Communicable disease control and prevention
in Sweden
Stephan Stenmark County Medical Officer
Dept. for communicable disease control and
prevention in Västerbotten
The Swedish Communicable Diseases Act
Aim:
to protect the population against the spread of communicable
diseases
Give the individual who carries such illness support and
treatment
Parliament
Government (Ministry of health and social affairs)
National Board of Health
and Welfare Public Health Agency
Folkhälsomyndigheten
County medical officer
County council
Environmental health committee
Municipality
Doctor
Lab
Information
Rules of conduct Treatment
Vaccination
Information
Rules of conduct Treatment
Vaccination
Contact tracing
Spread of infection
R 0 = x x
R 0 = new case/existing cases
R 0 < 1 = die out R 0 = 1 = stable
R 0 > 1 = spreading
Infectivity
Number and duration of
contacts
duration
Spread of infection
R 0 = x x Infectivity
Number and duration of
contacts
duration
Vaccine Treatment
Classic disease control and
prevention
Isolation etc
Dr Stenmarks algorithm
Is there any vaccine?
Yes No
Use it Does the rules of conduct and behavioral change work well?
Use it
Yes Hmm No
Is there any effective cure ?
Use it Not very good
Yes No
laboratory 2.Taking a test
3.Test result 5.Clinical notification
1.Meeting with the patient
Notification of the test result 4.Information
Rules of conduct Treatment
Vaccination
County medical officer Regional statistics
National Public Health Agency
National statistics
Infectious disease and the swedish communicable diseases act
Public health hazard Notifiable diseases
www.sminet.se klinisk anmälan
Sminet from the inside
www.sminet.se Clinical notification
www.sminet.se Clinical notification
Rules of conduct
www.slf.se/smittskydd
Information to the doctors
Information to the patients including
rules of conduct (diseases classfied as
Public health hazards)
Rules of conduct for hiv
www.slf.se/smittskydd
http://www.vardgivarguiden.se/Omraden/Smittskydd/Sjukdomar/Smittskyddsblad/
