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Shigella surveillance in a large metropolitan area: assessment of a passive reporting system.
Author(s) -
A M Kimball,
S B Thacker,
M E Levy
Publication year - 1980
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.70.2.164
Subject(s) - environmental health , medicine , population , disease surveillance , metropolitan area , shigella sonnei , public health surveillance , shigella , public health , salmonella , pathology , biology , bacteria , genetics
A passive disease report card (DRC) surveillance system failed to detect an epidemic of diarrheal disease caused by a newly identified drug-resistant strain of Shigella sonnei. The DRC system inaccurately described both the population at risk and the geographic location of cases. Specific limitations of the DRC system, including problems of underreporting and ascertainment bias, were complicated by the absence of timely data analysis and feedback to providers.

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