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Under-reporting of pelvic inflammatory disease in Hawaii: a comparison of state surveillance and hospitalization data
Misty Pacheco1, Tetine Sentell, Alan R Katz
1Office of Public Health Studies, John A. Burns School of Medicine, University of Hawaii, 1960 East West Road, Room D104 M, Honolulu, HI, 96822, USA, hihaf@hihaf.org.
Insights
Pelvic inflammatory disease (PID) reporting in Hawaii is severely incomplete. Despite mandatory reporting, hospitalizations significantly outnumbered reported cases from 2007-2010, indicating major underreporting issues.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Health Surveillance Systems
Background:
- Pelvic inflammatory disease (PID) is a mandated notifiable disease in Hawaii.
- Effective surveillance of PID is crucial for public health management and resource allocation.
Purpose of the Study:
- To assess the completeness of Pelvic Inflammatory Disease (PID) reporting in Hawaii.
- To compare hospitalized PID cases with reported cases to the state health department.
Main Methods:
- Retrospective analysis of unique Pelvic Inflammatory Disease (PID) cases.
- Comparison of hospitalization data with state health department surveillance data.
- Data collected from 2007 through 2010 in Hawaii.
Main Results:
- A total of 828 unique Pelvic Inflammatory Disease (PID) cases were diagnosed in Hawaii hospitals.
- Only 240 unique PID cases were reported to the Hawaii State Department of Health surveillance system.
- This indicates a significant underreporting of PID cases.
Conclusions:
- Severe underreporting of Pelvic Inflammatory Disease (PID) exists in Hawaii.
- Mandatory reporting laws have not ensured complete case ascertainment for PID.
- Improvements in the surveillance system are needed to accurately track PID prevalence.
Abstract:
Hawaii is one of only 19 states for which pelvic inflammatory disease (PID) is a mandated notifiable disease. In order to assess the completeness of PID reporting, we compared the number of hospitalized PID cases in the state of Hawaii with the total number of PID cases reported to the Hawaii State Department of Health surveillance system from 2007 through 2010. While 828 unique PID cases were diagnosed in Hawaii hospitals, only 240 unique PID cases were reported through the state's surveillance system. Severe PID underreporting was seen despite mandatory reporting laws.
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