Chamberland M E, Allen J R, Monroe J M, Garcia N, Morgan C, Reiss R, Stephens H, Walker J, Friedman S M
JAMA. 1985 Jul 19;254(3):383-7.
In January 1983, the New York City Department of Health initiated an active surveillance program for acquired immunodeficiency syndrome (AIDS) in 19 hospitals and a modified-active surveillance program in the remaining 69 hospitals. We reviewed hospital laboratory and autopsy records in 12 active surveillance hospitals and three modified-active surveillance hospitals six months later. Patients who had opportunistic diseases characteristic of AIDS diagnosed in 1982 (before active surveillance) and 1983 (after implementation of active surveillance) were matched against health department AIDS surveillance reports. For the 16 months we evaluated, 96% of patients identified with AIDS in the 12 active surveillance hospitals and 100% of those in the three modified-active surveillance hospitals had been reported to the health department. The delay between diagnosing a case and reporting it to the health department significantly decreased between 1981 and the first six months of 1983 in all hospitals. The proportion of cases reported within one month of diagnosis increased from 45% to 69% during this period. We conclude that the current surveillance program for AIDS in New York City is effective and that case reporting is sufficiently complete for accurate analysis of disease trends.
1983年1月，纽约市卫生部在19家医院启动了一项针对获得性免疫缺陷综合征（艾滋病）的主动监测计划，并在其余69家医院启动了一项改良主动监测计划。六个月后，我们查阅了12家主动监测医院和3家改良主动监测医院的医院实验室和尸检记录。将1982年（主动监测前）和1983年（实施主动监测后）诊断出患有艾滋病特征性机会性疾病的患者与卫生部门的艾滋病监测报告进行比对。在我们评估的16个月中，12家主动监测医院中确诊为艾滋病的患者中有96%以及3家改良主动监测医院中确诊为艾滋病的患者中有100%已报告给卫生部门。1981年至1983年上半年，所有医院从诊断病例到向卫生部门报告病例之间的延迟显著缩短。在此期间，诊断后一个月内报告的病例比例从45%增至69%。我们得出结论，纽约市目前的艾滋病监测计划是有效的，病例报告足够完整，可用于准确分析疾病趋势。
