anchor.diff:  •  If available, consider psychological interventions
   •  Pursue rehabilitation, including appropriate economic and educational activities, using formal and informal systems
   •  Provide regular follow-up",,
  -"mhg_6","Bipolar Depression Between Episodes","case","demo_case",,"icd_code",,,"match","F31.7","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Elevated, expansive or irritable mood, Increased activity, restlessness, excitement, Increased talkativeness, Loss of normal social inhibitions, Decreased need for sleep, Inflated self-esteem, Distractibility, Elevated sexual energy or sexual indiscretion, None of the above, Loss of or impaired consciousness","•  If the person is not on a mood stabilizer then begin one
  +mhg_6,Bipolar Depression Between Episodes,case,demo_case,,icd_code,,,match,F31.7,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Elevated, expansive or irritable mood, Increased activity, restlessness, excitement, Increased talkativeness, Loss of normal social inhibitions, Decreased need for sleep, Inflated self-esteem, Distractibility, Elevated sexual energy or sexual indiscretion, None of the above, Loss of or impaired consciousness","•  If the person is not on a mood stabilizer then begin one
   •  Advise person to modify lifestyle; provide information about bipolar disorder and its treatment
   •  Reactivate social networks
   •  Pursue rehabilitation, including appropriate economic and educational activities, using formal and informal systems
   •  Provide regular follow-up; monitor side-effects and adherence",,
  -"mhg_7","Non-Convulsive Seizures Or Other Medical Condition","case","demo_case",,"icd_code",,,"match","G40.3","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  In case of recurrent episodes, CONSULT A SPECIALIST
  +mhg_7,Non-Convulsive Seizures Or Other Medical Condition,case,demo_case,,icd_code,,,match,G40.3,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  In case of recurrent episodes, CONSULT A SPECIALIST
   •  Follow up after 3 months",,
  -"mhg_8","Acute Aetiology","case","demo_case",,"icd_code",,,"match","G40.9","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Treat the medical condition
  +mhg_8,Acute Aetiology,case,demo_case,,icd_code,,,match,G40.9,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Treat the medical condition
   •  Antiepileptic maintenance treatment is not required
   •  Follow up after 3 months to assess if the person has epilepsy",,
  -"mhg_9","Complex Febrile Disease","case","demo_case",,"icd_code",,,"match","R56.0","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Refer for hospital admission.
  +mhg_9,Complex Febrile Disease,case,demo_case,,icd_code,,,match,R56.0,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Refer for hospital admission.
   •  Look for neuroinfection (suspect cerebral malaria in high endemic settings)
   •  Follow up",,
  -"mhg_10","Simple Febrile Seizure","case","demo_case",,"icd_code",,,"match","R56.8","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Manage fever and look for its cause according to the local IMCI guidelines
  +mhg_10,Simple Febrile Seizure,case,demo_case,,icd_code,,,match,R56.8,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Manage fever and look for its cause according to the local IMCI guidelines
   •  Observe for 24 hours
   •  Follow up",,
  -"mhg_11","Epilepsy","case","demo_case",,"icd_code",,,"match","G40","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Initiate antiepileptic drug phenobarbital, phenytoin, carbamazepine or valproate
  +mhg_11,Epilepsy,case,demo_case,,icd_code,,,match,G40,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Initiate antiepileptic drug phenobarbital, phenytoin, carbamazepine or valproate
   •  Educate about condition, lifestyle and safety issues, and importance of adherence and regular follow-up
   •  Follow up regularly",,
  -"mhg_12","Delerium","case","demo_case",,"icd_code",,,"match","R56.0","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Problems with memory and orientation, Mood or behavioural problems , Loss of emotional control, Difficulties in carrying out usual activities","•  CONSULT A SPECIALIST",,
  -"mhg_13","Dementia","case","demo_case",,"icd_code",,,"match","F03","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Problems with memory and orientation, Mood or behavioural problems , Loss of emotional control, Difficulties in carrying out usual activities","•  CONSULT A SPECIALIST",,
  -"mhg_14","Alcohol Intoxication","case","demo_case",,"icd_code",,,"match","F10.0","mhgap",,,"mhgap",,"Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"A strong desire or sense of compulsion to take alcohol, Difficulties in controlling alcohol use in terms of its onset, termination or levels of use, A physiological withdrawal state when alcohol use has ceased or been reduced, as shown by the characteristic withdrawal syndrome for alcohol; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms, Evidence of tolerance, such that increased doses of alcohol are required in order to achieve effects originally produced by lower doses, Progressive neglect of alternative pleasures or interests because of alcohol use, increased amount of time necessary to obtain or take alcohol or to recover from its effects, Alcohol use persisting despite clear evidence of overtly harmful consequences, such as harm to the liver, depressive mood states, or impairment of cognitive functioning","•  State clearly the results of alcohol use assessment and explain the links between this level of alcohol use, the person's health problems, and the short-term and long-term risks of continuing use at the current level
  +mhg_12,Delerium,case,demo_case,,icd_code,,,match,R56.0,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Problems with memory and orientation, Mood or behavioural problems , Loss of emotional control, Difficulties in carrying out usual activities",•  CONSULT A SPECIALIST,,
  +mhg_13,Dementia,case,demo_case,,icd_code,,,match,F03,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"Problems with memory and orientation, Mood or behavioural problems , Loss of emotional control, Difficulties in carrying out usual activities",•  CONSULT A SPECIALIST,,
  +mhg_14,Alcohol Intoxication,case,demo_case,,icd_code,,,match,F10.0,mhgap,,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"A strong desire or sense of compulsion to take alcohol, Difficulties in controlling alcohol use in terms of its onset, termination or levels of use, A physiological withdrawal state when alcohol use has ceased or been reduced, as shown by the characteristic withdrawal syndrome for alcohol; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms, Evidence of tolerance, such that increased doses of alcohol are required in order to achieve effects originally produced by lower doses, Progressive neglect of alternative pleasures or interests because of alcohol use, increased amount of time necessary to obtain or take alcohol or to recover from its effects, Alcohol use persisting despite clear evidence of overtly harmful consequences, such as harm to the liver, depressive mood states, or impairment of cognitive functioning","•  State clearly the results of alcohol use assessment and explain the links between this level of alcohol use, the person's health problems, and the short-term and long-term risks of continuing use at the current level
   •  Ask about other substance use
   •  Have a short discussion about the person's reasons for their alcohol use
   •  State clearly the recommendation to either cut down to safer levels or stop using alcohol completely and your willingness to help the person to do so
  
positive.code: Confirmed case 
  A clinically compatible illness that is EITHER  
  • Laboratory confirmed; OR 
  • Epidemiologically linked to a confirmed case ","Direct contact with the symptomatic person with rash or by droplets dispersed into the air by coughing or sneezing","acute onset, diffuse (generalized) papulovesicular rash without other apparent cause","Any one of the following:  
  • Isolation of varicella zoster virus from a clinical specimen 
  • Demonstration of four-fold or greater rise in antibody titre 
  • Demonstration of viral antigen in vesicular scrapings using fluorescent-antibody staining 
  • Positive PCR for varicella zoster virus in clinical specimen ",,
  "cmd_27","Measles","case","demo_case",,"icd_code",1,"individual","match","B05,B05.0,B05.1,B05.2,B05.3,B05.4,B05.8,B05.9","cd_tab,Viral infections characterized by skin and mucous membrane lesions",,,"tab",,"Suspected","International Classification of Disease (ICD-10)","http://apps.who.int/classifications/icd10/browse/2015/en","1 case","Clinical Description  
  An illness characterised by all the following: 
  • a generalized rash lasting ≥ 3 days, 
  • a temperature ≥ 38.3oC and  
  
negative.code: 
  Confirmed case 
   A clinically compatible illness that is laboratory confirmed.   ","Exposure to rabies-carrying vectors (e.g. bats, etc.)","Spasms in response to tactile, auditory, visual or olfactory stimuli, Paralysis or Guillan-Barre-like syndrome, Myoedema at percussion sites, Encephalitis","Antigen detection using the FA test on skin biopsies from patients with clinical rabies, virus isolation using neuroblastoma cells (preferably performed on saliva samples or other biological fluids such as tears or cerebrospinal fluid), RFFIT or FAVN test antibody tests for non-vaccinated patients",,
  cmd_21,Viral meningitis,case,demo_case,,icd_code,1,individual,match,"A87,A87.0,A87.1,A87.2,A87.8,A87.9","cd_tab,Viral infections of the central nervous system",,,tab,,Suspected,International Classification of Disease (ICD-10),http://apps.who.int/classifications/icd10/browse/2015/en,1 case,"Clinical Description  
  An acute bacterial disease, characterized by sudden onset of fever (>38.0 degrees Celsius axillary or >38.5 degrees Celsius rectal) AND ONE of the following signs: neck stiffness; altered consciousness; petechial or purpural rash, or other meningeal signs. In children <1 year, meningitis is suspected when fever is accompanied by a bulging fontanelle.
  
  Probable case  
  A clinically compatible illness with Gram-negative diplococci identified in any sterile fluids such as CSF.
  
  Confirmed case 
   A clinically compatible case that is laboratory confirmed ","Close and prolonged contact with individual suspected of having meningitis, High rates of acute respiratory infection (ARI), Overcrowding conditions, Other","Sudden onset of intense headache, Suddepn onset of fever, Sudden onset of nausea, Sudden onset of vomiting, Sudden onset of photophobia, Sudden onset of stiff neck, Lethargy, Delirium, Coma, Purpura, Shock symptoms, Other",Conduct lumbar puncture of first 25 cases during an epidemic to confirm diagnosis and serogroup,,
  cmd_22,Dengue Fever,case,demo_case,,icd_code,1,individual,match,"A90,A91","cd_tab,Arthropod-borne viral fevers and viral haemorrhagic fevers",,,tab,,Suspected,International Classification of Disease (ICD-10),http://apps.who.int/classifications/icd10/browse/2015/en,1 case,"Clinical Description
  Dengue fever is an acute febrile illness with two or more of the following symptoms: headache, retro-orbital pain, myalgia, arthralgia, rash, haemorrhagic manifestations, leukopenia or thrombocytopenia
  
  Probable case
  