| Summary: | 碩士 === 國立臺灣大學 === 公共衛生學研究所 === 81 === Due to clustering of students, school often contributes to the
spread of infectious diseases. Some studies have pointed out
the high correlation between student absenteeism and
disease epidemic. This study attempts to set up a primary
school-based infectious disease surveillance system by using
student absenteeism rate as monitoring index. There are two
major parts in this study: [Part 1] Establishing a school-
based infectious disease survei- llance system and exploring
its strength, weakness and applications in Taiwan. [Part 2]
Through the surveillance system, we have detected one mumps
epidemic in Lambay Islet in Sep. 1992, then two studies were
followed up: (1) Seroepidemiologic study among primary
school students in Lambay Islet, (2) Epidemiologic
analysis of national reported mumps cases in Taiwan,
1991-1992. CONCLUSIONS & SUGGESTIONS: [PART 1] (1) Childhood
diseases such as measles, rubella, mumps, and chickenpox ...
will be the target infectious diseases in the system,
(2) The detection of rare diseases by the system such as
hepatitis, encephalitis... is possible. (3) The system can
provide a good estimate of the magnitude of epidemic,
like influenza infection. In above functions of
surveillance system, we designed a computerized school-based
surveillance system in order to help the surveillance of
infectious diseases in our country. [PART 2] Mumps is
endemic in Taiwan and there is a high risk of mumps outbreak
after accumulating a high number of the susceptible
population. Due to more severe symptoms in older age of mumps
infection, it is necessary to protect the susceptible ones
in older-age group for prevention of severer complications in
mumps infection.
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