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Center for Disease Control

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Center

Functions of the Center for Disease Control.

  1. The Center for Disease Control shall set the strategic agenda and mandate related to infectious disease surveillance as well as promotive, preventive and therapeutic aspects for infectious diseases of public health importance in Pakistan
  2. The Center shall perform such functions as are directed and assigned by the Federal Government or the Board including,-
    1. Advisory on epidemics, disease outbreaks, prevention, control, surveillance and response to an outbreak;
    2. Preparation and application of the principles and techniques of emergency and preparedness at the national and sub-national levels;
    3. Develop an Emerging Infections Unit, the functions of which shall include-
      1. Surveillance and monitoring of emerging infections and conditions of public health importance via scientific and modern methods and technologies;
      2. Analysis and interpretation of surveillance data and information;
      3. Formulation of emergency response to prevent, control and manage emerging infections;
      4. Formulation of disease prevention programs which shall institute population-based and individual based prevention interventions that aim to minimize the impact of emergency on the loss of life and property, and to reduce the risks associated with the disease;
      5. Drug and vaccine stockpiles;
      6. Health promotion and health security;
      7. Communication and coordination with international, national and sub-national organizations for development of strategies of disease control; and
      8. Dissemination of information and communication with the public for implementing controls and mitigation strategies.
    4. Develop a Diseases Specific Unit, the functions of which shall
      1. Management of ongoing special disease programs such as Polio, HIV, Hepatitis, Tuberculosis, Malaria etc.;
      2. Management of future emerging special disease programs as identified by experts such as carbapenem resistant Enterobacteriaceae, drug-resistant typhoid, COVID-19 etc.;
      3. Access, examine and incorporate emerging international developments in public health laboratory and drugs sciences;
      4. Preventive activities contained in a program may include vaccination and post-exposure prophylaxis, provision of information on behavioral and health risks, counselling, nutritional and food supplementation; hygiene and health services; and screening programmes for early detection of disease.
  3. The Center shall with the assistance of the Federal and Provincial Governments and all public authorities develop and maintain a surveillance system to monitor infections and conditions of public health importance.
  4. The Center shall develop a testing and quarantine policy for the augmenting of the contact tracing efforts of exposed or infected individuals, which shall be implemented in collaboration with the Federal and Provincial Health Departments and other the health authorities in Pakistan who shall all ensure assistance to the Center in implementation of the provisions of this Ordinance.
  5. The Center in implementing its functions and the provisions of this Ordinance shall ensure the highest standards of human respect, dignity and privacy and shall ensure maintenance of secrecy of personal health information and data of the citizens in a manner that the same is not disclosed to any person so as to cause any damage to the respect, dignity and reputation of a the citizens.

Public Health Bulletin

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The Public Health Bulletin (PHB) is a communication tool which is produced by Field Epidemiology & Disease Surveillance Division (FE&DSD), National Institute of Health to disseminate authentic & timely information regarding priority diseases from provinces and regions of Pakistan. The PHB presents a snapshot of disease status at provincial and district levels to health authorities to implement appropriate public health measures. The various sources of data are IDSR reporting, evidence based surveillance and outbreak investigations. PHB also aids in building capacity of health professionals by giving them opportunity to enhance their skills by writing reports about disease alerts, outbreaks and key public health interventions.

Program

Field Epidemiology & Laboratory Training Program

FELTP at Glance

The Field Epidemiology & Laboratory Training Program (FELTP) is the joint initiative of the NIH, MoNHSR&C and the Centres for Disease Control and Prevention (CDC) USA, aimed at strengthening the national capacity in disease surveillance and outbreak response. The Objective of FELTP is to strengthen the IHR core capacity of workforce for real time surveillance.

FELTP frontline course was launched in 2016. It is a short training course of 3 months duration. The training is designed for public health workers from all levels which are actively involved in surveillance work. Two frontline training courses have been completed while one is in process.

Downloadables

11 Cohorts (214 Field Epidemiologists):

  • 180 graduates from the two year training program (10 cohorts).
  • 33 fellows currently enrolled in three cohorts (11th Cohort).
  • Over 1500+ government officials trained through short courses.

National Stop Transmission of Polio (NSTOP)

2011: 16 FELTP trainees were deployed to 16 high-risk districts for polio as N-STOP officers in a new program designed by FELTP with partner’s collaborations

2018: 68 NSTOP officers (deployed in high-risk districts/areas and EOCs/ ERU), NSTOP remains one of the only government-owned program within the Global Polio Eradication Initiative

Sentinel Surveillance for Viral Hepatitis (A, B, C, D, E)

In response to the request of Prime Minister’s Hepatitis Control Program, FELTP established 5 sentinel surveillance sites-one in each province and one in Islamabad to identify risk factors for all types of viral hepatitis with a laboratory component. Monthly reports are being shared regularly with all hepatitis control programs in Pakistan.

Program Dates

  1. 2007­: Pakistan FELTP launched first training
  2. 2009: Acute Viral Hepatitis surveillance
  3. 2011: NSTOP
  4. 2013: Veterinarian joined 2 years FELTP program
  5. 2014: Pakistan Army doctors joined 2 years FELTP program
  6. 2016: Frontline

Institutionalizing FELTP

  1. Director of FELTP: Executive Director of Pak NIH
  2. Division of Field Epidemiology and Surveillance (DFES) Pak NIH
  3. Provincial Disease Surveillance and Outbreak Response units (PDSRU)
  4. A federal unit at NIH

IHR 2005 Compliance

Under the leadership of Ministry of Health, FELTP facilitated in drafting legislation for disease reporting which also fulfilled requirements for IHR 2005 compliance. A legislative document was approved with provincial feedback by MOH.

One Health

To strengthen zoonotic disease surveillance system and enhance collaboration with human and animal health sector a cooperative agreement was done with the National Agriculture Research Center (NARC). Ten veterinarians are currently enrolled in the FELTP.