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Evaluation challenges for syndromic surveillance--making incremental progress.

Daniel M Sosin1, J DeThomasis

  • 1Office of Terrorism Preparedness and Emergency Response, CDC, 1600 Clifton Road, Mailstop D-44, Atlanta, GA 30333, USA. dms8@cdc.gov

MMWR Supplements
|February 18, 2005
PubMed
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Evaluating syndromic surveillance systems is crucial for public health. This review highlights progress in performance measurement and identifies key challenges in system evaluation for outbreak detection.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Surveillance

Background:

  • The 2003 National Syndromic Surveillance Conference addressed challenges and progress in evaluating syndromic surveillance systems.
  • Syndromic surveillance is vital for early detection of public health threats.

Purpose of the Study:

  • To describe the current status of performance measurement for syndromic surveillance systems.
  • To identify ongoing challenges in the evaluation of these systems, using conference abstracts as a basis.

Main Methods:

  • A descriptive review and classification of 99 original abstracts from the 2003 conference.
  • Analysis focused on the presentation of evaluation attributes within the abstracts.

Main Results:

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  • System evaluation was the focus of 35% of abstracts; 63% used prospective methods, and 57% reported on outbreak detection.
  • Significant gaps were identified: 34% of evaluation abstracts lacked data, and few addressed system signals (37%), signal investigation (20%), or timeliness (20%).

Conclusions:

  • The review indicates increased attention to the evaluation of syndromic surveillance systems.
  • There is a clear need for standardized performance measures and further research into critical evaluation components for public health outbreak detection systems.