Parliament Question: Integrated Disease Surveillance Project

Executive Summary: The Integrated Disease Surveillance Programme (IDSP) is implemented across all 36 States/UTs, including the Mahesana district, through Central, State, and District level Surveillance Units. It focuses on the surveillance of over 50 epidemic-prone diseases. The program aims to strengthen decentralized, lab-based, IT-enabled disease surveillance and create Rapid Response Teams (RRTs). The Lok Sabha question regarding the IDSP was answered on August 1, 2025. Key Points / Main Content: * **Objectives of IDSP:** * Strengthen and maintain a decentralized, laboratory-based, IT-enabled disease surveillance system. * Monitor disease trends. * Detect and respond to outbreaks in their early stages. * Create trained Rapid Response Teams (RRTs) at District, State, and National levels. * **Surveillance Tools:** * Syndromic (S) form: Completed by Auxiliary Nurse Midwives (ANMs) at the Sub-center level. * Presumptive (P) form: Completed by Medical Officers at health facilities. * Laboratory (L) form: Completed by laboratories based on standard case definitions. * **Laboratory Network:** * Designated laboratories in each state, including District Public Health Laboratories (DPHLs) and State Referral Laboratories (SRLs), for investigation and surveillance. * **Outbreak Response and Media Monitoring:** * Tracks the number of outbreaks reported and responded to. * Media Scanning and Verification Cell (MSVC) generates media alerts for timely action. * **COVID-19 Pandemic Response:** * IDSP led surveillance of international passengers and community surveillance. * Provided data and technical inputs to the Ministry of Health and Family Welfare (MoHFW). * Monitored the response and guided States/Districts. * Conducted genomic surveillance for new variants through INSACOG. * **Emerging and Re-emerging Diseases:** * Plays a crucial role in the prompt response and surveillance of diseases like Crimean-Congo Hemorrhagic Fever (CCHF), Zika, Nipah, Ebola, Mpox, etc. * Actively contributes to outbreak investigations, guideline distribution, and laboratory testing. * **Special Surveillance:** * Provides public health support during disasters and mass gatherings, such as Kumbh Mela and Amarnath Yatra. * **Public Health Emergency Operations Centre (PHEOC):** * Acts as a central emergency facility, managing outbreaks (H1N1, Nipah, etc.), public health crises, and mass events. Impact Analysis: * **Central, State, and District Level Surveillance Units:** * *Impact:* Responsible for implementing and maintaining the IDSP. * *Action Required:* Continue to strengthen surveillance systems, monitor disease trends, and respond to outbreaks. * **Auxiliary Nurse Midwives (ANMs):** * *Impact:* Responsible for initial surveillance and reporting at the sub-center level. * *Action Required:* Accurately fill out and submit Syndromic (S) forms. * **Medical Officers:** * *Impact:* Responsible for surveillance and reporting at health facilities. * *Action Required:* Accurately fill out and submit Presumptive (P) forms. * **Laboratories (DPHLs, SRLs):** * *Impact:* Responsible for confirming diagnoses and contributing to surveillance data. * *Action Required:* Accurately fill out and submit Laboratory (L) forms. * **Rapid Response Teams (RRTs):** * *Impact:* Responsible for responding to outbreaks at the District, State, and National levels. * *Action Required:* Maintain readiness and respond effectively to outbreaks. * **General Public:** * *Impact:* Benefits from improved disease surveillance and outbreak response. * *Action Required:* Cooperate with surveillance efforts and follow public health guidelines.

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