VDO Presentation : PMAC Feild Trip 2013

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2013-02-12 15:57
VDO Presentation : PMAC Feild Trip 2013
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66
SYSTEM STRENGTHENING
in the context of tourist attraction areas

Chon Buri province

Pattaya City, a famous and popular coastal city in Chon Buri, attracts tourists worldwide. The provincial disease control team in collaboration with agencies concerned has much experience in controlling the outbreaks of infectious diseases in many districts in Chon Buri. These include H1N1 in the Tiger Zoo of Si Racha district in 2005, H1N1 among tourists from Taiwan travelling in Pattaya City in 2009, and recently, in 2011, Rubella in Cambodian and.

Burmese migrant workers in Nhong Yai district. The strengths of this provincial system contribute to the preparedness and rapid response, leading to the success in controlling of all outbreaks.

MANAGING THE INFORMATION SYSTEM
for disease surveillance in livestock farms

Chachoengsao province

In 2003, there was an outbreak of H5N1 in chicken farms
and the removal of a lot of chickens led to the increasing
development of closed-farming systems, including better care
of workers in the poultry farms. In 2004, the outbreak of a disease
in duck-slaughter factories in Ban Pho district, in which most
people misunderstood was H5N1, caused the cancellation
of orders and damage to the manufacturing companies.
However, the results of the investigation team showed that it
was an influenza outbreak. There is a systematic and effective
information system collaboratively implemented by all sectors
in the province, particularly the Livestock Office. Its outstanding
work is the system management of infectious disease data
network for collecting comprehensive, reliable, and accurate
data, contributing to effective disease surveillance.

PROACTIVE SRRT RESPONSE
Nakhon Pathom province

The provincial disease control team has a strong network
of several district teams to carry out activities concerning
disease control, especially the surveillance system. They have
experiences in dealing with the outbreaks of dengue fever and
food poisoning (milk in schools). Its outstanding characteristics
are the Surveillance and Rapid Response Team (SRRT) and
the executive (Provincial Chief Medical Officer) who is very
proactive and collaboratively works together with private
partners, health volunteers and animal health teams. Since
Nakhon Pathom province has a lot of livestock farms, the field
trip participants will have opportunities for sharing knowledge
and experiences on preparedness and response to achieve
all goals of disease surveillance and rapid response.

SURVEILLANCE SYSTEM
in migrant workers

Samut Sakhon province

There are many special risk groups of population residing in
this coastal province (estimated 300,000 migrant workers from
Myanmar, Lao PDR, and Cambodia) and working in both the
fishery and industry sectors. Cholera outbreak is most found in
Samut Sakhon province, and its transmission occurs among
migrant workers almost every year, particularly in 2010 in which
100 migrant workers were infected with cholera. From the
experiences in dealing with disease outbreaks, the provincial
disease control teams can manage the surveillance system
effectively, so this province was safe from the flood disaster
in 2011.

MULTI-SECTORAL COLLABORATION
at the district level

Ratchaburi province
 

Thus, there are many Burmese migrants working and living in
this province. Consequently, the provincial disease control
team coordinates with all sectors concerned to develop
systems for controlling diseases at the district level. There are
22 malaria clinics in the communities and the management
of the Center for Disease Control in refugee camps in Suan
Phung district in collaboration with NGOs. In addition, there
was an outbreak of Shigella in Pak Tho district, which was
effectively controlled by collaboration among stakeholders
at the district level.

STRONG SRRT AT THE SUBDISTRICT LEVEL
Lop Buri province

During the past seven years, the provincial SRRT started
learning processes for strengthening their capacity in terms
of disease surveillance, prevention, and control of diseases.
Therefore, they have much experience in dealing with Avian
Influenza (AI), Influenza, Dengue Hemorrhagic Fever (DHF),
Measles, Hand, Foot and Mouth disease, and food poisoning.
Consequently, almost all districts are self-reliant in accelerating
disease control and have become “Strengthened Disease
Control Districts.” Particularly, in Pattananikom district, due
to its concrete success in controlling diseases, there is an
expansion of “SRRT Network at the subdistrict level”, with
cooperation and collaboration among agencies concerned
such as government agencies, local government, Village
Health Volunteers (VHVs), teachers, and community leaders,
using the quality of information systems at all levels, integrated
with the continuing processes of practical experiences for a
sustainable network.
SELF RELIANCE BY THE CIVIL SOCIETY
at the community level

Saraburi province
In Ban Pa subdistrict, Kaeng Khoi district, villagers and Village Health Volunteers (VHVs) collaboratively work together to control the disease. The Surveillance and Rapid Response Team (SRRT) of Subdistrict Health Promoting hospital provides information and technical advice at the house of VHVs. At the house of the Chief of VHVs of Ban Pa subdistrict,
located in Moo 5, it is equipped to function as the operating center for receiving information and knowledge on disease surveillance, providing equipment necessary for preventing and controlling communicable diseases, especially dengue fever such as fogging machines and abate sand granules, using the budget from the private sector. Furthermore, there is an innovation developed by the villagers called “Khuad Noi Khoi Look Nam,” which is a little bottle for capturing mosquito larvae.
DISEASE CONTROL IN A METROPOLIS:
the variety of the urban community

Bangkok

Bangkok is Thailand’s capital with an estimated 10 million
people, composed of various populations and communities.
Bangkok Metropolitan Administration (BMA) recognizes the
importance of work regarding surveillance, investigation,
control, and prevention of the outbreaks of infectious diseases,
implemented by the Communicable Disease Control Division,
Department of Health, in collaboration with 68 Health
Centers. Therefore, they set up the SRRT for rapid response to
the outbreaks in a timely manner, address the establishment
the network of public and private sectors, and continuously
promote public relations for raising awareness and enhancing
the understanding of the people.

ROLES OF A UNIVERSITY HOSPITAL
in disease control

Bangkok

Siriraj Hospital is the oldest and biggest hospital in Thailand,
established in 1888, by H.M. King Chulalongkorn (King Rama
V) of Rattanakosin Period, the father of H.R.H. Prince Mahidol
of Songkhla. The field trip participants will visit the Department
of Microbiology and the Division of Infection Control to study
their works focusing on “monitoring antimicrobial-resistant
infections,” the issue attracting the academics’ attention
both at the national and international levels. Siriraj Hospital
accommodates the nation’s largest laboratory for diagnosis
of infectious diseases which has been certified by ISO
15189:2007. Also, the participants will study the state-of-the-
art technologies for detecting and investigating the infectious
disease outbreaks and share experiences on controlling major
antimicrobial-resistant infections as well.

 

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