A study of the leprosy surveillance system in Report D506 using the leprosy case reporting system of the Rajpracha Samasai Institute as the reference database between January 1 and October 8, 2023
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Abstract
Leprosy is a communicable disease that must be monitored under the Communicable Diseases Act B.E. 2558. Therefore, a system for continuous monitoring, verification, and data collection is essential. Currently, the leprosy surveillance system continuously monitors data in the Leprosy Database of the Rajpracha Samasai Institute (LEP database). Additionally, new leprosy cases are reported in the D506 reporting system of the Epidemiology Division. However, leprosy reporting in the D506 reporting system is not widely utilized. This study was conducted to describe Thailand's leprosy surveillance system in 2023 and to assess the quantitative characteristics of the leprosy surveillance system in the D506 reporting system from January 1, 2023 to October 8 , 2023 using the LEP database as a reference. The results revealed that the leprosy reporting system, the LEP database, and the D506 reporting system have different objectives and reporting variables. The D506 reporting system records data from suspected patients to detect outbreaks, whereas the LEP database reports confirmed cases and includes leprosy-specific variables such as disability level. Leprosy reporting in the D506 reporting system remains underreported. Its sensitivity of 30% affects the representativeness of the data, failing to reflect the characteristics of new leprosy cases when compared with the LEP database. However, the positive predictive value was high at 93.8%. Despite this, delays in reporting new cases persist. Therefore, efforts should be made to improve leprosy reporting in the D506 reporting system and to develop a comprehensive surveillance database. This database should integrate verified reports of new cases from the D506 reporting system and leprosy-specific information, including close contact details from the LEP database. Such integration would result in a timely, accurate, and complete surveillance system for leprosy cases, supporting continuous disease control, enhancing system efficiency, and ultimately contributing to eliminating leprosy in Thailand.
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ประกาศเกี่ยวกับลิขสิทธิ์
บทความที่ลงพิมพ์ในวารสารสถาบันราชประชาสมาสัย ถือว่าเป็นผลงานทางวิชาการหรือการวิจัย และวิเคราะห์ตลอดจนเป็นความเห็นส่วนตัวของผู้นิพนธ์ ไม่ใช่ความเห็นของกรมควบคุมโรค ประเทศไทย หรือกองบรรณาธิการแต่ประการใด ผู้นิพนธ์จำต้องรับผิดชอบต่อบทความของตน
นโยบายส่วนบุคคล
ชื่อและที่อยู่อีเมลที่ระบุในวารสารสถาบันราชประชาสมาสัย จะถูกใช้เพื่อวัตถุประสงค์ตามที่ระบุไว้ ในวารสารเท่านั้น และจะไม่ถูกนำไปใช้สำหรับวัตถุประสงค์อื่น หรือต่อบุคคลอื่นใด
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