Hutwagner Lori, Thompson William, Seeman G Matthew, Treadwell Tracee
Bioterrorism Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, Georgia 30333.
J Urban Health. 2003 Jun;80(2 Suppl 1):i89-96. doi: 10.1007/pl00022319.
Data from public health surveillance systems can provide meaningful measures of population risks for disease, disability, and death. Analysis and evaluation of these surveillance data help public health practitioners react to important health events in a timely manner both locally and nationally. Aberration detection methods allow the rapid assessment of changes in frequencies and rates of different health outcomes and the characterization of unusual trends or clusters. The Early Aberration Reporting System (EARS) of the Centers for Disease Control and Prevention allows the analysis of public health surveillance data using available aberration detection methods. The primary purpose of EARS is to provide national, state, and local health departments with several alternative aberration detection methods. EARS helps assist local and state health officials to focus limited resources on appropriate activities during epidemiological investigations of important public health events. Finally, EARS allows end users to select validated aberration detection methods and modify sensitivity and specificity thresholds to values considered to be of public health importance by local and state health departments.
来自公共卫生监测系统的数据能够提供有关疾病、残疾和死亡的人群风险的有意义指标。对这些监测数据进行分析和评估有助于公共卫生从业者及时应对本地和全国范围内的重要健康事件。异常检测方法能够快速评估不同健康结果的频率和发生率的变化,并对异常趋势或聚集进行特征描述。疾病控制与预防中心的早期异常报告系统(EARS)允许使用现有的异常检测方法对公共卫生监测数据进行分析。EARS的主要目的是为国家、州和地方卫生部门提供多种可供选择的异常检测方法。EARS有助于协助地方和州卫生官员在对重要公共卫生事件进行流行病学调查期间,将有限的资源集中用于适当的活动。最后,EARS允许终端用户选择经过验证的异常检测方法,并将敏感度和特异度阈值修改为地方和州卫生部门认为具有公共卫生重要性的值。