8.5. Proposed Event Based Surveillance reporting form dictionary
| VARIABLE | DEFINITION |
|---|---|
| 1. Unique identifier: | The unique identifier refers to a group of characters formed with: (a) year (YYYY), (b) region/district using the 2-digit format (00), (c) facility code/ facility name and (d) sequential event number where the possible event is referred. Start sequential numbering from 1 at the start of each year. E.g. The unique identifier for the first event of 2023 would be 2023 -region- facility code and facility name -1; for the second event it would be 2023 - region and facility code/ facility name - 2. The sequential number is the same as the number for the primary reporting person. If the same event is reported more than once, is registered and after compared, and one of them completed and remains in the register. |
| 2. Event type (check as applicable): | Refers to the type of event (Human, non-human, biological, radio nuclear, chemical, zoonotic, disaster, hazards - natural or man-made -, and other) as identified by the reporter. Check as many as applicable. |
| 3. Data Source | |
| a. Name of reporting person | Full name (first and last name) of the person reporting the event. |
| b. Institution of reporting person | Name of the institution (health facility, ministries, non-organizations etc) of the person reporting the event if applicable. |
| c. Phone number - reporting person | Mobile or land line number of the person reporting the event. |
| d. E-mail of reporting person | E-mail address of the person reporting the event. |
| 4. Date of report | Refers to the date the event is reported using the DD-MM-YYYY format. |
| 5. Date of onset of the event | Refers to the date of onset of the even reported (DD-MM-YYYY). The date of detection (DD-MM-YYYY) of the event can be entered if the date of onset is not known. |
| 6. Time of onset of the event | Refers to the time the event started, if applicable, using the 24 hour clock. |
| 7. Geographic area | Refers to the geographic divisions within the country, e.g. region, district, sub-district, towns, villages, wards, etc. using the geopolitical division of Guyana. |
| 8. Description of the event | This refers to the number of cases, number of deaths, symptomatology, actions taken so far and the outcome/result, as well as demographics (sex & age distribution, etc.) as applicable. It can also include the description of a risk that has not caused disease yet, i.e. possible food or water contamination, accidents in different settings like schools or workplace, potential risk for human health, consequences of natural disasters or accidents, animal diseases, situation at Point of Entry or in borders, problems that seriously affect health services in a hospital, any health – related event, etc. |
9. Which criteria under Annex 2 did the event meet (check all that applies)? | Refers to the criteria for assessment and notification of events that may constitute a public health emergency of international concern. The criteria are as follows:
|
| 10. Laboratory Test conducted: | Check Yes [ ] or No [ ] if laboratory test was conducted or not. |
| 11. If yes, date | If No. 10 was answered YES, this refers to the date (DD-MM-YY) the laboratory test was conducted. |
12. Description of lab results: | This refers to the description of the results of the laboratory analysis (can be known or not because takes time for processing). |
| 13. Declared event: | This refers to the consensus of the regional team on whether the situation is an event or not (after which MOPH will review). Check Yes [ ] or No [ ] |
| 14. Risk Assessment conducted: | Refers to the rapid risk assessment conducted by the Regional-District or any local team using Annex - Rapid Risk Assessment WHO EBS 2008. MOPH may or may not participate due to the nature of the event. Check Yes [ ] or No [ ] |
15. Actions taken, if it is an event | Describe |
| 16. Report received by: | Full name (first and last name) of the staff at Regional level or Ministry of Public Health receiving the report from the Region. |