• Title/Summary/Keyword: Disease surveillance system

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Introduction and Evaluation of Communicable Disease Surveillance in the Republic of Korea (전염병 감시 체계 소개 및 평가)

  • Park, Ok;Choi, Bo-Youl
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.4
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    • pp.259-264
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    • 2007
  • Effective communicable disease surveillance systems are the basis of the national disease prevention and control. Following the increase in emerging and re-emerging infectious diseases since late 1990s, the Korean government has strived to enhance surveillance and response system. Since 2000, sentinel surveillance, such as influenza sentinel surveillance, pediatric sentinel surveillance, school-based sentinel surveillance and ophthalmological sentinel surveillance, was introduced to improve the surveillance activities. Electronic reporting system was developed in 2000, enabling the establishment of national database of reported cases. Disweb, a portal for sharing communicable disease information with the public and health care workers, was developed. In general, the survey results on usefulness and attributes of the system, such as simplicity, flexibility, acceptability, sensitivity, timeliness, and representa-tiveness, received relatively high recognition. Compared to the number of paid cases of national health insurance, reported cases by national notifiable disease surveillance system, and various sentinel surveillance system, the result of the correlation analysis was high. According to the research project conducted by KCDC, the reporting rate of physicians in 2004 has also greatly improved, compared with that in 1990s. However, continuous efforts are needed to further improve the communicable disease surveillance system. Awareness of physicians on communicable disease surveillance system must be improved by conducting education and information campaigns on a continuous basis. We should also devise means for efficient use of various administrative data including cause of death statistics and health insurance. In addition, efficiency of the system must be improved by linking data from various surveillance system.

Circulatory Disease Surveillance System in Korea (순환기질환 감시체계)

  • Chun, Byung-Yeol
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.4
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    • pp.273-277
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    • 2007
  • The purpose of establishing the circulatory disease surveillance system in Korea is to ensure that the problems of circulatory disease importance are being monitored efficiently and effectively. The goals of circulatory disease surveillance system are to monitor the epidemiological trends of circulatory disease and to evaluate the outcome of health activity for controlling circulatory diseases. Surveillance system are being updated to achieve the needs for the integration of the surveillance and information system, the establishment of data standards, the electronic exchange of data, and changes in the goals of circulatory disease surveillance system to facilitate the response of this system to manage the national health problem effectively. This article provides the target diseases and determinant indicators to be monitored, structure of circulatory disease surveillance system, and many tasks and related activities that should be applied to this system.

A Study on Operation Status of Syndromic Surveillance System for Early Detection of Adverse Disease Events (증후군감시 조기경보시스템의 국내외 운영현황에 관한 연구)

  • Yang, Eunjoo;Park, Hyun Woo;Ryu, Keun Ho
    • Journal of Digital Contents Society
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    • v.19 no.3
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    • pp.587-593
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    • 2018
  • The syndromic surveillance system is designed to identify illness clusters before diagnoses are confirmed and reported to public health agencies, to provide rapid public health response, and thereby to reduce morbidity and mortality. Korea Centers for Disease Control and Prevention (KCDC) has implemented the emergency department-based syndromic surveillance system. To design upgraded and enhanced functions of the current syndromic surveillance system in KCDC for the early warning of adverse disease events, we surveyed many papers. This paper describes the operation status of syndromic surveillance system in other countries and the improvement of the syndromic surveillance system in KCDC.

Indicators for Chronic Disease Management of Older Persons (노년기 건강을 위한 만성질환 관리지표 개발)

  • Paek, Kyung Won;Chun, Ki Hong
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.1-15
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    • 2014
  • Objectives: This study was performed to develop the indicators for national surveillance of chronic disease, which is a governmental concern to manage the chronic disease for older persons. It is necessary that chronic disease surveillance system needs to be made in Korea for effective management of chronic diseases. With the system, we know the prevalence and incidence of chronic diseases, observe the trend of utilization for caring the chronic diseases, and analyze the behavior change for prevention of chronic diseases. Methods: This study was carried out by analyzing the data by which the indicators was produced, by reviewing how the United States made the indicators. By benchmarking the United States, the sources of data of the national surveillance indicators for chronic diseases in Korea were compared. Results: In this study, the most significant indicators were identified and proposed to improve the surveillance indicators by changing the sources of data. These findings warrant further development of the health policy for the chronic disease prevention and establishment of the chronic disease surveillance system. Conclusions: The results of this study can be used to develop national surveillance indicators to manage the chronic diseases and can be used as basic data to develop community health programs.

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Sensitivity analysis of serological tests for detection of disease in cattle (소 질병 검출을 위한 혈청학적 검사의 민감도 평가)

  • Lee, Sang-Jin;Moon, Oun-Kyong;Pak, Son-Il
    • Korean Journal of Veterinary Research
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    • v.50 no.1
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    • pp.43-48
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    • 2010
  • Animal disease surveillance system, defined as the continuous investigation of a given population to detect the occurrence of disease or infection for control purposes, has been key roles to assess the health status of an animal population and, more recently, in international trade of animal and animal products with regard to risk assessment. Especially, for a system aiming to determine whether or not a disease is present in a population sensitivity of the system should be maintained high enough not to miss an infected animal. Therefore, when planning the implementation of surveillance system a number of factors that affecting surveillance sensitivity should be taken into account. Of these parameters sample size is of important, and different approaches are used to calculate sample size, usually depending on the objective of surveillance systems. The purpose of this study was to evaluate the sensitivity of the current national serological surveillance programs for four selected bovine diseases assuming a specified sampling plan, to examine factors affecting the probability of detection, and to provide sample sizes required for achieving surveillance goal of detecting at least an infection in a given population. Our results showed that, for example, detecting low level of prevalence (0.2% for bovine tuberculosis) requires selection of all animals per typical Korean cattle farm (n = 17), and thus risk-based target surveillance for high risk groups can be an alternative strategy to increase sensitivity while not increasing overall sampling efforts. The minimum sample size required for detecting at least one positive animal was sharply increased as the disease prevalence is low. More importantly, high reliability of prevalence estimation was expected with increased sampling fraction even when zero-infected animal was identified. The effect of sample size is also discussed in terms of the maximum prevalence when zero-infected animals were identified and on the probability of failure to detect an infection. We suggest that for many serological surveillance systems, diagnostic performance of the testing method, sample size, prevalence, population size, and statistical confidence need to be considered to correctly interpret results of the system.

Expectations for a Tele- Health Surveillance System by Residents of an Information Network Village (일 정보화 마을주민의 재택 건강관리 시스템에 대한 기대수준)

  • 박소미;황성오
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.285-295
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    • 2004
  • Purpose: The purpose of this study was to investigate the expectations toward a tele-health surveillance system by residents of an information network village. Method: A descriptive study was conducted using interviews with a questionnaire. Of the households in the village, 24 were selected for inclusion in a pilot study. All of the residents from these households, for a total of 67, participated in the survey. Result: Expectations for promotion of health by a tele-health surveillance system were higher in residents with higher level of education. Expectations for effectiveness of disease management and promotion of health status by a tele-health surveillance system were higher in residents with family history or experience with emergencies. The higher scores for health knowledge and health concerns were associated with higher expectations for effectiveness of disease management and promotion of health by a tele-health surveillance system Conclusion: Analysis of the characteristic of the residents should precede implementation of a tele-health surveillance system in any location as expectations for tele-health surveillance system differ according to the characteristics.

Current status and challenges in disease surveillance and epidemiological investigation systems for companion animals in South Korea

  • Beom Jun Lee;Kyung-Duk Min
    • Korean Journal of Veterinary Research
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    • v.64 no.2
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    • pp.18.1-18.5
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    • 2024
  • The surveillance and epidemiological investigation systems for companion animals in South Korea are significantly underdeveloped compared to those for humans and livestock. Recent outbreaks, such as idiopathic neuromuscular syndrome and highly pathogenic avian influenza among cats, have highlighted the need for reliable systems. This short review conducts situation analysis regarding disease surveillance and epidemiological investigation for companion animals in South Korea. The current challenges include an absence of administrative leadership, a lack of legal support, and unreliable medical data. The recommendations for future directions include clear leadership by the Animal and Plant Quarantine Agency, amending the Act on the Prevention of Contagious Animal Diseases to include companion animals, and enhancing the quality of medical data through standardized coding systems, such as Systematized Nomenclature of Medicine Clinical Terms. In addition, sentinel surveillance rather than universal systems should be established to provide adequate incentives for local practitioners to provide data and develop sustainable public-private networks. These recommendations could be important for developing a comprehensive and sustainable system for disease surveillance and epidemiological investigation in the companion animal field.

Characteristics of Occupational Skin Disease Reported by Surveillance System (감시체계를 통하여 보고된 직업성 피부질환의 특성에 관한 연구 - 사업장, 특수건강진단기관, 피부과의사의 보고사례를 중심으로 기술 -)

  • Kim, Hyoung-Ok;Lee, Jun-Young;Jung, Ho-Keun;Ahn, Yeon-Soon
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.2
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    • pp.130-140
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    • 1999
  • Objectives: This study was carried out to estimate the magnitude of skin disease related to occupation and to find out the characteristics of it. Methods: We collected and analyzed the cases of occupational skin disease reported by surveillance system composed of doctors and nurses in 150 enterprises with dispensary or attacked hospital and physicians in 92 specific health examination institutes and 150 dermatologists from May to November, 1998. Results: Among members of surveillance system, 66 enterprises and 47 specific health examination institutes and 55 dermatologists reported 571 cases of occupational skin disease in 512 workers. Excepting 81 cases reported by dermatologists, We analyzed 490 cases reported by enterprises and specific health examination institutes. Among 490 cases, contact dermatitis was most common(368 cases, 75.1%) and the second was hyper or hypopigmentation(36 cases, 7.3%). When we analyzed the characteristics of workers with occupational contact dermatitis, male workers were 281 (79.2%) and female were 74(20.8%). 165 workers(64.5%) had chronic skin disease with repeated cure and relapse. 245 workers(72.5%) answered positively that their coworkers had similar skin disease. 27 workers(8.7%) experienced absence due to contact dermatitis related to occupation. To analyze the type of industries of workers with occupational contact dermatitis, automobile and trailer manufacturing industry was most common(105 cases, 29.6%) and the second was manufacturing industry for image, sound and communication equipment(55 cases, 15.5%). Organic solvent(183 cases, 46.7%) was the most common treating material of workers with contact dermatitis and the second was various kinds of chemicals(59cases, 15.1%). Conclusions: This is the first study using nationwide surveillance system to collect data of occupational skin disease. We found that many workers had skin disease related to occupation and characteristics of occupational skin disease were chronic and clustering. Therefore, we had to establish counterplan to manage occupational skin disease and to operate surveillance system to identify trends of occupational skin disease, continuously.

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Current status of measles in the Republic of Korea: an overview of case-based and seroepidemiological surveillance scheme

  • Choe, Young June;Bae, Geun-Ryang
    • Clinical and Experimental Pediatrics
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    • v.55 no.12
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    • pp.455-461
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    • 2012
  • Following the Five Year Measles Elimination Program, measles has been declared eliminated from the Republic of Korea since 2006. However, there remain challenges related to the surveillance of measles in the postelimination phase. Even though the routine surveillance system has revealed a gradual decrease in the number of reported cases since 2002, 4 resurgences have occurred, notably due to outbreaks. Because vaccine-modified measles is becoming widespread due to high vaccination coverage, conducting laboratory confirmation in each case becomes important. Moreover, susceptible individuals with measles have been identified through seroprevalence studies. Lastly, the efforts to improve the timeliness of measles reporting have led to the establishment of an active laboratory-based surveillance network, which has shortened the interval between diagnosis and notification. In these circumstances, searching for more sensitive and effective surveillance measures is important for maintaining the elimination status and preventing future outbreaks of measles in Korea.