Transcript The Public Health SoNG

What’s in a SoNG?
(the SoNG that never ends……)
RHD NT workshop October 2016
Menzies School Health Research
Claire Boardman
Deputy Director, RHDAustralia
BN, Cert IC, MPH, CICP, Senior Lecturer Griffith University Qld.
LEVELS of PREVENTION
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PUBLIC HEALTH & THE LAW
NT Notifiable Diseases Act (ARF not RHD)
Schedule of Notifiable Conditions (CDNA for
National) and jurisdictions
Laboratory and clinical notifications
Responsibility:
– Private Doctor
– Pathologists
– CEOs of Hospitals
• Complication of a communicable disease?
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A SONG generally covers
Public Health priority and why
Case management
Disease and transmissibility
Routine prevention activities
Surveillance and data management
Communications
Case definitions
Laboratory reporting
Special situations
What’s different about this ARF/RHD SoNG?
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2nd ed of National Guidelines for ARF & RHD
Environmental Health
Housing
Outbreak response
Controversial at times
Difficult to strike a balance
Strong evidence not always available
Jurisdictional requirements
Other SoNGs
Dengue
Hendra virus
Hepatitis A
Influenza Infection
Legionellosis
Legionnaires’ disease
Measles
Haemophilus influenzae type b Invasive Infection
Avian influenza in humans
Hepatitis C
Human Immunodeficiency virus (HIV)
Invasive Meningococcal Disease
Listeriosis
Middle East Respiratory Syndrome Coronavirus (MERS-CoV)
Murray Valley Encephalitis Virus - National Guidelines for Public Health Units
Psittacosis (Ornithosis)
Rabies Virus and Other Lyssavirus (Including Australian Bat Lyssavirus) Exposures and
Infections
Syphilis
Trachoma - National Guidelines for Public Health Units
Tuberculosis (TB)
Zika virus infection
The old stories
• Southern trained doctors / locums
• Inexperience, fear of error
• Many cases not diagnosed or not notified
• Records showing missed episodes
• Not worked up properly – missing info
• Not referred, or surgical…
• Pot luck if which Dr you saw
• Not used to clinical notifications
NOTIFY
The RHD Pipeline
Specialist
Echo
Courtesy – Steven Donoghue
Injection
care
Education
Review
Reminders
DISCHARGE
SoNG:
Summary of National
Guidelines
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Expertise and experience
Latest scientific understanding
Scale and significance, risk groups
Action at all levels of prevention
Case finding and case holding
Clear role for Public Health and Register
Approval and updating processes
Next steps
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Endorsed by all jurisdictions except one
Address any outstanding issues
Final feedback to CDNA
Celebrate (2 ½ years)
Your singers
(Writing group members)
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Claire Boardman (Chair)
Anna Ralph (Technical Writer)
Vicki Krause NT (Kate Hardie & Pas Coffey)
Stephen Donoghue (Qld)
Jane Raupach (SA)
Pip May (WA now NSW)
Sean Tobin/Chris Lowbridge/Jo
Cochrane/Melanie Middleton (NSW)