MMWR Morb Mortal Wkly Rep. 2005 Aug 26;54(33):822-5.
In September 2000, states began receiving federal funding to plan and implement integrated electronic systems for disease surveillance. CDC and state and local health departments had recognized the importance of such systems and of uniform standards to improve the usefulness of public health surveillance and the timeliness of response to outbreaks of disease. Previously, state health departments received most case-report forms by mail and then entered the data into computer systems, sometimes weeks after the cases of notifiable disease had occurred, including cases that warranted immediate public health investigation or intervention. In addition, depending on the disease, only 10%-85% of cases were reported, and more than 100 different systems were used to transmit these reports from the states to CDC (CDC, unpublished data, 2005). This report summarizes progress since the initial funding in 2000 in improving state and local disease surveillance through secure, Internet-based data entry and automated electronic laboratory results (ELR) reporting. Both are components of the National Electronic Disease Surveillance System (NEDSS), the surveillance and monitoring component of the broader Public Health Information Network (PHIN) initiative. Local, state, and national public health officials should continue to improve the timeliness and completeness of disease surveillance.
2000年9月，各州开始获得联邦资金，用于规划和实施疾病监测综合电子系统。美国疾病控制与预防中心（CDC）以及州和地方卫生部门已经认识到此类系统以及统一标准对于提高公共卫生监测的效用和应对疾病爆发的及时性的重要性。此前，州卫生部门大多通过邮寄方式接收病例报告表，然后将数据录入计算机系统，有时是在应报告疾病病例发生数周之后，其中包括那些需要立即进行公共卫生调查或干预的病例。此外，根据疾病的不同，只有10%至85%的病例得到报告，并且使用了100多个不同的系统将这些报告从各州传输至CDC（CDC，未公布数据，2005年）。本报告总结了自2000年首次获得资金以来，通过安全的基于互联网的数据录入和自动化电子实验室结果（ELR）报告在改善州和地方疾病监测方面所取得的进展。这两者都是国家电子疾病监测系统（NEDSS）的组成部分，NEDSS是更广泛的公共卫生信息网络（PHIN）倡议的监测和监控部分。地方、州和国家公共卫生官员应继续提高疾病监测的及时性和完整性。
