ABSTRACT

Fatal Infectious Disease Surveillance in a Medical Examiner Database   [open pdf - 163KB]

"Increasing infectious disease deaths, the emergence of new infections, and bioterrorism have made surveillance for infectious diseases a public health concern. Medical examiners and coroners certify approximately 20% of all deaths that occur within the United States and can be a key source of information regarding infectious disease deaths. We hypothesized that a computer-assisted search tool (algorithm) could detect infectious disease deaths from a medical examiner database, thereby reducing the time and resources required to perform such surveillance manually. We developed two algorithms, applied them to a medical examiner database, and verified the cases identified against the opinion of a panel of experts. The algorithms detected deaths with infectious components with sensitivities from 67% to 94%, and predictive value positives ranging from 8% to 49%. Algorithms can be useful for surveillance in medical examiner offices that have limited resources or for conducting surveillance across medical examiner jurisdictions."

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Date:
2004-01
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Centers for Disease Control and Prevention (CDC). Posted here from Lessons Learned Information Sharing database (LLIS). Documents are for personal use only and copyright laws apply.
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Lessons Learned Information Sharing (LLIS)
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pdf
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application/pdf
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