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Open AccessJournal ArticleDOI

Potential for early warning of viral influenza activity in the community by monitoring clinical diagnoses of influenza in hospital emergency departments

Wei Zheng, +3 more
- 19 Sep 2007 - 
- Vol. 7, Iss: 1, pp 250-250
TLDR
Monitoring time series of ED visits clinically diagnosed with influenza could potentially provide three days early warning compared with surveillance of laboratory-confirmed influenza.
Abstract
Background Although syndromic surveillance systems are gaining acceptance as useful tools in public health, doubts remain about whether the anticipated early warning benefits exist. Many assessments of this question do not adequately account for the confounding effects of autocorrelation and trend when comparing surveillance time series and few compare the syndromic data stream against a continuous laboratory-based standard. We used time series methods to assess whether monitoring of daily counts of Emergency Department (ED) visits assigned a clinical diagnosis of influenza could offer earlier warning of increased incidence of viral influenza in the population compared with surveillance of daily counts of positive influenza test results from laboratories.

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Journal ArticleDOI

Time Series—A Biostatistical Introduction

Chris P. Tsokos
- 01 May 1992 - 
TL;DR: In this paper, the authors present a biostatistical introduction of the Time Series, a time series for time series, and a Biostatistic Introduction of time series.
Journal ArticleDOI

Reassessing Google Flu Trends data for detection of seasonal and pandemic influenza: a comparative epidemiological study at three geographic scales.

TL;DR: GFT data may not provide reliable surveillance for seasonal or pandemic influenza and should be interpreted with caution until the algorithm can be improved and evaluated, and current internet search query data are no substitute for timely local clinical and laboratory surveillance, or national surveillance based on local data collection.
Journal ArticleDOI

Impact of Seasonal and Pandemic Influenza on Emergency Department Visits, 2003–2010, Ontario, Canada

TL;DR: Influenza appears to have had a much larger effect on ED visits than was captured by clinical diagnoses of influenza or ILI, and was strongly associated with excess respiratory complaints during the 2009 pandemic.
Journal ArticleDOI

Syndromic surveillance for influenza in the emergency department-A systematic review.

TL;DR: Syndromic surveillance for influenza and ILI from the Emergency Department is becoming more prevalent as a measure of yearly influenza outbreaks and two very large surveillance networks, the North American DiSTRIBuTE network and the European Triple S system have collected large-scale Emergency Department-based influenza andILI syndromic Surveillance data.
References
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Journal Article

Experimental surveillance using data on sales of over-the-counter medications--Japan, November 2003-April 2004.

TL;DR: OTC sales do not appear to be a good candidate for a national real-time detection system for influenza epidemics in Japan and the hypothesis was formed that an ill person will purchase OTC medications first and visit a physician only if the condition does not resolve or worsens.
Journal ArticleDOI

Syndromic surveillance using automated collection of computerized discharge diagnoses.

TL;DR: The SSIC system will constitute the foundation of a population-based surveillance system that will facilitate targeted investigation of clinical syndromes under surveillance and allow early detection of unusual clusters of illness compatible with bioterrorism or disease outbreaks.
Journal Article

Comparison of syndromic surveillance and a sentinel provider system in detecting an influenza outbreak--Denver, Colorado, 2003.

TL;DR: In this paper, the authors compared the performance of Syndromic surveillance signals generated for detecting clusters of influenza-like illness (ILI) were compared with ILI activity identified through a sentinel provider system and with reports of laboratory-confirmed influenza.
Journal Article

Syndromic surveillance at hospital emergency departments--southeastern Virginia.

TL;DR: Fever and respiratory distress syndromes exhibited monthly and ambient-temperature-specific trends consistent with southeastern Virginia's influenza season and preliminary frequencies of hospital ED patient chief complaints in southeastern Virginia during a 10-month period were produced by using syndromic data.
Journal ArticleDOI

Real-time syndrome surveillance in Ontario, Canada: the potential use of emergency departments and Telehealth.

TL;DR: A means of integrating a telephone-based health information service and emergency department triage with a first-line real-time, 24-h a day syndrome surveillance system is proposed, which would be a province-wide integrated early warning system for both bioterrorist events and emerging infections.
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