2013 08 23 stakeholders mtng mho cho final2

8/17/2019 2013 08 23 Stakeholders Mtng MHO CHO FINAL2

1/94

Regional Epidemiology and Surveillance Unit(RESU)

Department of Health Center for Health Development for

Ilocos

UPDATES

Philippine Integrated Disease Surveillance and Response (PIDSR)

Event-based Surveillance and Response (ESR)

DOH-CHD Region ! "unicipal#City Healt$ O%cer Sta&e$older' "eeting

Hotel Supreme *aguio City++-+, Augu't +.,


2/94

P$ilippine ntegratedDi'ea'eSurveillance and

Re'pon'e(PDSR)


3/94

Summary o/ Reported 0oti1a2leDi'ea'e'Region "or2idity 3ee&' .-,,

Categor I! Immediatel "oti#ableDiseases$Sndromes

%

Disease$Sndrome

%&' %&'%

* '- * '- +otal

Cases Deaths,

Change

Cases Deaths

Cases Deaths

Acute 4laccidParaly'i' (A4P)

.. .. + .5 ,

Adver'e Event

4ollo6ingmmuni7ation(AE4)

. . . , +

Ant$ra8 -

Human Aviann9uen7a -


4/94

Summary o/ Reported 0oti1a2le Di'ea'e'Region "or2idity 3ee&' .-,,

Categor I! Immediatel "oti#ableDiseases$Sndromes

Disease$

Sndrome

%&' %&'%

* '- * '- +otal

Cases Deaths,

Change

Cases Deaths

Cases Deaths

"eningococcalDi'ea'e

+ . ->? 5 5 5 5

0eonatal

Tetanu' (0T) . . ->? + + , ,ParalyticS$ell1'$Poi'oning(PSP)

-

Ra2ie' < < ->,?; ., ., +. +.


5/94


Categor II! *eel "oti#ableDiseases$Sndromes

Disease$

Sndrome

%&' %&'%

* '- * '- +otal

Cases Deaths,

Change

Cases Deaths

Cases Deaths

Acute *loodyDiarr$ea

+> ->=?


6/94



Disease$Sndrome

%&' %&'%

* '- * '- +otal

Cases Deaths

,

Change

Cases Deaths

Cases Deaths

*acterial"eningiti'

+. ->

>

=.>

,,<

Dip$t$eria+

.?

. .

Hand 4oot and


7/94



Disease$

Sndrome

%&' %&'%

* '- * '- +otal

Cases Deaths,

Change

Cases Deaths

Cases Deaths

n9uen7a-li&ellne'' () ,+ = -.;?;

,::

;,

. .,

Pertu''i' - Typ$oid and .=; ,,


8/94

@accine-Preventa2le Di'ea'e'(@DP')

• Acute 4laccid

Paraly'i' (A4P)

• "ea'le'

• 0eonatal Tetanu'


9/94

@accine-Preventa2le Di'ea'e'

• +=t$ Se''ion o/ t$e United 0ation' eneralA''em2ly and t$e 3orld Healt$ A''em2lyin .=:5 e'ta2li'$ed t$e goal o/ Univer'alC$ild mmuni7ation 2y t$e year .==

• Dip$t$eria

• Pertu''i'

• Tu2erculo'i'

• Poliomyeliti'• "ea'le'• 0eonatal

Tetanu'


10/94



• Dip$t$eria

• Pertu''i'

• Tu2erculo'i'


Tetanu'Priorit diseases for

elimination anderadication


11/94



• Dip$t$eria

• Pertu''i'

• Tu2erculo'i'


Tetanu'Priorit diseases for

elimination anderadication

• n .=;


12/94

@PD Di'ea'e Eradication#Elimination oal'

.lobal Polio Eradication

Eradicate 6ild polioviru' 6orld6ide

easles Elimination

Stop t$e tran'mi''ion o/ endemicmea'le' viru'

"eonatal +etanus Elimination

Ac$ieve and maintain . 0T ca'e per. live 2irt$' in everymunicipality#city every year


13/94

Acute 4laccidParaly'i' (A4P)


14/94

Acute 4laccid Paraly'i' (A4P) Ca'e'Region +;-+.+

Province$Cit

/0PReporting +arget

%&&1/0P

Cases

%&&2/0P

Cases

%&'&/0P

Cases

%&''/0P

Cases

%&'%/0P

Cases

loco'

0orte5 . . . .

loco' Sur > + + ,

a Union < 5 + 1 5 >

Panga'inan

+. 5 .+ .+ 5 ,

Region ' 3 2 '3 % 2 ''


15/94

Acute 4laccid Paraly'i' (A4P) ReportingRegion A' o/ Augu't . +.,

Province$Cit

%&' PopChildren

4'5 ears

/0PReporting

+arget%$'&&6&&&

Reported Case

/de7uate

Specime

n

loco' 0orte >:=> +++. 5 ?

loco' Sur ; +


16/94


Province$Cit

%&' PopChildren

4'5 ears

/0PReporting

+arget%$'&&6&&&

Reported Case

/de7uate

Specime

n

loco' 0orte >:=> +++. 5 ?

loco' Sur ; +


17/94


Province$Cit

%&' PopChildren

4'5 ears

/0PReporting

+arget%$'&&6&&&

Reported Case

/de7uate

Specime

n

loco' 0orte >:=> +++. 5 -

loco' Sur ; +


18/94

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan

Acute 4laccid Paraly'i' Ca'e'Region A' o/ Augu't .: +.,

Province$unicipalit

0re7uenc

Percent

:a ;nion 5 85!8

*angar .

una . Ro'ario .

San a2riel .

Santo Toma' .

Pangasinan %3!

San 4a2ian +

*inmaley .

Ilocos Sur %3!

"ag'ingal .

San Emilio . Santa Cru7 .


19/94


Province$unicipalit

0re7uenc

Percent

:a ;nion 5 85!8

*angar .

una . Ro'ario .

San a2riel .

Santo Toma' .

Pangasinan %3!

San 4a2ian +

*inmaley .

Ilocos Sur %3!

"ag'ingal .


Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan


20/94

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan


Province$unicipalit

0re7uenc

Percent

:a ;nion 5 85!8

*angar .

una . Ro'ario .

San a2riel .

Santo Toma' .

Pangasinan %3!

San 4a2ian +

*inmaley .

Ilocos Sur %3!

"ag'ingal .



21/94

A4PG 2y Di'ea'e Reporting UnitRegion A' o/ Augu't . +.,

"ame of Disease Reporting ;nit0re7uenc

Percent

loco' Training and Regional "edical

Center> 5>?5

a Union "edical Center + .;?+

a2riela Silang eneral Ho'pital . =?.

Region . "edical Center . =?.

Ro'ario Rural Healt$ Unit . =?.

St? "artin de Porre' Ho'pital . =?.

+otal '' '&&!&

GA4P - Acute 4laccid Paraly'i'


22/94

Rural Healt$ Unit' 6it$ Reported A4P Ca'e'Region +. - +.+

"ame of Disease Reporting;nit

"o! ofCase


23/94

"ea'le'


24/94

"ea'le'Region A' o/ Augu't .: +.,

Province$Cit

%&' Pop

easlesReporting

+arget%$'&&6&&&

ReportedCases

Cases=ith

>loodSamples

loco' 0orte >:=> .+ + .?F

loco' Sur ; .5 .< .?F

a Union :;5: .< .; ;;?=F

Panga'inan +;;;> >; 5+


25/94


Province$Cit

%&' Pop

easlesReporting

+arget%$'&&6&&&

ReportedCases

Cases=ith

>loodSamples

loco' 0orte >:=> .+ + .?F

loco' Sur ; .5 .< .?F

a Union :;5: .< .; ;;?=F



26/94


Province$Cit

%&' Pop

easlesReporting

+arget%$'&&6&&&

ReportedCases

Cases=ith

>loodSamples

loco' 0orte >:=> .+ + .?F

loco' Sur ; .5 .< .?F

a Union :;5: .< .; ;;?=F



27/94

"ea'le' Ca'e' (0J:;)Region Kanuary . ! Augu't .: +.,G

Province0o?

Percen

t Panga'inan 5+ >,?=

a Union .; +,?.

loco' Sur .< +?>

loco' 0orte + +?<

Total :; .?

GDate o/ la't reported ca'e Kuly ,.

+.,

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan


28/94

"ea'le' Ca'e' (0J:;)Region Kanuary . ! Augu't .: +.,

Age Range 5 mont$' !


29/94

Rea'on' /or 0ot Receiving Routine "@ Region Kuly +


30/94

"ea'le' Ca'e'Province o/ Panga'inan (nJ5+)A' o/ Augu't .: +.,


31/94

"ea'le' Ca'e'Province o/ Panga'inan (nJ5+)A' o/ Augu't .: +.,

Age Range 5 mont$' ! ,<year'

"edian Age ., year'

Se8Di'tri2ution

4emale ! +. (>F) "ale ! +. (>F)

"ea'le' @accination Statu' o/ Ca'e'

Statu' 0o? Percent

@accinated ++ >+?5

0ot vaccinated , :?.

Un&no6n .: 5?>


32/94

"ea'le' Ca'e'Province o/ a Union (nJ.;)A' o/ Augu't .: +.,

Age Range 5 mont$' ! ,>year'

"edian Age : year'

Se8Di'tri2ution

4emale ! = (>?F) "ale ! = (>?F)

"ea'le' @accination Statu' o/

Ca'e'

Statu' 0o? Percent

@accinated ..


33/94

"ea'le' Ca'e'Province o/ loco' Sur (nJ.F)

"ea'le' @accination Statu' o/Ca'e'

Statu' 0o? Percent

@accinated + .+?>

0otvaccinated ; >?


34/94

"ea'le' Ca'e'Province o/ loco' 0orte (nJ+)A' o/ Augu't .: +.,

Age' o/Ca'e'

< mont$' , year'

Se8Di'tri2ution

"ale ! + (.?F)

"ea'le' @accination Statu' o/

Ca'e'Statu' 0o? Percent

@accinated . >?

0ot

vaccinated. >?


35/94

0eonatal Tetanu' Ca'e

•


36/94

Ra2ie' Ca'e' 2y BearRegion +;-+., (a' o/ Augu't .)

+; += +. +.. +.+ +.,

>

.

.>

+

+>

'&

'3

'&

'

%

9

0o? o/ Ca'e'

Bear


37/94

Ra2ie' Ca'e' 2y RegionP$ilippine' +.+

>

.

.>

+

+>

,

,>

5

%'1

%9

1

'3 '2

28 9

3

'% '8'2

% '8

'%

0o? o/ Ca'e'

Region


38/94

Ra2ie' Ca'e' 2y RegionP$ilippine' +.+

>

.

.>

+

+>

,

,>

5

1

%9%

'2 '2 '1 '3'8 '% '%

2 3 9 8 8 % '

0o? o/ Ca'e'

Region


39/94


40/94

Dengue


41/94

Dengue Ca'e' 2y ProvinceRegion +., (a' o/ Augu't .5) v' +.+

Province

"o! of Cases Reported Deaths

%&' %&'%

,

Change

%&'C0R

(,) %&'%C0R

(,)

Panga'inan ,+;= +>>: +;?< .5 ?5 . ?5

loco' Sur ;;, :55 .;?: + ?+ 5 ?>

loco' 0orte .5 -


42/94

Dengue Ca'e' 2y "ont$Region +., (a' o/ Aug .5) v' Alert and Epidemic

T$re'$old'

"ont$

0o? o/ Ca'e'


43/94

Dengue Ca'e' 2y Age roup and Se8Region A' o/ Augu't .5 +.,

Age range . mont$ !=. year'

"edian age .+ year'

"o'tcommonlyaIected

age group

. ! .5 year'

Se8di'tri2ution

4emale !5:?:F "ale ! >+?,F

0o? o/ Ca'e'

A g e

r o u p

( B e a r ' )


44/94

Dengue Ca'e'Province o/ loco' 0orte

Kanuary . ! Augu't .+ +.,

"unicipality#City Ca'e' Percent

aoag City .:5 +;?,

*atac < =?.

San 0icola' >< =?.

*adoc 5= ;?

Pinili 5.


45/94

Dengue Ca'e'Province o/ loco' 0orte

Kanuary . ! Augu't .+ +.,

"unicipality#City Ca'e' Percent

0ueva Era = .?>

Pa'uuin = .?>

Paoay ; .?,*urgo' < .?

Currimao < .?

"arco' 5 ?:

Sol'ona , ?>

*anna + ?,

Cara'i . ?+

Total


46/94

Dengue Ca'e'Province o/ loco' Sur

Kanuary . ! Augu't ., +.,

"unicipality#City Ca'e' Percent Deat$

Cervante' +.. +,?=

0arvacan .5: .


47/94

D C


48/94

Dengue Ca'e'Province o/ loco' Sur



Alilem : ?; .

Suyo : ?;

Santa ucia < ?:

idlidda 5 ?>

Santa Cru7 5 ?>

Nuirino , ?,

San lde/on'o , ?,

San @icente + ?+

Total ;;, .?

D C


49/94

Dengue Ca'e'Province o/ a Union

Kanuary . ! Augu't .5 +.,


San 4ernando City .,. ++?;

Aringay ..?,

una >5 =?5

Ro'ario >+ =?.

0aguilian 5< ;?

*alaoan ,, >?:

*acnotan ,+ >?<

*auang ,. >?5

Ca2a + ,?>

San Kuan .; ,?.

Agoo .> +?<

D C


50/94

Dengue Ca'e'Province o/ a Union

Kanuary . ! Augu't .5 +.,


Pugo .. .?=

San a2riel .. .?=

Tu2ao .. .?=

*angar = .?<

*agulin < .?

Santol < .?

Santo Toma' > ?=

Sudipen , ?>

Total >:5 .?

D C


51/94

Dengue Ca'e'Province o/ Panga'inan


D C


52/94




Dagupan City +=5 ;?= .

San Carlo' City +=+ ;?= .

Urdaneta City .=:


53/94




*a'i'ta = +?:

@illa'i' ;= +?:

ingayen ;= +?:

Sual :: +?, .

San Kacinto :, +?+

"anaoag


54/94




Da'ol 5; .?>

Si'on ,, .?

Anda ,+ .?

*urgo' ,. ?=

aoac , ?=

"a2ini , ?=

*ugallon += ?=Po7orru2io += ?= .

0atividad +; ?=

*inalonan +: ?;

San "anuel +< ?;

Dengue Ca'e'


55/94




Santo Toma' +. ?<

Tayug + ?> .

*auti'ta .; ?>

a2rador .> ?>

n/anta .5 ?5

San 0icola' .5 ?5

Agno .+ ?5

*alungao . ?,

San Nuintin = ?,

Aguilar : ?+

"angatarem : ?+

Dengue Deat$' (nJ.5)


56/94

Dengue Deat$' (nJ.5)Province o/ Panga'inanA' o/ Augu't .5 +.,

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan

"unicipality *arangay Age Date o/ Deat$

San 4a2ian So2ol .+ Kune +5

So2ol , Kuly :

So2ol = Kuly .<

ongo' .< Augu't .

"anaoag "ermer 5 April =

*i'al ,. Kuly +:

Santa *ar2ara "inien 3e't .5 Augu't .

"aticmatic +, Kuly .

Dagupan City a'ip rande > Kuly +;

Po7orru2io Po2lacion +, Augu't >

San Carlo'City

> Kuly +.

Santa "aria 0amag2agan .= Kuly .

Dengue Deat$' (nJ+)


57/94

Dengue Deat$' (nJ+)Province o/ loco' SurA' o/ Augu't .5 +.,

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan

"unicipality *arangay Age Date o/Deat$

Alilem AlilemDaya(Po2lacion)

+ Kuly .>

@igan City *arangay(Po2lacion)

= Augu't .5


58/94

C$i&ungunya

Source PAHO#CDC

C$i&ungunya Ca'e' (0J;;


59/94

C$i&ungunya Ca'e' (0J;;


60/94

C$i&ungunya Ca'e' 2y On'et o/ llne''Region April +: ! Augu't , +.,

April +: ! Augu't ,

+.,,5 ca'e' (,5?=F)

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan

C$i&ungunya Ca'e' 2y On'et o/ llne''


61/94


April +: ! Augu't ,

+.,,5 ca'e' (,5?=F)

"ay + ! Augu't .+.,

+., ca'e' (+5?>F)

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan

C$i&ungunya Ca'e' 2y On'et o/ llne''


62/94


April +: ! Augu't ,

+.,,5 ca'e' (,5?=F)

Kune + ! +: +.,.5 ca'e' (.?


63/94


April +: ! Augu't ,

+.,,5 ca'e' (,5?=F)

Kune + ! +: +.,.5 ca'e' (.?F)

Ilocos "orte

Ilocos Sur

:a ;nion

Pangasinan

Pro1le o/ C$i&ungunya Ca'e'


64/94

Pro1le o/ C$i&ungunya Ca'e'Region April +: ! Augu't , +.,

Province0o? o/

Ca'e'

AgeRange(Bear')

"edianAge

(Bear')

Se8

4emale "ale

loco'0orte

,5< . - ;5 ,,


65/94

Clinical "ani/e'tation' o/ C$i&ungunya Ca'e'Region April +: ! Augu't , +.,

Periarticular edema

@omiting

0au'ea

"yalgia

*ac&pain

Headac$eArt$ralgia

Art$riti'

Ra'$

4ever

- .- +- ,- 5- >-


66/94

C$i&ungunya Ca'e'

S&in"ani/e'tation'


67/94

Action' Ta&en

nve'tigation

o/ Ca'e'


68/94

Action' Ta&en

Dialogue 6it$

ocalO%cial' and

Healt$ O%cer'


69/94

Action' Ta&en

"eeting 6it$*arangay

Captain'#O%cial'


70/94

Action' Ta&en

@ector Control

@ector Surveillance

Re'ult' o/ a2oratory E8amination


71/94

Re'ult' o/ a2oratory E8aminationC$i&ungunya Ca'e' in Region A' o/ Augu't , +.,

Provinceunicipalit

Serum Samples +ested for Chiunguna Ig

"o! +ested

Result

Positive E7uivocal "egative

:a ;nion ' '' ' '2Ro'ario .; 5 .5

San 4ernando City ., : . >San KuanIlocos "orte PendingSan 0icola'Ilocos Sur 8 ' *urgo' . ,

Pangasinan ' %Si'onAlamino' City .*olinao .San 4a2ianSual .

+otal 1 ' ' %8


72/94

epto'piro'i'

Leptospira

interrogans

epto'piro'i' Ca'e' 2y "or2idity "ont$ and


73/94

epto'piro'i' Ca'e' 2y "or2idity "ont$ andProvince (0J.>)Region Kanuary . ! Augu't = +.,

Kan 4e2 "ar Apr "ay Kun Kul Aug

+

5

<

; loco' Sur a Union Panga'inan

"ont$

0

o ? o / C a ' e '

epto'piro'i' Ca'e'


74/94

ep o'p o' ' Ca'e'Region +., (a' o/ Augu't .:) v' +.+

Kan 4e2 "ar Apr "ay Kun Kul Aug Sep Oct 0ov Dec-

+-5-


75/94

Region A' o/ Augu't .: +.,

Ilocos"orte

Ilocos Sur

:a ;nion

Pangasinan

Province$unicipalit$Cit

"o! Percent

Pangasinan '&

Dagupan City , +?

San Carlo' City + .,?,

*olinao .


76/94

p p y ( )Region

Kanuary . ! Augu't = +.,

Province

"o! of Cases Reported Deaths

%&' %&'%

,

Change

%&'

C0R

(,) %&'%

C0R

(,)

Panga'inan . ,. -


77/94

p pRegion

Kanuary . ! Augu't = +.,

Province0o? o/

Ca'e'

AgeRange(Bear')

"edianAge

(Bear')

Se8

4emale "ale

Panga'inan

. > ! +< - .Floco' Sur . +> - - .F

Region .> > ! ;F +F

epto'piro'i' Deat$' 2y Province# "unicipality (nJ,)


78/94

epto'piro'i' Deat$' 2y Province# "unicipality (nJ,)Region Kanuary .- Augu't = +.,

Province#"unicipality

Se8Age

(Bear')Date Died

Panga'inan

Cala'iao "ale #+.,

San Carlo' City "ale ,; :#,#+.,

a Unionuna "ale += :#+,#+.,


79/94

Event-2a'ed Surveillance and

Re'pon'e(ESR)


80/94

Hi'tory o/ ESR

.==: ! Rumor @eri1cation and Re'pon'e

+5 ! Epidemic ntelligence Unit (EU)

+< ! Event *a'ed Surveillance (E*S)

+= ! Event *a'ed Surveillance andRe'pon'e (ESR)

! ESR "anual o/ Operation' ("OP)

+.. ! Started revi'ion o/ ESR "OP! Dra/t o/ ESR AO

Event-*a'ed Surveillance and


81/94

Event *a'ed Surveillance andRe'pon'e (ESR)

• Organi7ed and rapid capture o/in/ormation a2out a pu2lic $ealt$ eventt$at may aIect or $ad already aIected an

individual a group o/ individual' or anin'titution

• Proce'' 6$erein report' or in/ormation

received are rapidly a''e''ed /or t$e ri'&t$e event po'e' to pu2lic $ealt$ andre'ponded to immediately andappropriately

Event-*a'ed Surveillance and


82/94

Event *a'ed Surveillance andRe'pon'e (ESR)

• *a'ed on un'tructured de'cription' andreport'

•

n/ormation can 2e – Rumor'

– Ot$er report' tran'mitted t$roug$routine reporting 'y'tem (complement'

PDSR) – Report' /rom t$e media $ealt$ 6or&er'

non-governmental organi7ation' andcommunity

S


83/94

ESR Proce''e'

• Capture

• 4ilter

• @eri1cation

• A''e''ment

• Re'pon'e

• 4eed2ac& and n/ormationDi''emination

ESR Report'


84/94

Region A' o/ Augu't .= +.,

Disease$ Event

Province+otal

EventsIlocos"orte

Ilocos

Sur:a ;nion

Pangasinan

0ood and *ater-RelatedDiseases

2 8 3 8 %8

4ood Poi'oning = , > , +

Acutea'troenteriti'

. + +

>acterialDiseases

& ' ' '

"eningococcemia

. .

Dip$t$eria . .

ESR Report'


85/94


Disease$ Event

Province+otalEvent

sIlocos"orte

Ilocos

Sur:a ;nion

Pangasinan

@iral Diseases% ' ' 3

Hand 4oot and"out$ Di'ea'e(H4"D)

+ + 5

"ea'le' . . +

C$ic&en Po8(@aricella) . .

@ector-borneDiseases

9 & 5 % '

C$i&ungunya 5 > =

Dengue . + ,

ESR Report'


86/94


Disease$ Event

Province+otal

EventsIlocos"orte

Ilocos

Sur:a ;nion

Pangasinan

AoonoticDiseases

% & & 5

Ra2ie' . + ,

epto'piro'i' . . +

Bther Health-

Related Events

' % ' & 8

Heat 'tro&e . .

Organop$o'p$atePoi'oning

. .

Sna&e 2ite + +

Role' o/ ocal overnment Unit'


87/94

Role' o/ ocal overnment Unit'"unicipal#City Healt$ O%ce

• Set up and maintain a /unctional di'ea'e'urveillance 'y'tem euipped 6it$ t$enece''ary re'ource' and adeuate local1nancial 'upport?

• Collect organi7e analy7e and interpret'urveillance data in t$eir re'pective area'?

•

Report all availa2le e''ential in/ormation (e?g?clinical de'cription la2oratory re'ult' num2ero/ $uman ca'e' and deat$' 'ource' and typeo/ ri'&) immediately to t$e ne8t $ig$er level?

Role' o/ ocal overnment Unit'


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Role' o/ ocal overnment Unit'"unicipal#City Healt$ O%ce

• mplement appropriate epidemic controlmea'ure' immediately

• E'ta2li'$ operate and maintain amunicipal#city epidemic preparedne'' andre'pon'e plan including t$e creation o/multidi'ciplinary#multi-'ectoral team' to

re'pond to event' t$at may con'titute apu2lic $ealt$ emergency?

• 4acilitate 'u2mi''ion o/ 6ee&ly noti1a2le

di'ea'e 'urveillance report' /orm pu2lic

4 & / P 2li H lt$


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4rame6or& o/ Pu2lic Healt$Surveillance and Action

Core/ctivities

Support/ctivities

PDSR C t l 4 &


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PDSR Conceptual 4rame6or&

PDSR C t l 4 &


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PDSR C t l 4 &


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Di'ea'e'urveillance i'recogni7ed a'

t$ecorner'tone

o/ pu2lic

$ealt$deci'ion-

ma&ing and


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+H/"

2013 08 23 stakeholders mtng mho cho final2

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