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The need for epidemic intelligence

A B Bloch1, I M Onorato, W W Ihle

  • 1Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA 30333.

Public Health Reports (Washington, D.C. : 1974)
|January 1, 1996
PubMed
Summary
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Expanded tuberculosis surveillance was implemented in 1993 to address rising drug-resistant tuberculosis cases. This system collects vital patient data for improved management and public health policy.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Control

Background:

  • Tuberculosis (TB) morbidity and outbreaks of multidrug-resistant TB (MDR-TB) have significantly increased.
  • A national consensus in the early 1990s highlighted the need for comprehensive TB problem definition.

Purpose of the Study:

  • To implement and utilize an expanded tuberculosis surveillance system nationwide.
  • To gather detailed epidemiologic and case management data for TB control.

Main Methods:

  • Nationwide implementation of expanded tuberculosis surveillance in January 1993.
  • Addition of key variables to the Report of Verified Case of Tuberculosis form, including patient health status, HIV status, drug susceptibility, treatment regimens, and therapy completion.
  • Monitoring of directly observed therapy (DOT).

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  • Collection of data on high-risk populations and substance abuse.

    • Main Results:

    • The surveillance system enables comparison of care quality between public and private sectors.
    • Comprehensive data collection on patient demographics, risk factors, and treatment outcomes.
    • Provides crucial information for patient management, policy development, and resource allocation.

    Conclusions:

    • Expanded tuberculosis surveillance is essential for optimal patient management.
    • The system supports effective policy development, resource allocation, and program planning at all government levels.
    • Enhanced data collection is critical for TB program evaluation and improvement.