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. 2007 Dec;17 Suppl(Suppl):S3-13.
doi: 10.2188/jea.17.s3.

Overview of infectious disease surveillance system in Japan, 1999-2005

Kiyosu Taniguchi  1 , Shuji Hashimoto, Miyuki Kawado, Yoshitaka Murakami, Michiko Izumida, Akiko Ohta, Yuki Tada, Mika Shigematsu, Yoshinori Yasui, Masaki Nagai
Affiliations

Overview of infectious disease surveillance system in Japan, 1999-2005

Kiyosu Taniguchi et al. J Epidemiol. 2007 Dec.

Abstract

Background: In 1999 the Communicable Disease Prevention Law of Japan was completely revised into the "New" Infectious Disease Control Law, which reiterated the importance of surveillance and information dissemination and re-organized the surveillance system. This paper is an attempt to illustrate the potential impact of the new surveillance system through a description of the existing surveillance system and data before and after the revision.

Methods: After a historical review of surveillance system in Japan, the current surveillance system is described. Data sets of actual case numbers reported and incidence rate per 1,000,000 population are compared before and after the revision.

Results: Comparison of the data between the 2 periods revealed that most of the diseases have had declining trends after the new law was enacted with several exceptions. However, although no major break in continuity is observed in seriously perceived disease, in milder diseases there are striking gaps between the numbers reported in the mandatory and sentinel reporting framework. Sentinel reporting framework maintained the continuity of data without major gaps.

Conclusions: From this perspective, the new surveillance system with two different frameworks of mandatory reporting for severe diseases and sentinel reporting for milder diseases seems to be working well. But continuous efforts should be made for evaluation and improvement of surveillance system and risk communication through the research on data analysis and effective communication method.

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Figures

Figure 1.
Figure 1.. National surveillance structure in the national epidemiological surveillance for infectious disease(NESID).
See this image and copyright information in PMC

References

    1. Lederberg J, Shope RE, Oaks SC, eds. Emerging Infections: Microbial Threats to Health in the United States. National Academy Press, Washington, D.C., 1992. - PubMed
    1. Ministry of Health, Labour and Welfare of Japan. Chapter 6, Section 2. Measures against New Infectious Diseases, In the Annual Reports on Health and Welfare 1998-1999 Social Security and National Life. Available at http://www.mhlw.go.jp/english/wp/wp-hw/vol1/p2c6s2.html. (accessed on 18 September 2007)
    1. Infectious Disease Surveillance Center, National Institute of Infectious Diseases of Japan Amendment of the Infectious Diseases Control Law, Japan. Byogen Biseibutsu Kenshutsu Joho Geppo 2004; 25: 1-3. (in Japanese)
    1. Ministry of Health, Labour and Welfare of Japan. Case definitions for reporting in compliance with Infectious Disease Control Law. Available at http://www.mhlw.go.jp/bunya/kenkou/kekkaku-kansenshou11/01.html. (accessed on 18 September 2007) (In Japanese)
    1. Hashimoto S, Murakami Y, Taniguchi K, Nagai M. Determination of the numbers of monitoring medical institutions necessary for estimating incidence rates in the surveillance of infectious diseases in Japan. Nippon Koshu Eisei Zasshi 1999; 46: 1068-77. (in Japanese) - PubMed

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