The difficulties of early detection for infectious disease outbreak in China: A qualitative investigation

Yan, Weirong; Zhou, Yikai; Shen, Wei; Zhang, Huijuan

doi:10.1016/s1007-4376(08)60014-3

Cited by 12 publications

(16 citation statements)

References 10 publications

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“…These threats caused by infectious diseases, not only usually cause huge consequences to the public health, sometimes even lead to death [1,2] . The more completely we can know its change character both spatial and temporal, the earlier we can take measures to respond to it.…”

Section: Introductionmentioning

confidence: 99%

Notice of Retraction: Spatial and Temporal Changes of Infectious Diseases in China

Nie

Yang

et al. 2011

2011 5th International Conference on Bioinformatics and Biomedical Engineering

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China is a developing country with high incidence of infectious diseases, and its spatial and temporal changes are the significant issues to research. This paper uses the time series and spacial series contrasting method to analyze the changes of infectious diseases in the province level. The results show: from the temporal change analysis, the incidence of infectious diseases in China declined rapidly during the second half of the 20th century, however, it shows a sign of rebound after 2005; from the spatial distribution and change analysis during 2002-2009, the high incidence regions transformed from the western regions to the southeast coastal areas and the northwest regions. Around the Bohai Sea and its southern areas are the lowest infectious diseases incidence regions. The study results can provide valuable information to public health policymakers and the human health researches.

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Section: Introductionmentioning

confidence: 99%

Notice of Retraction: Spatial and Temporal Changes of Infectious Diseases in China

Nie

Yang

et al. 2011

2011 5th International Conference on Bioinformatics and Biomedical Engineering

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“…In a study from China inadequacy of resources at the local level was identified as an important determinant of a functional digital information system for disease surveillance. The study reported that the top tier of government invests more in building digital information systems, but lower levels do not receive enough planned resources to ensure its implementation 20. A functional digital information system has been found to speed up the reporting, improve data flow and ensure the availability of up-to-date data for the decision-makers.…”

Section: Discussionmentioning

confidence: 99%

“…The study reported that the top tier of government invests more in building digital information systems, but lower levels do not receive enough planned resources to ensure its implementation. 20 A functional digital information system has been found to speed up the reporting, improve data flow and ensure the availability of up-to-date data for the decisionmakers. This eventually leads to early detection of and timely action against outbreaks.…”

Section: Discussionmentioning

confidence: 99%

“…Literature shows that the majority of people may opt not to show up for health seeking unless they develop serious symptoms. 20 This, in the event of a communicable disease, not only has the potential for the infection to spread but also leads to a delay in detecting an outbreak. Relying on passive surveillance only is often dependent on factors including patients' awareness, health-seeking behaviour and socioeconomic status and hence needs to be supplemented by some form of active surveillance.…”

Section: Discussionmentioning

confidence: 99%

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Exploring stakeholders’ experiences and perceptions regarding barriers to effective surveillance of communicable diseases in a rural district of Pakistan: a qualitative study

et al. 2022

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ObjectiveTo explore the experiences and perceptions of health system stakeholders of a rural district of Sindh, Pakistan regarding the barriers to effective surveillance of communicable diseases.DesignThis qualitative descriptive exploratory design comprised in-depth interviews. Both inductive and deductive thematic analysis was applied to identify key themes from the data.SettingsThe study was conducted in public sector healthcare facilities and the district health office of the rural district of Thatta, in Sindh province, Pakistan.ParticipantsFifteen healthcare managers and healthcare providers working in the eight public sector primary and secondary healthcare facilities were interviewed using an open-ended in-depth interview guide.ResultsKey themes that emerged from the data were: poor governance and absence of surveillance policy framework; fragmentation in the health system leading to lack of uniform reporting; inadequate (human) resources that weakened the infrastructure for disease surveillance; hospital-based reporting of cases that led to a predominantly passive surveillance system; paper-based surveillance system as the key determinant of delayed reporting; non-utilisation of surveillance data for decision making; absence of local laboratory capacity to complement the detection of disease outbreaks and lack of private sector integration in disease surveillance.ConclusionsPoor governance and lack of policy framework were perceived to be responsible for weak surveillance infrastructure. Resource deficiencies including inadequate human resource, paper-based reporting and the absence of local laboratory capacity were considered to result in delayed, poor quality and incomplete reporting. The lack of private sector engagement was identified as a major gap.

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“…Studies from different countries show that underreporting of infectious diseases is a global problem. [9][10][11][12][13][14][15][16][17] Factors that influence disease reporting are similar and include: physicians' attitudes and motivation; 18,19 basic and continuous medical training; 20,21 and knowledge about the importance and purpose of surveillance. 22,23 The simplicity of reporting methodology is also an important factor 24 as well as feedback information to physicians.…”

Section: Discussionmentioning

confidence: 99%

Quality of Infectious Disease Surveillance in Primary Health Care

Đurić

Ilić

2012

Sri Lankan J Infec Dis

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The aim of the study was to analyse participation of primary care physicians in infectious disease surveillance and to find factors which influence the primary health physician's participation in surveillance. Infectious disease reporting by 854 primary care physicians from 15 primary care institutions in South Bačka district, AP Vojvodina, Serbia was monitored during a 6 month period. The number and structure of infectious disease reporting through the mandatory surveillance system was compared with the number and structure of infectious diseases reported through routine statistics and the number and structure of infectious diseases reported in the whole area, including reports from secondary and tertiary health care settings and laboratories. The youngest and oldest physicians reported the lowest average number of infectious diseases. Paediatricians and dermatologists had the highest and emergency specialists, occupational medicine specialists and other consultants the lowest average number of reported infectious diseases, with the ratio between paediatricians and emergency medicine specialists being 347:1. Lowest reporting rate was observed for infections routinely diagnosed in clinics such as hepatitis, or with ethical considerations such as sexually transmitted infections. The average weekly number of reported infectious diseases was from 0.0 per emergency medicine specialists to 1.4 per paediatrician. Completeness of infectious disease surveillance in primary health care is unsatisfactory. Changing currently insufficient undergraduate and postgraduate training in surveillance might be an important tool for establishing a more effective and sensitive surveillance system. Guidelines for laboratory confirmation and reporting could also increase quality of surveillance.

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The difficulties of early detection for infectious disease outbreak in China: A qualitative investigation

Cited by 12 publications

References 10 publications

Notice of Retraction: Spatial and Temporal Changes of Infectious Diseases in China

Notice of Retraction: Spatial and Temporal Changes of Infectious Diseases in China

Exploring stakeholders’ experiences and perceptions regarding barriers to effective surveillance of communicable diseases in a rural district of Pakistan: a qualitative study

Quality of Infectious Disease Surveillance in Primary Health Care

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