1. From the results, What would you recommend to Tak Hospital to improve the syphilis surveillance system?
Since there is a higher number of Syphilis cases among non-Thai patients, with many cases going unreported due to gaps in the screening unit. To enhance the surveillance system I would like to suggest that before migrant workers begin employment in Thailand, they should require more comprehensive health examinations of non-Thais workers, not just accepting medical bills or receipts. This can ensure that we catch and treat Syphilis and other infections early on. Moreover, it’s crucial to improve the connection between health screening unit and the STI/HIV clinic. This will help track and manage the health of non-Thai populations more effectively, ensuring they receive the necessary surveillance and treatment.
2. Do you have experience with disease surveillance systems? What are the strengths and weaknesses of that system?
I do not have direct experience with disease surveillance systems. However, I was involved in the process when my sister was admitted to a hospital in Chumphon with dengue fever a week ago. After the doctor informed us that my sister might have dengue fever, I was asked by the hospital’s epidemiologist for disease investigation.
From my knowledge about the disease surveillance system for dengue fever, I believe the system has some strengths. The reporting structure or work flow is clear and understandable, and there are electronic tools available to support staff in reporting, such as R506 and VEP-Alert Online, which reduce the time and workload for staff. The reporting system also helps ensure the accuracy of the data.
However, there are some weaknesses, such as the possibility of reports not being completed in a timely manner or delays in reporting, as data entry depends also on staff. Nurses or assigned staff should be encouraged to play a role in enhancing the quality of the disease surveillance system. For example, incharge nurses who join the system should receive orientation or training on disease surveillance. Furthermore all involes stakeholders should understand the importance of reporting diseases ensuring that patient data is fully recorded in the reporting program. This will ensure the surveillance system’s quality and aids in quick disease control.