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The NYPH EHR permits early detection of pandemic influenza and hypothesis generation via identification of those significantly associated illnesses.
These results suggested that in spite of Japan's efforts to execute an efficient surveillance system, there was a delay of a few weeks in the detection of pandemic influenza transmission.
Even the sparse data available at NYPH permits early detection of pandemic influenza and hypothesis generation via identification of those significantly associated illnesses, demonstrating the benefits that EHRs might extend to population health.
Rapid detection of pandemic (H1N1) 2009 infection is performed using rRT-PCR testing due to the unreliability of rapid antigen tests [14], [15] and our laboratory used the technique extensively throughout the pandemic [10].
The objective of this study was twofold; to assess the utility of the CURB-65 community acquired pneumonia (CAP) severity index in predicting pneumonia severity and ICU admission, and to assess the relative sensitivity of nasopharyngeal versus lower respiratory tract sampling for the detection of pandemic influenza (H1N1) CAP.
For the same reason we also decided to apply conventional probes for the detection of pandemic A(H1N1) viruses, because in April 2009 the assay designs had to be based on single sequences without any knowledge concerning the viruses sequence variability.
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Detection of pandemics in the early weeks of its starting depends on the case reporting rate and specificity.
The WCR algorithm appears to provide a slightly more rapid and sensitive tool for detecting of pandemic influenza - median detection time for this method ranges from 3 to 5 weeks in comparison to 4 to 6 weeks for the other two methods.
The aim of this paper is to develop a detection algorithm, based on the estimates of WCR for expected influenza pandemics, to facilitate sensitive, specific and rapid detection of a pandemic outbreak at a regional level based on existing surveillance systems.
Earlier detection of novel pandemic viruses once they have emerged in humans would provide longer lead times for vaccine development and is crucially important.
ILI incidence crossed the epidemic threshold in week 37/2009, while detection of 2009 pandemic A(H1N1) viruses remained sporadic until week 42 (see Figure 2).
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