ArticleBMC public health2012
The use of syndromic surveillance for decision-making during the H1N1 pandemic: a qualitative study.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems.BMC public health · 2021Article
- Syndromic Surveillance in Puerto Rico During the COVID-19 Response: An Alternative Approach to Scarce Molecular Testing.American journal of public health · 2020Article
- The COVID-19 pandemic: a new challenge for syndromic surveillance.Epidemiology and infection · 2020Article
- Predicting influenza-like illness-related emergency department visits by modelling spatio-temporal syndromic surveillance data.Epidemiology and infection · 2019Article
- The burden of seasonal respiratory infections on a national telehealth service in England.Epidemiology and infection · 2017Article
- Evaluation of the ability of standardized supports to improve public health response to syndromic surveillance for respiratory diseases in Canada.BMC public health · 2017Article
- Missouri K-12 school collection and reporting of school-based syndromic surveillance data: a cross sectional study.BMC public health · 2016Article
- Description of a school nurse visit syndromic surveillance system and comparison to emergency department visits, New York City.American journal of public health · 2014Article
- Assessing the relative timeliness of Ontario's syndromic surveillance systems for early detection of the 2009 influenza H1N1 pandemic waves.Canadian journal of public health = Revue canadienne de sante publique · 2013Article
- A Practitioner-Driven Research Agenda for Syndromic Surveillance.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAlthough an increasing number of studies are documenting uses of syndromic surveillance by front line public health, few detail the value added from linking syndromic data to public health decision-making. This study seeks to understand how syndromic data informed specific public health actions during the 2009 H1N1 pandemic.
methodsSemi-structured telephone interviews were conducted with participants from Ontario's public health departments, the provincial ministry of health and federal public health agency to gather information about syndromic surveillance systems used and the role of syndromic data in informing specific public health actions taken during the pandemic. Responses were compared with how the same decisions were made by non-syndromic surveillance users.
resultsFindings from 56 interviews (82% response) show that syndromic data were most used for monitoring virus activity, measuring impact on the health care system and informing the opening of influenza assessment centres in several jurisdictions, and supporting communications and messaging, rather than its intended purpose of early outbreak detection. Syndromic data had limited impact on decisions that involved the operation of immunization clinics, school closures, sending information letters home with school children or providing recommendations to health care providers. Both syndromic surveillance users and non-users reported that guidance from the provincial ministry of health, communications with stakeholders and vaccine availability were driving factors in these public health decisions.
conclusionsSyndromic surveillance had limited use in decision-making during the 2009 H1N1 pandemic in Ontario. This study provides insights into the reasons why this occurred. Despite this, syndromic data were valued for providing situational awareness and confidence to support public communications and recommendations. Developing an understanding of how syndromic data are utilized during public health events provides valuable evidence to support future investments in public health surveillance.
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Registered trials
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