Abstract:
BACKGROUND:Many infectious disease outbreaks, including those caused by intentional attacks, may first present insidiously as ill-defined syndromes or unexplained deaths. While there is no substitute for the astute healthcare provider or laboratorian alerting the health department of unusual patient presentations, suspicious patterns may be apparent at the community level well before patient-level data raise an alarm. METHODS:Through centralized Department of Defense medical information systems, diagnoses based on International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes are obtained daily from 99 military emergency rooms and primary care clinics across the Washington, DC, region. Similar codes are grouped together in seven diagnostic clusters that represent related presenting signs, symptoms, and diagnoses. Daily monitoring of the data is conducted and evaluated for variation from comparable historic patterns for all seven syndrome groups. Geospatial mapping and trend analysis are performed using geographic information systems software. Data were received on a daily basis beginning in December 1999 and collection continues. The data cut-off date for this manuscript was January 2002. RESULTS:Demographic breakdown of military beneficiaries covered by the surveillance area reveals a broad age, gender, and geographic distribution that is generalizable to the Washington DC region. Ongoing surveillance for the previous 2 years demonstrates expected fluctuations for day-of-the-week and seasonal variations. Detection of several natural disease outbreaks are discussed as well as an analysis of retrospective data from the Centers for Disease Control and Prevention's sentinel physicians-surveillance network during the influenza season that revealed a significantly similar curve to the percentage of patients coded with a respiratory illness in this new surveillance system. DISCUSSION:We believe that this surveillance system can provide early detection of disease outbreaks such as influenza and possibly intentional acts. Early detection should enable officials to quickly focus limited public health resources, decrease subsequent mortality, and improve risk communication. The system is simple, flexible, and, perhaps most critical, acceptable to providers in that it puts no additional requirements on them.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Lewis MD,Pavlin JA,Mansfield JL,O'Brien S,Boomsma LG,Elbert Y,Kelley PWdoi
10.1016/s0749-3797(02)00490-7subject
Has Abstractpub_date
2002-10-01 00:00:00pages
180-6issue
3eissn
0749-3797issn
1873-2607pii
S0749379702004907journal_volume
23pub_type
杂志文章abstract::As the first Centers for Disease Control and Prevention (CDC) Prevention Research Centers Program thematic network, the Healthy Aging Research Network was established to better understand the determinants of healthy aging within older adult populations, identify interventions that promote healthy aging, and assist in ...
journal_title:American journal of preventive medicine
pub_type: 社论
doi:10.1016/j.amepre.2016.09.035
更新日期:2017-03-01 00:00:00
abstract::During the past 10 years a good deal of effort has focused on preventing cigarette smoking among adolescents. This effort has often been made without a clear understanding of (1) which groups within the population are at highest risk, (2) which variables are associated with habitual smoking rather than experimentation...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND:This article explores changes in the prevalence of youth Internet users reporting unwanted sexual solicitations between 2000 and 2005, as well as the risk factors related to reports of the most serious solicitations, aggressive solicitations, in which solicitors attempted or made offline contact with youth. ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.02.001
更新日期:2007-06-01 00:00:00
abstract:INTRODUCTION:Self-administered lifestyle interventions have been suggested as an alternative to face-to-face delivery modes, although their efficacy remains uncertain. The aim of this study was to evaluate the efficacy of the Type 2 diabetes mellitus Prevention Using LifeStyle Education (PULSE) Program, a self-administ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2015.08.020
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:The Hmong immigrated to the United States from Laos after the Vietnam conflict ended. Hmong encounter numerous readjustment issues, including health care. Traditional Hmong health beliefs and practices encompass more spiritual than biological etiologies. Hmong usually seek the first course of treatment from ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.04.003
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Numerous reports have documented a lower prevalence of seat belt use among blacks in the United States, compared with whites. Limited data suggest that black-white disparities in states with primary seat belt laws (motorists can be stopped and cited solely for violating a seat belt law) are less marked than ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.03.024
更新日期:2006-08-01 00:00:00
abstract::Editors' Note: We invited a sample of AJPM's Editorial Board, supplement guest editors, and longtime colleagues and contributors to share their experiences and impressions of the impact of AJPM on their respective domains. We were particularly fond of Ken Powell's analogy to being "tenders of the planted seed"--as pla...
journal_title:American journal of preventive medicine
pub_type: 历史文章,信件
doi:10.1016/j.amepre.2013.09.006
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION:Justice-involved adolescents are at high risk for sexually transmitted infections; one primary reason is co-occurring substance use. This study investigates the additive benefit of including alcohol and cannabis use content in a theory-based sexual risk reduction intervention, delivered using group-based m...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.07.009
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Among women aged <45 years, African Americans have the highest breast cancer incidence rates of any ethnic/racial group and disproportionately higher rates of mortality. Young breast cancer survivors (YBCSs) may require psychosocial and reproductive health support when navigating diagnosis, treatment, and ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.09.003
更新日期:2015-12-01 00:00:00
abstract::The growth of the peer workforce in behavioral health services is bringing opportunities to organizations and institutions that serve people living with mental and substance use disorders and their families. Peer workers are defined as people in recovery from mental illness or substance use disorders or both that poss...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.03.010
更新日期:2018-06-01 00:00:00
abstract::With low rates of the risk factors for cardiovascular disease as recently as 40 years ago, the rates of cardiovascular disease (CVD) in American Indians and Alaska Natives were exceedingly low. Despite recent large-scale efforts to eliminate health disparities in ethnic and minority populations, the impact among Ameri...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.07.023
更新日期:2005-12-01 00:00:00
abstract::Reliable data on the impact of physical training on light infantry units in terms of injuries and time loss are sparse. This study evaluated a light infantry unit (n = 181) prospectively and followed it throughout one year of infantry training and operations. Fifty-five percent of the soldiers (n = 101) experienced on...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:INTRODUCTION:The Supplemental Nutrition Assistance Program (SNAP) is the largest nutrition assistance program in the U.S. This study's objective was to examine the associations between SNAP participation and young children's health and development, caregiver health, and family economic hardships. METHODS:Cross-section...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.04.027
更新日期:2019-10-01 00:00:00
abstract::Human beings have always lived with risks and have coped as best they could, according to their perceptions of the relative dangers and the mechanisms available to them. Being conscious of risks helps us to confront and cope with them, but it also has negative effects. The multiplicity of threats and the urgency with ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1986-05-01 00:00:00
abstract::A simple microcomputer system has been developed using off-the-shelf components. The system permits local access, in an acceptable time frame, to several years of New Jersey multiple cause of death data (approximately 70,000 records per calendar year). This report describes the system, including hardware, software, da...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract::Because the instruments used to measure current practices among primary care physicians in a broad range of prevention activities are limited, we developed a study to test a tool that would evaluate current prevention knowledge and applications, including items regarding activities to prevent AIDS and other sexually t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:Nondaily smokers are a growing subpopulation of smokers. Current cessation guidelines were developed for daily smokers, and how clinicians might help nondaily smokers is not clear. METHODS:Analyzing the 2000 National Health Interview Survey in 2004, we compared characteristics of nondaily smokers with never...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.048
更新日期:2006-01-01 00:00:00
abstract:CONTEXT:Health communication campaigns including mass media and health-related product distribution have been used to reduce mortality and morbidity through behavior change. The intervention is defined as having two core components reflecting two social marketing principles: (1) promoting behavior change through multip...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2014.05.034
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Developing effective programs to promote colorectal cancer (CRC) screening requires understanding of the effect of healthcare system factors on access to screening and adherence to guidelines. METHODS:This study assessed the role of insurance status, type of plan, the frequency of preventive health visits, ...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(02)00444-0
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Annual influenza-related hospitalization rates of children aged < 2 years in the United States are second only to those of the elderly. Yet no recommendations existed for vaccinating healthy children aged 6 to 23 months until 2002, when the Advisory Committee on Immunization Practices encouraged influenza va...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.07.016
更新日期:2004-12-01 00:00:00
abstract:CONTEXT:Stair climbing is an accessible activity that can be incorporated into one's daily lifestyle to increase physical activity levels and provide health benefits. This review summarizes the effectiveness of stair interventions and explores key differences that may influence intervention effectiveness. EVIDENCE ACQ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:Opioid and sedative/hypnotic drug overdoses are major causes of morbidity in the U.S. This study compares 12-month incidence of fatal unintentional drug overdose, suicide, and other mortality among emergency department patients presenting with nonfatal opioid or sedative/hypnotic overdose. METHODS:This is...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.02.012
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:In 1975, the then-Center for Disease Control (CDC) established the Vessel Sanitation Program (VSP) to minimize the risk for diarrheal disease among passengers and crew aboard ships by assisting the cruise ship industry in developing and implementing comprehensive environmental health programs. OBJECTIVES:To...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00644-x
更新日期:2003-04-01 00:00:00
abstract:INTRODUCTION:Safety-net sexually transmitted disease services can prevent transmission of sexually transmitted disease. This study assesses the availability of safety-net sexually transmitted disease clinical services across the U.S. METHODS:A 2018 survey of U.S. local health departments examined the availability of s...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2019.11.010
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION:Leading professional organizations recommend cervical cancer screening for average-risk women aged 21-65 years. For average-risk women aged >65 years, routine screening may be discontinued if "adequate" screening with negative results is documented. Screening is recommended after age 65 years for women who...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.02.024
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:Fall-related injuries and health risks associated with reduced mobility or physical inactivity account for significant costs to the U.S. healthcare system. The widely disseminated lay-led A Matter of Balance (MOB) program aims to help older adults reduce their risk of falling and associated activity limita...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.07.004
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Cardiovascular fitness has important implications for current and future health in children. PURPOSE:In this paper, criterion-referenced standards are developed for aerobic capacity (an indicator of cardiovascular fitness) based on receiver operating characteristic (ROC) curves. METHODS:The sample was draw...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.07.007
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Although adults with developmental disabilities are at high risk for obesity and its sequelae, few community-based lifestyle interventions targeting those with developmental disabilities exist. DESIGN:The study was a single group, community-based demonstration project with pre-post test evaluation conducted...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.08.005
更新日期:2009-12-01 00:00:00
abstract:INTRODUCTION:Infant mortality rates are higher in nonmetropolitan areas versus large metropolitan areas. Variation by race/ethnicity and cause of death has not been assessed. Urban-rural infant mortality rate differences were quantified by race/ethnicity and cause of death. METHODS:National Vital Statistics System lin...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.09.010
更新日期:2020-02-01 00:00:00
abstract::This study analyzes the relationships of cigarette smoking and smoking histories to marital and parental status. Data from a large, representative sample of U.S. adults in 1985 were analyzed separately for white men, white women, black men, and black women, with controls for age, education, and marital status included...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00