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The Bureau of Communicable Disease (BCD) at the NYC Department of Health and Mental Hygiene performs daily automated analyses using SaTScan to detect spatio-temporal clusters for 37 reportable diseases. Initially, we analyzed one address per patient, prioritizing home address if available. On... Read more

Content type: Abstract

The Joint VA/DoD BioSurveillance System for Emerging Biological Threats project seeks to improve situational awareness of the health of VA/DoD populations by combining their respective data. Each system uses a version of the Electronic Surveillance System for Early Notification of Community-... Read more

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Objective Cluster detection with a mechanism for reducing false alarms and increasing sensitivity.

Content type: Abstract

The spatial scan statistic is the usual measure of strength of a cluster [1]. Another important measure is its geometric regularity [2]. A genetic multiobjective algorithm was developed elsewhere to identify irregularly shaped clusters [3]. A search is executed aiming to maximize two objectives... Read more

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In this study, we compare two methods of generating grid points to enable efficient geographic cluster detection when the original geographical data are prohibitively numerous. One method generates uniform grid points, and the other employs quad trees to generate non-uniform grid points. We... Read more

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One objective of public health surveillance is detecting disease outbreaks by looking for changes in the disease occurrence, so that control measures can be implemented and the spread of disease minimized. For this purpose, the Florida Department of Health (FDOH) employs the Electronic... Read more

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Neill’s fast subset scan2 detects significant spatial patterns of disease by efficiently maximizing a log-likelihood ratio statistic over subsets of locations, but may result in patterns that are not spatially compact. The penalized fast subset scan (PFSS)3 provides a flexible framework for... Read more

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In July 2012, the 54 children infected with enterovirus-71(EV71) were died in Cambodia. The media called it as mystery illness and made Asian parents worried. In fact, the severe epidemics of enterovirus occurred frequently in Asia, including Malaysia, Singapore, Taiwan and China. The clinical... Read more

Content type: Abstract

Computational and statistical methods for detecting disease clusters, such as the spatial scan statistic, have become frequently used tools in epidemiology. However, they simply tell the user where a cluster is, and leave the analysis task to the user. Multivariate visualization tools provide... Read more

Content type: Abstract

Electronic  Health  Record  (EHR)  data  offers  the  researcher a potentially rich source of data for tracking disease  syndromes. Procedures  performed  on  the  patient, medications prescribed (not necessarily filled by  the  patient),  and  reason  for  visit  are  just  some  ... Read more

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