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Displaying results 1 - 8 of 8
  • Content Type: Abstract

    On 27 April 2005, a simulated bioterrorist event—the aerosolized release of Francisella tularensis in the men’s room of luxury box seats at a sports stadium—was used to exercise the disease surveillance capability of the National Capital Region (NCR… read more
    … essential to develop methods to generate virtual health care records that met specific requirements and represented both ‘normal’ endemic visits (the background) as well as outbreak-specific records … essential to develop methods to generate virtual health care records that met specific requirements and represented …
  • Content Type: Abstract

    Objective To enable the early detection of pandemic influenza, we have designed a system to differentiate between severe and mild influenza outbreaks. Historic information about previous pandemics suggested the evaluation of two… read more
    … and can be diagnosed immediately in a physician office visit, while a confirmed influenza diagnosis requires a … and can be diagnosed immediately in a physician office visit, while a confirmed influenza diagnosis requires a … outpatient office and hospital emergency room (ER) visits in selected counties in Virginia and Maryland, and …
  • Content Type: Abstract

    Modern biosurveillance relies on multiple sources of both prediagnostic and diagnostic data, updated daily, to discover disease outbreaks. Intrinsic to this effort are two assumptions: (1) the data being analyzed contain early indicators… read more
    … data. Examples are daily counts of emergency room visits, over-the-counter (OTC) or prescription medication … strongly impact the public’s consumption of health care, drasti- cally impacting (usually decreasing) many … of differencing is that it is easy and computationally cheap to perform and so provides an excel- lent basis for …
  • Content Type: Abstract

    Modern surveillance systems use statistical process control (SPC) charts such as Cumulative Sum and Exponentially Weighted Moving Average charts for monitoring daily counts of such quantities as ICD-9 codes from ED visits,… read more
    … daily counts of such quantities as ICD-9 codes from ED visits, sales of medications, and doctors’ office visits. The working assumption is that such pre-clinical … daily counts of such quantities as ICD-9 codes from ED visits, sales of medications, and doctors’ office visits. …
  • Content Type: Abstract

    Numerous recent papers have evaluated algorithms for biosurveillance anomaly detection. Common essential problems in the disparate, evolving data environment include trends, day-of-week effects, and other systematic behavior.… read more
    … of authentic outpatient data covering 1402 days of clinic visit counts. Receiver operating characteristic curves were … 2. Brillman JC, et.al. Modeling emergency department visit patterns for infectious disease complaints: results …
  • Content Type: Abstract

    The increased threat of bioterrorism and naturally occurring diseases, such as pandemic influenza, continually forces public health authorities to review methods for evaluating data and reports. The objective of bio-surveillance is to automatically… read more
    … chief complaints, ICD-9 diagnosis codes, physician office visits, and pharmacy data. In addition, information such as …
  • Content Type: Abstract

    The statistical process control (SPC) community has developed a wealth of robust, sensitive monitoring methods in the form of control charts [1]. Although such charts have been implemented for a wide variety of health monitoring purposes [2], some… read more
    … W.H. (2006). “The Use of Control Charts in Health Care Monitoring and Public Health Surveillance”, Journal of …
  • Content Type: Abstract

    This paper investigates the use of data-adaptive multivariate statistical process control (MSPC) charts for outbreak detection using real-world syndromic data. The widely used EARS [1] methods and other adaptive implementations assume implicitly… read more
    … dromic data—human behavior, immune physiology, the health care system, to name just a few—often exhibit explicit …