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Displaying results 9 - 16 of 19
  • State Surveillance Data Improves a Clinical Prediction Model for Pertussis

    Content Type: Abstract

    Bordetella Pertussis outbreaks cause morbidity in all age groups, but the infection is most dangerous for young infants. Pertussis is difficult to diagnose, especially in its early stages, and definitive test results are not… read more
    … of incorrect management decisions at the point of care, pertussis represents a prototypical disease where … of incorrect management decisions at the point of care, pertussis represents a prototypical disease where … of incorrect management decisions at the point of care, pertussis represents a prototypical disease where …
  • Use of Surveillance Data to Measure the Impact of Viral Infections among Young Children

    Content Type: Abstract

    Respiratory viruses cause substantial morbidity and costly resource utilization among young children, especially during the winter months. Accurate estimates of the impact of these viruses are important in guiding prevention efforts… read more
    … METHODS The setting was the ED of an urban tertiary care pe- diatric hospital. Two retrospective patient popula- … extrapolation to calculate population- based rates of ED visits for influenza and RSV and associated resource … admission 0.9 (0.4, 1.9) 11.8 (9.3, 14.9) Primary care visit 4.8 (3.7, 6.3) 23.2 (20.1, 26.6) Antibiotic use …
  • SMART Platforms Building The App Store for Biosurveillance

    Content Type: Webinar

    Health care information is a fundamental source of data for biosurveillance, configuring electronic health records to report relevant data to health departments is technically challenging, labor intensive, and often requires custom solutions for… read more
    … Health care information is a fundamental source of data for … Health care information is a fundamental source of data for …
  • Privacy Protection versus Cluster Detection in Spatial Epidemiology

    Content Type: Abstract

    With the widespread deployment of near real time population health monitoring, there is increasing focus on spatial cluster detection for identifying disease outbreaks. These spatial epidemiologic methods rely on knowledge of patient location to… read more
    … surveillance data from an urban, pediatric, tertiary care hospital. Baseline data were all encounters with a … tions, significant clusters contained fewer additional ED visit points (i.e., points that were not part of the … in small circle) and few additional points from the ED visits (red dots outside small circle). However, when the …
  • A Novel, Context-Sensitive Approach to Anonymizing Spatial Surveillance Data: Impact on Outbreak Detection

    Content Type: Abstract

    The use of spatially-based methods and algorithms in epidemiology and surveillance presents privacy challenges for researchers and public health agencies. We describe a novel method for anonymizing individuals in public health datasets, by… read more
    … set- ting. METHODS Cases were emergency department (ED) visits for respiratory illness. Baseline ED visit data were in- jected with artificially-created …
  • Seasonal Patterns of Gastrointestinal Illness

    Content Type: Abstract

    Objective: To investigate seasonal patterns of gastrointestinal (GI) illness among children and adults.
    … 2001 to Oct 2005. Data were diagnoses for all hospital visits (ED, inpatient, observation). GI visits (N= 1,167,711) were selected by ICD-9 codes using … was significant. RESULTS In Figure 1, numbers of visits with a GI Dx are displayed as overlapping one-year …
  • Effect of expanded recommendations for pediatric seasonal influenza vaccination: an international comparison

    Content Type: Abstract

    Seasonal influenza epidemics are responsible for over 200,000 hospitalizations in the United States per year, and 39,000 of them are in children. In the United States, the Advisory Committee on Immunization Practices guides… read more
    … to make an international comparison of rates of ED visits for influenza-like illness (ILI) following the United … the post-policy change response of ILI-related ED visits to Children’s Hospital Boston, using Montreal … We observed a 34% decline in the rate of ILI-related ED visits among two- to four-year-olds for Children’s Hospital …
  • Automated chronic disease surveillance and visualization using electronic health record data

    Content Type: Abstract

    Chronic diseases are the leading causes of mortality and morbidity for Americans but public health surveillance for these conditions is limited. Health departments currently use telephone interviews, medical surveys, and death certificates to gather… read more
    … Mandl2,3 and Richard Platt1,2 1Harvard Pilgrim Health Care Institute, Boston, MA, USA; 2Harvard Medical School, … A1C and cholesterol levels), diabetes type and care (medications and medical nutrition counseling). … a rich, timely picture of chronic disease prevalence, care and complications for large populations. This …