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SNTII
AL REPUBLICII
MOLDOVA
Content
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MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Definitions
Epidemiological surveillance - means the
systematic collection, recording, analysis,
interpretation and dissemination of data and
analysis on communicable diseases and related
special health issues (acc. to art.3 (d) of the
Decision 1082/2013/EU;
Event-based surveillance (EBS) - the organised
and rapid capture of information about events that
are a potential risk to public health including:
rumours/ad-hoc reports through formal channels
(no standard surveillance) or informal channels
(e.g. media reports, health workers, NGOs)
International Regulations
WHO International Health
Regulations (2005)
implemented by Governmental
Decision no. 475 from 26.03.2008
On the Approval of the Actions
Implementing the International
Health Regulations in the Republic
of Moldova
Official Monitor no. 69-71, art. 455
from 04.04.2008 http://www.who.org
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
International Regulations
Decizia 2119/98/CE a Parlamentului European si a
Consiliului din 24 septembrie 1998 de creare a unei
reele de supraveghere epidemiologic i control al bolilor
transmisibile n Comunitate
Decizia Comisiei 2000/96/CE privind bolile
transmisibile care vor fi incluse n mod progresiv n
reeaua Comunitii n conformitate cu Decizia nr.
2119/98/CE a Parlamentului European i a Consiliului
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
International Regulations
Decizia Comisiei 2002/253/CE de stabilire a definiiilor
de caz pentru raportarea bolilor transmisibile reelei
comunitare n conformitate cu Decizia 2119/98/CE a
Parlamentului European i a Consiliului cu modificarile
si completarile ulterioare.
Deciziei Comisiei 2000/57/CE privind sistemul de alert
precoce i de reacie pentru prevenirea i controlul
bolilor transmisibile n temeiul Deciziei nr. 2119/98/CE a
Parlamentului European i a Consiliului, cu modificarile
si completarile ulterioare.
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Guideline for
the supervision
and control of
nosocomial
infections
http://www.ms.m
d/sites/default/fil
es/legislatie/ghid
ul_de_supravegh
ere_si_control_in
-infectiilenosocomiale1.pd
f
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Reporting
Cases of infectious diseases are reported by
health care workers from the primary,
emergency, and specialized (infectious
diseases) healthcare and hospitals using
standard form approved by MoH order on
approving reporting form about detection of
communicable disease, intoxication, toxiinfection caused by food and/or occupation
site, adverse effect after vaccination nr.13
from 11.01.2011
http://ms.gov.md/sites/default/files/legislatie
/ordinul_nr._13_din_11.01.2011.pdf
Reporting formular
Register nr. 60
Dates
Established
by the
medical
institution.
Diagnosis by Doctor's
the
name,
Reg emergency surname.
Nr note
date
Birth date
(day, month,
year). For
children up to
1 month
please
specify
maternity
hospital and
Patient's date of
name,
discharge
surname ment
Place of
Home
work,
address.
studies,
Region,
education,
town, street, etc.
apartment Address. Of ilness
First
reque
st for
medic
al
asiste Hospitance lization
10
Last
visit to
the
place of
work,
studies,
etc.
Place
of
hospita
lization.
Stays
at
home.
11
12
Register nr. 60
In case of poisoning
Notes.
The product was
bought: date and
time. Number of
Final
Suspec people who have
Name, surname of the diagnosis.
ted
consumed the
person who has filled in Established
product
product.
Date Time
the form
. (date)
13
14
15
16
17
18
Results
of the
laborator
y tests
(type).
Research
was
conducted
by
(name,surn
ame).
19
20
21
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
I. Patient data
1 Final diagnosis
Established : day
month
year
month
year
2 Name, Surname
National
Assessment
level
MoH
Notification
Public health response
Intermediate level
Confirmation
Notification
Assesment
Local level
Detect events&risks
Report
Implement preliminary
control measures
National
Focal Point IHR
NCPH
Early warning
department
NCPH
Legislation/
regulation
MoH Ord.268/2009
on implementation
Gov.Decree
nr.475 /2008
MoH Ord.358/2009
on approving the
Center of public Center of preventive Case Definitions
health
municipal/rayon
Medicine
(army, police,etc.)
MoH Ord.368/2004
on approving the
list of evens for
Primary medical
Medical care
obligatory reporting in
care
institution
case of emergency situation
Municipality
(army, police,etc.)
and natural disasters
/rayon/national
Nu
Da
Raportarea la
nivelul naional,
investigarea
erupiei,
elaborarea
planului de
aciuni
Implementarea
planului, raport
final
nivel naional
Analiza
datelor la
nivel naional,
diseminarea
informaiei
Nivel
nregistrarea
zilnic n
registru
Generalizarea
datelor n
instituia
medical
Ancheta epidemiologic a
cazului
Raportarea
datelor la nivel
raional
(municipal)
Da
Este depistat o izbucnire
epidemic?
Nu
nregistrarea suspeciei la
erupie n registru
Investigarea
selectiv,
raportarea
datelor la nivel
naional
Analiza datelor,
diseminarea
informaiei
AMP
AMP
Case classification
according standard case
definitions, adjusted at the EU
Decisions:
Possible
Probable
Confirmed
Biologic
Chemical
Radiological
Assessment based on
Decision instrument (Annex
2 IHR (2005))
Status of cases
Rapoarte: Rapoarte
universale
Case Information
The event-based surveillance system is still in its implementation phase,
but it will eventually provide data regarding public health events.
Collected data are summarized in weekly, monthly and annual reports,
such as statistical evidence form no. 2 entitled Statistical report on
communicable and parasitic diseases.
Weekly surveillance report on Acute Diarrheic Diseases, and sentinel ILI,
ARI, SARI syndromes - weekly, routine surveillance data of infectious
morbidity - monthly and annually .
http://cspchisinau.md/ro/buletine-si-rapoarte/buletin-epidemiologic (Public Health Center
mun. Chisinau)
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Formular nr. 2
Sentinel surveillance
ILI, ARI, SARI (MoH order on the improvement of surveillance system for
influenza and acute respiratory infections nr.824 from 31.10.2011,
http://ms.gov.md/legislatie?field_legtip_tid=16&=Caut%C4%83,
Rotavirus infection (MoH order nr. 252 from 20.06.2008 on the
implementation of sentinel surveillance for rotavirus infection in the
Republic of Moldova, and MoH order 1238 from 07.12.2012 on the
assessment of the impact the introduction of rotavirus vaccine,
Pneumonia (MoH order regarding epidemiological sentinel surveillance of
community acquired pneumonia in children under 5 years MoH order
nr.1190 from 23.10.2013,
http://ms.gov.md/sites/default/files/legislatie/ord._1190_din_23.10.3_s
upravegherea_epidem._pneumonii_comunitare.pdf
Information dissemination
Scientific meetings
http://cnsp.md/submeniu.php?id1=50&id2=0,
Inter-sectoral governmental meetings, national
conferences, professional forum ,
http://ms.gov.md/?q=colegiul-ministerului
http://www.gov.md/libview.php?l=ro&id=6459&idc=4
36
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Information dissemination
Annual report
http
://cnsp.md/info.
php?id1=37&id2=2
1
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Applied epidemiology
Interventional epidemiology
Clinical infectious diseases
Public health management
Clinical microbiology
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
MINISTERUL
SNTII
AL REPUBLICII
MOLDOVA
Multumesc de atenie