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Integration of Covid-19 testing into existing ILI surveillance system in Ghana

Dados Bibliográficos

ID19590970
AutoresErnest Kenu (0000-0001-8007-0073, University of Ghana), Delia Akosua Bandoh (0000-0002-0281-5321, University of Ghana), Ivy Asantewaa Asante (0000-0003-4077-3190, Noguchi Memorial Institute for Medical Research), Michael Adjabeng (0000-0002-6051-0702), Abdul Gafaru Mohammed (0000-0003-4119-0464, University of Ghana), Donne Kofi Ameme (University of Ghana), Joseph Asamoah Frimpong (0000-0002-4758-0589, University of Ghana), Dennis Odai Laryea (0000-0003-2212-084X, Ghana Health Service), Franklin Asiedu‐Bekoe (0000-0002-0691-5020, Ghana Health Service), Franklin Asiedu-Bekoe
EditoresAbram Luther Wagner (0000-0003-4691-7802)
Ano2026
Volume6
Fascículo1
Páginase0005788
Data de publicação2026-01-21
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPLOS Global Public Health (JOURNAL)
Identificadores do periódicoISSN: 2767-3375 • E-ISSN: 2767-3375
EditoraPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0005788
PMID41563964
OpenAlexW7125391009
IdiomaEN
Referências citadas10

The similarities between the presentations of Influenza-Like Illness (ILI) and COVID-19, generated calls for the integration of COVID-19 surveillance into the existing ILI surveillance system. The aim was to optimize outcomes through efficient use of resources. Ghana responded to the World Health Organization call to integrate the two systems. We share the processes undertaken to integrate SARS-CoV-2 into the ILI surveillance system in Ghana. Stakeholders from Disease Surveillance Department of Ghana Health Service, National Influenza Center and the University of Ghana School of Public Health were engaged to understand the existing ILI surveillance system and determine leverage points for integration. Forms, processes and reports for both COVID-19 and ILI were reviewed and modified. Additional symptoms were added to the ILI case investigation form and risk of exposure section modified to COVID-19. Also, all ILI specimens received in the laboratory were tested for SARS-CoV-2 as well. The integrated system was piloted in 24 sites from April – June 2021 and subsequently rolled out to all sentinel sites across the nation. Integration of the ILI/SARS-CoV-2 surveillance system was rolled out to all 29 sentinel sites in June 2021. Samples collected from the sentinel sites were transported and received by the lab within 48 hours and upon receipt were tested within 24 hours. From June 16 to September 10, a total of 1520 suspected influenza samples were received and tested for SARS-CoV-2 of which 297 tested positive for SARS-CoV-2. The flexibility of the ILI surveillance system in Ghana aided the integration of the COVID-19 surveillance into the existing system. Prudent supervisory measures should be instituted by the Ghana Health Service and the National Influenza Center to ensure sentinel sites submit samples on weekly basis for testing

Disease surveillance · Infectious disease (medical specialty) · Influenza-like illness · Public health · Public health surveillance · Receipt · Data-Driven Disease Surveillance · Respiratory viral infections research · SARS-CoV-2 detection and testing

  • The Lancet Commission on lessons for the future from the Covid-19 pandemic

    Open Access•Jeff Sachs, Jeffrey D Sachs et al.•The Lancet•2022

  • Evaluation of the influenza-like illness surveillance system in Tunisia, 2012–2015

    Open Access•Rihab Yazidi, Wafa Aissi et al.•BMC Public Health•2019

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