Evaluation Surveillance Evaluation Toxic Effect of Pesticides Diseases, Nakhon Ratchasima Province, 2019

Abstract

Disease from pesticide poisoning has been 1 of the 7 diseases monitored by Occupational and Environmental Disease Division. The disease has a big and severe problem affected the health of farmers and people. Disease surveillance with disease coding data from 43 file structures and presented through the Health Data Center report system. The objective was to study the quantitative and qualitative attributes of the surveillance systems, the reporting process and suggestions on improving the surveillance systems. A cross-sectional study was conducted. Quantitative and qualitative characteristics Disease information from pesticide poisoning From 43 file systems Health Data Center : HDC report, selected 6 specific health service units in Nakhon Ratchasima Province, Khanong Phra Tai PCU, Pak Chong District, Krakod PCU, Muang District, Map Takoen PCU, Khon Buri District, Khon Kaen Hospital, Ban Lueam Hospital, Khon Buri Hospital, Quantitative study. The study population consisted of Patients who were PCU and hospital undergoing treatment from 1 January to 31 December 2019, according to the disease codes in T60, R, L, J Search and review medical records. Simple random sampling 792 medical record. Qualitative study. The target group were interviewed by purposive sampling method, 28 people involved, 6 executives , 19academic staff, 3 data information administrators. The results showed PCU had positive prediction value of 0 and the sensitivity cannot be evaluated. Hospitals had positive prediction value and sensitivity value of 100%. In the system unable to assess the timeliness. The number of diagnoses was low, so it was not possible to evaluate the agent. The accuracy of the variable, age, gender, occupation were all correct. In terms of management and operators, they see the benefits of surveillance. Have a positive attitude towards the surveillance system from pesticide poisoning. As an additional factor, allowing the surveillance system to be able to develop easily and efficiently Disease situation monitoring Knowledge of disease Coding disease from pesticide poisoning Use of information There is still little information to be used in planning operations. Because accessing the information in the system is quite difficult. The reporting system should be improved. Access to information And further definition of the disease