Arboviral disease surveillance/clinical staff perceptions

Arboviral disease surveillance/clinical staff perception of factors contributing to the a) success and b) barriers/challenges with respect to case management (ref Q25)

Country	Successes	Barriers
Australia
Brunei Darussalam
Cambodia
China	Finding of suspected cases, early detection, early diagnosis and early treatment
Cook Islands
French Polynesia
Japan
Kiribati
Lao People's Democratic Republic
Malaysia	Availability of Clinical Practice Guidelines, regular trainings & clinical audits	High disease burden (e.g. Dengue Fever)
Nauru
Papua New Guinea	Training; resource support.	No training on early detection and appropriate management.
Philippines		Low HRH complement. Poor health seeking behavior (usually severe cases). Need to update clinical case management. Need for training of trainors.
Singapore	Reminders and updates on guidelines for dengue management are provided to medical practitioners in a timely manner, ahead of and during epidemic periods. Review of dengue hospital referral and admission criteria was conducted to focus healthcare resources on the management of severe dengue cases. Implementation of dengue education programmes focusing on primary care management of dengue patients.
Vanuatu	Protocols and guidelines in place, specific trainings conducted during outbreaks.	Lack of capacity to manage high number of severe dengue cases, no isolation unit.
Viet Nam	Vietnam in Dengue endemic countries for many years, so doctors are experienced in diagnosis and treatment	Only 3-7% of suspected cases are confirmed by laboratory testing due to lack of funding