Document Detail


Comparison of 3 School-Based Influenza Surveillance Indicators: Lessons Learned From 2009 Pandemic Influenza A (H1N1)-Denver Metropolitan Region, Colorado.
MedLine Citation:
PMID:  23358289     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
CONTEXT: : Early in the 2009 pandemic influenza A (H1N1) experience, children aged 5 to 17 years were determined to be disproportionately affected compared with recent influenza seasons.
OBJECTIVE: : To characterize the pandemic among school-aged children, to enable timely influenza outbreak identification, and to determine which school-based influenza surveillance indicator correlated most closely with a laboratory-based standard influenza indicator (standard) and, therefore, might be most useful for future school-based influenza surveillance.
DESIGN: : During the 2009-2010 school year, we monitored students using 3 different surveillance indicators: (1) all-cause absenteeism, (2) influenza-like illness (ILI)-related absenteeism, (3) and ILI-related school health office visits. Thresholds were set for each indicator to identify individual school outbreaks. Each surveillance indicator was compared with the standard, confirmed influenza cases among hospitalized patients.
SETTING: : Tri-County (Denver metropolitan area), Colorado.
PARTICIPANTS: : Prekindergarten through 12th-grade students in public schools.
MAIN OUTCOME MEASURES: : Correlation coefficients comparing each influenza surveillance indicator with the standard and graphs comparing weekly rates for each influenza surveillance indicator or weekly outbreak counts with the standard.
RESULTS: : Correlation between the surveillance indicators and the standard varied greatly. All-cause absenteeism correlated most poorly with the standard (Pearson's r = 0.33) and ILI-related health office visits correlated moderately well (r = 0.63). Influenza-like illness-related absenteeism correlated best (r = 0.92) and could be improved (r = 0.97) by shifting ILI-absenteeism data later by 1 week. Graphs of weekly rates or weekly outbreak counts also illustrated that ILI-related absenteeism correlated best with the standard.
CONCLUSIONS: : For influenza surveillance among school-aged children, when feasible, we recommend using ILI-related absenteeism, which correlated best and its rate peaked more than 1 week sooner than the standard. The other 2 surveillance indicators might be useful in certain situations, such as when resources are limited.
Authors:
Nancy J Williams; Tista S Ghosh; Kristine M Bisgard; Richard L Vogt
Related Documents :
3757599 - The importance of sensory context in young children's acceptance of salty tastes.
25153579 - Vitamin d-containing supplements for children between 1-3 years of age: are they essent...
8530599 - Maternal thyroid peroxidase antibodies during pregnancy: a marker of impaired child dev...
1688749 - Increased urinary excretion of transferrin in children with type 1 diabetes mellitus.
9211129 - Thyroid function in children treated for acute lymphoblastic leukemia.
25150029 - Low health-related quality of life in school-aged children in tonga, a lower-middle inc...
2041439 - Chronic cough in infants and children: an update.
2638189 - An investigation of maternal interaction with phonologically disordered children as com...
2090829 - Body image of sexually and physically abused children.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  19     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-01-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  119-25     Citation Subset:  T    
Affiliation:
Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Williams and Bisgard); and Tri-County Health Department, Greenwood Village, Colorado (Drs Williams, Ghosh, and Vogt).
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  African american participation in health-related research studies: indicators for effective recruit...
Next Document:  Using exercises to identify veterans health administration priorities for disaster response: findin...