Syndromic surveillance: adapting innovations to developing settings - PubMed (original) (raw)

Syndromic surveillance: adapting innovations to developing settings

Jean-Paul Chretien et al. PLoS Med. 2008.

Abstract

The tools and strategies of syndromic surveillance, say the authors, hold promise for improving public health security in developing countries.

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Conflict of interest statement

Competing Interests: Raj Ashar holds a small joint account that owns stock in Cisco, Oracle, and Sun Microsystems. The account was opened when he was a minor, and he has not realized any benefit from it as an adult. He also holds shares in the Vanguard Health Care Fund (a mutual fund) through his employer's retirement account. The other authors have declared that no competing interests exist.

Figures

Figure 1

Figure 1. Internet and Telephone Access in Developing Countries

Adapted from [22].

Figure 2

Figure 2. Post-Flooding Diarrhea Outbreak in Jakarta, Indonesia, January–February 2002

_X_-axis labels are week/month, from the 44th week of 2001 (in November) to the 9th week of 2002 (in February). The blue line shows the number of cases per week reporting to an EWORS site in Jakarta with watery diarrhea and dehydration, fever, or vomiting. The “Cusum” (cumulative sum) C1, C2, and C3 alerts identify, with increasing sensitivity, significant increases in case counts using the Early Aberration Reporting System [27]. The horizontal red solid and broken lines represent the long-term mean and mean plus two standard deviations (sometimes used as an outbreak detection threshold in other surveillance systems), respectively.

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