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หลักการสอบสวนโรคทางระบาดวิทยา
1.
8
2.
• Epidemiology • Epidemiology •
Epidemiological
3.
4.
• Epidemic or Outbreak
Investig • (Indevidual Investigation)
5.
• • • (Individual Investigation) “ ”
6.
1 event-base 2 506 3
7.
1 2. 3. 4. 5.
8.
- # - # - - # # 1
9.
10.
index case - - . .
11.
& nasopharyngeal/throat/aspiration) (
sterile/ Label /
12.
- • • • • # # 5
13.
14.
Outbreak : • • <10 • • :
15.
Reported Cases of
Leptospirosis by Month, Thailand,1995-1999. 0 200 400 600 800 1000 1200 J M M J S N J M M J S N J M M J S N J M M J S N J M M J NumberofCases 1995 1996 1997 1998 1999
16.
1. 2. 3.
17.
0 20 40 60 80 100 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 “ ”- 14
18.
0 20 40 60 80 100 1 5 9
13 17 21 25 29 33 37 . Lab ( ) 13
19.
20.
/ / / , ,PPE,
21.
-
22.
1 • Index case •
Primary case : ? OPD/Chart / Lab •
23.
2
24.
Case finding) Passive case
detection) Active case detection)
25.
26.
•case definition - confirmed
case - probable case - suspected case - contact • - (structured questionnaire) - (interview schedule) - - • specimens Primery Case :
27.
Case definition)
28.
(Case definition) (Confirmed case)
: (Probable case) : (Suspected case) :
29.
5 - 55
30.
- = / epidemic
curve # (common source) # (propagated source) - = , , 4
31.
5 2
32.
7 - -
33.
8 - -
34.
35.
1. 1.1 (Preliminary Report) 1.2 (Final Report) 2. (Full
Report) 3. (Scientific Article) BureauofEpidemiology
36.
BureauofEpidemiology 1-2 A4
37.
Index case BureauofEpidemiology
38.
BureauofEpidemiology - - - - -
39.
BureauofEpidemiology - - -
40.
BureauofEpidemiology - - - -
41.
BureauofEpidemiology - - - -
42.
BureauofEpidemiology - - - -
43.
44.
13 2544 . 14 V.
cholerae 01, eltor, Inaba 11 2544 9.35 . .
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2544 9.35 . 2-3 Acute diarrhea Norfloxacin . 1 16 .
46.
V. cholerae 01,
eltor, Inaba V. cholerae 01, eltor, Inaba rectal swab 2 V. cholerae 01, eltor, Inaba 1 2
47.
48.
1. 2. 3.
49.
(Full report) BureauofEpidemiology
50.
BureauofEpidemiology 1. (Title) 2. (Principal Investigator
& Team) 3. (Abstract) 4. (Introduction or Background) 5. (Objectives) 6. (Methodology) (1)
51.
BureauofEpidemiology 8. (Prevention & Control Measures) 9.
(Discussion) 10. (Conclusion) 11. (Recommendations) 12. (Limitations) (2)
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