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J Res Med Sci 2020,  25:102

Patients under investigation for COVID-19: Where is the first point that the patients are recruited?

1 Private Academic Practice, Bangkok, Thailand
2 Department of Community Medicine, Dr. D Y Patil University, Pune, Maharashtra, India; Department of Tropical Medicine, Hainan Medical University, Haikou, China; Department of Medical Science, Faculty of Medicine, University of Nis, Ni., Serbia; Department of Biological Science, Joseph Ayobabalola University, Ikeji-Arakeji, Osun State, Nigeria

Date of Submission11-Feb-2020
Date of Decision11-Apr-2020
Date of Acceptance10-Jun-2020
Date of Web Publication26-Nov-2020

Correspondence Address:
Dr. Sora Yasri
KMT Primary Care Center, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jrms.JRMS_148_20

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How to cite this article:
Yasri S, Wiwanitkit V. Patients under investigation for COVID-19: Where is the first point that the patients are recruited?. J Res Med Sci 2020;25:102

How to cite this URL:
Yasri S, Wiwanitkit V. Patients under investigation for COVID-19: Where is the first point that the patients are recruited?. J Res Med Sci [serial online] 2020 [cited 2021 Dec 3];25:102. Available from: https://www.jmsjournal.net/text.asp?2020/25/1/102/301547

Dear Editor,

Coronavirus disease 2019 (COVID-19) is a new emerging disease. The WHO already declares COVID-19 as international public health threaten. After its first occurrence in December 2019 in the Republic of China,[1] the disease already spreads to more than 200 countries around the world. Thailand is a Southeast Asian country that the disease was first detected outside Republic of China.[2] Worldwide, the preventive measures against the emergence of the new disease are implemented. Disease screening is a necessary preventive measurement. Criteria of patients under investigation (PUIs) for COVID-19 are generally applied for screening purpose. The report from the USA revealed that 70% of the PUIs are recruited from persons with a history of travel to risk areas.[3] Here, the authors retrospectively summarized the nature of patients under surveillance according to the PUI criteria for COVID-19 in Thailand during the 1st month of outbreak, January 2020. According to the public available data from Thai Center of Disease Control, there are 158 patients under surveillance according to the PUI criteria with 14 final confirmed coronavirus infection. The specific focus is given on the first point that the patients are detected. Of 158 cases, 29 cases (18.36%) were recruited at immigration posts at international airports, 125 cases (79.11%) visited to the physician at medical centers, and 4 cases (2.53%) were sent from the hotel/resort that the patients lived. Most patients under surveillance are not recruited from active screening at international immigration posts. If the patients have knowledge and concern on his/herself, the patient will visit to the physician when there is an illness. Health education is still a good primary prevention against the emerging disease. Finally, nonmedical center, such as hotel and resort, can play a role in disease control and management.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Hsia W. Emerging new coronavirus infection in Wuhan, China: Situation in early 2020. Case Study Case Rep 2020;10:8-9.  Back to cited text no. 1
Yasri S, Wiwanitkit V. Editorial: Wuhan coronavirus outbreak and imported case. Adv Trop Med Pub Health Int 2020;10:1-2.  Back to cited text no. 2
Bajema KL, Oster AM, McGovern OL, Lindstrom S, Stenger MR, Anderson TC, et al. Persons evaluated for 2019 novel coronavirus United States, January 2020. MMWR Morb Mortal Wkly Rep 2020;69:166-70.  Back to cited text no. 3


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