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Characterizing Public Health Actions in Response to Syndromic Surveillance Alerts
Author(s) -
Laura Rivera,
Rachel Savage,
Natasha S. Crowcroft,
Laura C. Rosella,
Li Ye,
Shelly Bolotin,
Wendy Lou,
Ian Johnson
Publication year - 2016
Publication title -
online journal of public health informatics
Language(s) - English
Resource type - Journals
ISSN - 1947-2579
DOI - 10.5210/ojphi.v8i1.6448
Subject(s) - medicine , intervention (counseling) , watchful waiting , emergency department , medical emergency , public health , nursing , prostate cancer , cancer
Fifteen public health units (PHUs) in Ontario, Canada were randomized to the intervention (9) or control (6) arm of a study on their responses to alerts for respiratory syndromes from emergency department data. The intervention PHUs implemented a standard protocol while the control PHUs continued with usual practices. Intervention PHUs were 3 times more likely to check for alternate explanations. Control health units decided that more alerts warranted a response (53%) but most of these were "watchful waiting"  . For intervention PHUs, the proportion requiring action was lower (18%). Less than 10% of the alerts led to action.

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