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Method of central registration of tuberculosis cases (including suspects) at prefectural level was introduced in this report. In Japan, tuberculous patients are registered at the local health centres, which are distributed all over Japan. As the total number of health centres is over 850, it is rather difficult to get doctors who are concerned with tuberculosis problems in all the health centres especially in peripheral part of the country. On the other hand, as the incidence and prevalence of tuberculosis have been declining so markedly and as the system of analysis of informations has been developed so extensively it is possible to establish the central registration system for tuberculosis cases at the prefectural level even by using mini-computer. It will give more correct, precise and useful results of analysis and will elucidate more clearly and correctly the problems of tuberculosis in each health centre, even though there is no tuberculosis specialist in health centre. In 1975, the Committee for Tuberculosis Surveillance in Okinawa Prefecture was established and the studies for central registration of tuberculous patients was launched. The total population in Okinawa Prefecture is about 1 million and the total registered patients including suspects and inactive after treatment are about 7, 000 at present. The data imput to mini computer are shown in Table 1. Priority was given on the cohort analysis of patients because of the lack of such kind of informations and the importance of improvement of longterm treatment in Japan. To minimize the work at health centre, copies of registration cards, and application forms for treatment expenses by the Tuberculosis Control Law are used as information sources. Several informations such as the list of cases completed treatment, etc., are collected, too, as shown in Figure 1. All these data were imput to mini-computer and all the individual data are up dated. The total number of informations to up-date the data in these three years are shown in Table 3. One full-time clerk to accept the information and to give code number for each information is required. Two epidemiologists and one computer operator are working for the central registration, although they spend less than one-fifth of their time for this work. The results of analysis are reported to the Committee for Tuberculosis Surveillance in Okinawa Prefecture, and realistic ways of improving tuberculosis control measures are discussed. The central registration system at Prefecture level is being considered as possible and useful for the surveillance of tuberculosis in the future.
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