Chehab Mohamad A, Bala Mohamed O, Al-Dahshan Ayman, Selim Nagah A, Al-Romaihi Hamad E, Al-Thani Mohammed, Farag Elmoubasher A
Community Medicine Residency Program, Hamad Medical Corporation, Doha, QAT.
Department of Public Health and Preventive Medicine, Cairo University School of Medicine, Cairo, EGY.
Cureus. 2018 Jun 21;10(6):e2851. doi: 10.7759/cureus.2851.
Background The high influx of migrant workers from malaria-endemic countries along with the presence of a malaria vector in Qatar has raised the alarm of the possible reintroduction of local transmission. Meanwhile, the Qatar Malaria Surveillance System aims to detect any local malaria transmission as well as to monitor trends in imported cases. Aim Evaluating the attributes of the Malaria Surveillance System in Qatar will help identify any gaps necessitating rectification. Method The completeness and timeliness of the malaria surveillance system were determined. The direct method was used to determine completeness. Timeliness was evaluated by calculating the time lag between the onset of disease and notification receipt by the surveillance team (T) or diagnosis (T1) and between the diagnosis and receipt of notification by the surveillance team (T2). Results The overall external completeness of Malaria surveillance system was yielded at 47% (219/493). The most frequently reported data fields were found to be age, gender, and nationality with a percentage of 99% or more. However, the least reported data components were found to be lab results, types of samples, sample collection, and travel destinations with percentages of 59%, 58%, 56%, and 41%, respectively.The overall median time lags was six days for T, four days for T1, and two days for T2. Conclusion Our study has identified several merits and areas of improvement in the National Malaria Surveillance System in Qatar. The attributes of evaluation, completeness and timeliness, need more quality improvement. Evaluation of other surveillance system attributes is highly recommended.
来自疟疾流行国家的大量外来务工人员涌入卡塔尔,加之该国存在疟疾传播媒介,这引发了当地疟疾可能重新传播的警报。与此同时,卡塔尔疟疾监测系统旨在检测任何本地疟疾传播情况,并监测输入性病例的趋势。目的:评估卡塔尔疟疾监测系统的属性将有助于识别任何需要整改的差距。方法:确定疟疾监测系统的完整性和及时性。采用直接方法确定完整性。通过计算疾病发病与监测团队收到通知(T)或诊断(T1)之间的时间间隔以及诊断与监测团队收到通知(T2)之间的时间间隔来评估及时性。结果:疟疾监测系统的总体外部完整性为47%(219/493)。发现报告最频繁的数据字段是年龄、性别和国籍,报告率达到99%或更高。然而,报告最少的数据组件是实验室结果、样本类型、样本采集和旅行目的地,报告率分别为59%、58%、56%和41%。T的总体中位时间间隔为6天,T1为4天,T2为2天。结论:我们的研究确定了卡塔尔国家疟疾监测系统的若干优点和改进领域。评估的属性,即完整性和及时性,需要进一步提高质量。强烈建议对其他监测系统属性进行评估。