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AES Guidelines

Apr 07, 2018

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    AESF1/1A = AES Cases & JE cases reporting Form from the States

    SSSL = Sentinel Surveillance Sites with laboratory facilities

    SSS = Sentinel Surveillance Sites without laboratory facilitiesIU = Informer Unit

    AESF2/2A = AES Cases & JE cases reporting Form from the Districts

    AESF3 = Line l isting Form

    AESF4 = Case Investigation Form

    AESF5 = Laboratory Report Form

    I N F O R M A T I O N F L O W D I A G R A M

    3.6 Surveillance activities at the national

    level

    The national level receives daily/weekly/monthly

    reports as per the disease status i.e daily report

    i n o ut br ea k s it ua ti on , w ee kl y r ep or t i n

    transmission period and monthly report in inter-

    epidemic period from various states. At the

    national level,the data from thestatesis collated

    and compiled to prepare the national report with

    epidemiological inferences. National data may

    be shared with international organization and

    other Institutes in due permission of concerned

    authorities. These reports will form the basis for

    planning JE containment activitiesand allocation

    of resourcesto the affectedareas.

    NVBDCP

    STATES SPO

    DISTRICTSDMO

    SSSL SSS IU

    AESF3,AESF4AESF3, AESF4, AESF5

    AESF2, AESF2A

    AESF1, AESF3

    AESF5

    AESF-1A & AESF-2A during an outbreak

    10

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    Annexure

    JE Reporting Formats

    PROFORMAFOR

    MONTHLYREPORT

    ON

    ACUTE

    ENCEPHALITISSYNDROME

    CASES/

    JAPANESE

    ENCEPHA

    LITIS

    *F

    ROMSTATES

    Sta

    te________________D

    istric

    t_________________

    Per

    iod

    inc

    lude

    dinth

    ere

    port:From

    ________________to__

    _____________________

    Dat

    eo

    fR

    eport:

    No

    .o

    fC

    asesreporte

    d

    Agew

    ise

    No

    .o

    fD

    ea

    thsreporte

    d

    Agew

    ise

    Cumu

    lati

    ve

    total

    No

    .fo

    un

    d+v

    e

    for

    JE

    Remarks

    **

    0-1 ?

    1-5

    6-1

    5

    >15

    yrs

    .

    To

    tal

    0-1 ?

    1-5

    6-1

    5

    >15

    yrs

    To

    tal

    C

    ases

    Dea

    ths

    S

    l.

    N

    o

    Name

    of

    the

    District

    Dis

    ease

    No

    .o

    f

    aff

    ec

    t

    ed

    PHC

    s

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    V

    N

    V

    N

    No

    .o

    f

    Samp

    les

    co

    llec

    ted

    V

    N

    AES

    JE

    AES

    JE

    AES

    JE

    C:C

    ases

    D:

    Dea

    th

    M:

    Ma

    leF

    :F

    ema

    le

    V:

    Vacc

    ina

    ted

    N:

    Not

    Vacc

    ina

    ted

    **M

    entioncausesof

    encephalitisor

    AESunknown

    .

    (Name

    &Signa

    ture

    )

    Des

    igna

    tion

    Sen

    dth

    isre

    port

    toN

    VBDCP

    ,Ne

    wDe

    lhi

    by

    Fax

    No

    .011

    -23968329

    ,e

    -ma

    il:namp

    @n

    dc

    .vsn

    l.ne

    t.in

    AESF

    1

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    P

    ROFORMAFOR

    DAILY/WEEKLY

    REPORT

    ONACUTEE

    NCEPHALITIS

    SYNDROME

    CASES/

    JAPANESE

    ENCEPHALITIS

    *F

    ROMSTATES

    S

    tate

    ___________

    Year

    _____

    Month

    _________

    Weekly

    Re

    port

    (from---------to---------)

    /D

    aily

    Report

    (date--------

    )

    Sl.

    No

    Nameo

    f

    the

    District

    Disease

    During

    thewee

    k/day

    Progress

    ive

    Tota

    l

    (From

    1st

    Januaryto

    ------------

    )

    Remarks

    Cas

    es

    Dea

    ths

    No

    .o

    f

    samp

    les

    co

    llec

    ted

    No

    .fou

    nd

    +v

    efor

    JE

    Cases

    Dea

    ths

    No

    .o

    f

    samp

    les

    co

    llec

    ted

    No

    .fo

    un

    d

    +v

    efo

    rJ

    E

    AES

    1

    .

    JE

    AES

    2

    .

    JE

    *=

    Da

    ilyreport

    duringep

    idem

    ic/out

    brea

    kan

    dwee

    klyreport

    intransm

    iss

    ionseason

    (N

    ame

    &Signature)

    Designation

    D

    uring

    ou

    tbrea

    ks,s

    en

    dth

    isrep

    ort

    da

    ilytoN

    VBDCP

    ,N

    ew

    Delhi

    Fax

    No

    .011

    -23968329

    ,e

    -ma

    il:namp

    @n

    dc

    .vsn

    l.ne

    t.in

    AESF

    1A

    PRO

    FORMAFOR

    MONTHLYREPO

    RTONACUTEENCEPHALITIS

    SYNDROMECASES/

    JAPANESEENCEPHALITIS*

    FROM

    DISTRICTS

    Stat

    e________________

    District__

    _______________

    Peri

    odinc

    lude

    dinthereport:

    From

    ________________

    to_______

    ________________

    Date

    of

    Report:

    No

    .o

    fC

    asesreporte

    d

    Agew

    ise

    No

    .o

    fD

    ea

    thsreporte

    d

    Agew

    ise

    Cumu

    lative

    total

    No

    .fo

    un

    d+ve

    for

    JE

    Remarks

    **

    0-1 ?

    1-5

    6-1

    5

    >15yrs

    .

    To

    tal

    0-1 ?

    1-5

    6-1

    5

    >15yrs

    To

    tal

    Cases

    Dea

    ths

    Sl.

    No

    Name

    of

    the

    SSSL

    or

    SSS

    Disease

    No

    .o

    f

    affec

    t

    ed

    PHCs

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    M

    F

    V

    N

    V

    N

    No

    .o

    f

    Samp

    les

    co

    llec

    ted

    V

    N

    AES

    JE

    AES

    JE

    AES

    JE

    C:Cases

    D:

    Dea

    th

    M:

    Ma

    leF:

    Fema

    le

    V:

    Vacc

    ina

    ted

    N:

    No

    tV

    acc

    ina

    ted

    **Men

    tioncauseso

    fe

    ncep

    ha

    litisor

    AESun

    known

    .

    (Name

    &Signa

    ture

    )

    Des

    igna

    tion

    Sen

    dthisreport

    toStateProgramm

    eOfficer

    (SPO),

    __________b

    yFax

    Num

    ber

    ________

    or

    em

    ail

    id

    AESF2

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    PROFORMAFOR

    DAILY/WEEKLY

    REP

    ORT

    ONACUTEENCEPHALIT

    ISSYNDROMECASES/

    JAPANESEENCEPHALITIS*

    FROMDISTRICTS

    State

    __________D

    istric

    t__________Y

    ear

    ________W

    ee

    kly

    Report

    (from---------t

    o---

    ------

    )/D

    aily

    Report

    (da

    te--------

    )

    Sl.

    No

    Name

    of

    the

    Sen

    tine

    l

    Surve

    illance

    Sites

    Disease

    During

    thew

    ee

    k/day

    Progre

    ss

    ive

    To

    tal

    (From

    1s

    tJa

    nuary

    to------------

    )

    Remarks

    Cases

    Dea

    ths

    No.o

    f

    Samp

    les

    colle

    cted

    No

    .fo

    un

    d

    +v

    efo

    rJE

    Cases

    Dea

    ths

    No

    .o

    f

    Samp

    les

    co

    llec

    ted

    No

    .fo

    un

    d

    +v

    efo

    r

    JE

    AES

    1.

    JE

    AES

    2.

    JE

    *=

    Da

    ilyreport

    duringepid

    em

    ic/o

    utbrea

    kan

    dwee

    kly

    report

    in

    transm

    iss

    ionseason

    (Name

    &Signa

    ture

    )

    Des

    igna

    tion

    Duringou

    tbrea

    ks

    ,s

    en

    dth

    isreport

    da

    ily

    toStateProgramm

    eOfficer

    (SPO),

    __________

    by

    Fax

    Num

    ber

    ________

    or

    email

    id

    AESF

    2A

    LinelistofA

    ES/JECases

    Mon

    thly/

    Wee

    kly/

    Da

    ily

    Rep

    ort

    (Enc

    irc

    leth

    ea

    ppropria

    te*)

    Thisreportisse

    ntfrom

    ________________

    ______(SpecifyNameof

    SSS/District/State)

    Perio

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