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Global surveillance in chronic or acute infectious are really important
issues.Working in the area of pidemiology in one of the least developed
country, one important issue that remains for me is to strengthen the system to
and report data scientifically, so that magnitude can be measured
quantitatively,rather than the subjective impressions of professionals.
Do we have enough in...
Do we have enough infrastructures for a surveillance system?
We are planning a 'patch up' approach for example with polio.What will
happen after five years, once the project is over in a country
where not a single laboratory is available to test the polio
virus be it from the wild or vaccine initiated? Our country's capacity to take the initiative
is decreasing. A vertical approach is prominent
and one more silent epidemic of chronic diseases
will not be tackled the way it should be, because there is no
institution to tackle such a problem. Identifying the problem is one step
but to build resources so that it can continue on its own is another. A surveillance system can not be
isolated without improving the overall health system.
Paras K Pokharel