Skip to main content
Journal of Urban Health : Bulletin of the New York Academy of Medicine logoLink to Journal of Urban Health : Bulletin of the New York Academy of Medicine
. 2003 Mar;80(Suppl 1):i107–i114. doi: 10.1007/PL00022321

Investigation of disease outbreaks detected by “syndromic” surveillance systems

Julie A Pavlin 1
PMCID: PMC3456512  PMID: 12791785

Abstract

Syndromic surveillance systems can detect potential disease outbreaks quickly and can provide useful tools to assist in outbreak investigation. The steps used to investigate diseases detected through these newer methods are not that different from traditional investigative measures, but the differences and limitations of the systems must be understood. With syndromic surveillance systems, there is often readily available electronic demographic information that can help define the epidemic and direct disease control measures. The diagnosis needs to be confirmed as quickly as possible, however, as specific diagnostic information will be missing with early detection from nonspecific data. It is also important not to disregard smaller, nonsevere rises in disease incidence as they might be a harbinger of a worsening outbreak. The rapidity of most syndromic surveillance systems also requires an equally rapid response, and planning must be done to prioritize alert categories and the response sequence to best utilize the information available in these new systems.

Keywords: Epidemiology, Outbreak investigation, Syndromic surveillance

Full Text

The Full Text of this article is available as a PDF (93.8 KB).

References

  • 1.Reingold AL. Outbreak investigations—a perspective. Emerg Infect Dis. 1998;4:21–27. doi: 10.3201/eid0401.980104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Miller JR, Mikol Y. Surveillance for diarrheal disease in New York City. J Urban Health. 1999;76:388–390. doi: 10.1007/BF02345678. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Pavlin JA, Kelley PW, Mostashari F, Institute of Medicine (US) et al. Biological Threats and Terrorism: Assessing the Science and Response Capabilities. Washington, DC: National Academy of Sciences; 2002. Innovative surveillance methods for monitoring dangerous pathogens; pp. 185–196. [Google Scholar]
  • 4.Espino JU, Tsui F-C, Wagner M. Realtime outbreak detection system (RODS). Available at: www.health.pitt.edu/rods/rods.htm. Accessed February 11, 2002.
  • 5.Lazarus R, Kleinman KP, Dashevsky I, DeMaria A, Platt R. Using automated medical records for rapid identification of illness syndromes (syndromic surveillance); the example of lower respiratory infection. BMC Public Health. 2001;1:9–9. doi: 10.1186/1471-2458-1-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.New Mexico Department of Health. Rapid Syndrome Validation Project (RSVP) project description. Available at: http://epi.health.state.nm.us/rsvpdesc/default.asp. Accessed February 11, 2002.
  • 7.Lober WB, Karras BT, Wagner MM, et al. Roundtable on bioterrorism detection: information system-based surveillance. J Am Med Inform Assoc. 2002;9:105–115. doi: 10.1197/jamia.M1052. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Green MS, Kaufman Z. Surveillance for early detection and monitoring of infectious disease outbreaks associated with bioterrorism. Isr Med Assoc J. 2002;4:503–506. [PubMed] [Google Scholar]
  • 9.Centers for Disease Control and Prevention Syndromic surveillance for bioterrorism following the attacks on the World Trade Center—New York City, 2001. MMWR Morb Mortal Wkly Rep. 2002;51:13–15. [PubMed] [Google Scholar]
  • 10.Lewis MD, Pavlin JA, Mansfield JL, et al. Disease outbreak detection system using syndromic data in the greater Washington, DC area. Am J Prev Med. 2002;23:180–186. doi: 10.1016/S0749-3797(02)00490-7. [DOI] [PubMed] [Google Scholar]
  • 11.Tyler CW, Jr, Last JM. Epidemiology. In: Wallace RB, editor. Maxcy-Rosenau-Last Public Health and Preventive Medicine. 14th ed. East Norwalk, CT: Appleton and Lange; 1998. pp. 5–33. [Google Scholar]

Articles from Journal of Urban Health : Bulletin of the New York Academy of Medicine are provided here courtesy of New York Academy of Medicine

RESOURCES