Discussion:
1. From the results, What would you recommend to Tak Hospital to improve the syphilis surveillance system?

I may suggest two recommendations:
Enhance Reporting Sensitivity: The current sensitivity of reporting syphilis cases is approximately 67%. Efforts should be made to increase this rate by implementing training programs for healthcare providers on the importance of accurate and timely reporting of syphilis cases, particularly focusing on identifying cases among migrant populations who are currently underreported.

Improve Diagnosis and Coding: Incomplete diagnosis and coding were identified as significant issues. The hospital should adopt standardized protocols for diagnosing and coding syphilis cases to ensure comprehensive data collection. This could involve regular workshops and refresher courses for healthcare staff on the latest diagnostic criteria and coding practices.

2. Do you have experience with disease surveillance systems? What are the strengths and weaknesses of that system?

Thailand’s COVID-19 surveillance system has demonstrated notable strengths and weaknesses throughout its implementation and evolution during the pandemic.

Strengths:
– The introduction of an enhanced information system significantly improved the surveillance capabilities. Key features included an auto-verification system, laboratory reporting, and a confirmed case notification system. These enhancements led to increased completeness and timeliness of data reporting.
– The surveillance system proved to be flexible, allowing for adjustments based on the evolving nature of the pandemic.

Weaknesses:
– Challenges related to data quality persist, including inconsistencies in reporting and the accuracy of data collected.