How do we work with communicable disease control at the regional level in
Sweden
Anders Nystedt 2017-02-23
Who does the work?
We have different organizations for communicable disease control (society) and infection control
(hospitals etc.)
21 regional offices
plan, organize and lead the work with communicable disease control
continuously monitor the communicable disease epidemiology in the region
promote preventive measures
advice and give guidance to people at risk
give support to doctors and other health care personnel and when necessary provide advise on appropriate actions
follow up notifications and ensure that the necessary measures are taken to find the source of infection and people who may have been exposed to risk of infection
follow up that caregivers take the necessary measures to prevent the spread of infection (gives ”rules of conduct”)
exercise authority in accordance with the Communicable Diseases Act when voluntary measures do not work
Responsibilities for the ”Smittskyddsläkaren”
…and some examples
The law on co-op and united actions
Authorities responsible for communicable disease control, other relevant authorities, doctors and other health professionals shall
interact to control outbreaks or spread of communicable diseases.
County Council
Politicians Bureaucrats
Primary health care
Federal
”CDC”
Laboratories
Social services
Correctional services
R&D
International co-op
Media
NGO´s
County government (County vet’s)
Municipalities
National board for social welfare
Hospitals
Epidemic planning
The communicable disease control officer is responsible for the county's epidemic planning
Info to the public
... that the public in general has access to the information necessary for everyone to be able to protect themselves against
infectious diseases
www.nllplus.se
…continuously monitor the communicable disease epidemiology
…to oversee preventive measures.
Follow-up and feedback of adherence to the childhood vaccination program.
Follow-up and feedback of adherence to influenza vaccination program.
Follow-up and feedback of adherence to recommended choice of antibiotics.
Monitoring health interviews of migrants.
Antibiotic use – our goal is 250 prescriptions per 1000 inhabitants (outpatients)
And more…
National and international cooperation
Research and developement
Work in the clinic with patients
Strama
So… How to meet the challenge of rounding up the missing patients?
Reclaim those lost to follow up!
Contact trace!
Networking! Raise
awareness and increase risk-based testing!
Leave your office and seek up your patients – don’t expect them to look you up!!!
Find new arenas!
