Hospital-Based Surveillance: An Effective Tool for Infectious Disease Control


Article type :

Original article

Author :

Shefalee Pai Vernekar

Volume :

4

Issue :

2

Abstract :

Objectives: (1) To determine the profile of reported infectious diseases. (2) To analyze the reported infectious diseases with reference to certain factors. (3) To evaluate the functionality of the notification system. Methodology: The hospital record-based study was carried out at a tertiary care hospital in Goa. The “Malaria, Dengue, Encephalitis Notification Reports” for a period of 18 months (Jan 2016–Jun 2017) were scrutinized. Data was entered in excel and analyzed in SPSS version 22. Results: A total of 2360 cases were recorded as per reports. 2043 (86.5%) of these were cases of malaria, 225 (9.6%) dengue, 55 (2.3%) encephalitis, 37 (1.6%) leptospirosis, and zero cases of chikungunya. Among the malaria cases, majority of the cases notified were plasmodium vivax-type. There were a total of 30 deaths reported, majority being due to leptospirosis 7 (23%) and encephalitis 7 (23%). The highest case fatality rate of 22 was due to cerebral malaria. Only 48 out of 346 (14%) of the reports were duly complete. Incorrect notification was seen in 2% of the reports. Many a times (25%), the reports were not sent on a daily basis. Conclusion: The hospital-based surveillance is an effective notification system for cases reporting to the hospitals. It is a cost-effective method of surveillance. If the problems of inconsistency, incompleteness, untimely reporting, etc., are solved, it has potential to revolutionize by timely detection and control measures on impending disease outbreaks

Keyword :

Surveillance, Hospital-based, Infectious, Disease
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