Syndromic surveillance in public health practice, New York City
Syndromic surveillance in public health practice, New York City
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DOI：
10.3201/eid1005.030646
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发表时间：
2004-05-01
影响因子：
11.8
通讯作者：
Weiss, D
中科院分区：
文献类型：
--
作者：
Heffernan, R;Mostashari, F;Weiss, D
纽约市卫生和心理卫生部建立了一个综合征监测系统，监测急诊室的就诊情况，以及早发现疾病爆发。每天将收集的主诉信息以电子方式传送给卫生部门，并分析时间和空间畸变。呼吸、发热、腹泻和呕吐是分析的关键症状。对统计上显著的畸变或“信号”进行调查，以确定其公共卫生重要性。在运作的第一年（2001年11月15日至2002年11月14日），39个参与的急诊部门报告了250万次就诊，估计占年度就诊的75%。呼吸和发热综合征的大多数信号（分别为64%和95%）发生在甲型流感和B流感活动高峰期。83%的腹泻信号和88%的呕吐信号发生在疑似诺如病毒和轮状病毒传播期间。
The New York City Department of Health and Mental Hygiene has established a syndromic surveillance system that monitors emergency department visits to detect disease outbreaks early. Routinely collected chief complaint information is transmitted electronically to the health department daily and analyzed for temporal and spatial aberrations. Respiratory, fever, diarrhea, and vomiting are the key syndromes analyzed. Statistically significant aberrations or "signals" are investigated to determine their public health importance. In the first year of operation (November 15, 2001, to November 14, 2002), 2.5 million visits were reported from 39 participating emergency departments, covering an estimated 75% of annual visits. Most signals for the respiratory and fever syndromes (64% and 95%, respectively) occurred during periods of peak influenza A and B activity. Eighty-three percent of the Signals for diarrhea and 88% of the signals for vomiting occurred during periods of suspected norovirus and rotavirus transmission.