Proposal of a framework for evaluating military surveillance systems for early detection of outbreaks on duty areas
Proposal of a framework for evaluating military surveillance systems for early detection of outbreaks on duty areas
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DOI：
10.1186/1471-2458-8-146
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发表时间：
2008-04-30
影响因子：
4.5
通讯作者：
Boutin, Jean-Paul
中科院分区：
文献类型：
--
作者：
Meynard, Jean-Baptiste;Chaudet, Herve;Boutin, Jean-Paul
背景资料：近年来，为了及早发现传染病的爆发，发展了各种流行病学监测系统。每一种制度都有自己的长处和短处。2002年，疾病控制和预防中心（CDC）的一个工作组制定了一个评估框架，该框架被证明适用于许多公共卫生监测系统。然而，这并不容易适应军事环境，其中需要评估各种不同的参数，对系统施加不同的约束，以及需要不同的目标。本文介绍了一种建议的框架评估军事综合征监测系统，旨在检测疾病的爆发业务deployment.Methods：本文所述的新框架是从英国和法国的军事综合征监测系统的积累经验。这些方法包括一个一般评估框架，然后是更具体的评价方法。其中包括知识/态度/做法调查、技术审计、人体工程学研究、模拟和多国演习。需要将各种军事限制因素纳入评价。这方面的例子包括实地地理条件的可变性、部署到事先不了解自然发生的疾病模式的地区、不同地点之间和部署期间实地卫生条件的差异、军队的流动性、人员的更替、不同地点之间监测的连续性、与其他国家的监测系统的整合，与非医疗信息系统的兼容性，和security.Results：一个框架的评估已经开发，可用于军事监视系统的初步，中期和最终评估组成的分阶段的方式。对于每个阶段的过程参数的评估已被定义和方法identified.Conclusion：法国和英国的综合征监测系统开发用于部署的军事力量的经验，允许开发一个具体的评估框架。该工具适用于所有希望评估本国军队症状监测的国家。它也可以用于民用移动的系统或国家安全监视系统。
Background: In recent years a wide variety of epidemiological surveillance systems have been developed to provide early identification of outbreaks of infectious disease. Each system has had its own strengths and weaknesses. In 2002 a Working Group of the Centers for Disease Control and Prevention (CDC) produced a framework for evaluation, which proved suitable for many public health surveillance systems. However this did not easily adapt to the military setting, where by necessity a variety of different parameters are assessed, different constraints placed on the systems, and different objectives required. This paper describes a proposed framework for evaluation of military syndromic surveillance systems designed to detect outbreaks of disease on operational deployments.Methods: The new framework described in this paper was developed from the cumulative experience of British and French military syndromic surveillance systems. The methods included a general assessment framework (CDC), followed by more specific methods of conducting evaluation. These included Knowledge/Attitude/Practice surveys (KAP surveys), technical audits, ergonomic studies, simulations and multi-national exercises. A variety of military constraints required integration into the evaluation. Examples of these include the variability of geographical conditions in the field, deployment to areas without prior knowledge of naturally-occurring disease patterns, the differences in field sanitation between locations and over the length of deployment, the mobility of military forces, turnover of personnel, continuity of surveillance across different locations, integration with surveillance systems from other nations working alongside each other, compatibility with non-medical information systems, and security.Results: A framework for evaluation has been developed that can be used for military surveillance systems in a staged manner consisting of initial, intermediate and final evaluations. For each stage of the process parameters for assessment have been defined and methods identified.Conclusion: The combined experiences of French and British syndromic surveillance systems developed for use in deployed military forces has allowed the development of a specific evaluation framework. The tool is suitable for use by all nations who wish to evaluate syndromic surveillance in their own military forces. It could also be useful for civilian mobile systems or for national security surveillance systems.