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[An evaluation of the surveillance system of mandatory disease reporting].

Identifieur interne : 000689 ( Main/Exploration ); précédent : 000688; suivant : 000690

[An evaluation of the surveillance system of mandatory disease reporting].

Auteurs : J A Pe Uelas Ruiz [Espagne] ; R R Manrique Blázquez ; A. Diestro Contreras ; M C Pastor Ortega ; A. Leal Fernández

Source :

RBID : pubmed:9717349

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Study of the exhaustibility and reliability of the recording of obligatory notifiable diseases (EDO) and the accumulated incidence of the EDO in a health area.

DESIGN

Descriptive study.

SETTING

Community setting. Epidemiological surveillance.

PATIENTS

People who have suffered in 1996 some EDO (excluded measles, rubella, mumps, chickenpox and influenza).

MEASUREMENTS AND MAIN RESULTS

They have been selected a total of 205 EDO-disease cases starting from the two recording systems: laboratory and obligatory surveillance diseases system. The exhaustibility of the laboratory has been 82%, 95% confidence interval (76-87%) and that of the EDO system 45%, 95% confidence interval (38-52%). The rate kappa for the diseases global is 0.42 95%, confidence interval (0.4-0.43) and the specific accordance proportion 0.27, 95% confidence interval (0.21-0.34). The cases search in the recording of the laboratory increases the incidence declared to the EDO system in all the diseases. The diseases with greater incidence are the hepatitis (73.59 x 10(5)), the pulmonary tuberculosis (27.07 x 10(5)) and the syphilis (18.05 x 10(5)).

CONCLUSIONS

The EDO system presents a clear understatement, variable according to the different diseases and being maximum for the hepatitis B and C. The laboratory quantifies a high exhaustibility, and it can increase between 55 and 30% the EDO recording cases, increasing the knowledge of the morbidity caused by EDO in the Area 11. The valuation of the EDO in addition to improving the information for the assumptions of decisions in sanitary planning, optimizes the necessary elements when it is compared the EDO incidence among different geographical areas or within a same area at a different time.


PubMed: 9717349


Affiliations:


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Le document en format XML

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<title xml:lang="en">[An evaluation of the surveillance system of mandatory disease reporting].</title>
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<name sortKey="Pe Uelas Ruiz, J A" sort="Pe Uelas Ruiz, J A" uniqKey="Pe Uelas Ruiz J" first="J A" last="Pe Uelas Ruiz">J A Pe Uelas Ruiz</name>
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<nlm:affiliation>Unidad de Epidemiología, Centro de Salud Pública de Gandía, Valencia. jaruiz@san.gva.es</nlm:affiliation>
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<name sortKey="Manrique Blazquez, R R" sort="Manrique Blazquez, R R" uniqKey="Manrique Blazquez R" first="R R" last="Manrique Blázquez">R R Manrique Blázquez</name>
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<name sortKey="Diestro Contreras, A" sort="Diestro Contreras, A" uniqKey="Diestro Contreras A" first="A" last="Diestro Contreras">A. Diestro Contreras</name>
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<term>Disease Notification (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Population Surveillance (methods)</term>
<term>Program Evaluation (methods)</term>
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<term>Spain (epidemiology)</term>
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<term>Maladies transmissibles (épidémiologie)</term>
<term>Notification des maladies (méthodes)</term>
<term>Notification des maladies (statistiques et données numériques)</term>
<term>Surveillance de la population (méthodes)</term>
<term>Évaluation de programme (méthodes)</term>
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<p>
<b>OBJECTIVE</b>
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<p>Study of the exhaustibility and reliability of the recording of obligatory notifiable diseases (EDO) and the accumulated incidence of the EDO in a health area.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
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<p>Descriptive study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Community setting. Epidemiological surveillance.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS</b>
</p>
<p>People who have suffered in 1996 some EDO (excluded measles, rubella, mumps, chickenpox and influenza).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MEASUREMENTS AND MAIN RESULTS</b>
</p>
<p>They have been selected a total of 205 EDO-disease cases starting from the two recording systems: laboratory and obligatory surveillance diseases system. The exhaustibility of the laboratory has been 82%, 95% confidence interval (76-87%) and that of the EDO system 45%, 95% confidence interval (38-52%). The rate kappa for the diseases global is 0.42 95%, confidence interval (0.4-0.43) and the specific accordance proportion 0.27, 95% confidence interval (0.21-0.34). The cases search in the recording of the laboratory increases the incidence declared to the EDO system in all the diseases. The diseases with greater incidence are the hepatitis (73.59 x 10(5)), the pulmonary tuberculosis (27.07 x 10(5)) and the syphilis (18.05 x 10(5)).</p>
</div>
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<p>
<b>CONCLUSIONS</b>
</p>
<p>The EDO system presents a clear understatement, variable according to the different diseases and being maximum for the hepatitis B and C. The laboratory quantifies a high exhaustibility, and it can increase between 55 and 30% the EDO recording cases, increasing the knowledge of the morbidity caused by EDO in the Area 11. The valuation of the EDO in addition to improving the information for the assumptions of decisions in sanitary planning, optimizes the necessary elements when it is compared the EDO incidence among different geographical areas or within a same area at a different time.</p>
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<AbstractText Label="SETTING" NlmCategory="METHODS">Community setting. Epidemiological surveillance.</AbstractText>
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