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Evaluation of the Reporting System for Communicable Diseases in Taipei, 1981-1983



Parallel abstracts

In order to evaluate the completeness, accuracy and timeliness of the reports of communicable diseases, we have interviewed 183 resident physicians from five teaching hospitals in Taipei, and reviewed 194 discharge records of typhoid and paratyphoid fever, poliomyelitis, whooping cough and shigellosis during 1981-1983 from these hospitals. Though the percentage of these cases reported averaged 427, the reports were useful as a guide for disease coutrol. But these reports should be improved to be able to recognize the state of the epidemic. Delays in reporting is a serious problem, and more than 60% of the reported cases were not reported within 24 hours as the law required. We recommend following procedures to improve the effectiveness of the reporting system: (1) Feedback reports should be sent to the reporting clinicians, (2) Reports of positive cases could be directly sent from the hospital laboratories, (3) Periodical evaluation of the reporting system should be performed at least once a year.