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Performance Assessment of a Communicable Disease Surveillance System in Response to the Twin Earthquakes of East Azerbaijan

Published online by Cambridge University Press:  21 April 2015

Javad Babaie
Affiliation:
Department of Disaster Public Health, School of Public Health, and Department of Disaster and Emergency Health, National Institute of Health Research, Tehran University of Medical Science, Tehran, Iran
Ali Ardalan*
Affiliation:
Department of Disaster Public Health, School of Public Health, and Department of Disaster and Emergency Health, National Institute of Health Research, Tehran University of Medical Science, Tehran, Iran Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts
Hasan Vatandoost
Affiliation:
Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Mehdi Goya
Affiliation:
Centre for Communicable Disease Management, Ministry of Health and Medical Education, Tehran, Iran
Ali Akbari Sari
Affiliation:
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
*
Correspondence and reprint requests to Ali Ardalan, MD, PhD, 78 Italy Ave, Department of Disaster Public Health, School of Public Health, Tehran University of Medical Science, Tehran, Iran (e-mail: [email protected]).

Abstract

Objective

Following the twin earthquakes on August 11, 2012, in the East Azerbaijan province of Iran, the provincial health center set up a surveillance system to monitor communicable diseases. This study aimed to assess the performance of this surveillance system.

Methods

In this quantitative-qualitative study, performance of the communicable diseases surveillance system was assessed by using the updated guidelines of the Centers for Disease Control and Prevention (CDC). Qualitative data were collected through interviews with the surveillance system participants, and quantitative data were obtained from the surveillance system.

Results

The surveillance system was useful, simple, representative, timely, and flexible. The data quality, acceptability, and stability of the surveillance system were 65.6%, 10.63%, and 100%, respectively. The sensitivity and positive predictive value were not calculated owing to the absence of a gold standard.

Conclusions

The surveillance system satisfactorily met the goals expected for its setup. The data obtained led to the control of communicable diseases in the affected areas. Required interventions based on the incidence of communicable disease were designed and implemented. The results also reassured health authorities and the public. However, data quality and acceptability should be taken into consideration and reviewed for implementation in future disasters. (Disaster Med Public Health Preparedness. 2015;9:367–373)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Smith, E, Wasiak, J, Sen, A, et al. Three decades of disasters: a review of disaster-specific literature from 1977-2009. Prehosp Disaster Med. 2009;24(4):306-311.Google Scholar
2. Guha-Sapir, D, Vos, F, Below, R, Ponserre, S. Annual Disaster Statistical Review 2010: The numbers and trends. CRED website. www.who.int/entity/hac/.../annual_disaster_statistical_review_2009.pdf. July 6, 2012. Accessed January 23, 2012.Google Scholar
3. Revati Phalkey, R, Dash, SR, Mukhopadhyay, A, et al. Prepared to react? Assessing the functional capacity of the primary health care system in rural Orissa, India to respond to the devastating Flood of September 2008. Glob Health Action. 2012;5:1-10.Google Scholar
4. Ardalan, A, Mowafi, H, Khoshsabeghe, HY. Impacts of natural hazards on primary health care facilities of Iran: a 10-year retrospective survey. PLoS Curr. 2013;5. doi:pii: ecurrents.dis.ccdbd870f5d1697e4edee5.Google Scholar
5. Djalali, A, Hosseinijenab, V, Hasani, A, et al. A fundamental, national, disaster management plan: An education based model. Prehosp Disaster Med. 2009;24(6):565-569.Google Scholar
6. Myint, NW, Kaewkungwal, J, Singhasivanon, P, et al. Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? Confl Health. 2011;5(1):9. doi: 10.1186/1752-1505-5-9.Google Scholar
7. Kouadio, IK, Koffi, AK, Attoh-Toure, H, et al. Outbreak of measles and rubella in refugee transit camps. Epidemiol Infect. 2009;137(11):1593-1601.Google Scholar
8. Date, KA, Vicari, A, Hyde, TB, et al. Considerations for oral cholera vaccine use during outbreak after earthquake in Haiti, 2010-2011. Emerging Infectious Diseases. 2011;17(11). doi: 10.3201/eid1711.110822.Google Scholar
9. Yan, G, Mei, X. Mobile device-based reporting system for Sichuan earthquake-affected areas infectious diseases reporting in China. Biomed Environ Sci. 2012;25(6):724-729.Google Scholar
10. Sabatinelli, G, Kakar, SR, Rahim Khan, M, et al. Early warning disease surveillance after a flood emergency: Pakistan, 2010. MMWR Morb Mortal Wkly Rep. 2012;61(49):1002-1007.Google Scholar
11. Centers for Diseases Control and Prevention (CDC). Updated guidelines for evaluating public health surveillance systems. MMWR Recomm Rep. 2001;50(RR-13):1-51.Google Scholar
12. Topran, A, Ratard, R, Bourgeois, SS, et al. Surveillance in hurricane evacuation centers-louisiana, September-October 2005. MMWR Morb Mortal Wkly Rep. 2006;55(02):32-35.Google Scholar
13. Williams, W, Guariso, J, Guillot, K, et al. Surveillance for illness and injury after hurricane Katrina. New Orleans, Louisiana, September 8-25, 2005. MMWR Morb Mortal Wkly Rep. 2005;54(40):1018-1020.Google Scholar
14. Polonsky, J, Luquero, F, Francois, G, et al. Public health surveillance after the 2010 Haiti earthquake: the experience of Médecins Sans Frontières. PLoS Curr. 2013;7:5.Google Scholar
15. Tohma, K, Suzuki, A, Otani, K, et al. Monitoring of influenza virus in the aftermath of Great East Japan earthquake. JPN J Infect Dis. 2012;65:542-544.Google Scholar
16. Choudhary, E, Zane, DF, Beasley, C, et al. Evaluation of active mortality surveillance system data for monitoring hurricane-related deaths-Texas, 2008. Prehosp Disaster Med. 2012;27(4):392-397.Google Scholar
17. Noha, H, Farag, NH, Rey, A, et al. Evaluation of the American Red Cross Disaster-Related Mortality Surveillance System Using Hurricane Ike Data—Texas 2008. Disaster Med Public Health Prep. 2013;7(1):13-19.Google Scholar
18. International institute of earthquake engineering and seismology. Urgent report. IIEES website. http://www.iiees.ac.ir/images/stories/EQBank/EQreport/ahar/IIEES_Recon.Rep_Varzeghan_21-5-91-EQ.s_as_of_31-5-91.pdf. August 23, 2012. Accessed August 30, 2012.Google Scholar
19. East Azerbaijan Governor. The latest news from disaster affected areas. http://ostan-as.gov.ir/?MD=218type=news&BasesId=TypeID=2&id=9305. September 30, 2012. Assessed September 30, 2012.Google Scholar
20. UNICEF. Iran’s excellent primary health care system. UNICEF website. http://www.unicef.org/iran/media_4427.html. August 30, 2014. Accessed August 30, 2014.Google Scholar
21. Bagheri Lankarani, K, Alavian, SM, Peyman, P. Health in Islamic Republic of Iran, challenges and progresses. Med J Islam Repub Iran. 2013;27(1):42-49.Google Scholar
22. Goya, MM, Soroush, M, Omidvarinia, A, et al. Communicable diseases management operation plan in response to disasters and emergencies. In: Ardalan A, Moradian MJ, Goya MM, et al. National Public Health Disaster and Emergency Operations Plan. Ministry of Health and Medical Education. Tehran: Razanahan; 2012:420-427.Google Scholar