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Infectious Disease Surveillance System in Korea

Byungguk YangKorea Centers for Disease Control and Prevention

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• General information– About Korea

– About KCDC (Korea Centers for Disease Control and Prevention)

• Surveillance system– KNNID (Korea National Notifiable Infectious Disease)

– Surveillance cycle and communication

– Network of the surveillance, Korea

• KNNDSS Web system

• Statistical system

• GIS system

Contents

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Area Population(in thousands)

South Korea 99,646㎢, 109th of the world in size 49,773 (’09)

North Korea 122,762㎢ 24,050 (’08)

Total 222,408㎢, 84th of the world in size 73,823

Urbanization rate: 90.8% Korea Train Express (KTX)Airports

DPRK

Seaports Border crossings

Climate :4 seasons

General information about Korea

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Director of KCDC

General Affairs & Innovation Director of KNIH

Planning & Research

Biosafety Evaluation & Control

Intractable Diseases

13 Nat’l Quarantine Stations

Center for Genome Sciences

Center for Biomedical Sciences

Center for Immunology & Pathology

Center for Infectious Diseases

Enteric Bacterial Infections Influenza & Respiratory Viruses

Anti-microbial Resistance Enteric & Hepatitis Viruses

Bacterial Respiratory Infections High-risk Pathogen Research

Malaria & Parasitic Diseases Medical Entomology

Zoonoses ArbovirusesAIDS

Brain Diseases Metabolic Diseases

Cardiovascular Diseases Life Science Research Management

Epidemiology & Health Index

Bio-Medical Informatics

Biobank for Health Sciences

Structural & Functional Genomics

Organization of KCDC

Center for Disease Prevention

Center for Disease Prevention

Communicable Disease Surveillance & Response Quarantine Support

Center for Communicable Disease Surveillance & Response

Infectious Disease Surveillance Epidemic Intelligence Service

Bioterrorism Preparedness & Response Public Health Crisis Response

HIV&TB Control

Vaccine Preventable Disease Control & Nat’l Immunization Program

Chronic Disease Surveillance

Division of Organ Donation Support

Division of Organ Transplant Management

Human Blood Safety Surveillance

Center for Communicable Disease Surveillance & Response

Infectious Disease Surveillance

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CholeraTyphoid feverParatyphoid fever

ShigellosisEHECHepatitis A

DiphteriaPertussisTetanusMeaslesMumpsRubellaPoliomyelitisHepatitis BJapanese encephalitis

Varicella

MalariaTuberculosisLeprosyScarlet feverMeningococcal meningitis

LegionellosisVibrio vulnificusMurine typhusEpidemic typhusScrub typhusLeptospirosisBrucellosisAnthraxRabiesHFRSInfluenzaAIDSSyphilisCJD

PlagueYellow feverDengue feverViral hemorrhagic fever

SmallpoxBotulismSARSAI infection in humans

Novel influenzaTularemiaQ feverWest Nile feverEmerging infectious disease syndrome

Lyme BorreliosisTick-borne Encephaliti

MeliodiosisChikungunya fever

Ascaris lumbricoides

Trichuris trichiura infection

Enterobius vermicularis infection

ClonorchiasisParagonimiasisIntestinal trematodas

Viral hepatitis CHand, food and mouth disease

GonorrheaChlamydiaChancroidGenital herpesCondyloma acuminata

VRSA infectionVRE infectionMRSA infectionMRPA infectionMRAB infectionCRE infectionGastroentestinal infection

Acute respiratory infection

Imported parasitic disease

Enterovirus infection

KNNID (Korea National Notifiable Infectious Disease) (75)KNNID (Korea National Notifiable Infectious Disease) (75)

For sentinel surveillanceEnacted in 1954Amended in 2010 – to meet the requirements of International Health Regulations (IHR) by WHO

Group1 (6)Group1 (6) Group2 (10)Group2 (10) Group3 (19)Group3 (19) Group4 (17)Group4 (17) Group5 (6)Group5 (6) Designated (17)Designated (17)

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Surveillance cycle and communication

Summary, Interpretation, Recommendation

ReportingDoctors

People

Analysis

Data

Information

Knowledge(Message)

Hos./Clinics

Wisdom

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Network of the surveillance, KoreaHospital (1,615)

Physicians (98,434)(GNR) Hospital (1,615)Physicians (98,434)

Local level: Health Center (257)

Central level:KCDC

City/Provincial level: Dept. of Health (16)

Statistical system

GIS system

KCDC Homepage

PHWR, PHRP

Feedback

Feedback

Feedback

Notification (Web/Fax)

Report(Web)

Report (Web)

KNIDSS Web

system

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KNIDSS Web System

a) Log-in procedure

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b) Data entry screen of notification form

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Statistical System – (1) Tablesa) Basic screen

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b) Screen of NNID(National Notifiable Infectious Disease) list

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c) Statistical table

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Statistical System

- (2) Figures

Bar chart

DotRadar

Line

Stair

Pie Simple GISArea

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GeographicInformation

System(GIS)

Basic screen Zoomed spot map

Measuring distance

Measuring area Measuring radius

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감사합니다Thank you

감사합니다Thank you