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An integrated surveillance system for infectious disease in rural China: generating evidence for early detection of disease epidemics in resource-poor settings

Objective

Background A crucial goal of infectious disease surveillance is the early detection of epidemics, which is essential for disease control. In China, the current surveillance system is based on confirmed case reports and only covers notifiable diseases. In rural China, it is not practical for health units to perform laboratory tests to confirm disease and people are more likely to get 'old' and emerging infectious diseases due to poor living conditions and closer contacts with wild animals and poultry. Syndromic surveillance which collects non-specific syndromes before diagnosis has great advantages in promoting the early detection of epidemics and reducing the necessities of disease confirmation. It will be especially effective for surveillance in resource poor settings. Objectives The objective is to improve the early detection of epidemics in rural China by integrating syndromic surveillance with case report surveillance system. This involves three main phases: (1) the development of an integrated surveillance system; (2) the implementation of this system; (3) the evaluation of this system. This project will contribute to knowledge, experience and evidence with regard to the development and implementation of an integrated surveillance system for the early warning of epidemics in similar settings. Methods This is an intervention study. The intervention tool will be an integrated surveillance system, combining syndromic surveillance with the existing case report surveillance in four selected counties in China. In order to evaluate the early warning capability of the new added syndromic surveillance, the timelines and validity of the alert signals triggered from syndromic surveillance will be compared against those from corresponding case report surveillance (as a reference) for the same region and time period. The acceptability, feasibility and economic evaluation of the whole integrated surveillance system will be conducted in a before and after study design.

Field of science

  • /medical and health sciences/health sciences/infectious disease

Call for proposal

FP7-HEALTH-2009-single-stage
See other projects for this call

Funding Scheme

CP-FP-SICA - Small/medium-scale focused research project for specific cooperation actions dedicated to international cooperation partner countries(SICA)

Coordinator

KAROLINSKA INSTITUTET
Address
Nobels Vag 5
17177 Stockholm
Sweden
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 790 244
Administrative Contact
Anna-Britta Karlsson

Participants (4)

Huazhong University of Science and Technology
China
EU contribution
€ 751 102
Address
Luoyu Road 1037 Hubei
430074 Wuhan
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Shaofa Nie (Prof.)
FUDAN UNIVERSITY
China
EU contribution
€ 846 121
Address
Handan Road 220
200433 Shanghai
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Biao Xu (Prof.)
UNIVERSITATSKLINIKUM HEIDELBERG
Germany
EU contribution
€ 456 195
Address
Im Neuenheimer Feld 672
69120 Heidelberg
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Thorsten Brietz (Mr.)
FUTURE POSITION X IDEELL FORENING
Sweden
EU contribution
€ 124 175
Address
Nobelvagen 2
80133 Gavle
Activity type
Other
Administrative Contact
Bengt Julin (Mr.)