Provincial Disease Surveillance

and Response Unit

PDSRU_FELTP Quetta
Balochistan
 Provincial Disease Surveillance and Response Unit
(PDSRU)
• Notified in all four provinces & Regions and it is FELTP teaching site
• PDSRU Quetta established at DGHS office in 2014
• Linked with Federal DSRU NIH Islamabad
• Each Year FELTP fellows (3 Seats) in Balochistan staffed and to conduct disease
surveillance and outbreak response (Event Based Surveillance)
• 2 Years MSc Epidemiology course (Academic HEC 18 years Program) with on job Training
• Certified CDC Diploma Course
• FELTP will continue the technical support always through its faculty and trained fellows.
 Milestones PDSRU Balochistan 12th & 13th Cohort Balochistan

International /
OB Investigation Done Surveillance Data Set National Teaching
Cohort Fellow name Evaluation Done & Synopsis Long Study Abstract Teaching Menuscript
and Report submitted Analysis conference Report
Report Written Presented

Dr Jan Inayat Done completed Submitted Pending completed Done Done Pending Pending Pending

12th
Dr. Zubair Bugti Done completed Submitted Pending completed Done Done Pending Pending Pending

Dr. Khair Mohammad Done completed Submitted Pending completed Done Done Pending Pending Pending

In
Dr. Ujala completed In progress
progress

2nd & 3rdContact Sessions 2nd & 3rdContact Sessions

13th Dr. Mubarak completed In Progress In Progress

Dr. Himayat Ullah Transferred

 FELTP Trained Staff in Balochistan
Alumni with MSc Field Alumni CDC Fellows Undergoing 2 Selected for 13th Total
Epidemiology (2 Years) Years Course (13th) cohort recently
Qualification Certified

8 26 6 3 26

FELTP has so far trained 11 cohorts/sessions. Table above shows the details of doctors trained for
one month, under training and completed 2 years program by FELTP from Baluchistan.
 Achievements
Number of Outbreaks Investigated by PDSRU Fellows/Alumni/NSTOP officers From
Establishment Till 12-06-2021

Disease No. of outbreaks Disease No. of

investigated outbreaks
investigated
Measles 44 Cut. 10
Leishmaniosis
Dengue 15 CCHF 12
Chikungunya 7 Food poisoning 2
AWD 13 Mump 1
Chicken pox 4 Scabies 1
Pertussis 4 Venereal Kerato 1
Conjunctivitis
Typhoid 1 Solar Children 1
ARI 2 COVID-19 1
Pandemic
Total 113 Diphtheria 2
 NSTOP Pakistan
• Idea conceived and developed in Pakistan
• Now being followed in other polio endemic countries
• 17 FELTP Officers deployed in Balochistan
• The operational responsibilities of NSTOP relies on
FELTP/CDC
• 4 April 2011:
• Deployed in 16 high risk districts for 6 months
• 2012:
• Extended to 31 Districts
• 2014:
• Expanded to 40 HR Districts/areas
• Mandate to expand to 51 areas
• Integral member of DPCRs (now being places at
EOCs)
Measles Outbreak Investigation at Muhammad Kheil, Panjpai, Quetta Dec 2020

Total Number of Measles Cases 20

Post Measles Cases 4

Suspected Measles Cases 16

Deaths Due to Suspected Measles Cases 1

Measles Oral Sample Taken 20

Blood samples Taken 6

COVID-19 Samples Taken 20

Number of Health Education sessions conducted 4

Number of sessions conducted with Community support group 1

  Investigated Measles outbreak in District Quetta Jan – May 2021

 Investigation XDR Typhoid outbreak in District Harnai April May 2021

Supported HeRAM activity in Balochistan Province 2021

9
Supported IDSR trainings at District Quetta
and Pishin 2021

10
Capacity Building; Training conducted by
PDSRU:
Number of Number of Topics No of Fellows
trainings Participants involved
conducted

TTQ, IPC, Clinical Case

15 452 Management 3

• Conducted training of designated Coronavirus HCPs of District Quetta on IPC, Hand

Wash, Donning & Doffing with Support of PBSA and WHO. The target audience were
screening staff, case transfer staff and isolation ward staff. Number of participants
were 42. The participants were medical officers, paramedic staff, Nurses,
Laboratorial, screening staff at PoE.

• Conducted training of nursing staff of BMCH Quetta on Corona virus IPC, Hand
Wash, Donning & Doffing with Support of PBSA and WHO. The number of
participants were 65.
 Publication
• "Evaluation of Event Based Surveillance System of Crimean Congo Haemorrhagic
Fever in Balochistan Pakistan, 2017", published in Global Biosecurity, and is available
online.  https://jglobalbiosecurity.com/articles/34/
• "Measles Outbreak Investigation in Nomadic Population Nasirabad, Balochistan,
Pakistan February 2018" published in Global Biosecurity,
https://jglobalbiosecurity.com/articles/10.31646/gbio.70/
• Estimation of the Final Size of the COVID-19 Epidemic in Balochistan, Pakistan.
International Journal of Frontier Science
https://publie.frontierscienceassociates.com/index.php/tijfs/article/view/245
• The Epidemiological and clinical characteristics of 2019 Novel Corona Virus Disease
(COVID-19) in Balochistan, Pakistan
https://www.jbarbiomed.com/index.php/home/article/view/19
• “Mortality Analysis of COVID-19 Confirmed cases in Pakistan”
https://www.medrxiv.org/content/10.1101/2020.06.07.20121939v1.full.pdf
• The demographic analysis of COVID-19 in the south western province of Pakistan, an
approach to analyzing its low mortality rates.
https://www.ijcmph.com/index.php/ijcmph/article/download/6602/4151
• https://www.scientificarchives.com/article/covid-19-rapid-diagnostic-test-results-and-their
-associations-with-certain-factors-among-the-residents-of-balochistan
 Publication in Pipeline
KAP Health Care Providers about COVID-19 in Balochistan; an
online survey

Assessment of odds for certain anti COVID-19 IPCs measures

among all the Contacts traced by PDSRU in district Quetta
Balochistan.

Assessing The Mean Change In The Baseline Vitals Of Serious

Covid-19 Admitted Patients Of Balochistan After The Use Of
Plasmapheresis And Dexamethasone In Addition To The Current
Ongoing Treatment Regimen
 Proposed Surveillance Network
Balochistan
FDSRU (NIH) at National level

PDSRU Quetta

DDSRU (all 33 districts)

DDSRUs has been established, renovated and equipped with support of JSI & NIH
While PDSRU and RDSRU supported by FELTP
IDSR implemented in 4 District with support of WHO & PHE
IDSRR implementation status
 Constraint
• No vehicle for emergency response at DGHS Office
for outbreak investigations

• Lack of Logistic supply

• No surveillance officers at district level

 Way Forward
• Sustainability of PDSRU in terms of provision of logistic and Others
(medicine/lab) for proper functioning of Program

• Extension of RRT & Front Line Trainings

• PC 1 approval for Disease Surveillance

• Placement of DSOs to functionalize DDSRUs

• Extension & Integration of IDSR System with DHIS and other vertical
programs

• Data Server for DHIS-2 to be installed at DGHS Office Balochistan