Evidence map›Paper›PMID 39273784›Full record

ArticleHealthcare (Basel, Switzerland)2024

Syndromic Surveillance in Public Health Emergencies: A Systematic Analysis of Cases Related to Exposure to 2023 Floodwaters in Romagna, Italy.

Marco Montalti, Marco Fabbri, Raffaella Angelini, Elizabeth Bakken, Michela Morri, Federica Tamarri, Chiara Reali, Giorgia Soldà, Giulia Silvestrini, Jacopo Lenzi

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Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Marco MontaltiUnit of Hygiene and Public Health Forlì-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy.ORCID 0000-0001-7276-0277
Marco FabbriUnit of Hygiene and Public Health Ravenna, Department of Public Health, Romagna Local Health Authority, 48121 Ravenna, Italy.
Raffaella AngeliniUnit of Hygiene and Public Health Ravenna, Department of Public Health, Romagna Local Health Authority, 48121 Ravenna, Italy.
Elizabeth BakkenUnit of Hygiene and Public Health Rimini, Department of Public Health, Romagna Local Health Authority, 47624 Rimini, Italy.ORCID 0009-0001-8813-792X
Michela MorriUnit of Hygiene and Public Health Rimini, Department of Public Health, Romagna Local Health Authority, 47624 Rimini, Italy.
Federica TamarriUnit of Hygiene and Public Health Forlì-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy.
Chiara RealiUnit of Hygiene and Public Health Forlì-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy.
Giorgia SoldàDepartment of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy.
Giulia SilvestriniUnit of Hygiene and Public Health Ravenna, Department of Public Health, Romagna Local Health Authority, 48121 Ravenna, Italy.
Jacopo LenziUnit of Hygiene, Public Health, and Medical Statistics, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0003-2882-4223

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn May 2023, Romagna, Italy, faced a devastating flood resulting in 16 fatalities, forced displacement of 26,000 citizens, and significant economic losses. Due to potential water contamination, implementing public health strategies became imperative for the Local Health Authority to mitigate the health consequences, analyze the flood's impact on the local population's health, and detect early anomalies requiring timely public health interventions.

methodsBetween June and July 2023, general practitioners who were part of the RespiVirNet surveillance network completed weekly structured forms. These forms collected data on individuals exposed or not to floodwaters and clinical syndromes. Rates per 1000 resident population aged > 14 were stratified by district, week of observation, and symptomatology. Missing data were addressed by imputation using second-order autoregressive modeling.

resultsAn incidence of 3.52 syndromes potentially related to flood water exposure per 1000 individuals (95% CI 2.82-4.35) was estimated. Ravenna, the city most affected by the flood, recorded the highest rate (6.05 per 1000, 95% CI 4.59-7.82). Incidence decreased in the weeks post-event. Anxiety, or trauma and stress symptoms, exhibited higher rates among the exposed, diminishing over weeks. The incidence for the non-exposed (12.76 per 1000, 95% CI 10.55-15.29) showed no significant territorial differences compared to the exposed ones.

conclusionsSyndromic surveillance provided timely information on the flood's health impact, revealing a higher incidence of individual syndromes among the non-exposed. This study contributes to guiding the implementation of future public health preparedness and response strategies for populations facing similar natural disasters.

Indexed as

early warning systemfloodpublic health preparedness and responsesyndromic surveillancewater contamination

Identifiers

PMID39273784
PMCPMC11395706

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.