Buckeridge David, Cadieux Geneviève
Department of Epidemiology, Biostatistics, and Occupational Health, Clinical and Health Informatics, McGill University, 1140 Pine Avenue West, Montreal, Quebec H3A 1A3, Canada.
Perspect Med Virol. 2006;16:325-343. doi: 10.1016/S0168-7069(06)16013-9. Epub 2006 Nov 28.
Surveillance is a fundamental tool for public health, producing information to guide actions. Modern surveillance tends to follow health measures such as the incidence of a disease or syndrome or even the occurrence of health-related behaviors. There are many reasons for conducting surveillance, and the data collected and the approach taken to analyzing those data are both influenced by the overall goal of a surveillance system. Surveillance systems aims mainly at detection also provide information that may be useful for other purposes. The goal of detecting an outbreak of a newly emerging virus, places specific demands on the type of data collected and the types of analysis performed. All approaches to surveillance share some common principles. While some of the underlying methods used in public health surveillance have evolved considerably in recent years, the general approach to surveillance has remained relatively constant. At a fundamental level, surveillance aims to (1) identify individual cases, (2) detect population patterns in identified cases, and then (3) convey information to decision-makers about population health patterns.
监测是公共卫生的一项基本工具,可提供信息以指导行动。现代监测往往跟踪诸如疾病或综合征的发病率甚至与健康相关行为的发生等健康指标。开展监测有诸多原因,收集的数据以及分析这些数据所采用的方法均受监测系统的总体目标影响。主要旨在进行检测的监测系统也会提供可能对其他目的有用的信息。检测新出现病毒的暴发这一目标,对所收集数据的类型以及所进行分析的类型提出了特定要求。所有监测方法都有一些共同原则。尽管近年来公共卫生监测中使用的一些基础方法有了很大发展,但监测的总体方法仍相对保持不变。从根本层面上讲,监测旨在:(1)识别个体病例;(2)在已识别病例中检测人群模式;然后(3)向决策者传达有关人群健康模式的信息。