- This topic has 5 replies, 4 voices, and was last updated 3 years ago by
.
-
Posts
-
-
A syndromic surveillance system for Leptospirosis.
Leptospirosis was first appear in Thailand in 1942. Leptospirosis infection were increased 30 times in Thailand in the years of 1995 to 2000 and now still have an average annual incidence rate of 6.6 per 100,000 population. In Thailand, most affected area are Northeastern and Southern Regions and highly associated with rainy season, during mid-May to mid-October and flooding. There was a national surveillance system for Leptospirosis using laboratory confirmation in two northeastern provinces. Furthermore, Leptospirosis is related to history of being expose to contaminated water. Majority of infected people had no symptom, and the early symptoms includes fever with chill, headache, and myalgia. Therefore, syndromic surveillance that related history and early symptoms will be reported might be very benefits in decreased infected cases and improve in rate of early treatment.
Type of the surveillance system.
-Passive, Sentinel, Syndromic, and Event-based. -
Hi Anawat, Thank you for the very clear presentation. In Indonesia, syndromic surveillance for leptospirosis is carried out integrated into one information system for potentially epidemic diseases, namely e-WARS (early warning and alert Response System). Is there e-WARS in Thailand too? If so, what is the difference between this surveillance and e-WARS. Thank You
-
-
Thank for your attractive presentation. Early detection to prevent the spreading of the disease is crucial. I like your system that include village health volunteer to share the knowledge after reporting and analyzing data. I have some question about how to confirm the diagnosis in the system to rule out other tropical infection(its presentation can mimic leptospirosis).
Thank you-
Thank you for comment.
Misdiagnosing with other systemic infection will be the most challenging issue for this surveillance program. I think that the surveillance will be helpful in early detection, but at the end of the day doctors might have to do laboratory investigation before treating pateints.
-
-
Thanks for your nice presentation. I like your case definition that includes the three aspects, time-place-person. However, I agreed with Chanapong about the misdiagnosis issue. Also, allow both hospital and village health volunteer to send a report, you should have a good system to detect duplicated data report. I also like your thorough thought about the evaluation part.
-
You must be logged in to reply to this topic. Login here