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Integrated Disease Surveillance Programme (IDSP)

National Project Officer
:

Dr. Jagvir Singh, Additional Director

Mailing Address
:

IDSP Unit, National Centre for Disease Control,
22-Sham Nath Marg, Delhi - 110 054
E-mail: idsp-npo@nic.in
Tel: 011-23932290, 23830318, 23935530, 23935531, 23935532, 23978046
Fax: 011-23922677

 

Other officers in the Project

:
  1. Dr. Pradeep Khasnobis, Sr. Chief Medical Officer
  2. Dr. Lata Kapoor, Deputy Director
  3. Dr. Megha Khobragade, Deputy Director
  4. Dr. R. D. Gupta, Chief Medical Officer 

Background:

Integrated Disease Surveillance Project (IDSP) was launched by Hon’ble Union Minister of Health & Family Welfare in November 2004 for a period upto March 2010. The Project has been extended for two years up to March 2012 by Government of India.

A Central Surveillance Unit (CSU) at Delhi, State Surveillance Units (SSU) at all State/UT head quarters and District Surveillance Units (DSU) at all Districts in the country have been established.

Objectives:
    • To strengthen the disease surveillance in the country by establishing a decentralized State based surveillance system for epidemic prone diseases to detect the early warning signals, so that timely and effective public health actions can be initiated in response to health challenges in the country at the Districts, State and National level.
Project Components:
  • Integration and decentralization of surveillance activities through establishment of surveillance units at Centre, State and District level.
  • Human Resource Development – Training of State Surveillance Officers, District Surveillance Officers, Rapid Response Team and other Medical and Paramedical staff on principles of disease surveillance.
  • Use of Information Communication Technology for collection, collation, compilation, analysis and dissemination of data.
  • Strengthening of public health laboratories.
Data Management:

Under IDSP data is collected on epidemic prone diseases on weekly basis (Monday–Sunday).  The information is collected on three specified reporting formats, namely “S” (suspected cases), “P” (presumptive cases) and “L” (laboratory confirmed cases) filled by Health Workers, Clinicians and Laboratory staff respectively.  The weekly data gives information on the disease trends and seasonality of diseases.

Whenever there is a rising trend of illnesses in any area, it is investigated by the Rapid Response Teams (RRT) to diagnose and control the outbreak. Data analysis and actions are being undertaken by respective State/District Surveillance Units. Emphasis is now being laid on reporting of surveillance data from Major Hospitals and also from Infectious Disease Hospitals. In the month of December 2013, about 90% Districts have reported weekly disease surveillance data from districts

Outbreak Surveillance & Response:
CSU, IDSP receives disease outbreak reports from the States/UTs on weekly basis. Even NIL weekly reporting is mandated and compilation of disease outbreaks/alerts is done on weekly basis. On an average 10- 20 outbreaks are reported to CSU weekly. A total of 553 outbreaks were reported in 2008, 799 outbreaks in 2009, 990 outbreaks in 2010, 1675 outbreaks in 2011 and 1584 outbreaks in 2012. Majority of the reported outbreaks were of Acute Diarrhoeal diseases, Food Poisoning, Measles etc. In 2013, 1950 outbreaks have been reported from January to December 2013 (up to 22nd December 2013). In the month of December  2013 (upto 22nd December 2013), a total of 75 outbreaks were reported and responded to by the States/UTs; majority of them were Acute Diarrhoeal Disease (28%), Food Poisoning (24%), Fever (14%), Measles (10%).
Contribution of IDSP in Influenza A H1N1:

Outbreak Monitoring Cell on 24x7 basis has been established at National Centre for Disease Control (NCDC) for monitoring the situation.  Community, Private Practitioners, Nursing homes and Hospitals have been requested to report to IDSP Call Centre on 1075 (Toll free number) in case of any occurrence of clusters of Influenza like illness in the community. 12 Laboratories are strengthened; out of which 10 laboratories are functional and 2 are in process of strengthening under IDSP; for testing clinical samples of Influenza A H1N1 in different regions of the country. 11 strains have been sequenced at NCDC Laboratory.  State and District RRTs have been alerted to investigate and manage suspected outbreaks.

Media Scanning & Verification Cell:
Media scanning is an important component of surveillance to detect the early warning signals. Media scanning and verification cell daily receives an average of 4-5 media alerts of unusual health events which are detected and verified. A total of 1333 health alerts have been detected since its establishment in July 2008.  A total of 2537 health alerts have been detected till November 2013 since its establishment in July 2008.  Majority of them were Food Poisoning, Measles and Malaria. A total of 25 media alerts were scanned for any unusual event in the month of December 2013.
Information & Communication Technology Network (ICT):

ICT plays an integral and most powerful role in implementing IDSP across the country. One of the important components of the project is data management, analysis and rapid communication in case of outbreaks.

  • Data Centre: National Informatics Centre (NIC) has installed Data Centre Equipment at 776 out of 800 sites. The objective of Data Centre is online data entry for speedy data transmission.
  • Training Centre (NIC): Training Centre Equipments have been installed at 378 out of 400 sites. State to District communication is possible by NICs E-Learning Portal (http://e-learning.nic.in/lms), which has facility in managing live virtual classrooms for training (State/Area specific discussion on disease surveillance activities), e-learning, interactive electronic discussion (Chat rooms, Boards, Mailing Lists) and reviewing and monitoring project related activities.
  • Training Centre (ISRO): Indian Space Research Organization (ISRO) has installed training centre at 367 out of 400 sites (EDUSAT/VSAT).
  • Call Centre: A 24X7 call centre has been established to receive disease alerts from anywhere across the country on a toll free number 1075; for verification and initiating appropriate public health actions. The call centre has a response mechanism by informing respective health officials at concerned Districts for early response.
  • Out of 3361 calls received in the month of December 2013, 56 calls were related to H1N1.

  • IDSP Portal: The IDSP portal is a one stop portal (www.idsp.nic.in) which has facilities for data entry, view reports, outbreak reporting, data analysis, training modules and resources related to disease surveillance.  About 90% of Districts reported in the portal in the month of December 2013.
Training:

The Training in IDSP is three-tiered:

§ Master Trainers State and District Surveillance Officers and RRT members are trained at identified 9 National level institutes.

§ The Medical Officers and District Lab Technicians are trained by Master Trainers at State level.

§ Health Workers & Lab Technician/Assistants at peripheral institutions are trained by District Surveillance officers/Medical Officers at District level.

 

 Training of State/District Surveillance Teams has been completed in all 35 States/UTs. 

The main focus of training for State level participants is on basics of disease surveillance, concepts of epidemiology and data management, whereas the District training focuses on correct procedures of data collection, compilation and reporting and outbreak response. A need based special two-week Disease Surveillance and Field Epidemiology Training Programme (FETP) have been initiated for the District Surveillance officers. 606 District Surveillance Officers have already been trained in this special 2- week FETP.

State Health Societies were requested in June 2010 to recruit contractual manpower under IDSP.  377 Epidemiologists, 59 Microbiologists and 21 Entomologists have joined in States and Districts till December 2013.  States has been requested to expedite the filling up the remaining contractual positions at the State/Districts levels.  Induction training given to majority of them.
Strengthening of Laboratories:

50 priority District laboratories are being strengthened in the country for diagnosis of epidemic prone diseases.  Till date 29 States ie. 42 labs have been made functional.  These labs are also being supported by a trained manpower to manage the lab and an annual grant of Rs 4 lakhs per annum per lab for reagents and consumables.  

 

In 9 States (Gujarat, Punjab, Rajasthan, Uttarakhand, Karnataka, Tamil Nadu, Maharashtra, Andhra Pradesh and West Bengal), a referral lab network has been established by utilizing the existing functional labs in the medical colleges and various other major centers in the States and linking them with adjoining Districts for providing diagnostic services for epidemic prone diseases during outbreaks.  Additional 23 identified medical college labs in Bihar, Assam , Odisha, Tripura, Kerala, Haryana, Jammu & Kashmir and Manipur were included in the laboratory network in 2012-13.

Prevention and Control of Avian/H1N1 Influenza:

Outbreak Monitoring Cell on 24x7 basis has been established at National Centre for Disease Control (NCDC) for monitoring the situation.  12 Laboratories are functional, for testing clinical samples of Influenza A H1N1 in different regions of the country.

The Animal Component of Avian Influenza is being looked after by Ministry of Agriculture (Dept. of Animal Husbandry).

Finance:
Budget and Expenditure for IDSP is as under:

Sl. No.

Year

Budget Estimates

(Rs. in crores)

Expenditure

(Rs. in crores)

1

2010-11

35.00

48.98(43.58+5.40*)

2

2011-12

63.00

27.83

3

2012-13

63.00

33.11

4

2013-14

63.00

40.12**

Note

1: * Rs. 5.40 crores released to North-East State Health Societies which has been diverted from Rural Family Welfare Services

The actual expenditure has been incurred for IDSP amounting to Rs.26.68 Crore. In addition to that amount IDSP has released an amount of Rs.13.44 Crores as Grant-in-Aid to State Health Societies on behalf of NVBDCP. So the total expenditure comes to Rs.40.12 Crore (up to December 2013).

Details of Other Staff:
  1. Dr. Amit B Karad, Assistant Director (Public Health) 
  2. Dr. Ruchi Jain, Assistant Director (Public Health)
  3. Dr. Saurabh Goel, Assistant Director (Public Health)
  4. Dr. Shivani Rao, Assistant Director (Public Health)
  5. Dr. Vijeta Maurya, Assistant Director (Microbiology)
  6. Dr. Ranjeet Prasad, Epidemiologist
  7. Dr. Suneet Kaur, Epidemiologist
  8. Dr. Artee, Microbiologist
  9. Mr. Praveen G., Epidemiologist
  10. Mr. N. C. Sharma, Research Assistant
  11. Mr. Indranil Chakroborty, Consultant (Finance)
  12. Mr. Amit Mittal, Consultant (Finance)
  13. Ms. Pallavi Luthra, Consultant (IT)
  14. Mr. Ajay Kumar, Consultant (IT)
  15. Mr. Prasun Sharma, Statistician-cum-Programmer
  16. Ms. Sujata Malhotra, Data Manager
  17. Mr. Prem Singh, Accounts Officer
  18. Ms. Nidhi Daur, PA to NPO
  19. Ms. Pushpa Aola, Data Processing Assistant
  20. Mr. Mithilesh Kumar Yadav, Data Processing Assistant
  21. Ms. Pooja Singh, Data Entry Operator-cum-Office Assitant*
  22. Ms. Parminder Kaur, Data Entry Operator
* Detailed at Dte. GHS, MoHFW

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