It was in the evening of our 8th day of DHO posting......Phew....It was a long morning......Although it has been 8 days,the excitement never decreased.....Our evening activity was conducted by Communicable disease control Unit.We gathered in the unit around 2.30pm and briefing was given by Madam Rosmayati bte Yusuf(PPKP Kuala Muda).
The briefing was conducted first on objectives of the unit. The main objective of the unit is to prevent and control communicable disease around Kuala Muda district. The unit is also involved in notification of communicable diseases and investigation of an outbreak.
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| Briefing by Madam Rosmayati bte Yusuf PPKP of the Unit. |
Following briefing on objectives she introduced us to the notification system in Kuala Muda district. There were 2 types of notification according to the duration. There are :
1) Notification via telephone followed by written (within 24hrs)
2) Written notification within a week
Notification via telephone is done for following diseases :
- Dengue fever and Dengue hemorrhagic fever
- Yellow fever
- Diphtheria
- Ebola
- Food poisoning
- Cholera
- Plague
- Poliomyelitis
- Rabies
- Measles
Written notification within one week after diagnosis
- - Whooping cough
- - Measles
- - Dysenteries (all forms)
- - Gonococcal infection (all forms)
- - Leprosy
- - Malaria
- - Myocarditis
- - Relapsing fever
- - Syphilis (all forms)
- - Tetanus (all forms)
- - Typhoid and parathyphoid fevers
- - Typhus and other ricketsioses
- - Tuberculosis
- - Viral encephalitis
- - Viral hepatitis
- - Any other life-threatening microbial infection
- - HIV
Out of all these infection the common notifiable disease in Kuala Muda district are :
1) Dengue
2) TB
3) Food Poisoning
4) Gonorrhea
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| Census of notifiable disease in 2008 |
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| Census of notifiable disease in 2009 |
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| Census of notifiable disease in 2010 |
We were further explained about the notification sysytem in Kuala Muda district.They use E.Notification where it involve notificaton through internet were it gives a wider access especially by the health ministry.
And she continued with explanation on how an outbreak is detected and investigated. Usually occurence of 2 or more cases in a particular time is considered as an outbreak and investigation of an outbreak follows a systemic procedures where some of the procedures are done according to the situation and clinical settings.
Investigation of an outbreak differs for each disease. So there are certain protocols enforced to be followed in approaching an outbreak.
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| Protocols for Investigation of an Outbreak. |
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| Protocols for Cholera outbreak |
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| Protocols for Typhoid outbreak |
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| Protocols for Food Poisoning |
Most of the time CDC unit joins with other units in district health office in investigating and management of an outbreak especially with Food Quality and Health promotion team.
We had the briefing for almost an hour and she explained as much as she could. The session was ended with questions from our group members and brief discussion on the questions. We were given a tiny break before we continued with the next session.
HIV and TB Units
After a short break our day continued with briefing on HIV unit in Kuala Muda District Health Office. It is a branch of CDC Unit. The briefing was conducted by Mr. Johari. He started the briefing with introduction and statistics of HIV cases in 2011 according to epidemiological weeks.
He explained that there are few roles of HIV Unit where they are involved in death caused by AIDS. HIV Unit are responsible sterilising the deceased,gaining permit for burial, and recording through E.Notification which is called as National AIDS Registry (NAR).
Briefing by HIV Unit went on for almost an hour and ended with Q&A session with Mr.Johari.
Around 4.15pm we starte dwith briefing by Mr Rosli b. Abdul Halim on TB Unit.
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| Briefing by Mr Rosli b. Abdul Halim |
Briefing was starte dwith introduction of group members and quickly we went into notification system which is done through E.Notification. TB Unit has its own written notification system which is called as TBIS.
Briefing on TB Unit went on for almost an hour. We gathered adequate information through Mr. Rosli. He was kind enough to provide us some of the documents which is used in recording and notifying TB. The session ended around 5.00pm....And of course we learned alot......
By,
Povaneswaran @ Vanesh 
HOW I GOT CURED OF HERPES VIRUS.
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