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Table 1 Communicable infectious diseases monitored by EpiNATO-2

From: Infectious diseases during the European Union training mission Mali (EUTM MLI) – a four-year experience

Event serial and name Definition
Alpha – gastrointestinal illness (GI infections) All diagnoses consistent with upper or lower digestive tract infection. Includes any type of diarrhea, gastroenteritis, “stomach flu”, “food poisoning”, nausea/vomiting, etc. Excludes non-infectious intestinal diagnoses such as hemorrhoids, ulcers, hernias, etc., and chronic conditions such as irritable bowel syndrome
Bravo – upper respiratory tract infection (URTI) Acute upper respiratory infections of the ear, nose and throat. Includes “common cold”, tonsillitis, otitis, sinusitis, isolated acute laryngitis and tracheitis. Excludes acute laryngitis and tracheitis associated with an influenza-like illness (map to Item 4-Delta influenza-like illness and lower respiratory tract infection ILI). Excludes allergic or irritant conditions (if necessary, map to Item 18-Romeo unusual or exceptional event)
Delta - Influenza-like illness and lower respiratory tract infection (Flu symptoms and LRTI) Illness characterized by fever (central temperature > 38.5 °C or > 101.3 °F) and either cough or sore throat, associated or not with laryngitis and tracheitis. Includes pneumonia and bronchitis
Echo – fever of unknown origin (Unexplained fever) Central temperature > 38.5 °C or 101.3 °F, or history of chills and fever without a clear diagnosis. Such fever cannot be explained by other inflammatory or infectious processes such as respiratory infections, heat, or overexertion. Includes septicemia and viremia
Foxtrot – hemorrhagic illness Acute systemic illness characterized by fever, chills, back pain or generalized myalgia and varying hemorrhagic manifestations such as bleeding gums, epistaxis, hematemesis, melena, metrorrhagia, strawberry tongue, disseminated intravascular coagulation, petechiae or bruising; consistent with viral hemorrhagic fever (VHF). Excludes biologically confirmed diagnosis of VHF – map to A.7 notifiable infectious diseases reporting
Hotel – acute neurological disorders Acute infection or intoxication of the central nervous system (CNS). Includes meningitis, encephalitis, or encephalopathy and acute non-specific symptoms such as meningism and delirium. Excludes alcohol intoxication or any chronic, hereditary, or degenerative conditions of the CNS such as obstructive hydrocephalus, Parkinson’s, and Alzheimer’s.