Assessing the Early Aberration Reporting System's Ability to Locally Detect the 2009 Influenza Pandemic
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Katie S. Hagen
, Ronald D Fricker , Krista D. Hanni , Susan Barnes and Kristy Michie
The Early Aberration Reporting System (EARS) is used by some local health departments (LHDs) to monitor emergency room and clinic data for disease outbreaks. Using actual chief complaint data from local public health clinics, we evaluate how EARS—both the baseline system distributed by the CDC and two variants implemented by one LHD—perform at locally detecting the 2009 influenza A H1N1 pandemic. We also compare the EARS methods to a CUSUM-based method. We find that the baseline EARS system performed poorly in comparison to one of the LHD variants and the CUSUM-based method. These results suggest that changes in how syndromes are defined can substantially improve EARS performance. The results also show that incorporating algorithms that use more historical data will improve EARS performance for routine surveillance by local health departments.
©2011 Walter de Gruyter GmbH & Co. KG, Berlin/Boston
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- Assessing the Early Aberration Reporting System's Ability to Locally Detect the 2009 Influenza Pandemic
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Articles in the same Issue
- Article
- Toward a Pragmatic Policy on Authorship
- Sharper p-Values for Stratified Election Audits
- Assessing the Early Aberration Reporting System's Ability to Locally Detect the 2009 Influenza Pandemic
- The Spread of Evidence-Poor Medicine via Flawed Social-Network Analysis
- Using a Density-Variation/Compactness Measure to Evaluate Redistricting Plans for Partisan Bias and Electoral Responsiveness
- Commentary and Ideas
- Reproducible Research: A Range of Response
- What Can We Predict About Libya and the Arab Spring from Statistical Studies?
- Response or Comment
- Comment on Alemayehu and Levenstein "Toward a Pragmatic Policy on Authorship"
- Discussion of Alemayehu and Levenstein