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J Parasit Dis Diagn Ther 2017
Volume 2 Issue 3
Tropical Medicine 2017
Page 56
September 7-8, 2017 | Edinburgh, Scotland
4
th
International Conference on
Tropical Medicine, Infectious Diseases & Public Health
EPIDEMIOLOGY OF HAND FOOT MOUTH
DISEASE IN NORTHERN THAILAND IN
2016: A PROSPECTIVE COHORT STUDY
Tawatchi Apidechkul
a
, Panupong Upala
a
, Wipob Suttana
a
and Ratakorn
Aimkosa
a
a
Mae Fah Luang University, Thailand
Objective:
To determine the correlations between the
meteorological data and the number of hand foot mouth
disease (HFMD) in 2016 in northern Thailand, and to
estimate the medical costs.
Methods:
A prospective cohort study design was conducted.
Numbers of HFMDwere collected from49 hospital from three
different provinces in northern Thailand; 16 hospitals from
Chiang Rai Province, 7 hospitals from Pha Yao Province, and
26 hospitals from Chiang Mai Province. Questionnaire had
been developed and tested for validity and reliability before
use. The specific form to collect the meteorological data was
developed and used in the filed. All information were pulled
into the same data spread sheet before analysis. Chi-square
and correlation were used for explaining the epidemiology
of HFMD in the areas. An alpha error at 0.05 was used to
determine the statistical significance level.
Results:
A total of 8,261 cases were analyzed in the study.
56.0% were males, 96.1% were aged≤ 5 years, 97.4% were
OPD cases, 75.5% were reported in raining season, and 43.2%
were from Chiang Mai Province. The number of HFMD cases
had statistical significant correlations with temperature, air
pressure, relative humidity, and rainfall amount. Averagely,
216 baht and 3,678 baht per case per visit had to be expended
for medical cost in OPD and IPD cases respectively. Most
of the cases had been reported in the border areas; Thai-
Myanmar, and Thai-Lao.
Conclusions:
Thailand health care system should provide a
concrete schedule for taking care of HFMD patients during
raining season, and should develop an effective preventive
and control program for HFMD particularly among children
less than 6 years.
J Parasit Dis Diagn Ther 2017