At national level Integrated Disease Surveillance Programme (IDSP) was launched by Hon’ble Union Minister of Health & Family Welfare in November 2004. It is a decentralized, State based Surveillance Program in the country. It is intended to detect early warning signals of impending outbreaks and help initiate an effective response in a timely manner.

Major components of the programme are:

(1) Integrating and decentralization of surveillance activities;

(2) Strengthening of public health laboratories;

(3) Human Resource Development – Training of health care workers involved

(4) Use of Information Technology.

In Sikkim, Integrated Disease Surveillance Project was launched in Ph III (2006-07) on 1st April 2006.

Currently surveillance is working on three aspects of diseases surveillance.

1. SYNDROMIC
2. PRESUMPTIVE
3. CONFIRMED