Policy responses for Republic of Moldova - HSRM

Republic of Moldova

Policy responses for Republic of Moldova

1.4 Monitoring and surveillance

1.4 Monitoring and surveillance

After the COVID-19 outbreak PHEIC declaration, all COVID-19 cases are reported in the routine national surveillance system for communicable diseases based on the WHO case definitions as suspected, probable and confirmed (interim guidance, 20 March 2020 https://apps.who.int/iris/bitstream/handle/10665/331506/WHO-2019-nCoV-SurveillanceGuidance-2020.6-eng.pdf).

Suspected and probable cases, based on the WHO case definitions, are identified by emergency care teams and are transported to the designated hospitals or to the Triage Centre (in Chisinau). Also, people with mild symptoms are encouraged to call their primary health care doctors to receive appropriate treatment.

The existing sentinel (9 sites) respiratory disease surveillance systems (for ILI, ARI SARI) provide weekly updates and are considered an alternative cross-checking surveillance system (monitoring the non-specific indicators such as drug sales, absenteeism, etc.) and SARI data are considered for COVID-19 case detection. Deaths are reported base on the standard WHO reporting forms.

Routine contact tracing is conducted. Contacts are identified based on the WHO case definitions from the following sources of information:
• local/regional epidemiologists,
• primary care doctors and
• competent authorities at points of entry (border police and representatives of airline companies)
• administrators / employers when exposure happened at the workplace.

Contact tracing (active case funding among family members and in places of work/study) and database handling are conducted by the epidemiologists. Medical supervision during 14 days self-isolation at home is provided by the primary care doctors. Contact tracing activities were revised at the beginning of September, and it was decided that go.data would be the platform used to improve the quality of contact tracing.