Affiliation:
1. University of Mindanao Digos College
Abstract
Abstract
Background
The COVID-19 pandemic has significantly impacted global health systems, particularly in the Philippines. The redirection of healthcare resources towards COVID-19 has raised concerns about the potential underreporting and surveillance of other communicable diseases. This study explores whether the pandemic has led to the underreporting of these diseases.
Methods
The study employs Predictive Mean Matching (PMM) for data completeness and uses Seasonal Autoregressive Integrated Moving Average (SARIMA), Neural Network Autoregressive (NNAR), and Holt-Winters (HW) models for disease forecasting. The actual reported cases of diseases for the years 2020 and 2021 are compared with the forecasts to identify discrepancies.
Results
Significant underreporting was observed for most diseases studied, with notable exceptions such as AFP. NNAR models outperformed SARIMA and HW in forecasting accuracy. Diseases like Measles, Diphtheria, and Rubella showed substantial underreporting, while vector-borne diseases like Dengue and Chikungunya, and waterborne diseases such as Typhoid Fever and Cholera, also indicated underreporting.
Conclusions
The study reveals significant underreporting of various diseases in the Philippines during the COVID-19 pandemic. The effective use of advanced predictive models underscores the potential of these tools in enhancing disease surveillance and highlights the need for robust health systems capable of sustaining surveillance during crises.
Publisher
Research Square Platform LLC
Reference54 articles.
1. The impact of COVID-19 on health and health systems;Haileamlak A;Ethiop J Health Sci,2021
2. Bayani DBS, Tan SG. Health systems impact of COVID-19 in the Philippines. Washington, DC, USA: Center for Global Development; 2021.
3. Advancing Filipino Healthcare: The Plight of Filipino Nurses in a Postpandemic World;Corpuz JCG;SAGE Open Nursing,2023
4. Global health is local health: a multidisciplinary perspective of COVID-19;Hinchman A;Ochsner J,2020
5. COVID-19 as a global challenge: towards an inclusive and sustainable future;Lambert H;Lancet Planet Health,2020