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基于媒体报道的实时死亡率监测评估

Evaluation of Real-Time Mortality Surveillance Based on Media Reports.

作者信息

Olayinka Olaniyi O, Bayleyegn Tesfaye M, Noe Rebecca S, Lewis Lauren S, Arrisi Vincent, Wolkin Amy F

机构信息

1Centers for Disease Control and Prevention,Health Studies Branch,Atlanta,Georgia.

2New Jersey Department of Health, Office of Vital Statistics and Registry, Trenton,New Jersey.

出版信息

Disaster Med Public Health Prep. 2017 Aug;11(4):460-466. doi: 10.1017/dmp.2016.170. Epub 2016 Dec 29.

Abstract

OBJECTIVE

We evaluated the usefulness and accuracy of media-reported data for active disaster-related mortality surveillance.

METHODS

From October 29 through November 5, 2012, epidemiologists from the Centers for Disease Control and Prevention (CDC) tracked online media reports for Hurricane Sandy-related deaths by use of a keyword search. To evaluate the media-reported data, vital statistics records of Sandy-related deaths were compared to corresponding media-reported deaths and assessed for percentage match. Sensitivity, positive predictive value (PPV), and timeliness of the media reports for detecting Sandy-related deaths were calculated.

RESULTS

Ninety-nine media-reported deaths were identified and compared with the 90 vital statistics death records sent to the CDC by New York City (NYC) and the 5 states that agreed to participate in this study. Seventy-five (76%) of the media reports matched with vital statistics records. Only NYC was able to actively track Sandy-related deaths during the event. Moderate sensitivity (83%) and PPV (83%) were calculated for the matching media-reported deaths for NYC.

CONCLUSIONS

During Hurricane Sandy, the media-reported information was moderately sensitive, and percentage match with vital statistics records was also moderate. The results indicate that online media-reported deaths can be useful as a supplemental source of information for situational awareness and immediate public health decision-making during the initial response stage of a disaster. (Disaster Med Public Health Preparedness. 2017;11:460-466).

摘要

目的

我们评估了媒体报道数据在与灾害相关的死亡主动监测中的实用性和准确性。

方法

2012年10月29日至11月5日,疾病控制与预防中心(CDC)的流行病学家通过关键词搜索追踪在线媒体关于飓风桑迪相关死亡的报道。为评估媒体报道的数据,将桑迪相关死亡的生命统计记录与相应的媒体报道死亡情况进行比较,并评估匹配百分比。计算媒体报道在检测桑迪相关死亡方面的敏感性、阳性预测值(PPV)和及时性。

结果

共识别出99例媒体报道的死亡病例,并与纽约市(NYC)和同意参与本研究的5个州发送给CDC的90份生命统计死亡记录进行比较。75例(76%)媒体报道与生命统计记录相匹配。只有纽约市在事件期间能够积极追踪桑迪相关死亡情况。对纽约市匹配的媒体报道死亡病例计算出中等敏感性(83%)和PPV(83%)。

结论

在飓风桑迪期间,媒体报道的信息敏感性中等,与生命统计记录的匹配百分比也为中等。结果表明,在线媒体报道的死亡情况可作为灾害初始应对阶段态势感知和即时公共卫生决策的补充信息来源。(《灾害医学与公共卫生防范》。2017;11:460 - 466)

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