communicable disease control and prevention in sweden · communicable disease control and...
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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
R0 = x x
R0 = new case/existing cases
R0 < 1 = die out
R0 = 1 = stable
R0 > 1 = spreading
Infectivity
Number and duration of
contacts duration
Spread of infection
R0 = 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 No Hmm
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
Sminet from the inside
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/
Rules of conduct, translations
1177 National call center
Samtal till 1177. Green line is normal level, red line is threshold for significant inrease, and black line is actual no of calls
Telephone Conference every Thursday 11 am
Public Health Agency
Folkhälsomyndigheten