A modified method of administration of surveillance N.I. was introduced in Prapokklao Hospital, Chanthaburi, Thailand. Head nurses from all wards were recruited to survey N.I. By education, supervision and encouragement, the efficiency in surveillance gradually rose. The attack rate of N.I. by this method was only 2 per cent in 1986 when the project was started. The rate rose to 5.3 per cent 2 years later. This model for surveillance shares the burden of the I.C.N. who are critically undermanned. The method was well accepted. Co-operation by medical personnel increased. This model is cost-effective and can be adopted by many hospitals in Thailand.
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