Appendix A: Summative Chart of Responsibilities, Roles and Collaborative
Involvement at the Surveillance Site, Laboratory and Ministry of Health
Provide participants with a copy of this chart once they have completed the activity.
Responsibility
•
Identify cases meeting the SARI case
definition
•
Collect specimens using appropriate
infection control practices
•
Prepare specimens for shipment to
the laboratory
•
Ship specimens to the laboratory
under appropriate biosafety
conditions
•
Complete data collection form
•
Compile the data
•
Evaluate the quality of data being
obtained
•
Conduct data analyses and prepare
epidemiologic reports weekly to be
sent to the next level
•
Immediately notify the Ministry of
Health of:
– Any unusual SARI cases
– Any situation outside of normal
parameters
Primary Team
Member(s) Responsible
Local Level Surveillance
Team
Notes
Can be accomplished:
 Using hospital registry
 Medical professionals
identify and report SARI
cases and deaths to
local level surveillance
team
Local Level Surveillance
Team
Local Level Surveillance
Team
Local Level Surveillance
Team
Local Level Surveillance
Team
In collaboration with
laboratory professionals
and Ministry of Health*
•
Identify issues with sample
collection, preparation, and transport
affecting lab results
Laboratory Professionals
Report to local-level
surveillance team directly
and/or Ministry of Health
Provide training on proper technique
for collecting, preparing and
transporting specimens
Laboratory Professionals
In collaboration with the
Ministry of Health
Confirm that biosafety standards for
handling and transporting specimens
are being followed
Laboratory Professionals
•
Process specimens on a timely basis
Laboratory Professionals
•
Provide quality control
Laboratory Professionals
•
Standardize tests
Laboratory Professionals
•
Provide supplies
Laboratory Professionals
•
Complete data collection form
Laboratory Professionals
•
Collaborate in the preparation and
dissemination of reports
Laboratory Professionals
In collaboration with locallevel surveillance team and
Ministry of Health*
•
Collaborate in data analysis and
process evaluation
Laboratory Professionals
Work with local-level
surveillance team, Ministry
of Health
•
Send influenza viruses to the U.S.
Centers for Disease Control and
Prevention (CDC) laboratory in
Atlanta
Laboratory Professionals
•
Send unsubtypeable influenza viruses
to the CDC lab in Atlanta
Laboratory Professionals
•
Monitor positivity of SARI samples for
influenza and other respiratory
infection to see if incidence is within
the expected ranges
Laboratory Professionals
•
•
•
•
Communicate results to the
surveillance site and Ministry of
Health
Laboratory Professionals
Communicate with locallevel surveillance team and
Ministry of Health
Report virologic results to PAHO and
WHO through the systems
Laboratory Professionals
*
established for the purpose
Ministry of Health SARI
Surveillance Team
In coordination with locallevel surveillance team and
laboratory professionals*
•
Coordinate the surveillance process
•
Collaborate with the laboratory to
conduct surveillance training and
awareness activities
Ministry of Health SARI
Surveillance Team
In collaboration with
laboratory professionals
provide training to locallevel surveillance team
•
Monitor activities in each hospital to
identify and resolve problems
Ministry of Health SARI
Surveillance Team
In coordination with locallevel surveillance team and
laboratory professionals
•
Promote integrated work between
laboratory and hospital
Ministry of Health SARI
Surveillance Team
•
Evaluate the quality of data being
obtained
Ministry of Health SARI
Surveillance Team
In collaboration with locallevel surveillance team and
laboratory professionals
Prepare the weekly national report
Ministry of Health SARI
Surveillance Team
In collaboration with locallevel surveillance team and
laboratory professionals
Ministry of Health SARI
Surveillance Team
Stakeholders include: Locallevel surveillance site;
Local, sub-regional,
regional health authorities;
Ministry of Health; PAHO;
and WHO
Ministry of Health SARI
Surveillance Team
Disseminate to: Local-level
surveillance site; Local, subregional, regional health
authorities; Ministry of
Health; U.S. CDC; PAHO;
and WHO
•
•
•
Disseminate weekly report to all
relevant stakeholders
Disseminate public health alerts
regarding events of national and/or
international importance
* Local, sub-regional, regional health authorities may also be involved in this responsibility