Surveillance Evaluation of Hand Foot Mount Disease at Ban Rai Hospital Uthai Thani Province; 2022

Abstract

Hand Foot Mouth disease is a group of symptoms caused by infection with a group of Enteroviruses. Common types of them are Coxsackie virus A 16, Coxsackie virus A, Enterovirus 71 which can be transmitted by breathing through droplets from coughing and sneezing of sick or infected people and germs, also eaten through the mouth directly from hands contaminated with mucus, saliva, and feces of a patient or an infected person or fluid in the patient's blisters or wounds. Hand Foot Mouth disease is mostly found in children under 5 years and most children have minor symptoms for 7-10 days such as fever, headache, nausea, aches, etc. Some will have severe symptoms depending on the type of virus being infected. Hence, surveillance evaluation of Hand Foot Mouth disease at Ban Rai Hospital Uthai Thani Province is needed. This is a cross-sectional study. Both quantitative and qualitative data were collected from 1 January - 31 December 2022 of patients with symptoms according to the surveillance definition of hand foot mouth disease that receives both outpatient and inpatient services. The objectives were to describe the flow of data reporting, study quantitative and qualitative characteristics and provide recommendations for developing Hand Foot Mouth disease surveillance system. It was found that the data reporting process in the outpatient cases, doctor will also enter a diagnosis code (ICD-10) and if communicable diseases need to be monitored, the system will have a notification (Pop up) for the doctor to confirm the information that must be reported in the system (R506). For inpatient cases, the medical statistician will be responsible for entering the diagnosis code (ICD-10) in the system. Then, the epidemiological staff will check the data every day and send the data to the Uthai Thani Province Public Health Office 3 times per week and will send the data to Division of Epidemiology. In addition, the results quantitative characteristics found sensitivity was 73.2%, positive predictive value was 91.5%. Representativeness, the proportion of data reporting between medical records and the system (R506), was similar. Timeliness of data reporting to the Uthai Thani Province Public Health Office in 3 days was 100.0%. The results of qualitative characteristic were the difficulty of the system, reporting information was not difficult. Flexibility of reporting system, if the definition of disease surveillance was changed, variables or operational guidelines can be learned and adjusted, Acceptability of the surveillance system, most can operate according to normal systems. System stability, it was found that there we sufficient resources in terms of people, money, and hospital administrators had policies to support operations and budgets for disease surveillance. Therefore, evaluating the disease surveillance system will reveal the effectiveness of the surveillance system. A disease reporting system can be developed to obtain information that can be used for disease control in a timely manner. It can also be applied to other infectious diseases that require surveillance.