Reconnaissance Frameworks for Irresistible Ailments in Korea.

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Reconnaissance Frameworks for Irresistible Illnesses in Korea alright Stop, Therapeutic Officer, KCDC Trilateral Class on R and D Strategies to Developing And Re-rising Irresistible Ailments, December 14-16, 2005, Boston General Rate of Notifiable Irresistible Infections in Korea
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Observation Systems for Infectious Diseases in Korea Ok Park, Medical Officer, KCDC Trilateral Seminar on R & D Policies to Emerging And Re-rising Infectious Diseases, December 14-16, 2005, Boston

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Overall Incidence of Notifiable Infectious Diseases in Korea * The instances of Tuberculosis, Hansen’s illness, and HIV/AIDS were barred

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Emerging Infectious Diseases in Korea Leptospirosis, Legionellosis flare-up (1984) HIV Infection (1985) Entero-hemorrhagic E-coli (O157) contamination (1998) Vancomycin halfway defenseless Staphylococcus aureus disease (1999) Brucellosis (2002) Botulism (2003)

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Reemerging/Increasing Infectious Diseases in Korea Reemergence of vivax Malaria (1993) Reemergence of Rabies (1998) Increase in Food-borne ailments Shigellosis : brought about by Shigella sonnei Food harming EHEC contamination : expanding since first episode in 2003 Increase in Hantavirus hemorrhagic fever disorder, Scrub typhus, Leptospirosis (since 1998) Increase of HIV/AIDS

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Reported Cases of Shigellosis by Year

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Reported Cases of Measles by Year Adapted measles end method and led mass vaccination crusade, 2001

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Reported Cases of Malaria by Year Adapted jungle fever disposal procedure in 1999 and dispatched DPRK venture in 2001

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Enhancement of Infectious Disease Surveillance and Response Increase of Emerging and Re-developing Infectious Disease Adopt Proactive Strategy for Communicable Disease (Control → Elimination) Build Infrastructure to Respond Communicable Disease Organization Revision of CDPL Sentinel reconnaissance Immuni-zation Registry Legislation Human assets IT Stockpiling R & D FETP FMTP Onsite supervision Cyber instruction Training courses Vaccine Antibiotics Antiseptics PPE Ventilators Vaccine Diagnosis Therapy Serum bank EDI DB Modeling Info sharing KCDC Formation of Task Forces

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Reporting System of Notifiable Diseases Physicians Report (Tel/Fax) Feedback Health Center (District level) Specimen Referral Feedback Report (EDI) Prov. Inst. of Health & Environment Dept. of Health (Provincial level) Report (EDI) Feedback Specimen Referral Feedback KCDC

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Enhancement of Legal Framework Revision of Communicable Disease Prevention Law Enacted in 1953 Revised in 2000 to fortify lawful premise for EID - Extend sicknesses for notice (3 bunches 29 illnesses to 5 bunches 64 ailments) - Change notice criteria - Shorten the reporting time - Stipulate Notification structure, Notification process, Scope of notice of every ailment Punishment for reprobate reporting

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Classification and Reporting Time of Notifiable Infectious Diseases

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Adapt IT for reconnaissance and Enhance examination and Feedback Adapt IT for observation Electronic information trade framework for reporting Data administration program Statistical project Develop Disweb as a gateway webpage for sharing data on transmittable maladies Enhance Data Analysis and Feedback CDWR(Communicable Disease Weekly report) CDMR(Communicable Disease Monthly Report) Statistical Year Book Press discharges

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Information Flow Management program Management program Management program Management program Management program Prov. DB PHC DB Management project Doctor Health focus TEL,FAX Province Database EDI KCDC Sentinel webpage Feedback Statistic DB Statistical Program

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EDI System for Reporting

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Data Management Program

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Statistical Program of Communicable Diseases

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Portal Site for Information on the Communicable Disease ( )

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English rendition of Disweb

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Establishment of Various Surveillance Systems Sentinel Surveillance by the CDPL Influenza, Viral hepatitis A, B, C, STDs Imported Parasitic Diseases, VRSA contamination, CJD Sentinel reconnaissance on the intentional premise Pediatric Sentinel Surveillance, Viral conjunctivitis Network for data sharing and observation Infection pros system (2002) EpiNet (2003) Syndromic Surveillance and Rumor Surveillance System Emergency room based syndromic reconnaissance (2002) Enhanced syndromic observation amid major universal occasions (2003) K-ProMed

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Website for sentinel or syndromic observation

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Website for Influenza Surveillance (Korean/English form)

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Human Resources Development and Collaboration with Private Sector Development of Human Resources Field Epidemiology Training Program (1999) Field Management Training Program (2002) Training system by each Div. - Training for transmittable sickness observation : 3 to 4 times each year Enhancement of Collaboration with Private Sector Development and operation of sentinel reconnaissance in the coordinated effort with private division Co-facilitating of course, meetings Research Project

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Gaps for Infectious Disease Surveillance Insufficient limit at neighborhood government Lack of HR at nearby government to react to rising irresistible illnesses Frequent turn of social insurance specialists Insufficient operation of different reconnaissance framework Development of different reconnaissance frameworks which can serve as an early cautioning framework Lack of specialists to work every observation framework

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Gaps for ID Surveillance Insufficient reconciliation among observation frameworks Insufficient mix between Notifiable Disease Surveillance & lab reconnaissance Low cooperation rate for notice from doctors Low warning rate of notifiable ailments - Shin et al, 1994, notice rates of gathering 1 and gathering 2 ailments are individually: 71.0% (95% PI, 96.2 - 75.3), 20.0% (95% PI, 18.9 – 21.3) - Shin et al, 2003, little scale review result, notice rates of gathering 1, 2, & 3 are 76.4%, 50.5% & 43% separately - Survey in one city, 2002, report constantly (28%) ; report by and large (37%), report some of the time (18%) ; report infrequently (9%) ; no experience of irresistible malady (8%), N=727

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Future Plans Development of online reporting framework Convenience of information administration Real-time examination Integration of Notifiable Disease Surveillance and Laboratory Surveillance Comprehensive observation Increase notice rate

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Future Plans Extension of electronic reporting framework to private area Convenience of notice from the private segment Enhance notice rate consequently Decreasing copied work in general wellbeing segment Development of HR Continuous preparing to create HR Collaboration with private segment to improve support in ailment observation Enhance R & D Operation of different reconnaissance framework

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Thank You

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