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However, if an outbreak or cluster of illness is too small, the method used currently for syndromic surveillance cannot trigger a statistical alert.
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ILI is currently reported as a weekly percentage of visits without statistical alerts.
Additional statistical alerts generated by analysis could be evaluated because part of the objective of the IDSAS is to establish the baseline caseload in areas under surveillance.
The CDC defined "syndromic surveillance" as an investigational approach where health department staff, assisted by automated data acquisition and generation of statistical alerts, monitor disease indicators in real-time or near real-time to detect outbreaks of disease earlier than would otherwise be possible with traditional public health methods [ 2].
Syndromic surveillance has been defined as "an investigational approach where health department staff, assisted by automated data acquisition and generation of statistical alerts, monitor disease indicators in real-time or near real-time to detect outbreaks of disease earlier than would otherwise be possible with traditional surveillance" (3 ).
The generated tools include an archiver, a database loading system, a statistical analyzer, an alert system, an RSS feed generator, and debugging tools.
Syndromic surveillance systems use statistical algorithms to alert users when the number of reports for a syndrome exceeds the norm (6 ).
The filters were based on the number of patients, statistical significance of alerts and a composite severity measure.
We have previously described an automated real-time safety monitoring tool, Data Extraction and Longitudinal Trend Analysis (DELTA), that is able to perform larger numbers of concurrent prospective analyses using a variety of statistical methodologies and alerting thresholds [ 18].
Ideally any statistical charting technique would alert to significant variation early.
For all methods, as long as an outbreak is ongoing according to the results of the statistical analysis, a new alert is raised every night.
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