Chew S K, Snodgrass I
Epidemiology Unit, Communicable Disease Centre, Singapore.
Singapore Med J. 1995 Apr;36(2):147-51.
The first case of the human immunodeficiency virus (HIV) infection was detected in Singapore in 1985 and the first case of the acquired immunodeficiency syndrome (AIDS) in 1986. Since then, the number of infections had increased. By the end of 1993, there were 222 residents with HIV infection, including 75 cases of AIDS. In view of the rapidly increasing magnitude of HIV infection, a microcomputer-based surveillance system was designed and developed in 1992 to better monitor epidemiological trends of HIV infection in Singapore. OBJECTIVE--The objective was to define a composite model of a successful HIV and AIDS registry that included: (a) patient data forms, (b) patient's contact data forms, (c) data analysis, and (d) report generation. METHODOLOGY--An IBM-compatible desk-top microcomputer was used for the project. The main software used for computer programming and data analysis were DBase IV (Version 1.5) and Epi Info (Version 5.0), respectively. Security features were incorporated into the programme to ensure confidentiality of information and that only authorized personnel could gain access to the programme. MAIN FINDINGS--The system functioned as the National HIV Notification Registry and was able to track notifications, analyse data and enabled prompt dissemination of information. The system was also linked to another database system for tuberculosis to enhance surveillance of both HIV infection and tuberculosis. CONCLUSION--The authors believe that this system would enhance surveillance and provide timely information for national AIDS control programmes. However, the effectiveness of this computer-based surveillance system is dependent on an established notification structure with notifications of sufficient completeness for both HIV infection and AIDS.
1985年在新加坡检测到首例人类免疫缺陷病毒（HIV）感染病例，1986年检测到首例获得性免疫缺陷综合征（AIDS）病例。自那时起，感染人数不断增加。到1993年底，有222名居民感染了HIV，其中包括75例艾滋病病例。鉴于HIV感染人数迅速增加，1992年设计并开发了一个基于微型计算机的监测系统，以更好地监测新加坡HIV感染的流行病学趋势。目的——目的是定义一个成功的HIV和艾滋病登记综合模型，该模型包括：（a）患者数据表格，（b）患者接触者数据表格，（c）数据分析，以及（d）报告生成。方法——该项目使用了一台与IBM兼容的台式微型计算机。分别用于计算机编程和数据分析的主要软件是dBase IV（版本1.5）和Epi Info（版本5.0）。程序中纳入了安全功能，以确保信息的保密性，并且只有授权人员才能访问该程序。主要发现——该系统作为国家HIV通报登记处发挥作用，能够跟踪通报情况、分析数据并实现信息的及时传播。该系统还与另一个结核病数据库系统相链接，以加强对HIV感染和结核病的监测。结论——作者认为，该系统将加强监测，并为国家艾滋病控制计划提供及时信息。然而，这个基于计算机的监测系统的有效性取决于一个既定的通报结构，该结构对HIV感染和艾滋病的通报具有足够的完整性。
