PMID- 21954257
OWN - NLM
STAT- MEDLINE
DCOM- 20111115
LR  - 20110928
IS  - 1537-6613 (Electronic)
IS  - 0022-1899 (Linking)
VI  - 204 Suppl 2
DP  - 2011 Sep 1
TI  - Lessons learned from integrated surveillance of measles and rubella in the 
      Caribbean.
PG  - S622-6
LID - 10.1093/infdis/jir437 [doi]
AB  - The Caribbean subregion was one of the first areas to successfully integrate 
      measles and rubella surveillance, and it can serve as an example to other 
      subregions on how to achieve similar success. The integrated surveillance system, 
      established through strong political commitment by Caribbean countries, is 
      coordinated by the Caribbean Epidemiology Centre (CAREC). The system, which 
      became operational in January 2000, is designed to detect and investigate 
      patients with fever and rash illness, and also test a blood specimen from each 
      case investigated. During over 9 years of operation, 3733 cases were reported and 
      investigated. Laboratory tests identified 2 imported cases of measles, 27 cases 
      of rubella, 309 cases of dengue, and 260 cases of human herpesvirus 6 (HHV-6) 
      infection. The lessons learned from the success of this integrated system 
      indicate that the following factors are critical: strong political commitment, 
      strong technical oversight from all levels within the health-care system, the use 
      of proven tools or systems and technology for data collection and analysis, 
      integration with other surveillance activities, continuing training, and 
      continuing review and evaluation.
FAU - Irons, Beryl
AU  - Irons B
AD  - Pan American Health Organization, Washington, District of Columbia, USA. 
      ironsber@carec.paho.org
FAU - Morris-Glasgow, Victoria
AU  - Morris-Glasgow V
FAU - Andrus, Jon Kim
AU  - Andrus JK
FAU - Castillo-Solorzano, Carlos
AU  - Castillo-Solorzano C
FAU - Dobbins, James G
AU  - Dobbins JG
CN  - Caribbean Surveillance Group
LA  - eng
PT  - Historical Article
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Infect Dis
JT  - The Journal of infectious diseases
JID - 0413675
RN  - 0 (Rubella Vaccine)
SB  - IM
MH  - Caribbean Region/epidemiology
MH  - Communicable Disease Control/history/methods
MH  - Health Policy
MH  - History, 20th Century
MH  - History, 21st Century
MH  - Humans
MH  - Measles/*epidemiology
MH  - Politics
MH  - Population Surveillance
MH  - Rubella/*epidemiology/prevention & control
MH  - Rubella Vaccine/administration & dosage/immunology
FIR - Christopher, Gracita
IR  - Christopher G
FIR - Martin, Jean
IR  - Martin J
FIR - Collie, Amelia
IR  - Collie A
FIR - Fernandez, Elizabeth
IR  - Fernandez E
FIR - Waight, Eufemia
IR  - Waight E
FIR - Jackson, Lynn
IR  - Jackson L
FIR - Evans, Edith
IR  - Evans E
FIR - Ebanks, Alice Jane
IR  - Ebanks AJ
FIR - Bruney, Vilma
IR  - Bruney V
FIR - Mungo, Monica
IR  - Mungo M
FIR - Woolford, Janice
IR  - Woolford J
FIR - Lewis-Bell, Karen
IR  - Lewis-Bell K
FIR - Brown, Violet
IR  - Brown V
FIR - O' Brien-France, Marguerite
IR  - O' Brien-France M
FIR - Auguste, Ava
IR  - Auguste A
FIR - Mandeville, Kathleen
IR  - Mandeville K
FIR - Sabiran, Soekirman
IR  - Sabiran S
FIR - Sundaraneedi, Krishna
IR  - Sundaraneedi K
FIR - Campbell-Sutton, Jackurlyn
IR  - Campbell-Sutton J
EDAT- 2011/11/01 06:00
MHDA- 2011/11/16 06:00
CRDT- 2011/09/29 06:00
PHST- 2011/09/29 06:00 [entrez]
PHST- 2011/11/01 06:00 [pubmed]
PHST- 2011/11/16 06:00 [medline]
AID - jir437 [pii]
AID - 10.1093/infdis/jir437 [doi]
PST - ppublish
SO  - J Infect Dis. 2011 Sep 1;204 Suppl 2:S622-6. doi: 10.1093/infdis/jir437.