What type of surveillance is being used when a health team proactively gathers information about current infectious diseases in a town?

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Active Surveillance

When a health team proactively goes out to gather information about current infectious diseases in a town, this represents active surveillance (Answer B).

Understanding Surveillance Types

Active surveillance is the systematic, proactive collection of data by a designated surveillance team, rather than waiting for healthcare providers to report cases 1. This is precisely what occurs when a health team initiates field visits to gather infectious disease information.

Key Distinguishing Features:

  • Active surveillance involves deliberate, organized data collection by trained personnel who actively seek out cases and information 1
  • The surveillance team takes initiative to identify and document disease occurrence rather than relying on spontaneous reporting 1
  • This method is recommended by major surveillance networks as the gold standard approach 1

Why Not the Other Options:

  • Passive surveillance (Option A) relies on self-reporting by treating physicians and is characterized by waiting for reports to come in voluntarily 1

    • This method has significant risk of bias and underreporting 1
    • It is considered "very poor and inefficient" for tracking infectious diseases 1
  • Syndromic surveillance (Option C) focuses on monitoring symptom patterns and clinical syndromes before laboratory confirmation, typically through automated data systems 1

    • This is not what's described in the scenario of a team gathering information
  • Sentinel surveillance (Option D) uses selected reporting sites or populations to monitor disease trends, not comprehensive community-wide data gathering 2

Clinical Context

Active surveillance is the method recommended by WHO and major surveillance networks because it provides unbiased, systematic data collection that enables timely detection of disease patterns and outbreaks 1. This approach allows for proper analysis, feedback, and implementation of control measures 1.

The proactive nature of sending a health team into the community to gather infectious disease data exemplifies the core principle of active surveillance: designated personnel systematically collecting information rather than passively waiting for reports 1.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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