Evaluation of Box jelly Fish case Surveillance System and Quality of treatment in Trat province

Abstract

This retrospective study aimed to study box jellyfish case surveillance system, the characteristic of quantitative and qualitative attributes of box jellyfish case surveillance system, and the quality of treatment in Trat province. The method of the study is collecting all box jellyfish cases in every hospital in Trat which diagnosed during January 1^st, 2018 to October 31^st, 2023. The results revealed that box jellyfish case surveillance system in Trat province used JF-Trat form and sent through the application “Line” within 24 hours after case finding. The quantitative surveillance system revealed that the sensitivity of reporting was moderate (74.82 %) but the positive predicted value was good (100 %). The accuracy of variants (genders, ages, places) was good (100 %). The timeliness of most reporting was within 48 hours. However, the event time recording should be improved clearer. The qualitative surveillance system revealed that box jellyfish case surveillance system in Trat was accepted by the public health officers and tourism entrepreneur network because of its simplicity and flexibility. Furthermore, the system can be used steadily if there will be some system development and knowledge reviewing continuously. The treatment quality revealed that the box jellyfish cases received first aid correctly by pouring some vinegar. (87.5 %) Therefore, it helped reduce severe cases as there were 92.33 % of non-severe emergency cases (green cases).

The result of this study revealed that box jellyfish case surveillance system in Trat is appropriate and necessary for health management system in island and coast area as it is useful for supporting national economic. However, the quickness of reporting and database management should be improved by developing the staff potential and determine the organization performing structure obviously.