Use of unstructured event-based reports for global infectious disease surveillance.
Use of unstructured event-based reports for global infectious disease surveillance.
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DOI：
10.3201/eid1505.081114
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发表时间：
2009-05
影响因子：
11.8
通讯作者：
Brownstein JS
中科院分区：
文献类型：
--
作者：
Keller M;Blench M;Tolentino H;Freifeld CC;Mandl KD;Mawudeku A;Eysenbach G;Brownstein JS
免费或低成本的非结构化报告为传统的基于指标的疫情报告提供了一种替代方案。免费或低成本的非结构化信息来源，如互联网新闻和在线讨论网站，提供关于疾病暴发的详细的当地和接近实时的数据，即使在缺乏传统公共卫生监测的国家也是如此。为了改进公共卫生监测，并最终改进干预措施，我们检查了3个处理基于事件的爆发信息的主要系统：全球公共卫生情报网络、HealthMap和EpiSpider。尽管它们之间有相似之处，但这些系统具有很强的互补性，因为它们监控不同的数据类型，依赖不同级别的自动化和人工分析，并分发不同的信息。今后的发展应侧重于将这些系统与实地的公共卫生从业人员更紧密地联系起来，并建立警报核实和传播的协作网络。这种发展将进一步确立以事件为基础的监测作为一种宝贵的公共卫生资源，为传统的以指标为基础的疫情报告提供关键背景和替代办法。
Free or low-cost unstructured reports offer an alternative to traditional indicator-based outbreak reporting. Free or low-cost sources of unstructured information, such as Internet news and online discussion sites, provide detailed local and near real-time data on disease outbreaks, even in countries that lack traditional public health surveillance. To improve public health surveillance and, ultimately, interventions, we examined 3 primary systems that process event-based outbreak information: Global Public Health Intelligence Network, HealthMap, and EpiSPIDER. Despite similarities among them, these systems are highly complementary because they monitor different data types, rely on varying levels of automation and human analysis, and distribute distinct information. Future development should focus on linking these systems more closely to public health practitioners in the field and establishing collaborative networks for alert verification and dissemination. Such development would further establish event-based monitoring as an invaluable public health resource that provides critical context and an alternative to traditional indicator-based outbreak reporting.