A model development of mobile public health Laboratory in response to the situation of COVID – 19 Outbreak in Thailand
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Abstract
The COVID-19 pandemic has caused a significant outbreak in Thailand, exceeding the capacity of regular laboratory services. This research aims to develop a mobile laboratory model in response to the pandemic in Thailand by using the PDCA (Plan, Do, Check, Act) development process in the research and development. The sample group is the people who require screening by RT-PCR testing in 8 provinces consisting of Samut Sakhon, Pathum Thani, Bangkok, Tak, Mae Hong Son, Narathiwat, Pattani, and Songkhla, from January 28th to December 15th, 2021. Materials and tools used in this study include express analysis mobile unit, ICN TRACKING, reporting systems, observation and interviews. Statistical data includes percentages and quality. The results of the study are as follows: 1) The development of a mobile RT-PCR laboratory, emphasizing safety and user convenience, and meeting the standards certified by the Department of Medical Sciences. 2) Development of RT-PCR screening procedures in the community, with the ability to report for the first 96 cases within 180 minutes and subsequent 96 cases in every 60 minutes, within a 12 working hours. 3) Utilizing the analysis mobile unit for screening and developing disease control management in Bangkok, Pathum Thani, Tak, Mae Hong Son, Narathiwat, Pattani, and Songkhla provinces. 4) The screening with disease control management, as well as the development of care and treatment in the Bangkok area, will be conducted together with support for the provinces of Pattani and Songkhla. As a result, the study found that the aforementioned model analyzed the results in the area of 280,811 cases (excluding support areas). It is effective for outbreaks in both large cities and remote areas, and is comparable to a regular laboratory. During operation, the disease control management system, sample submission, reporting, and the analysis mobile unit are improved to be safe, convenient, and shock-resistant. The RT-PCR machine is designed to support mobility, and the reporting system reaches the public and the disease investigation team immediately after the results are available, leading to rapid disease control, separation and treatment of infected persons. The data is used to create strategies for effective epidemic prevention and control management. It is an exemplary model for comprehensive treatment of COVID-19 patients at home, reducing the spread of the disease in communities and nationwide, preventing deaths, and helping Thailand to control the epidemic situation quickly.
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