Evaluation of Silicosis Surveillance System in Health Region 5

Abstract

        This study of the assessment on the Silicosis surveillance system of Health Region 5 was a cross – sectional study. The objective is to study the quantitative and qualitative characteristics of the surveillance system of Health Region 5. Data used are the secondary data in 2022 B.E. of Health Region 5 as the 43-health folder and Event Base Surveillance Department of Disease Control that is an ICD - 10 codes form Suphan Buri, Nakhon Pathom, Samut Sakhon and Phetchaburi province were collected by reviewing medical records of patients diagnosed according to specified ICD-10 codes and interviewing responsible persons and those involved in the silicosis surveillance system.

        The results of data searching by medical records according to specified ICD-10 codes including J62, J63, J64, J65, J40, J41, J42, J43, J44 and J47 codes of 777 cases found 15 cases that were reported. The 6 cases (0.77%) of 15 cases have the criteria according to the specified definition. The results of the quantitative showed that the sensitivity was 100.00% and the positive predictive value was 40.00%. The data quality shows that gender and age data were recorded was 100.00%, recorded occupational data indicating exposure to silica dust was 46.66%, and recorded occupational data but not indicating exposure to silica dust was 53.33%. The results of the qualitative show the silicosis surveillance system has been accepted, flexible, stable, and the information can be used for benefit.

        Therefore, it is recommended that the central department involved surveillance of Silicosis develop a program system or data recording format for the hospital to record features or hazards of work. In addition, the related department in the area should jointly develop guidelines for surveillance, disease reporting, diagnosis, and transfer that are appropriate to the area.