Abstract

In Japan, the incidence of almost all common pediatric infectious diseases has been monitored, with 7 - 10 day delays, at medical institutions through the National Official Sentinel Surveillance of Infectious Diseases (NOSSID). On the other hand, based on prescriptions filled at external pharmacies, Prescription Surveillance (PS) collects information and provides estimated numbers of influenza, varicella, and gastroenteritis infectious (GI) patients to the public the following morning. For precise, and real-time estimation of incidences of common pediatric infectious diseases, we evaluated predictive power of PS for diseases other than influenza, varicella, and GI. Results demonstrated that PS information has sufficient predictive power for pharyngoconjunctival fever, group A streptococcal pharyngitis, exanthem subitum, and mumps, some predictive power for RS virus infection, erythema infectiosum and herpangina, but insufficient predictive power for hand, foot and mouth disease.

Highlights

  • In Japan, the incidence of infectious disease has been monitored at medical institutions through official national surveillance of infectious diseases based on the Law for the Prevention of Infectious Diseases and Medical Care for Patients of Infections by Ministry of Health, Labour and Welfare (MHLW)

  • Results demonstrated that Prescription Surveillance (PS) information has sufficient predictive power for pharyngoconjunctival fever, group A streptococcal pharyngitis, exanthem subitum, and mumps, some predictive power for RS virus infection, erythema infectiosum and herpangina, but insufficient predictive power for hand, foot and mouth disease

  • We examined the incidence of RS virus infection (RS), pharyngoconjunctival fever (PCF), group A streptococcal pharyngitis (A-SP), hand, foot and mouth disease (HFMD), erythema infectiosum (EI), exanthem subitum (ES), herpangina, and mumps

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Summary

Introduction

In Japan, the incidence of infectious disease has been monitored at medical institutions through official national surveillance of infectious diseases based on the Law for the Prevention of Infectious Diseases and Medical Care for Patients of Infections by Ministry of Health, Labour and Welfare (MHLW). Hereinafter, we designate this surveillance system as NOSSID. The sentinel medical institutions for these diseases have allocated pediatric hospitals and clinics These reports might not include information for adults and elderly patients or might heavily underreport that information

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