Infectious disease burden in Gujarat (2005-2011): comparison of selected infectious disease rates with India

Emerging Health Threats Journal

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Title Infectious disease burden in Gujarat (2005-2011): comparison of selected infectious disease rates with India
 
Creator Iyer, Veena; Indian Institute of Public Health, Gandhinagar.
Azhar, Gulrez Shah; Indian Institute of Public Health, Gandhinagar.
Choudhury, Nandini; Indian Institute of Public Health, Gandhinagar
Dhruwey, Vidwan Singh; Integrated Diseases Surveillance Project, Commissionerate of Health Medical Services, Medical Education and Research Government of Gujarat.
Dacombe, Russell; Liverpool School of Tropical Medicine
Upadhyay, Ashish; Indian Institute of Public Health, Gandhinagar
 
Subject Surveillance and Reporting
communicable diseases; dengue; enteric fever; infectious disease surveillance; laboratory confirmed; National Health Profile; urban dominance; viral hepatitis

 
Description Background: India is known to be endemic to numerous infectious diseases. The infectious disease profile of India is changing due to increased human environmental interactions, urbanisation and climate change. There are also predictions of explosive growth in infectious and zoonotic diseases. The Integrated Disease Surveillance Project (IDSP) was implemented in Gujarat in 2004.Methods: We analysed IDSP data on seven laboratory confirmed infectious diseases from 2005–2011 on temporal and spatial trends and compared this to the National Health Profile (NHP) data for the same period and with other literature. We chose laboratory cases data for Enteric fever, Cholera, Hepatitis, Dengue, Chikungunya, Measles and Diphtheria in the state since well designed vertical programs do not exist for these diseases. Statistical and GIS analysis was done using appropriate software.Results: Our analysis shows that the existing surveillance system in the state is predominantly reporting urban cases. There are wide variations among reported cases within the state with reports of Enteric fever and Measles being less than half of the national average, while Cholera, Viral Hepatitis and Dengue being nearly double.Conclusions: We found some limitations in the IDSP system with regard to the number of reporting units and cases in the background of a mixed health system with multiplicity of treatment providers and payment mechanisms. Despite these limitations, IDSP can be strengthened into a comprehensive surveillance system capable of tackling the challenge of reversing the endemicity of these diseases and preventing the emergence of others.Keywords: communicable diseases; dengue; enteric fever; infectious disease surveillance; laboratory confirmed; National Health Profile; urban dominance; viral hepatitis(Published: 19 March 2014)Citation: Emerg Health Threats J 2014, 7: 22838 - http://dx.doi.org/10.3402/ehtj.v7.22838
 
Publisher Emerging Health Threats Journal
 
Contributor Wellcome Trust Capacity Strengthening Strategic Award to the Public Health Foundation of India and a consortium of UK universities
 
Date 2014-03-19
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Descriptive Study
 
Format application/pdf
text/html
application/epub+zip
text/plain
 
Identifier http://journals.co-action.net/index.php/ehtj/article/view/22838
10.3402/ehtj.v7.22838
 
Source Emerging Health Threats Journal; Vol 7 (2014) incl Supplements
1752-8550
1752-8550
 
Language eng
 
Relation http://journals.co-action.net/index.php/ehtj/article/view/22838/32960
http://journals.co-action.net/index.php/ehtj/article/view/22838/32961
http://journals.co-action.net/index.php/ehtj/article/view/22838/32962
http://journals.co-action.net/index.php/ehtj/article/view/22838/32963
 
Coverage India


 

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