scholarly journals Integrated Disease Surveillance to Reduce Data Fragmentation – An Application to Malaria Control

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Kate Zinszer ◽  
Arash Shaban-Nejad ◽  
Sonia Menon ◽  
Anya Okhmatovskaia ◽  
Lauren Carroll ◽  
...  
Keyword(s):  
Disease Surveillance ◽  
Common Knowledge ◽  
Scale Up ◽  
Health Indicators ◽  
Surveillance Data ◽  
Prototype System ◽  
Effective Implementation ◽  
Data Fragmentation ◽  
Geographical Regions ◽  
Knowledge Platform

The lack of access to timely health indicators can preclude the design and the effective implementation of infectious diseases control interventions. Our project aims to foster the integration of existing surveillance data to support evidence-based decision-making in malaria. The cornerstone of our approach is the use of a common knowledge platform to scale-up and extend structural and semantic mapping across existing data sources to other geographical regions and global health priority diseases. Upon completion of our project, we will have designed an open-access prototype system capable of sharing comparable surveillance data within and across countries

scholarly journals Trends in mortality from ill-defined causes among the elderly in Brazil, 1979-2013: ecological study

2016 ◽  
Vol 134 (5) ◽  
pp. 437-445 ◽  
Author(s):  
Davi Félix Martins Junior ◽  
Ridalva Dias Martins Felzemburg ◽  
Acácia Batista Dias ◽  
Tania Maria Costa ◽  
Pedro Nascimento Prates Santos
Keyword(s):  
Ecological Study ◽  
Temporal Trend ◽  
Health Indicators ◽  
The Elderly ◽  
Simple Linear Regression ◽  
Geographical Regions ◽  
Proportional Mortality ◽  
Males And Females ◽  
Using Data ◽  
Health Situation

ABSTRACT CONTEXT AND OBJECTIVE: Mortality measurements are traditionally used as health indicators and are useful in describing a population's health situation through reporting injuries that lead to death. The aim here was to analyze the temporal trend of proportional mortality from ill-defined causes (IDCs) among the elderly in Brazil from 1979 to 2013. DESIGN AND SETTING: Ecological study using data from the Mortality Information System of the Brazilian Ministry of Health. METHODS: The proportional mortality from IDCs among the elderly was calculated for each year of the study series (1979 to 2013) in Brazil, and the data were disaggregated according to sex and to the five geographical regions and states. To analyze time trends, simple linear regression coefficients were calculated. RESULTS: During the study period, there were 2,646,194 deaths from IDCs among the elderly, with a decreasing trend (ß -0.545; confidence interval, CI: -0.616 to -0.475; P < 0.000) for both males and females. This reduction was also observed in the macroregions and states, except for Amapá. The states in the northeastern region reported an average reduction of 80%. CONCLUSIONS: Mortality from IDCs among the elderly has decreased continuously since 1985, but at different rates among the different regions and states. Actions aimed at improving data records on death certificates need to be strengthened in order to continue the trend observed.

scholarly journals Program Evaluation of GLA:D® Australia: Physiotherapist Training Outcomes and Effectiveness of Implementation for People With Knee Osteoarthritis

2021 ◽  
Author(s):  
Christian Barton ◽  
Joanne Kemp ◽  
Ewa Roos ◽  
Soren Skou ◽  
Karen Dundules ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Exercise Therapy ◽  
Effect Size ◽  
Scale Up ◽  
Qualitative Evaluation ◽  
Effective Implementation ◽  
Small Effect Size ◽  
Patient Reported

Abstract BackgroundThe Good Life with osteoArthritis from Denmark (GLA:D®) program incorporates guideline-based patient education and exercise-therapy for osteoarthritis to implement guidelines into practice. We evaluated the implementation of GLA:D® for knee osteoarthritis within Australian physiotherapy practice using the RE-AIM QuEST (Reach, Effectiveness, Adoption, Implementation, Maintenance Qualitative Evaluation for Systematic Translation) framework.MethodsAustralian physiotherapists were trained and supported to deliver GLA:D® (2017-2019) and completed surveys before and after training to assess practices, beliefs about capabilities and confidence, and barriers and enablers to implementation. Patients participating in GLA:D® completed online baseline, 3-month (immediately post-treatment) and 12-month patient reported outcomes. Effective implementation was defined as within-subject moderate effect size (ES, ≥0.50) for average pain (100mm visual analogue scale) and knee osteoarthritis outcome score quality of life scores (KOOS-QoL), and small effect size (≥0.20) for health-related quality of life (EQ-5D-5L).ResultsReach: 1,064 physiotherapists (73% private) and 1,945 (79% private) from all states and territories consented to participation. Key barriers included out-of-pocket cost to patients, and program suitability for culturally and linguistically diverse communities. Effectiveness: Following training, more physiotherapists discussed treatment goals and the importance of weight management, and prescribed supervised, neuromuscular exercise. Patient outcomes at 3- and 12 months (n = 1,044 [54%] and 927 [48%]) reflected effective implementation, including reduced pain intensity (ES, 95%CI = 0.72, 0.62-0.84; and 0.65, 0.54-0.77), improved KOOS-QoL scores (0.79, 0.69-0.90; and 0.93, 0.81-1.04), and improved EQ-5D-5L scores (0.43, 0.31-0.54; and 0.46, 0.35-0.58). Seventy-three percent of participants reported minimal important changes for at least one of pain severity (≥ 15 mm), KOOS-QoL (≥ 15 points) or EQ-5D-5L (≥ 0.07 points). Adoption: GLA:D® was implemented at 297 sites (264 private, 33 public). Implementation: Most patients completed at least one education (90%), and 10 exercise-therapy (78%) sessions. Adequate staffing to support program delivery was a key enabler. Maintenance: Ninety-nine percent of sites (293/297) continued to offer the program in July 2020.ConclusionsTraining was associated with practice changes and widespread implementation of GLA:D® in Australia. Effective implementation, and clinically meaningful improvements in pain and quality of life for most participant, supports further work to scale up GLA:D® in Australia.

scholarly journals Evaluating the ALERT algorithm for local outbreak onset detection in seasonal infectious disease surveillance data

2020 ◽  
Vol 39 (8) ◽  
pp. 1145-1155
Author(s):  
Alexandria C. Brown ◽  
Stephen A. Lauer ◽  
Christine C. Robinson ◽  
Ann‐Christine Nyquist ◽  
Suchitra Rao ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Disease Surveillance ◽  
Surveillance Data ◽  
Onset Detection ◽  
Infectious Disease Surveillance

Surveillance of Foodborne Disease IV. Dissemination and Uses of Surveillance Data

1997 ◽  
Vol 60 (6) ◽  
pp. 715-723 ◽  
Author(s):  
EWEN C. D. TODD ◽  
JOHN J. GUZEWICH ◽  
FRANK L. BRYAN
Keyword(s):  
Food Safety ◽  
Disease Surveillance ◽  
Information Needs ◽  
Hazard Analysis ◽  
Public Information ◽  
Surveillance Data ◽  
Foodborne Disease ◽  
Control Points ◽  
Surveillance Network ◽  
Critical Control Points

Comparisons of etiologic agents, vehicles, significant ingredients, place of mishandling, and method of food processing or preparation with specific contributory factors are particularly useful in identifying specific hazards, specifying operations that are candidates for designation as critical control points, and assessing risks. After foodborne disease surveillance data have been received, tabulated, and appropriately interpreted, summary information needs to be disseminated in a timely fashion to those who can use it for preventing foodborne diseases. This action should be taken at all levels of the surveillance network. Surveillance information is used to determine the need for food safety actions, which involves planning and implementing programs and assessing the effectiveness of the actions taken. Uses of the data include (a) developing new policies and procedures and revising priorities, (b) evaluating effectiveness of programs, (c) justifying food safety program budgets based on estimated costs offoodborne illness, (d) modifying regulations so that they relate to contemporary foodborne disease issues, (e) conducting hazard analyses and risk assessments and instituting programs oriented to hazard analysis critical control points (HACCP), (f) starting or improving a public information campaign and educating the public, (g) notifying and training food industry personnel, (h) training agency staff and public health students and professionals, and (i) identifying new problems and research needs from the data. Implementing these approaches will necessitate changes in traditional food safety activities. This four-part series of articles concludes with recommendations to be considered by local, state/provincial, national, and international agencies responsible for foodborne disease surveillance.

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