Lecture 32: Epidemiological Surveillance Flashcards

1
Q

Define epidemiological surveillance

A

Ongoing systematic collection, analysis, interpretation and dissemination of data regarding a health event for use in public health action to reduce morbidity and mortality and to improve health

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2
Q

Epidemiology is the ongoing _______ epidemiology which means

A

ongoing

understanding the ongoing story and how to influence it

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3
Q

Surveillance is relevant to what six things?

A
  1. infectious diseases
  2. chronic diseases
  3. injury
  4. health service uptake
  5. vector distribution
  6. environmental hazards
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4
Q

What are the six elements of surveillance?

A
  • health event occurs
  • data collection
  • analysis
  • interpretation
  • dissemination
  • action
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5
Q

Define disemmination

A

the action or fact of spreading something, especially information, widely.

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6
Q

What is surveillance used for? (7)

A
  • characterising patterns of disease
  • detecting epidemics
  • further investigation
  • research
  • disease control programmes
  • setting priorities
  • evaluation
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7
Q

What are some patterns of disease, and what do these patterns mean?

A

time: when is the disease occurring (eg. what month or time of year)
place: where is it (eg. in a particular geographic location)
population: who are the main people effected (eg. any particular ethnic groups)

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8
Q

What are the two types of surveillance?

A

indicator based and event based

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9
Q

Indicator based surveillance is usually based around what diseases?

A

infectious diseases of cancers

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10
Q

What is being looked at in indicator-based surveillance?

A

specific selected indicators

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11
Q

What is event based surveillance?

A

organised monitoring of reports, media stories, rumours, and other information about health events that could be a serious risk to public health

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12
Q

What does indicator based surveillance involve?

A

Indicator-based surveillance involves reports of specific diseases from health care providers to public health officials.

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13
Q

What are the three types of indicator based surveillance?

A

passive
active
sentinel

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14
Q

What is passive surveillance? Give two examples

A

Routine reporting of health data of notifiable diseases as they present.
Examples include disease registries (eg. cancer and chronic diseases) and hospital data

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15
Q

What does passive surveillance useful for?

A

it is a useful source of health information that means we have baseline data, we can monitor trends and we can monitor impact.

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16
Q

What are three advantages to passive surveillance?

A

low cost
they span a wide area
they link data

17
Q

What is a limitation of passive surveillance?

A

there is risk of under reporting the presentation of diseases

18
Q

What is active surveillance? Give two examples

A

When you are actively seeking out diseases within a population
examples are serosurveillance (monitoring the presence of absence of specific substances in the blood serum of a population) and a health survey

19
Q

What is sentinel surveillance? What does this allow us to do?

A

Selected institutions of groups are given a signal about what might be happening in a certain population which allows us to monitor diseases or trends and detect outbreaks

20
Q

What are 8 characteristics of a good surveillance system within the data collection aspect?

A
  • clear case definition
  • organised
  • workable/practical/simple
  • uniform
  • continuous
  • timely
  • sensitive
  • acceptable to the public and key stakeholders
21
Q

What does the analysis need to tell us?

A
  • number of cases
  • descriptive epidemiology in more detail:
  • person (age, sex, ethnicity)
  • place (within NZ, comparison to other countries)
  • time (change over time)
  • rates (when possible)
22
Q

What is the question asked in the interpretation?

A

What is going on?

23
Q

What is involved in dissemination? Who needs to know?

A
  • People need to know: Ministry of Health, DHB, the affected population
  • periodic reports
  • newsletters
  • media
  • annual reports
  • presentations
24
Q

What is a big problem with global surveillance?

A

There is always more cases than what is reported