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Table 1 Strengthened epidemiological surveillance system during the water scarcity period in Mayotte, 2016–2017

From: Health monitoring during water scarcity in Mayotte, France, 2017

Surveillance system Surveillance Indicators Data transmission to CIRE OI Statistical analyses
Epidemiological surveillance in the CHM referral centers (CRs) • Weekly percentage of consultations for acute diarrhoea and gastroenteritis (number of consultations for theses pathologies compared to total number of weekly consultations)
• Weekly percentage of consultations for skin diseases (number of consultations for skin diseases compared to total number of weekly consultations)
Data sent every day or every week by each doctor by phone, fax, scan, courier or a pickup directly on site by CIRE OI team Kahani and Mramadoudou CR’s data (center/south area) compared to Dzoumogne CR’s data (north area)
Mayotte network of sentinel doctors • Weekly percentage of consultations for acute diarrhoea (number of consultations for acute diarrhoea compared to total number of weekly consultations) Data sent weekly via a form online, accessible with username and password by each doctor - Kahani and Mramadoudou doctor’s data (center/south area) compared to nine other doctors’ data located in the non-impacted area, during water crisis
- Comparison of central/south doctors’ data during crisis and in a normal year
Mayotte network of sentinel pharmacists • Weekly percentage of antidiarrhoeal drugs: Smecta®, Tiorfan® and rehydration solutions (number of sales for these drugs compared to weekly total number of patients) Data sent weekly by email in an Excel database, by each pharmacist - Bandrele and Dembeni pharmacists’ data (center/south area) compared to four other pharmacist’s data located in the non-impacted area, during water crisis
- Comparison of central/south pharmacists’ data during crisis and in a normal year
Epidemiological surveillance with the CHM’s laboratory • Number of leptospirosis cases confirmed at the CHM’s laboratory For each new confirmed case, data sent by email by the CHM’s laboratory to ARSOI and CIRE OI Descriptive analysis according to the residence village of the patient, impacted or not by water restrictions and comparison with data since 2014.