scholarly journals Successful implementation of electronic disease reporting in Georgia

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Lia Sanodze ◽  
Naile Malakmadze ◽  
Rusudan Chlikadze ◽  
Maka Tsilosani ◽  
Tamar Teimurazishvili ◽  
...  

ObjectiveThe objective of this study was to evaluate several aspects of theelectronic disease reporting system and its abilities used in Georgia.Also, the study assessed if the system abilities are tailored to thenational surveillance requirements. User attitudes (system strengthand weaknesses) toward the system was also surveyed.IntroductionThe Ministry of Health of Georgia accepted the ElectronicIntegrated Disease Surveillance System (EIDSS) as an officialdisease reporting system in 2012. The Georgian government adoptedelectronic reporting for both veterinary and human diseases in2015. We conducted a comparative assessment of progress in theimplementation of electronic reporting.MethodsA face-to-face initial survey was conducted in 2012, a follow-upsurvey (through telephone interviews) was performed in 2016. Theinitial survey was conducted in regions that had EIDSS installedand the follow-up survey was conducted in all regions. Standardizedquestionnaires were used and data was analyzed in Epi Info.ResultsOut of 450 trained EIDSS users, 32% were interviewed in theinitial survey and 25% (of 550) EIDSS trained users were interviewedin the follow-up survey. Of 147 respondents in the initial survey and138 in the follow-up survey, 44% and 79%, believed that they wereusing EIDSS effectively, respectively. The follow-up survey showeda 23% increase in respondents who acknowledge an improvement ofthe electronic reporting; acceptance of EIDSS increased from 80.3%to 97.8%. Of those interviewed in the follow-up survey, 19.7%mentioned that the main success in development of the system is dueto improved collaboration between institutes. However, 17.36% of therespondents in the follow-up survey reported non-sufficient qualitydata.ConclusionsOur study suggests that the acceptance and use of EIDSS hasnoticeably improved, indicating the successful implementation ofelectronic reporting. Recommendations have been made to furtherimprove the data quality by conducting regular data cleaning andadditional user training. We recommend the continuation of EIDSStraining.

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Donald E. Brannen ◽  
Melissa Branum ◽  
Amy Schmitt

ObjectiveImprove disease reporting and outbreak mangement.IntroductionSpecific communicable diseases have to be reported by law withina specific time period. In Ohio, prior to 2001, most of these diseasereports were on paper reports that were reported from providers tolocal health departments. In turn the Communicable Disease Nursemailed the hardcopies to the Ohio Department of Health (ODH).In 2001 the Ohio Disease Reporting System (ODRS) was rolled out toall local public health agencies in Ohio.1ODRS is Ohio’s portion ofthe National Electronic Disease Surveillance System. ODRS shouldnot be confused with syndromic surveillance systems that are fordetecting a disease outbreak before the disease itself is detected.2Chronic disease surveillance system data has been evaluated forlong term trends and potential enhancements.3However, the use ofcommunicable disease reports vary greatly.4 However, the exportdata has not routinely been used for quality improvement purposesof the disease reporting process itself. In December 2014, GreeneCounty Public Health (GCPH) begain a project to improve reportingof communicable diseases and the response to disease outbreaks.MethodsInitial efforts were to understand the current disease reportingprocess: Quantitative management techniques including creating alogic model and process map of the existing process, brainstormingand ranking of issues. The diseases selected to study included:Campylobacteriosis, Cryptosporidiosis, E. coli O157:H7 &shiga toxin-producing E. coli, Giardiasis, Influenza-associatedhospitalization, Legionnaires’ disease, Pertussis, Salmonellosis,and Shigellosis. The next steps included creating a data collectionand analysis plan. An updated process map was created and thepre- and post-process maps were compared to identify areas toimprove. The median number of days were compared before andafter improvements were implemented. Modeling of the impact ofthe process improvements on the median number of days reportedwas conducted. Estimation of the impact in healthy number of daysderived from the reduction in days to report (if any) were calculated.ResultsProcess improvements identified: Ensure all disease reportersuse digital reporting methods preferably starting with electroniclaboratory reporting directly to the online disease reporting system,with other methods such as direct web data entry into system, faxinglab reports, orsecure emailing reports, with no or little hard copy mailing;Centralize incoming email and fax reports (eliminating process steps);Standardize backup staffing procedures for disease reporting staff;Formalize incident command procedures under the authorized personin charge for every incident rather than distribute command betweenenvironmental and clinical services; and place communicable diseasereporting under that single authority rather than clinical services. Thedays to report diseases were reduced from a median of 2 to .5 days(p<.001). All the diseases were improved except for crytosporodiumdue to an outlier report two months late. The estimated societalhealthy days saved were valued at $52,779 in the first eight monthsafter implementation of the improvements.ConclusionsImprovements in disease reporting decreased the reporting timefrom over 2 days to less than 1 day on average. Estimated societalhealthy days saved by this project during the first 9 months was$52,779. Management of early command and control for outbreakresponse was improved.


2020 ◽  
Vol 6 (1) ◽  
pp. 32-38
Author(s):  
Mohamed Ahmed Syed ◽  
Hanan Al Mujalli ◽  
Catherine Kiely ◽  
Hamda Abdulla A/Qotba ◽  
Khalid Elawad ◽  
...  

Communicable disease outbreaks can spread rapidly, causing enormous losses to individual health, national economies and social well-being. Therefore, communicable disease surveillance is essential for protecting public health. In Qatar, electronic reporting from primary health centres was proposed as a means of improving disease notification, replacing a paper-based method of reporting (via internal mail, facsimile, email or telephone), which has disadvantages and requires active cooperation and engagement of staff. This study is a predescriptive and postdescriptive analysis, which compared disease notifications received from electronic and paper-based systems during 3-month evaluation periods (quarter 2 in 2016 and quarter 2 in 2018 for paper-based and electronic reporting, respectively) in terms of comprehensiveness, timeliness and completeness. For the 23 notifiable diseases included in this study, approximately twice as many notifications were received through the electronic reporting system as from the paper-based reporting system, demonstrating it is more comprehensive. An overall increase in notifications is likely to have a positive public health impact in Qatar. 100% of electronic notifications were received in a timely manner, compared with 28% for paper-based notifications. Findings of the study show that electronic reporting presents a revolutionary opportunity to advance public health surveillance. It is recommended that electronic reporting be rolled out more widely to improve the completeness, stability and representativeness of the national public health surveillance system in Qatar as well as other countries.


2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Nigar Safi ◽  
Kliment Asadov ◽  
Shalala K. Zeynalova ◽  
Eldar Gasanov ◽  
Natig Javadov

Objectiveto show the instability of an epizootic situation on rabies casesof animals in the Republic of Azerbaijan, on the example of thecases analysis in Electronic Integrated Disease Surveillance System(EIDSS) electronic reporting systemIntroductionRabies is an infectious disease which was and remains to be oneof the most serious diseases of all species of hematothermal animalsand humans, in many regions of the world. The epizootic situation onrabies in the Republic of Azerbaijan has been unfavorable for manyyears, which is confirmed by scientific data and the veterinary casesreporting in the EIDSS system. This system was introduced in thecountry in 2009 and is the electronic System of disease control. Theprogram allows to provide monitoring and prevention of diseaseswithin the concept “One World - One Health System” by integrationof systems of observation of animal diseases, human diseases, anddisease carriers.MethodsOn the basis of the data on rabies cases entered in special formsand also aggregative data collected on anti-rabies vaccination, theanalysis of information on quantity of cases and their prevalence onadministrative and territorial units (rayons) of the country is carriedout. The graphical analysis (charts and the map) on the basis ofnecessary criteria are constituted in the analyses module, visualizationof the AVR reporting and in the Microsoft Excel program.ResultsThe analysis of the rabies cases confirmed at the Virologydepartment of the Republican Veterinary Laboratory shows thatrabies has been identified in 36 cases in 2015, 25 cases in January- June, 2016, in total 61 cases has been registered for the periodof “January 2015 – June 2016”. An epizootologically unfavorablesituation is revealed in 27 regions. The most unfavorable situation isthe northwest regions of the country, the most part of which is coveredwith mountainy-forest area with domination of wild fauna. Specificstructure of animals: dogs – 31 cases in 19 areas (51%), cattle – 21cases in 12 areas (34%), a small cattle-1 case (2%), wild animals(specify types) - 8 cases in 8 areas (13%) that is visually shown oncharts 1 and 2. The cattle were bitten by wolves and jackals.ConclusionsThus, prevalence of rabies cases of different species of animalsin the country, once again proves natural and focal character of thedisease: the reservoir of rabies is in the wild nature and geographicalconditions impact the spread of rabies.Cases of rabies in animals are registered annually. In 2015,vaccination captured about 250000 dogs, and 244400 dogs werevaccinated in the first 6 months of 2016. Despite a huge group ofvaccinations, restriction of rabies spread isn’t observed and thetendency is trending to the increase of rabies case indicators amongstthe dogs.It is necessary to pay close attention to preventive vaccination ofdomestic (including non-productive) animals. If materiel resourcesare available, it is possible to carry out the vaccination of the cattlein the territories adjacent to the forests. In the threatened territorieswith woodlands, there is no alternative to oral vaccinations, whichis confirmed by positive experience of many countries. There is anextreme need of carrying out of oral vaccination of wild carnivorousanimals with obligatory control of the immune status.


2017 ◽  
Vol 3 (2) ◽  
pp. e18 ◽  
Author(s):  
Kristin Baltrusaitis ◽  
Mauricio Santillana ◽  
Adam W Crawley ◽  
Rumi Chunara ◽  
Mark Smolinski ◽  
...  

2014 ◽  
Vol 2 (2) ◽  
pp. e22 ◽  
Author(s):  
Saranath Lawpoolsri ◽  
Amnat Khamsiriwatchara ◽  
Wongwat Liulark ◽  
Komchaluch Taweeseneepitch ◽  
Aumnuyphan Sangvichean ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Donghui Duan ◽  
Hui Li ◽  
Jiaying Xu ◽  
Liping Wong ◽  
Guodong Xu ◽  
...  

Objective. To estimate the incident risk of ischemic stroke (IS) in newly diagnosed type 2 diabetes (T2D) subjects according to different body mass index (BMI) and height categories.Methods. A total of 25,130 newly diagnosed T2D subjects were included in this study. All T2D subjects were enrolled consecutively from the Chronic Disease Surveillance System (CDSS) of Ningbo. Standardized incidence ratio (SIR) and its 95% confidence interval (95% CI) stratified by BMI categories and height quartiles were used to estimate the incident risk of IS in T2D subjects.Results. In total, 22,795 subjects completed the follow-up. Among them, 1268 newly diagnosed IS cases were identified, with 149,675 person-years. The SIRs of normal BMI (18.5–24.0 kg/m2), overweight (24.0–28.0 kg/m2), and obese (≥28.0 kg/m2) in overall subjects were 2.56 (95% CI 1.90–3.13), 2.13 (95% CI 1.90–3.13), and 1.87 (95% CI 1.29–2.43), respectively (Ptrend<0.01), comparing to the general population of Ningbo. For each 1 kg/m2increment in BMI, the SIR was 0.948 (95% CI 0.903–0.999). For height quartiles, the SIRs of male subjects in quartile 1 (<160 cm), quartile 2 (161–165 cm), quartile 3 (165–170 cm), and quartile 4 (≥171 cm) were 2.27 (95% CI 1.99–2.56), 2.01 (95% CI 1.67–2.45), 1.37 (95% CI 1.05–1.68), and 0.91 (95% CI 0.40–1.32), respectively (Ptrend<0.01). While for female subjects, the SIRs in quartile 1 (<155 cm), quartile 2 (156–160 cm), quartile 3 (161–165 cm), and quartile 4 (≥166 cm) were 3.57 (95% CI 3.11–3.49), 2.96 (95% CI 2.61–3.31), 1.94 (95% CI 1.51–2.36), and 1.71 (95% CI 0.95–2.47), respectively (Ptrend<0.01).Conclusion. Compared to the general population of Ningbo, T2D subjects had a higher incident risk of IS. Furthermore, the IS incident risk was not only higher in newly diagnosed T2D subjects with normal BMI but also lower in taller newly diagnosed T2D subjects.


Author(s):  
Tukino ◽  
Siti Masruroh ◽  
Daryanto Herdiana

Teaching and learning is an activity that is bound by goal directed and carried out specifically to achieve that goal. Because it is very important to seek knowledge for a bright future. Supervision of students by the guardians of the students made the results of their children's achievements not improving. As well as student assessment by the teacher is still not well managed because it is still in the form of a note report. The system method used is the Prototype model. With observation and direct interviews with the student section regarding the assessment system in the school where the author researched. The results of this study are applications that can be operated on an Android Smartphone. This application can provide fast information and update automatically in obtaining information on student learning outcomes.        


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Wei Liu ◽  
Dongming Wang ◽  
Shuiqiong Hua ◽  
Cong Xie ◽  
Bin Wang ◽  
...  

AbstractFew study has revealed spatial transmission characteristics of COVID-19 in Wuhan, China. We aimed to analyze the spatiotemporal spread of COVID-19 in Wuhan and its influence factors. Information of 32,682 COVID-19 cases reported through March 18 were extracted from the national infectious disease surveillance system. Geographic information system methods were applied to analysis transmission of COVID-19 and its influence factors in different periods. We found decrease in effective reproduction number (Rt) and COVID-19 related indicators through taking a series of effective public health measures including restricting traffic, centralized quarantine and strict stay-at home policy. The distribution of COVID-19 cases number in Wuhan showed obvious global aggregation and local aggregation. In addition, the analysis at streets-level suggested population density and the number of hospitals were associated with COVID-19 cases number. The epidemic situation showed obvious global and local spatial aggregations. High population density with larger number of hospitals may account for the aggregations. The epidemic in Wuhan was under control in a short time after strong quarantine measures and restrictions on movement of residents were implanted.


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