Epidemiologic Methods ; Humans ; Population Surveillance ; Public Health

OBJECTIVETo evaluate the abilities of population-based birth defects surveillance system (PBBDSS) and hospital-based birth defects surveillance system(HBBDSS).

METHODSWe used capture-mark-recapture method(CMR) to analyze the data of the two kinds of birth defects surveillance systems from 1 Oct. 2006 to 31 Dec. 2006 in a county of Hunan province. Data from PBBDSS were defined as the first source and data from HBBDSS were defined as the second source.

RESULTS49 and 28 birth defect cases were found from PBBDSS and from HBBDSS respectively. Among these cases, 20 were marked. With the method of CMR, the estimated birth defects cases were 68 (95% CI: 56-70). The coincident rates of PBBDSS and HBBDSS were 72.1% and 41.2%, while the total coincident rates was 83.8% and the coincident rates from different sources was 57.1%. The unreported rates of PBBDSS and HBBDSS were 27.9% and 58.8%.

CONCLUSIONNot only the HBBDSS but also the PBBDSS appeared to have had high unreported rates, suggesting that we could use CMR to adjust the rate of birth defects from the birth defects surveillance data.

HIV Infections ; epidemiology ; Humans ; Population Surveillance ; methods ; World Health Organization

OBJECTIVETo explore relationships among several capture-recapture methods to be used in injury studies.

METHODSComparing the method on the estimation number of missed cases with supergeometric distribution and proportional methods and study the relationship between the three methods.

RESULTSResults from estimation method for number of missed cases and supergeometric distribution were identical while the formula of estimation method for number of missed cases could be induced from one of supergeometric distribution formula. The distribution of injured population did not belong to the negative binomial distribution. The estimation range was not the same between proportional method and supergeometric distribution.

CONCLUSIONSEither supergeometric distribution or estimation method for number of missed cases could be chosen, but the former was simple in calculation. Considering the estimating range was not the same between supergeometric distribution and proportional method, conditions for application must be considered during implementation.

Communicable Diseases ; epidemiology ; Disease Outbreaks ; Humans ; Population Surveillance ; methods

Comet Assay ; DNA Damage ; Humans ; Occupational Exposure ; Population Surveillance ; methods

China ; Disease Notification ; Online Systems ; Population Surveillance ; methods ; Quality Control

Chronic Disease ; prevention & control ; Humans ; Population Surveillance ; methods

Population-based lifetime health services rely on health management practice. Collection, management and analysis of big data are highly suitable for the huge population base in China. Nowadays, more and more research focus on the methods, security and ethnicity of health management and big data, and a plenty of instructive results have been made, which could be used to guide the future practice and development. Yichang mode has set a precedent for construction and use of big data for health management.
Big Data ; China ; Delivery of Health Care ; Health Services Research ; Population Health Management ; Population Surveillance/methods*

OBJECTIVETo analyze the current situation on China Infectious Disease Automated-alert and Response System (CIDARS) in Guangdong province, China.

METHODSEarly-warning signals and response time were analyzed by using three approaches of CIDARS. Positive rates of early-warning signals and error early-warning rates prior and after the adjustment,were compared.

RESULTSTotally, 114 585 early-warning signals appeared, with an average response time of 1.35 hours from April 21, 2008 to December 31, 2012. There were 12,394 early-warning signals in terms of fixed threshold method with a positive rate of 7.96%. 85 727 early-warning signals appeared under the mobile percentile method with a positive rate of 0.85%. There were 16,464 early-warning signals by using accumulation and control chart methods,with a positive rate of 1.82%. Results showed there was a positive correlation between the number of reported cases and the number of early-warning signals (r = 0.924, P < 0.01). The overall positive rate in Guangdong province increased from 1.48% to 2.14%, after the adjustment done by the Chinese Center for Disease Control and Prevention in 2010. The error early-warning rates regarding eight infectious diseases including hepatitis A, bacillary or amebic dysentery, both typhoid and paratyphoid fevers had reduced.

CONCLUSIONThe early-warning signal response appeared timely in CIDARS with good operation. However, despite the improvement on the efficacy of CIDARS, some functions and parameters of the systems still need to be adjusted.