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PSM · Epidemiology: surveillance
Sample itemA health department wishes to monitor the trend of HIV prevalence in the general population cheaply by repeatedly testing blood from pregnant women at selected antenatal clinics. Which type of surveillance is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Sentinel surveillance
Sentinel surveillance collects data from selected sites or populations that act as indicators of the disease trend in a wider community. It is economical and well suited to HIV prevalence trends, but it does not give the exact burden. Passive surveillance depends on routine reporting by all facilities, and active surveillance involves health staff searching for cases.
Option by option
A. Passive surveillance
Passive surveillance relies on routine reports sent by all facilities, without selected sites.
B. Syndromic surveillance
Syndromic surveillance monitors symptom patterns such as fever with rash before laboratory confirmation.
C. Sentinel surveillance (correct)
Correct. Repeated data from selected antenatal clinics serve as sentinel sites for the population trend.
D. Active surveillance
Active surveillance means staff go out to look for cases, as in house-to-house searches during an outbreak.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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