Development and Evaluation for Early Detection System of Absents or Symptomatic Patients in the Social Welfare Facility

由于年龄较小的儿童在拥挤的气氛中呆的时间较长，而且似乎彼此接触得更近，或者幼儿园比学校更容易引起传染病的爆发。因此，在幼儿园医生、公共卫生中心和市、县地方政府之间及时共享传染病信息是非常重要的。为了做到这一点，我们开发了这个系统，它在80个城市的大约4000所幼儿园运行。在该系统中，幼儿园输入根据症状或诊断确定的缺席或患病人数的数据，该系统自动生成基于初中学区的一些表格、数字和地图，并检测每个幼儿园的异常。它还在幼儿园医生、公共卫生中心和市、县地方政府之间分享这些信息。它有助于发现社区中的疫情。如果幼儿园输入数字 ...更多信息 由于严重的传染病，如麻疹，风疹，进入出血性大肠杆菌感染，和肺结核缺席，该系统发送这些数据到幼儿园医生，公共卫生中心，市，县的地方政府和中央政府通过电子邮件自动采取迅速的对策。通常，我们在引入该系统之前进行了实际培训，并在引入后每年组织后续会议。在这些会议中，来自幼儿园的与会者深入了解了该系统，并学习了新的功能。2011年8月，我们通过Web对287所幼儿园进行了关于在读幼儿园使用的系统-的调查，并收到了答案。结果表明，每天录入数据的时间约为5分钟，其中70%的人每天都能录入数据。通过地图及时了解自己所在的幼儿园和社区的情况，他们感受到的优势最大。同时，我们还对城市的地方政府进行了调查，得到了78个城市的答案。他们认为该系统有助于了解每个幼儿园的情况，并为自己和幼儿园制定一定的传染病对策。通过使用该系统，可以更早地发现传染病，并与对策伙伴共享信息和应对措施。总之，该系统对幼儿园的传染病对策非常有用，有助于保护儿童免受传染病的侵害。少

As younger children spend long time and seem to get into touch with each other closer in the crowded atmosphere, or nursery schools than in schools, it is more likely to cause outbreaks of infectious diseases. Hence it is important to share the information about infectious diseases among nursery school doctor, the public health center, and local government of city and prefecture timely. So as to do this, we developed the system and it is operated at about 4000 nursery schools in 80 cities. In the system, nursery schools enter the data of the number of the absent or illness identified by symptoms or diagnosis, this system automatically makes some tables, figures, and maps based on junior high school district and detects aberrations in each nursery schools. It also shares such information among nursery school doctor, the public health center, and the local government of city and prefecture. It has contributed to find out an outbreak in the community. If a nursery school enters the number … More of the absent due to severe infectious diseases, such as measles, rubella, enter hemorrhagic Escherichia coli infection, and tuberculosis, this system sends these data to the nursery school doctor, the public health center, the local government of the city and prefecture and the central government by e-mail automatically in order to take a prompt counter-measure.Usually, we had practical trainings before the introduction of this system and organized follow up meetings in every year after the introduction. In these meetings, the participants from nursery schools understand the system deeply and learn new functions. In August, 2011, we surveyed about the system-, which is used by the attended nursery schools, through Web and received the answer from 287 nursery schools. The answers proved that necessary time to enter the data were almost 5 minutes, and 70% of them can enter the data every day. They feel the most advantages from timely situation awareness about their own nursery school and communities by maps.At the same time, we also surveyed the local governments of cities and received the answer from 78 cities. They feel the system is useful to know the situation in each nursery school and prepare certain counter-measure for infectious diseases by themselves and the nursery schools. They also feel the advantage of this system as they can detect infectious diseases earlier and share the information and response with counter partners by using the system.In conclusion, this system is useful for the counter measure for infectious diseases in nursery schools, and it contributed to protect children from infectious diseases. Less