Biology Reference
In-Depth Information
CoNTENTS
11.1 Introduction ................................................................................................ 196
11.1.1 The Establishment of NC DETECT ............................................. 197
11.1.2 NC DETECT Data Syndromes ..................................................... 198
11.1.3 NC DETECT Data Collection, Processing, and Analysis......... 199
11.1.4 NC DETECT Users......................................................................... 199
11.2 Methods....................................................................................................... 200
11.3 Findings....................................................................................................... 201
11.3.1 How Has Biosurveillance Been Used?........................................ 201
11.3.2 How Has Biosurveillance Been Integrated with
Traditional Surveillance Activities? ............................................ 203
11.3.3 What Has Been the Value Added of Biosurveillance to
Traditional Surveillance? .............................................................. 204
11.3.3.1 Va l id it y ............................................................................. 204
11.3.3.2 Timeliness ........................................................................ 204
11.3.3.3 Flexibility.......................................................................... 205
11.3.3.4 Case Detection................................................................. 206
11.3.3.5 Communication............................................................... 206
11.3.4 What Has Been the Value Added of Biosurveillance to
Sentinel Influenza Surveillance? ................................................. 207
11.3.5 What Have Been the Challenges to Implementing
Biosurveillance? ............................................................................. 208
11.3.6 What Factors Have Facilitated the Implementation of
Biosurveillance? ............................................................................. 209
11.3.7 Recommendations for Improving NC DETECT........................ 210
11.4 Conclusions................................................................................................. 211
References............................................................................................................. 213
11.1 Introduction
Biosurveillance systems were initially developed primarily to facilitate early
detection for biological, chemical, radiological, or terrorist threats to public
health (Lombardo, Burkom, and Pavlin 2004; Loonsk 2004). As these systems
evolved, their application to a wide array of public health threats has become
more routine (Ginsberg et al. 2008; Hope et al. 2008; Leonardi et al. 2006; Ma
et al. 2006; Marx et al. 2003), and thus they have demonstrated their value
and utility for strengthening public health preparedness.
North Carolina was an early adopter of biosurveillance technology, and
here we describe the state's experience in developing and deploying its
biosurveillance system, highlighting the challenges and successes that can
inform similar efforts in other states.
 
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