly report / Active case search / Media / Other
Index case reported by:______________ Name of DIO:________________________
Designation:____________________ Name of SMO:_______________________
Date of notification of index case: ______________
Location of the outbreak
Village / Urban ward affected: _______________ Sub-center: ________________________
PHC/UHC: ___________________ Block: _______________________
District:______________________ State: _______________________
Cross notification needed: Yes / No
Desk review: date________________________ findings________________________________________________________
Date/s of preliminary search:__________________________
Number of health facilities searched: ___________________ Number of sub-centers/ urban wards searched: _________
Number of areas* searched:__________________ Total number of clinical measles cases:__________
Date of Epidemic Response Team meeting: ____________________
Whether considered as an outbreak requiring house to house investigation: Yes / No
If No, reason: No clustering of cases Low case count
Others (specify ) ________________________________________________________________
If Yes, provide details of outbreak investigation below
Details of outbreak investigation
Date of pre outbreak investigation orientation:_______________________
Date of outbreak investigation From:________________ To:_______________
Number of health facilites involved:____________ Number of sub-centers/ urban wards involved: _________
Number of areas* involved:__________ Total population investigated:___________
Total number of measles cases:________ Total number of deaths due to measles:________
Date of onset of first case:________________ Date of onset of most recent case:__________
Laboratory investigation details
Age SexDate of last
measles dose
Date of collection
Date sent to lab
Date received in lab
Result Measles/ Rubella/ Negative/ Equivocal
Date of Result
Note: * Areas are villages, towns, municipalities or corporations.
MEASLES OUTBREAK INVESTIGATION: SUMMARY
Preliminary investigation including desk review
Case ID / EPID number**
** Case ID/ EPID number is the code given to each case from whom a sample of blood or urine is collected. If sample collected is blood, case ID/ EPID number will be outbreak ID-B-patient number or if the sample is urine, case ID/ EPID number will be outbreak ID-U-patient number.
Form VPD-OB004
Outbreak ID: _______________________ Notification
Source of notification: Weekly report / Active case search / Media / Other
Index case reported by:______________ Name of DIO:________________________
Designation:____________________ Name of SMO:_______________________
Date of notification of index case: ______________
MEASLES OUTBREAK INVESTIGATION: SUMMARY
Desk review: date________________________ findings________________________________________________________
Date/s of preliminary search:__________________________
Number of health facilities searched: ___________________ Number of sub-centers/ urban wards searched: _________
Number of areas* searched:__________________ Total number of clinical measles cases:__________
Date of Epidemic Response Team meeting: ____________________
Whether considered as an outbreak requiring house to house investigation: Yes / No
If No, reason: No clustering of cases Low case count
Others (specify ) ________________________________________________________________
If Yes, provide details of outbreak investigation below
Preliminary investigation including desk review
Form VPD-OB004
Outbreak ID: _______________________ Notification
Source of notification: Weekly report / Active case search / Media / Other
Index case reported by:______________ Name of DIO:________________________
Designation:____________________ Name of SMO:_______________________
Date of notification of index case: ______________
Location of the outbreak
Village / Urban ward affected: _______________ Sub-center: ________________________
PHC/UHC: ___________________ Block: _______________________
District:______________________ State: _______________________
Cross notification needed: Yes / No
Desk review: date________________________ findings________________________________________________________
Date/s of preliminary search:__________________________
Number of health facilities searched: ___________________ Number of sub-centers/ urban wards searched: _________
Number of areas* searched:__________________ Total number of clinical measles cases:__________
Date of Epidemic Response Team meeting: ____________________
Whether considered as an outbreak requiring house to house investigation: Yes / No
If No, reason: No clustering of cases Low case count
Others (specify ) ________________________________________________________________
If Yes, provide details of outbreak investigation below
Details of outbreak investigation
Date of pre outbreak investigation orientation:_______________________
Date of outbreak investigation From:________________ To:_______________
Number of health facilites involved:____________ Number of sub-centers/ urban wards involved: _________
Number of areas* involved:__________ Total population investigated:___________
Total number of measles cases:________ Total number of deaths due to measles:________
Date of onset of first case:________________ Date of onset of most recent case:__________
Laboratory investigation details
Age SexDate of last
measles dose
Date of collection
Date sent to lab
Date received in lab
Result Measles/ Rubella/ Negative/ Equivocal
Date of Result
Note: * Areas are villages, towns, municipalities or corporations.
MEASLES OUTBREAK INVESTIGATION: SUMMARY
Preliminary investigation including desk review
Case ID / EPID number**
** Case ID/ EPID number is the code given to each case from whom a sample of blood or urine is collected. If sample collected is blood, case ID/ EPID number will be outbreak ID-B-patient number or if the sample is urine, case ID/ EPID number will be outbreak ID-U-patient number.
THANK YOU