Report of the investigation of the first death of Covid-19 patients in Nakhon Pathom Province, Thailand March 2021

Abstract

Nakhon Pathom province, the first death was found on March 25, 2021 at about 3:00 p.m. by the Communicable Disease Control Group. Received notification from Nakhon Pathom Hospital Found a patient who has died with a positive test result for COVID-19, whose history is due to unconsciousness. Rapid Investigation Team (SRRT : Surveillance Rapid and Respond Team Nakhon Pathom). Therefore checked the facts Lead the administrators in the Nakhon Pathom Provincial Public Health Office. ready to investigate the disease immediately There was a descriptive epidemiological study and a laboratory epidemiological study. The objective is to confirm the outbreak of the disease, determine the cause or risk factor for COVID-19 infection, mortality, and take action to control and prevent disease. The results of the investigation confirmed this death from Covid-19, the first in Nakhon Pathom province. with confirmation of diagnosis from Nakhon Pathom Hospital Got the results of the COVID-19 genetic material test. There was a meeting to summarize the results by a team of doctors from Nakhon Pathom Hospital. Together with the disease investigation team and students of the FEMT 16 course, clear epidemiological history of traveling to high-risk locations in Bangkok. from the investigation of the disease To look back on the cause of infection in 14 days, the main risk history of the patient was to travel to Bangkok. To meet relatives at that time, the situation in Bang Duan Subdistrict, Phasi Charoen District, Bangkok area, there was an outbreak in that area. Reference information from the Office of Disease Prevention and Control And found the second risk history is that during March 14, 2021, he traveled to a company in Sampran District. I had a conversation with the people at the factory. and the risks of shopping in the communities where they live In addition, no history of contact with patients or any other risky places was found. The cause of death. This may be because the deceased had congenital disease and high blood pressure. and diabetes history of blood pressure control and have poor control over sugar levels May result in increased violence in the body system in case of coronavirus infection Make it one of the factors that affect the severity of the disease.