Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
J Public Health Manag Pract. 2011 May-Jun;17(3):255-64. doi: 10.1097/phh.0b013e318200f8da.
The State Reportable Conditions Assessment (SRCA) is an annual assessment of reporting requirements for reportable public health conditions. The Council of State and Territorial Epidemiologists (CSTE) and the Centers for Disease Control and Prevention have gained valuable experience in developing a centralized repository of information about reportable conditions across US states and territories.
This study examines the reporting status in states of nationally notifiable conditions used to inform public health and national surveillance initiatives.
Conditions included in SRCA are updated annually by using a Web-based tool created by the CSTE.
SRCA information for 2008 was reported from all US states, 2 cities, and 4 territories.
Respondents included state or territorial epidemiologists (or designees) for reporting jurisdictions.
Conditions were classified as explicitly reportable, implicitly reportable, or not reportable. RESULTS were tabulated to determine reporting statistics for the conditions nationwide.
The SRCA included 101 conditions recommended for national notification: 93 (92%) were infectious conditions, and 8 (8%) were other (noninfectious or crosscutting) conditions. Of nationally notifiable infectious conditions, 61 (66%) were explicitly reportable in 90% or more jurisdictions; only 2 (25%) noninfectious or crosscutting nationally notifiable conditions were explicitly reportable in 90% or more jurisdictions. Furthermore, 3 nationally notifiable infectious conditions were explicitly reportable in less than 70% of jurisdictions.
Although most nationally notifiable conditions were explicitly reportable, we found that many of these conditions have implicit reporting authority in states. As notifiable condition surveillance moves toward an informatics-driven approach, automated electronic case-detection systems will need explicit information about what conditions are reportable. Future work should address the feasibility of standardizing the format of reportable disease lists and nomenclature used to facilitate data aggregation and interpretation across states.
国家报告疾病评估（SRCA）是对报告公共卫生状况的报告要求的年度评估。州和地区流行病学家理事会（CSTE）和疾病控制与预防中心在开发美国各州和地区报告疾病的集中信息库方面积累了宝贵经验。
本研究检查了用于告知公共卫生和国家监测计划的全国报告疾病的州报告状况。
使用 CSTE 创建的基于网络的工具，每年更新 SRCA 中包含的条件。
报告了来自美国所有州、2 个城市和 4 个地区的 2008 年 SRCA 信息。
报告管辖范围内的州或地区流行病学家（或指定人员）。
条件分为明确报告、隐含报告和不报告。对结果进行了制表，以确定全国范围内这些疾病的报告统计数据。
SRCA 包括 101 种建议进行国家通知的疾病：93 种（92%）为传染病，8 种（8%）为其他（非传染性或交叉）疾病。在全国报告的传染病中，61 种（66%）在 90%或更多司法管辖区明确报告；只有 2 种（25%）非传染性或交叉全国报告的疾病在 90%或更多司法管辖区明确报告。此外，3 种全国报告的传染病在不到 70%的司法管辖区明确报告。
尽管大多数全国报告疾病都是明确报告的，但我们发现，在各州中，许多此类疾病具有隐含的报告权限。随着传染病监测向信息化驱动的方法转变，自动电子病例检测系统将需要有关哪些疾病可报告的明确信息。未来的工作应解决标准化报告疾病清单格式和用于促进各州之间数据聚合和解释的命名法的可行性。
