Biology Reference
In-Depth Information
Patient
Doctor
MOH
PHI
National
Epidemiology
Unit
RDHS/RE
Hospitals/GP
DGHS/DDG/PHS
Symptoms
Create BHT
Diagnose
Update
Notification
Register
Notify H544
Copy H544
Investigate
Verify Case
Complete H411
Make Entry in H700
Confirm Case
Return H544
and H411
Update
Notification
Register and H700
Submit H399 & Copy of H411a
Issue WER
& Quarterly
Epidemiological
Bulletin
Issue WER
& Quarterly
Epidemiological
Bulletin
Figure 13.2
Sri Lanka system's sequence of disease notification and reporting.
H-411 (
Communicable Disease Report Part 1
) and enters data in her outward
register. The data of all confirmed cases are also entered in the
Infectious
Diseases Register
(H-700) at the Public Health Inspector Office. The public
health inspector will then return the completed H-411 and H-544 to the
medical officer of health.
At the latter's office, on receiving the H-544 and H-411 forms from the pub-
lic health inspector, the Medical Officer of Health updates the notification
register and then enters data of confirmed cases in the Infectious Diseases
Register (H-700). For each confirmed case the form H-411a is completed using
the data on the form H-411 sent by the Public Health Inspector.
Every week the medical officer of health completes the
Weekly Return of
Communicable Disease
(WRCD-H-399) based on notifications in the Infectious
Diseases Register. The H-399 and H-411 forms for the particular week are sent
to the Epidemiological Unit in Colombo with copy to the regional epidemiolo-
gist. A third copy is retained in the Medical Officer of Health Office for future
reference. This is the most important activity of the Medical Officer of Health
in the notification system for which she is personally responsible. The officer
