INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP), TRIPURA as on 20th February, 2017

Overall Objective:
The Government of India has initiated a decentralized, state based Integrated Disease Surveillance Project (IDSP) in the country in response to a long felt need expressed by various expert committees. The project is to detect early warning signals of impending outbreaks and help initiate an effective response in a timely manner. It also provides essential data to monitor progress of on going disease control programs and help allocate health resources more optimally.

The project development objective is to improve the information available to the government health services and private health care providers on a set of high-priority diseases and risk factors, with a view to improving the on-the-ground responses to such diseases and risk factors. Specifically, the projects aims:

  • To establish a decentralized state based system of surveillance for communicable and non-communicable diseases, so that timely and effective public health actions can be initiated in response to health challenges in the country at the state and national level.
  • To improve the efficiency of the existing surveillance activities of disease control programs and facilitate sharing of relevant information with the health administration, community and other stakeholders so as to detect disease trends over time and evaluate control strategies.

The project is assisting the Government of India and the states and territories to

  • Survey a limited number of health conditions and risk factors
  • Strengthen data quality, analysis and links to action
  • Improve laboratory support
  • Train stakeholders in disease surveillance and action
  • Coordinate and decentralize surveillance activities
  • Integrated disease surveillance at the state and district levels, and involve communities and other stakeholders, particularly the private sector

In the financial year 2005-06 District & State Surveillance units had been set up so that the program is able to respond in a timely manner to surveillance challenges in the state including emerging epidemics.

It would integrate surveillance activities in the country under various programs and use existing infrastructure for its function

Present scenario:

The project was commenced in the state with 04 District Surveillance Units under control of State Surveillance Unit(SSU) and subsequently the number of District Unit have been increased to 08 nos w.e.f financial year 2011-12. At present in every week there are 1032 sub-centres are reporting in 'S' format ,130 health facilities (PHCs/CHCs/Government private) are reporting in 'P' format and 117 health facilities ( Government/Private laboratories) are reporting in 'L' format.. Till date since inception of the project following Medical Officers and other health care providers had been trained.

Medical Officers & Hospital Doctors

680

MPS & MPW 887
Lab technician 145
Pharmacist 108

Besides these in the year 2009-10 on Influenza AH1N1 229 Medical Officers had been trained.

Three District Surveillance Units (West, South & Dhalai) and State Surveillance Unit are equipped with EDUSAT and other facilities for reporting time to time to Central Surveillance Unit of IDSP ,Delhi. State Surveillance Unit is having the facility of video conference with Central Surveillance Unit.

The Laboratory of R.G.M Hospital Kailashahar of Unakoti District has been identified as District Priority laboratory  Binocular Microscope and one Deep Freezer.

During Financila Year 2012-13 Agartala Government Medical College (AGMC)has been identified as State Referral Laboratory and for this a MoU has been signed between AGMC and IDSP.

The above 2 (two) Laboratories has been reporting in form regularly.

Achievement during 2015-16 and 2016-17::
 Outbreak Control:

1. Control of Malaria: Daily monitoring of malarial situation.
2. Control of Japanese Encephalitis.
3. Control of Dengue.
4. Measles : 03 ( 01 at Lalsadhu Para under Balidhum ADC Village, North District, 01 at Belonia Municipal Council, South District and 01 at Area under Dharmanagar SDH, North District).
5. Diarrhoea : 01 (At Trikumar Para under Magroom ADC Village, Sabroom, South District).
6. Food Poisoning: 02 (01 at South Mirzapur High School, Belonia, South District and 01 at Laldhar under Rajnagar GP, Fatikroy, Unakoti District).

7. Influenza A H1N1:
i. Daily Reporting to GoI.
ii. Adequate stock of Medicine.
iii. Isolation ward at AGMC.
8. Bird Flu at Ganghigram SPF, West Tripura in the month of January, 2016:
i. Daily surveillance reported to GOI.
ii. Adequate stock of Medicine.
 

• Outbreak Control : 2016:
i. 1. Control of Fever, Vomiting & Diarrhoea: 01 (At Sadhuchandra Para under Kalajhari VC, Gandacherra, Dhalai District).
• Outbreak Control : 2017:
1. Control of Diarrhoea: 02 (01 at Ward No. 2 of Gagan Sardar Para, Sutarmura ADC Village, Charilam Block, Sepahijala District and 01 at West Kangrai under Kangrai ADC village under Kanchanpur SDH, Dasda Block, North Tripura District).

2. Control of Food Poisoning: 01(Ramkrishna Mahavidhyalaya Religious Minority Girl’s Hostel, Kailashahar, Gournagar Block, Unakoti District)

3. Scabies: 01(RMSA Girls Hostel, Durgacherra, Block-Chawmanu, Dhalai District).

i. 1. Control of Fever, Vomiting & Diarrhoea: 01 (At Sadhuchandra Para under Kalajhari VC, Gandacherra, Dhalai District).
ii. Disease Situation : 2016.

District

JE

Dengue

Chikungunya

Leptospirosis

Scrub Typhus

Case

Death

Case

Death

Case

Death

Case

Death

Case

Death

West

29

0

34

0

22

0

0

0

37

0

Sepahijala

13

0

16

0

13

0

0

0

17

0

Khowai

15

0

6

0

11

0

0

0

11

0

Gomati

10

1

5

0

5

0

0

0

7

0

South

9

0

9

0

9

0

0

0

5

0

Dhalai

9

0

27

0

6

0

25

0

16

0

Unakoti

6

0

2

0

2

0

0

0

0

0

North

7

0

3

0

2

0

0

0

0

0

Total

98

1

102

0

70

0

25

0

93

0

 


• Entomological Survey:
i. 09 Entomological survey conducted for JE, Dengue & Malaria in 2015-16..
ii. 10 Entomological survey conducted for JE, Dengue & Malaria in 2016-17.
Weekly surveillance of communicable Diseases:
i. Weekly surveillance of all communicable Diseases is being conducted regularly and reported to CSU Delhi and the State Authorities. Based on the report outbreaks are detected and action taken. RRTs were mobilized in every outbreak situation.
ii. Reports generated are entered in the IDSP portal at district level.
iii. Status of Portal Entry in S-Form : 88%, P-Form : 96% and L-Form : 93%. .
iv. Reports are analyzed and districts are given feedback.
• Training:
i. Training of 56 Medical Officers on IDSP have been completed on 14-15th February, 2017 at Pragna Bhawan, Gurkhabasti, Agartala.
ii. Training of 55 Laboratory Technicians on IDSP have been completed in September, 2015 at Agartala Government Medical College, State Referral Lab under IDSP.
• Others:

i. Finance Consultant attended One day orientation training of Finance Consultants of all States at Central Surveillance Unit, IDSP, NCDC, Delhi held on 2nd February, 2017.
ii.State Data Manager attended Hands-on-Training of State Data Managers on Updation of Meta Data & Data Standards (MDDS) codes & cleaning of master data on IDSP Portal at NCDC, Delhi held on 20th – 21st September, 2016 organized by Central Surveillance Unit, IDSP.
iii. Finance Consultant attended meeting of Finance Consultants of all States at Central Surveillance Unit, IDSP, NCDC, Delhi held on 15th February, 2016.
iii. Meeting with Data Managers and Data Entry Operators held on 30th January, 2017, 19th February, 2016.
iv. Meeting with Data Managers and Data Entry Operators held on 16th July & 19th February, 2016.


Staff Position:
Programme Officer : Dr. P. Chatterjee, Jt. Director
Contact No. : 9436120711
Regular Staff under IDSP as on 20th February, 2017:
Name Designation (Regular) Designation (IDSP) Place of Posting Contact No
Dr. Keshab Chakraborty DHO DSO O/o the CMO West 9436121260
Dr. Manabendra Reang DHO DSO O/o the CMO Sepahijala 9862990712
Dr. Ranendra Kr. Barman DHO DSO O/o the CMO Khowai 9436518660
Dr. Debasish Das DHO DSO O/o the CMO Gomati 8575833752
Dr. Swadesh Narayan Datta DHO DSO O/o the CMO South 9436134251
Dr. Jadu Mohan Tripura DHO DSO O/o the CMO Dhalai 9436123620
Dr. Dilip Kumar Karmakar CMO/DHO DSO O/o the CMO Unakoti 9436502959
Dr. Sankar Das DHO DSO O/o the CMO North 9436137097
Dr. Debasis Barman Asst. Professor & Microbiologist Nodal Officer AGMC 9436465794
Dr. Bidhan Goswami RMO Nodal Officer AGMC 9436504013
Smt. Lekhana Debbarma Group-D Group-D SSU, IDSP, Tripura 03821-231-5879

Contractual Staff under IDSP 20th February, 2017::

Name Designation Place of Posting Contact No.
Smt. Kaushiki Saha Microbiologist SSU, IDSP, Tripura 8974837295
Sri Santi Ranjan Chowdhury Consultant (Finance & Procurement) SSU, IDSP, Tripura 9774147763
Smt. Jhuma Das Entomologist SSU, IDSP, Tripura 9436127301
Sri Manoranjan Pal Data Manager SSU, IDSP, Tripura 9862218647
Sri Subhransu Saha Data Manager DSU, IDSP, Dhalai 9436106361
Sri Diptanu Saha Data Manager DSU, IDSP, South 9774273802
Sri Dinesh Debbarma Data Manager DSU, IDSP, Khowai 9774372576
Smt. Shuchita Chakraborty Data Manager DSU, IDSP, West 8730055706
Smt. Rikta Bhowmik Data Entry Operator SSU, IDSP, Tripura 9856808402
Sri Durga Prasad Sinha Data Entry Operator DSU, IDSP, West 9436184070
Smt. Debadrita Deb Data Entry Operator DSU, IDSP, Unakoti 9402168630
Sri Sidhartha Biswas Data Entry Operator DSU, IDSP, Sepahijala 9862752963
Sri Dilip Sarkar Data Entry Operator DSU, IDSP, Gomati 9436486631
Smt. Puspa Laxmi Debbarma Data Entry Operator DSU, IDSP, Dhalai 9089680469
Smt. Dharitri Debbarma Data Entry Operator DSU, IDSP, Khowai 9774707470
Smt. Pue Barua Data Entry Operator DSU, IDSP, North 9436474416
Sri Harilal Murasing Data Entry Operator DSU, IDSP, South 9774926156
Smt. Lata Debnath Data Entry Operator AGMC 9863034868

Impact on Health:

All outbreaks cannot be predicted or prevented. However, precautionary measures can be taken within the existing health infrastructure and service delivery to reduce risks of outbreaks and to minimize the scale of the outbreak, if it occurs. The effectiveness with which national programmes are implemented and monitored, the alertness for identification of early warning signals and the capacity for initiating recommended specific interventions in a timely manner are important to achieve the above objectives.

The course of an epidemic is dependent on how early the outbreak is identified and how effectively specific control measures are applied. The epidemiological impact of the outbreak control measures can be expected to be significant only if these measures are applied in time. Scarce resources are often wasted in undertaking such measures after the outbreak has already peaked and the outcome of such measures in limiting the spread of the outbreak and in reducing the number of cases and deaths is negligible.

When outbreaks occur or when the risk of such outbreaks his high, the co-operation of other government departments, non-governmental agencies and the community often becomes necessary. Such help will be more forthcoming if mechanisms for interactions have been developed before the onset of an outbreak.