The national definition of COVID-19, cases and contacts follow those adopted by the WHO and the ECDC.
Hospitals (Infectious disease department, ICU) and primary health care providers (for patients in isolation and quarantine at home) are in charge of surveillance. An intersectoral working group (GPs and specialists) is involved for evaluation of discharged patients.
Contact tracing is not yet implemented. A list of questions that must be asked by health professionals has not yet been formalized.
-New cases and the on-going response to infections are discussed once a week during a meeting of the Health Emergency Group
In San Marino there is an event-based surveillance system in place and the country has the ability to quickly enhance current surveillance (this enhancement is in place for Covid-19) and the specific case and contact definitions and other criteria for investigation have been added to the system. A system is in place to inform health care workers of the criteria to test and signal, and who to report to. There is a respiratory disease surveillance system in place for Influenza-like illness (ILI), Severe Acute Respiratory Infections (SARI), Acute Respiratory Infections (ARI) and pneumonia. nCoV infection has been added to the list of notifiable disease. The Health Authority and the Health Emergency Group have defined the rules on the use of case definitions, how to identify suspected cases on a clinical basis. They initiate early case management and contact tracing, and have conducted specific training so that public health staff have the skills to analyze the surveillance data to detect SARI/pneumonia outbreaks/clusters; further, they have the capacity to conduct risk assessment using available multiple sources of information. The country has tools to collect, report, and analyze case-based information.