Analysis of Investigation of Dengue Hemorrhagic Fever Report in Health Service Network Region 10 and 12

Abstract

Analysis of investigation of dengue hemorrhagic fever report in 2008 was epidemiology descriptive study. The aims of study was to assess investigation of dengue hemorrhagic fever report    and to evaluate investigation report quality of surveillance rapid response team in health service network region 10 and 12, 2008. The process of study was recording data into the form and analyzing it by Epi info. The used statistics were amount, percentage, median and range.

  There were 69 disease investigation reports in 2008. It was found that the majority symptoms of patients was fever and 58.97% of patients were diagnosed that having this disease into two days, 57.78 % were admitted for three to four days, 84.06% were infected from new area, 76.81% were infected from their hometown area. There were 82.61% investigated after finding first case, and 89.86% investigated after notified infection within 24 hours, and 80% investigated together in the same day by providing health education, pubic relation, fogging and destroying breeding habitats. However, 91.80% did not record fogging time, and 83.61% cooperated fogging with health volunteer in the village and local health personnel, and only 10% started making surveillance system after having new patients.

             The investigation of report quality found that 63.77% created appropriate title, 63.77% of reports defined case definition and 65.91% defined correctly, 88.41% confirmed diagnosis from laboratory, and 66.67% were able to identify source of infection, 80% reports offered appropriate suggestions on diseases prevention, but were unable to identify type of chemical substance and time. Almost of who used in fogging was health personnel. In addition, only 10.14% set surveillance system after outbreak. 

The investigation of report reflected how to SRRT had worked in local area. The SRRT should increase to confirm diagnosis by laboratory, and to define case definition for case finding. In addition, they should identify type of chemical substances used to control disease. They had to do more local disease surveillance and think of ways to persuade Sub-district Administrative Organizations to participate of prevention and control.