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Review of the Laboratory Virology and Serology Reporting Scheme.

The Laboratory Virology and Serology Reporting Scheme (LabVISE), the national surveillance scheme for virology and serology laboratory results has just undergone a detailed review. The data included in the LabVISE appraisal covers reports on a large number of viral and other pathogens over the decade 1991 to 2000. The total dataset available on LabVISE indicators stands at over 500,000 items since its inception in 1982. During the period of the current review there were significant changes in the scope and objectives of the surveillance program. Most notable of these were the establishment of the National Notifiable Disease Surveillance Scheme (NNDSS) in 1991, a simplification of LabVISE in 1995 and transfer of responsibility for the scheme to the National Public Health Laboratory Network in 1998. This report is therefore the first formal evaluation of LabVISE data since 1996. The dataset reported under the LabVISE program was also subject to change during this period, most notably the exclusion of hepatitis B and C, herpesvirus and Neisseria gonorrhoea, and a reduction in the number of data fields collected. Throughout this period denominator data were not provided and there have been significant inconsistencies in the completeness of reporting. There are particular deficiencies in some jurisdictions where major reference laboratories have not contributed data regularly. The private sector laboratories have been notable in their under-representation and overall, total test numbers have not been available.