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Updated on July 20, 2010

Centre for Epidemiology

 

The Epidemiology Division is a core division engaged in strengthening epidemiological services through training, surveillance, outbreak investigation & post-disaster health assessment services, and operational research. It coordinated the National Surveillance Programme for Communicable Diseases (NSPCD), which led to the Integrated Disease Surveillance Project (IDSP) launched on 8th November 2004.  The Division now conducts training for identified states to implement IDSP. It has conducted several operational research studies, which have provided valuable inputs for health programmes.

It is a WHO Collaborating Centre for Epidemiology & Training. The division also coordinates the responsibility of NICD as the National Focal Point for International Health Regulations (IHR). The Ministry of Home Affairs (MHA) has identified NICD as the nodal institute for health component of bioterrorism.

The Division focuses on:

·        Developing skilled manpower in epidemiology urgently required for strengthening the epidemiological capability in the centre and states/UTs. 

·        Emerging and re-emerging diseases and new diseases, like SARS and Avian Influenza.

·        Providing services for outbreak investigations and health assessment following disasters.

·        Developing expertise in areas like environmental, non-communicable diseases & disaster epidemiology

·        Application of latest tools of Information Technology, like GIS and web surveillance, in epidemiological practice.

·        Tackling the potential threat of bio-terrorism agents and increased preparedness and response for health consequences of disasters.

The Division of Epidemiology has the following sections:

                    i.            Epidemiological Surveillance & IDSP Training

                  ii.            Emerging/Re-emerging Diseases

                iii.            Water-Borne & Vaccine-Preventable Diseases

                 iv.            Vector-Borne & Zoonotic Diseases

                   v.            Non-Communicable Diseases & Occupational/Environmental  Health

                 vi.            Disaster Epidemiology & Bioterrorism Cell

               vii.            Public Health Legislation & International Health Regulations

             viii.            Field Epidemiology Training Programme 

The Division oversees the functioning of the NICD Branches located at Alwar (Rajasthan), Jagdalpur (Chattisgarh) and Coonoor (Tamil Nadu).

Highlight of activities from April to August, 2007

MANPOWER DEVELOPMENT

Development of trained health manpower in the field of epidemiology is an important activity of NICD. Currently, there is a shortage of professional trained field epidemiologists, at various levels of the public health system inIndia. NICD conducts two Field Epidemiology Training Programmes for health personnel from countries of South East Asia Region:

  1. A 3-month course in Field Epidemiology for public health professionals.
  2. A 4-week Regional Training course on prevention and control of communicable diseases for paramedical personnel

The Division of Epidemiology conducts regular training programmes and numerous other short-term training activities every year. The course curricula of these training programmes are designed and tailor-made to develop the necessary need-based skills for the health professionals. The participants to these courses come from different States/ Union Territories of India. In addition, trainees from some of the neighbouring countries like Bangladesh, Bhutan, Sri Lanka, Myanmar and Nepal also participate in some of the training programmes.

The courses organized recently include:

1.      One month Regional Training Programme on prevention and control of communicable diseases for Paramedical Personnel of South East Asia Region (7 August to 3 September 2007). Sixteen participants from India and Maldives attended this programme.

2.      Two week disease surveillance and field epidemiology training programme for district surveillance officers IDSP was organized from 16 to 28 July, 2007. A new curriculum and training package specially developed for this programme was pilot tested in this course and finalized with changes. 

The World Health Organization, SEARO has selected NICD for piloting the new three-month Field Epidemiology Training Programme with a revised curriculum. The course will commence on 11th September 2007. 18 participants from various countries in the South-east Asia region will attend this training. NICD is developing Training Modules for new FETP course under APW with WHO/SEARO.


 

Master of Public Health (Field Epidemiology) [MPH (FE)] course

NICD has launched 2-year MPH (Field Epidemiology) course with affiliation from the Guru Gobind Singh Indraprastha University, Delhi for developing a pool of public health professionals in the discipline of Field Epidemiology for manning the various positions in centre and states/UTs and for providing epidemiological support to the National Rural Health Mission, the Integrated Disease Surveillance Project and the various National Health Programmes in addressing public health needs and priorities efficiently and effectively.

The first batch of MPH (FE) scholars commenced training on 1 March 2006. The batch has 19 scholars. The second batch started in August 2006 and has 17 scholars including 3 WHO Fellows (2 from DPR Korea and 1 from Nepal ). The third batch started in August, 2007 with 11 scholars.

 

OUTBREAKS INVESTIGATED/ RAPID HEALTH ASSESSMENT  

Officers from the division of Epidemiology carry out investigations of outbreaks in the country and provide advice on containment measures to the state authorities. Some of the recent outbreaks investigated are: 

   (i)         Chikungunya fever in Jaggasandra village, Bengalooru rural district, Karnataka state (30 March to 3 April, 2007)

 (ii)          Investigation of seven deaths in children following vomiting in Madatola Village, Nagod Block, Satna district, Madhya Pradesh (30 March to 1 April, 2007)

(iii)          Investigation of deaths due to fever in Nadia district of West Bengal (2-4 May, 2007)

(iv)          Field investigation following Poulty Deaths in Matigara block, Siliguri, Darjeeling, West Bengal (10-14 May 2007)

 (v)          Investigation of Chikungunya Fever outbreak in Kerala (27-30 May 2007)

(vi)          Investigation of Mysterious illness in Kerala (14-18 July 2007)

(vii)          Investigation of Acute Encephalitis Syndrome (AES)/Japanese Encephalitis in Gorakhpur and Basti Division (30 July to 6 August 2007)

(viii)          Investigated typhus fever in Himachal Pradesh (August, 2007)

(ix)          Monitored the bird flu related activities in Imphal, Manipur (July-August 2007)

 (x)          Investigation of deaths due to acute gastroenteritis in Kazipur Village in Rayagada district of Orissa state (26-28 August, 2007 and second team from 28 August, 2007)

Memorandum of Understanding with Department of Drinking Water Supply for Community-based National Water Quality Monitoring and Surveillance Programme (NWQMSP) in various States

A Memorandum of Understanding (MoU) between the Department of Drinking Water Supply (DDWS), Ministry of Rural Development, GOI and the National Institute of Communicable Diseases (NICD), Ministry of Health & Family Welfare for community-based water quality monitoring and surveillance programme in the country was mutually agreed and signed on 2nd February, 2006.

The objective was to lay down modalities to ensure provision of safe and potable drinking water to rural areas by provider of drinking water. NICD has been identified as National Referral Institute (NRI) to provide technical consultancy and advice to DDWS in administering and implementing Water Quality Monitoring & Surveillance Programme (WQM&SP) in the following areas:

·        Strengthening and upgradation of water quality testing laboratory at different State and District levels.

·        Specification of laboratory equipment and reagents for Water Quality Monitoring (WQM) tests.

·        Supervisory visits to review the situation in the field and laboratory in different states.

·        Interpreting and evaluating the data pertaining to drinking water quality referred by DDWS or state level referral institutions and establishing linkages between water quality monitoring and surveillance and trend of water- borne diseases.

·        Assess technical aspect of State level Referral Institution/Laboratory and other participating laboratories in this programme.

·        Inspect the water quality testing facilities available in different laboratories.

 

Activities carried out by NICD under MoU

·        Three training courses have been conducted for Water Quality Monitoring and Surveillance Programme covering 65 State level officers, such as Public Health Engineers or Chief Chemists working at State Public Health Engineering Laboratories during July – September 2006.  

·        To identify technical and methodological gaps and other laboratory related problems for implementation of the programme, NICD faculty have assessed 14 State Level Public Health Engineering Laboratories/State Referral Laboratories (SRL) of Andhra Pradesh, Gujarat, Haryana, Himachal Pradesh, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Pondicherry, Punjab, Rajasthan, Tamil Nadu, Uttar Pradesh and West Bengal.

·        Reviewed the training manuals for state, district, block and village level and provided comments/suggestions for finalization and printing. 

·        Several meetings, conferences and workshops attended on Water Quality Monitoring related subjects organized by DDWS.

  

OTHER ACTIVITIES

   (i)          Coordinated signing of Memorandum of Understanding (MoU) between Secretary, Department of Health & Family Welfare, Government of India and Regional Director, WHO/SEARO at Nirman Bhavan, New Delhi for establishment of Regional Sub-unit of WHO on Communicable Diseases Surveillance and Response at NICD, Delhi (4th April, 2007).

 (ii)          Coordinated signing of Memorandum of Collaboration between Addl DG & Director, NICD and Executive Director, National Board of Examination for strengthening public health training in India, at NICD, Delhi, on 29th April 2004.

(iii)          Organised WHO-sponsored workshop of stakeholders for preparedness for implementing IHR (2005) at NICD, Delhi on 14th June 2007

(iv)          Selection test for third batch of MPH (FE) students for 2007-08 was held on 24th June, 2007. Based on the results of entrance test, counseling committee held two meetings and admitted 11 candidates

 (v)          Providing technical support to the PH Division of the Ministry of Health & Family Welfare in finalizing draft of Public Health Emergency Bill.

(vi)          Induction ceremony of the new (3rd) batch of 11 MPH (FE) students was held on 6th August 2007 at NICD, with Dr J.P. Narain, Director, CDS, WHO/SEARO, as chief guest and Dr A.K. Sood, Executive Director, NBE as special invitee.

(vii)          National Polio Surveillance Programme (NPSP) evaluation of the state of Maharashtra has been carried out by Dr Uma Chawla, JD & Coordinator (Epid.)

(viii)          Check-list for outbreak investigation is finalized and is being disseminated

 

FACULTY:

The division has the following officers:

Dr S. Venkatesh, Joint Director & Head

Engaged in capacity building and research, developed curriculum and planned the MPH (Field Epidemiology) course, Coordinated with WHO/SEARO for establishment of Regional Sub-unit on CSR and with National Board of Examinations for development of public health training.

Dr Uma Chawla, Joint Director & Coordinator

Supervises the Outbreak Monitoring cell, interested in vaccine-preventable diseases and water-borne diseases.  Implemented MOU with Department of Drinking Water Supply on field-based water quality monitoring and surveillance.

 Dr Avdhesh Kumar, Joint Director

Working on Health Legislations with focus on implementation of International Health Regulations and drafting of new legislation on public health emergencies. Interested in disaster epidemiology, and avian influenza. Carrying out Operational Research study on networking of Infectious Disease Hospitals in disease surveillance.

 Dr S.K. Jain, Joint Director

Coordinator for Field Epidemiology Training Programmes, working on viral encephalitis and typhus fevers, has done a project on Epidemiology of Road Traffic Accidents as part of WHO Fellowship at NIMHANS, Bengalooru.

 Dr J.A. Khan, Deputy Director

Working on vector-borne diseases, especially dengue/DHF and Chikungunya, and zoonotic diseases. Coordinates work related to health aspects of bioterrosim and the work of NICD Branches attached to Epidemiology Division.

 Dr S.K. Misra, Senior Medical Officer

Involved in training programmes, supervising field work. Interested in non-communicable diseases.

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