WEBVTT

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SPEAKER: Now let's take a look
at innovations and lessons

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learned from surveillance
and outbreak response.

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So from the reading on
polio outbreak in Syria,

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can we discuss why are
conflict settings especially

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challenging for
maintaining and setting up

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surveillance systems?

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And what strategies have been
utilized to detect and control

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outbreaks in such
settings, both successfully

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and unsuccessfully?

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Can you also tie the case
study from the polio outbreak

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in the Horn of Africa?

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To overcome challenges
in keeping up

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AFP surveillance for
the [? heartbeats ?]

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area, or after polio
is gone from an area,

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many countries have tried
innovative approach.

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For example, in
this case in Kenya,

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which has been polio
free for over a decade,

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integrated AFP surveillance
and routine immunization

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supervision is done
via cell phone basis.

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Another innovative
approach, which

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can help to assess
inaccessible areas,

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is this example from Nigeria.

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These maps from
Nigeria, so security

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compromised area, where the
polio program relies in part

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on community informants.

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Another example is using
geographical information system

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for surveillance to detect
and manage an outbreak.

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This example from the
Democratic Republic

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of Congo in 2006 and 2007
in which GIS is used to

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map the partial distribution
of cases during the outbreak.

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This is the first use of Google
Maps in DRC polio outbreak.

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And they use population and data
to geocode cases and identify

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at-risk risk populations.

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The same system then used to
detect Ebola outbreak cases

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in this area.

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So what are the lessons
learned from polio eradication

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surveillance system?

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One is that active surveillance
depends above all on early

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detection and timely action.

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Keeping ahead of the virus
requires a well managed system

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for detecting cases.

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Without an appropriate
response, surveillance fails.

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The driving force
for surveillance

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is an immediate response
with full investigation,

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followed by confirmation
an outbreak immunization.

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The AFP surveillance
has adopted a system

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that is standardized
throughout the world,

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using the same
tools, indicators,

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and reporting system
in every country.

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And this standard the
system has greatly

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strengthened collaboration
with immunization partners,

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by setting uniform
data on a weekly basis,

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and advocating for
action and support

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where risk and
weakness are detected.

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So that's the end
of our session.

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And thank you for
watching this video.

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