Early warning and response systems for respiratory disease outbreaks
Lessons learnt from cluster-associated cases of acute respiratory illnesses in Gilgil subcounty, Nakuru County, Kenya, 2021
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Investigating acute respiratory illnesses (ARIs) is difficult due to non-specific symptoms, varied health-seeking behaviors, and resource limitations; yet early detection is critical to global health security. Kenya's Ministry of Health (MOH) uses the Integrated Disease Surveillance strategy for public health surveillance, incorporating event-based surveillance (EBS) and indicator-based surveillance (IBS) for early warning system. MOH, supported by the US-CDC, established Influenza Sentinel Surveillance (ISS) in 2006 and later launched community EBS (CEBS) and health facility EBS (HEBS) pilots to enhance surveillance for COVID-19. On March 2, 2021, the CEBS system detected a signal of “Two or more people presenting with similar signs and symptoms in a community within a week” in a county. Investigations launched on March 4, 2021, investigations revealed unreported ARI cases which had been missed by both the ISS and IBS. A total of 176 ARI cases were line-listed with 91/176 (51.7%) aged
Christian ministry · Disease · Disease surveillance · Early warning system · Environmental health · Medical emergency · Outbreak · Pathology · Public health · Public health surveillance · Respiratory illness · Respiratory system · Warning system · COVID-19 epidemiological studies · Influenza Virus Research Studies · Medicine · Viral Infections and Outbreaks Research · Emergency Medicine · Internal Medicine
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