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Web-based Tuberculosis Register for the City of Baguio

Web-based Tuberculosis Register for the City of Baguio. By Sunny L. Natividad Donnabel L. Tubera MD MPH DIH Marina Bay Sands September 17, 2014. The world is moving so fast these days that the man who says it can’t be done is generally interrupted by someone doing it- Elbert Hubbard.

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Web-based Tuberculosis Register for the City of Baguio

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  1. Web-basedTuberculosis Register for the City of Baguio By Sunny L. Natividad Donnabel L. Tubera MD MPH DIH Marina Bay Sands September 17, 2014

  2. The world is moving so fast these days that the man who says it can’t be done is generally interrupted by someone doing it- Elbert Hubbard

  3. “Baguio is home of diverse and dynamic cultures, center for education, trade and tourism in harmony with nature managed by God-loving steadfast leaders in partnership with responsible and peace-loving citizenry.”

  4. BAGUIO CITY • Summer Capital of the Philippines; • Mean Temperature of 18°C • Located 5,000 feet ASL

  5. BAGUIO, 1910

  6. BAGUIO, 2010

  7. Challenges of Urban Health

  8. TB Management Framework P TB PMDT Sustained Political commitment Political commitment Rational case finding: accurate & timely diagnosis through quality assured culture and DST Quality assured microscopy Appropriate treatment strategies that utilize 1st and 2nd line drugs under proper management conditions Supervised treatment

  9. TB Register TB Management Framework TB MDR-TB Uninterrupted supply of quality assured 1st and 2nd line drugs Regular availability of 1st line drugs Standardized recording and reporting system designed for DR-TB program Standardized records & reports

  10. MDG: To reduce prevalence and mortality by half by the year 2015 PMDT

  11. Decision of MD or TBDC? For ages <15 y/o, decide based on the following diagnostic criteria (3/5): • Clinical signs and symptoms (3/6) - • Coughing/wheezing of > 2 weeks, esp. if unexplained • Unexplained fever of > 2 weeks after common causes such as malaria or pneumonia have been excluded • Loss of weight/failure to gain weight/weight faltering/loss of appetite • Failure to respond to 2 weeks of appropriate antibiotic therapy for LRTI • Failure to regain previous state of health 2 weeks after a viral infection or exanthema (e.g., measles) • Fatigue, reduced playfulness, or lethargy (child has lost his/her normal energy) • Exposure to an active TB case (adult/adolescent) • Positive Tuberculin Skin Test • Chest X-ray suggestive of TB • Other laboratory findings PRESUMPTIVE TB: • Cough of at least 2 weeks in an adult (age >15 y/o) • A child (<15 y/o) w/ any 3 out of 6 criteria for TB Signs/Symptoms • Chest X-ray suggestive of tuberculosis • Cough of any duration in a high risk individual or a close contact of an active TB case (adult/adolescent) No or not done DSSM positive? Age <15 y/o? No Yes No or UPS* Yes Chest x-ray findings suggestive of TB? Yes With access to Xpert MTB/Rif? No History of previous treatment? Bacteriologically confirmed PTB, New Bacteriologically-confirmed PTB No Yes Yes Not TB or investigate further/refer to specialist Bacteriologically confirmed PTB, Retreatment Not TB or investigate further/refer to specialist MTB positive, Rif-sensitive MTB negative Refer to PMDT services for evaluation MTB positive, Rif-resistant Xpert MTB/Rif result? Clinically diagnosed TB, Retreatment (PTB if CXR+ or with cough) Yes Clinically diagnosed TB (PTB if CXR+ or with cough) Category II Treatment (for Rif-sensitive) History of previous treatment? Clinically diagnosed TB, New (PTB if CXR+ or with cough) No Category I Treatment Xpert Result Disposition Question COLOR LEGEND Notes: *Unable to produce sputum Treatment Classification Diagnosis Diagnostic Test

  12. You just have to take the pills and that’s it? L. Raymond, 2010

  13. Default tracing • Health education and counseling • Provision of enablers • Social support network L. Raymond, 2010

  14. Abstract The integration of Geographic Information Science (GISc) in Health & Medicine is an innovative way for analysis of the spread of communicable diseases. The spatial representation helps strengthen the construction, access, incorporation and the publication of large volumes of geographically related data & facts.

  15. Objectives • To determine the problems encountered in the current TB Register; • To develop the features needed in analyzing and recording patient’s information; and • To support the judgments of the health officials on where to focus in preventing the spread of TB.

  16. System Features Users can add and modify patient and treatment information to the system as well as schedule an appointment for treatment

  17. Calendar view of Scheduler

  18. System Features The system is also capable of generating notifications through SMSs and pop-ups in its interface.

  19. System Features Use of Geographic Information Science (GISc) to spatially represent the spread of the disease in the City of Baguio.

  20. Sample Map of TB Cases in Baguio City

  21. System Features In addition, graphs are also added to summarize the tabular form within the system.

  22. Sample Graphs

  23. Thank you! donnabel_md@yahoo.com sunnynatividad@gmail.com gplus.to/sunnynatividad

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