Community Medicine (PSM) · Communicable Diseases (Malaria, Tuberculosis, Dengue, Polio, Hepatitis, Cholera)

Environmental surveillance for poliovirus in India uses sewage samples from select sites as an early warning system. This is known as:

  • A Environmental surveillance (ES)
  • B Sentinel surveillance
  • C Syndromic surveillance
  • D Event-based surveillance
Correct answer: A. Environmental surveillance (ES)

Explanation

Environmental Surveillance (ES) involves testing sewage or wastewater samples for poliovirus to detect circulation of poliovirus — including vaccine-derived polioviruses (VDPVs) — even in the absence of clinically reported AFP cases. India conducts ES in 50+ sites across major cities as an early warning and verification system complementary to the AFP surveillance network. Sentinel surveillance tracks specific conditions at designated sentinel sites; syndromic surveillance uses clinical syndrome data; event-based surveillance captures informal signals about public health events.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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