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Identifying pneumonia outbreaks of public health importance: can emergency department data assist in earlier identification?

Abstract：

OBJECTIVE:To retrospectively review the performance of a near real-time Emergency Department (ED) Syndromic Surveillance System operating in New South Wales for identifying pneumonia outbreaks of public health importance. METHODS:Retrospective data was obtained from the NSW Emergency Department data collection for a rural hospital that has experienced a cluster of pneumonia diagnoses among teenage males in August 2006. ED standard reports were examined for signals in the overall count for each respiratory syndrome, and for elevated counts in individual subgroups including; age, sex and admission to hospital status. RESULTS:Using the current thresholds, the ED syndromic surveillance system would have trigged a signal for pneumonia syndrome in children aged 5-16 years four days earlier than the notification by a paediatrician and this signal was maintained for 14 days. CONCLUSION:If the ED syndromic surveillance system had been operating it could have identified the outbreak earlier than the paediatrician's notification. This may have permitted an earlier public health response. IMPLICATIONS:By understanding the behaviour of syndromes during outbreaks of public health importance, response protocols could be developed to facilitate earlier implementation of control measures.

journal_name

Aust N Z J Public Health

journal_title

Australian and New Zealand journal of public health

authors

Hope K,Durrheim DN,Muscatello D,Merritt T,Zheng W,Massey P,Cashman P,Eastwood K

doi

10.1111/j.1753-6405.2008.00255.x

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

361-3

issue

4

eissn

1326-0200

issn

1753-6405

pii

AZPH255

journal_volume

32

pub_type

杂志文章

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