Syndromic Surveillances based on the Emergency Department

응급실 증후군 감시체계의 운영 현황과 활성화 방안

  • Cho, Joon-Pil (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Min, Young-Gi (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Choi, Sang-Cheon (Department of Emergency Medicine, Ajou University School of Medicine)
  • 조준필 (아주대학교 의과대학 응급의학교실) ;
  • 민영기 (아주대학교 의과대학 응급의학교실) ;
  • 최상천 (아주대학교 의과대학 응급의학교실)
  • Published : 2008.07.31

Abstract

Due to heightened concerns regarding possible bioterrorist attacks, the Korea Center for Disease Control and Prevention introduced syndromic surveillance systems, which have been run by emergency departments in hospitals throughout Korea since 2002. These systems are designed to identify illness clusters before diagnoses are confirmed and reported to public health agencies, to mobilize a rapid response, and thereby to reduce morbidity and mortality. The Korea Center for Disease Control and Prevention performed drop-in syndromic surveillance successfully during the World Cup Football Games in 2002, the Universiad games in 2004, and the Asian Pacific Economic Cooperation meeting in 2005. In addition, sustainable syndromic surveillance system involving the collaborative efforts of 125 sentinel hospitals has been in operation nationwide since 2002. Because active data collection can bias decisions a physician makes, there is a need to generate an automatic and passive data collection system. Therefore, the Korea Center for Disease Control and Prevention plans to establish computerized automatic data collection systems in the near future. These systems will be used not only fur the early detection of bioterrorism but also for more effective public health responses to disease.

Keywords

References

  1. Henning KJ. What is syndromic surveillance? MMWR Morb Mortal Wkly Rep 2004; 53 (Suppl): 5-11
  2. Buehler JW, Berkelman RL, Hartley DM, Peters CJ. Syndromic surveillance and bioterrorism-related epidemics. Emerg Infect Dis 2003; 9(10): 1197-1204 https://doi.org/10.3201/eid0910.030231
  3. Fleischauer AT, Silk BJ, Schumacher M, Komatsu K, Santana S, Vaz V, et al. The validity of chief complaint and discharge diagnosis in emergency department-based syndromic surveillance. Acad Emerg Med 2004; 11(12): 1262-1267
  4. Besculides M, Heffernan R, Mostashari F, Weiss D. Evaluation of school absenteeism data for early outbreak detection; New York city. BMC Public Health 2005; 5: 105 https://doi.org/10.1186/1471-2458-5-105
  5. Muscatello DJ, Churches T, Kaldor J, Zheng W, Chiu C, Correll P, et al. An automated, broadbased, near real-time public health surveillance system using presentations to hospital emergency departments in New South Wales, Australia. BMC Public Health 2005; 5: 141 https://doi.org/10.1186/1471-2458-5-141
  6. Betancourt JA, Hakre S, Polyak CS, Pavlin JA. Evaluation of ICD-9 codes for syndromic surveillance in the electronic surveillance system for the early notification of community-based epidemics. Mil Med 2007; 172(4): 346-352 https://doi.org/10.7205/MILMED.172.4.346
  7. Division of bioterrorism preparedness and response, Department of infectious disease control Korea center for disease control and prevention. Preparedness and Response to Bioterrorism. [cited 2008 Jun 25]. Available from URL:http://bioterrorism.cdc.go.kr. (Korean)