Real-time laboratory surveillance of Dengue antigen(NS1) - Best proposed early warning and response system for Dengue in Sri Lanka? - Results from a pilot study.

Introduction: During the recent past, dengue fever and associated complications have been the most important concern for health policy makers of Sri Lanka. The current notification system has considerable inevitable delays in preventive measures. Objectives: Implementing a laboratory-based real-time antigen (NS1) surveillance system for notification coupled with a rapid preventive response within the Colombo district as a pilot project and compares the notifications with existing national surveillance systems. Methods: An online notification platform was established with a centralized database. Seven main laboratories of the private sector linked with the notification system, where they can create new notifications at the central database, whenever the NS1 test detected as positive. Relevant Medical Officers of Health should update action implemented to complete the response process. A dashboard was designed to visualize each notification and its status with a predefined colour code. Results: Patients from 14 Medical Officer of Health (MOH) areas out of 15 were captured. The immediate preventive response was recorded from the field preventive staff for 90% of the reporting. All most all attended patients have given health advice on awareness, prevention, and source reduction through premise inspection by trained field staff with 24hrs of notification. Conclusions: Salient features of the novel system are notification of antigen-positive patients, the rapidity of notification (real-time) and response, user-friendliness, access to multiple stakeholders simultaneously without data duplication, early involvement of the field staff, the ability to trace the cases using checklists and a color-coding system from a dashboard.

From Fragmentation to Open Access: Building an Open Data Portal for Health Data Dissemination.

Open data is defined as data that can be used and redistributed by anyone with minimal or no restrictions. A design science research methodology was applied to the development of an open data portal for theMinistry of Health Sri Lanka (MoH) to share national datasets. Following requirement gathering and literature review, the open data portal was developed using open-source software and implemented at the MoH Sri Lanka. Fifty datasets obtained from the MoH were categorised and published in the open data portal. However, several barriers cast doubt on the long-term feasibility of the open data portal project.