Health professionals’ knowledge and awareness of the disease surveillance is essential for reporting diseases to health departments. This study aimed to assess the knowledge and attitudes of Jordanian physicians toward public health surveillance of communicable disease. A cross-sectional study was conducted among resident doctors who were working in 4 main Ministry of Health hospitals and 2 teaching hospitals in Jordan in September 2017. A self-administered paper-based questionnaire was used to collect the data. The questionnaire collected information about sociodemographic and practice-related characteristics of physicians and included items to assess their knowledge of surveillance and reporting practices. This study included 223 physicians (152 males and 71 females). About 60.1% of the residents were graduates from medical schools in Jordan and the remaining (39.9%) were graduates from medical schools in other countries. Approximately two thirds of residents (62.3%) were doing their residency in Ministry of Health hospitals and the rest (37.7%) in 2 teaching hospitals. Only 44.8% of physicians had defined surveillance correctly. Only 27.4% of physicians had been educated or trained on surveillance. About 39.5% of physicians had filled at least one report form during their practice. The main reasons for not reporting mandatory diseases were high workload (49.8%) and being not trained on reporting diseases (46.6%). A relatively high percentage of physicians have insufficient knowledge of surveillance and reporting of notifiable communicable diseases. Training of physicians on surveillance and diseases notification is highly needed. The practice of disease notification should be enforced in Jordanian hospitals.

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Introduction: While AAA is a life-threatening condition that manifests suddenly in the Emergency department less is known about the use of hand-held ultrasound to diagnose it, especially in low-resource settings. Case presentation: A 78-year old man whose a known case of hypertension, the family reported he complained of severe loin pain then he collapsed at home, upon arrival to the ED patient was unconscious with unrecordable BP, pulses were intact, rapid sequence intubation (RSI) was done, ECG showed no ischemic changes, a few seconds later the patient becomes pulseless 1 cycle of CPR was done and the patient reverted to sinus rhythm then he was started on noradrenaline immediately, a few minutes later the lower limbs were noted to be paler and colder than upper limbs raising the suspicion of ruptured AAA, point of care US was done using hand-held ultrasound connected to a tablet, the ultrasound showed a ruptured AAA around 8 cm with intimal flap, surgical intervention was not available because of vascular surgery unavailability at that time, the patient becomes pulseless again CPR was initiated with no response despite the blood-transfusion, finally death was announced. Discussion and conclusion: Ruptured AAA is considered a vascular surgical emergency with a very high mortality rates, this case report highlights the importance of POCUS in emergency departments especially the cheaper models of hand-held ultrasound probes.