The remarkable adaptability of syndromic surveillance to meet public health needs.
The remarkable adaptability of syndromic surveillance to meet public health needs.
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DOI：
10.1016/j.jegh.2012.12.005
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发表时间：
2013-03
影响因子：
7.3
通讯作者：
Durrheim DN
中科院分区：
文献类型：
--
作者：
Paterson BJ;Durrheim DN
症状监测的目标是更早地发现流行病，从而能够比使用传统监测方法更及时地作出公共卫生反应。用于公共卫生目的的症状监测应用随着时间的推移而发生变化，反映了从收集、解释数据并向需要采取行动的人传播数据到将反应作为监测系统核心组成部分的更全面的方法的动态演变。最近的传染病威胁，如严重急性呼吸系统综合征（萨斯）、禽流感（H5N1）和大流行性流感（H1N1），都突出表明各国需要迅速了解传染病在区域内和在地球仪上的传播情况。《国际卫生条例》规定的报告国际关注的突发公共卫生事件的义务提高了早期发现和应对疫情的重要性。症状监测的重点正在从自动化、早期警报和检测转向态势感知和反应。已发表的关于症状监测的文献反映了公共卫生威胁和应对措施不断变化的性质。症状监测显示出适应迅速变化的公共卫生需求的非凡能力。这种适应性使其成为高度相关的公共卫生工具。
The goal of syndromic surveillance is the earlier detection of epidemics, allowing a timelier public health response than is possible using traditional surveillance methods. Syndromic surveillance application for public health purposes has changed over time and reflects a dynamic evolution from the collection, interpretation of data with dissemination of data to those who need to act, to a more holistic approach that incorporates response as a core component of the surveillance system. Recent infectious disease threats, such as severe acute respiratory syndrome (SARS), avian influenza (H5N1) and pandemic influenza (H1N1), have all highlighted the need for countries to be rapidly aware of the spread of infectious diseases within a region and across the globe. The International Health Regulations (IHR) obligation to report public health emergencies of international concern has raised the importance of early outbreak detection and response. The emphasis in syndromic surveillance is changing from automated, early alert and detection, to situational awareness and response. Published literature on syndromic surveillance reflects the changing nature of public health threats and responses. Syndromic surveillance has demonstrated a remarkable ability to adapt to rapidly shifting public health needs. This adaptability makes it a highly relevant public health tool.