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Training Notes

• Priority codes and definitions – There are six defined syndromes but should also be referred to as a tool for reporting important disease, not just listed priority diseases
• There is one additional undefined Priority syndrome where signs don’t fit into the syndrome description but reporter feels urgent response is required (if suspected to be zoonotic, highly contagious, high mortality etc)
• Positive Consequences - Those who report P should be thanked for staying alert, even if their report turns out to be false alarm, as it will in many cases, at least it shows reporter is alert and conscious of importance of distinguishing important from routine disease. Reporters should never be afraid to report a P message but overuse will of course have possible negative consequences - "fatigue" may develop and future true priority cases may be ignored. Remember: Most "P" cases will be negative for the priority or important disease - the importance lies in our vigilance in looking out for these diseases.
• Pelsa are not being asked to give a diagnosis - just to alert dinas to what they see.
• 100% should be visited quickly, after an initial telephone call to ask for further details
• Repeating sequence (species, number of animals) for multiple species with similar syndrome
• Pelsa should be encouraged to memorise their village code or keep it in a handy place on their phone.
• Additional Priority Syndrome has been added which allows Pelsa to report urgent looking case (zoonosis, high morbidity/mortality or contagious) without having a clear syndrome is an alert for unknown or exotic disease. This is like a "Red button" to ask for help when they are concerned.