Abstract

Methods: Electronic Integrated Disease Surveillance System EIDSS) was developed to address the shortcomings of the existing ystemsparticularly in especially dangerous infections surveillance nd than expanded to address all reportable diseases. Development s based on cutting-edge expertise from the Centers for Disease ontrol and Prevention, Walter Reed Army Institute of Research, nd others with more than 100 thousand man-hours of expertise ncorporated. Implementation of EIDSS normally takes from 3 to years and involves piloting of a vertical slice, customization to djust to health priorities, implementation of reports and standard ase definitions, building the backbone of the system, establishngevaluation criteria andperformancemonitoring, andevaluation f the system through test scenarios, table top exercises, legislaive reform, etc. Information security is paid close attention to ddress local legislation on security and personal data protection. omprehensive training program ranges from basics of computer nowledge to advanceddata analysis, and is provided through faceo-face, on-the-job to train-the-trainer and CBT (Computer Based raining) approaches. Early planning of system support, funding, nstitutionalizing training program is important for successful interal system sustainment. Results: EIDSS is currently deployed and sustained t more than 350 sites in the Republics of Kazahstan,Georgia,Azerbaijan,UkraineandArmeniaas a part of the ooperative Biological Engagement Program (CBEP) sponsored by he U.S. Defense Threat Reduction Agency (DTRA). EIDSS has fully eplaced paper reporting with electronic reporting inAzerbaijanith the rest of the countries on the way to fully accepting the lectronic system. Tens of thousand of cases are entered into the IDSS systems across these countries. Conclusion: Transformation of national human and veterinary isease surveillance system from paper into integrated electronic orm improved timeliness (it takes few minutes to proliferate otification through the system), increased data collection qualty through standardized formats, provided ability for integral data nalysis at different levels of the national system.

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