Progress in the implementation of enhanced tuberculosis surveillance in England & Wales

A. J. Gatto*, John Watson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Enhanced Tuberculosis Surveillance, which began 1 January 1999 in England & Wales, aims to address deficiencies in routine surveillance by providing timely and more detailed information on the evolving epidemiology of the disease. The methodology for the new scheme was piloted in the 1998 National Tuberculosis Survey. A key principle is that data is collected, collated and validated locally and then transferred to the Communicable Disease Surveillance Centre (CDSC) in London, via CDSC Regional Units. There is a new data collection form and software has been developed to support the implementation of the system at district, regional and national levels. A survey of Enhanced Tuberculosis surveillance Co-ordinators in each of the 105 districts in England & Wales was carried out in May 1999 to determine the current level of participation of districts in Enhanced Tuberculosis Surveillance and obtain feedback on the system, data collection and software. All responding districts (69) were reported to be participating but considerable variation in the implementation of the surveillance system exists. In only 50 % of districts is the data collection form being used by all clinicians and only 32 % of the District Health Authorities are using the software provided by CDSC. The development of a shorter and simpler data collection form has been recommended by some survey responders. Revisions to the surveillance system based on the results of the survey, are now being developed for implementation from January 2000. A review of the resource requirements at the district, regional and national level is also being carried out.

Original languageEnglish
Pages (from-to)A51
Issue numberSUPPL. 3
Publication statusPublished - Dec 1999

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Copyright 2006 Elsevier B.V., All rights reserved.


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