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5. Public Health Surveillance System
Pages 53-56

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From page 53...
... Drug efficacy can change dramatically over relatively short periods of time, especially in areas where antimalarial drugs are easily obtainable in the community. Periodic monitoring (at least once every two years and in some situations as often as once a year)
From page 54...
... Because the supervising nongovernmental organization physician was only able to visit the camp intermittently, not having well-trained and motivated camp staff might have led to a much larger outbreak (MacArthur et al., 20011. STANDARDIZED CASE DEFINITIONS1 A primary problem facing malaria surveillance is the choice of a single case definition and obtaining agreement on standardized reporting of data, especially in situations where multiple NGOs are providing health care services.
From page 55...
... In circumstances where routine microscopic diagnosis is not possible, such as situations where health care facilities are unable to perform microscopy or lack the capacity to keep up with the patient load (a frequent situation in the acute phase of an emergency) , a simple clinical case definition can be used.
From page 56...
... · Provide timely feedback to health care agencies summarizing the implications of the surveillance data.


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