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Evaluation of an Adjustable Epidemiologic Information System

BACKGROUND: In order to facilitate public health response and to achieve early control of infectious disease epidemics, an adjustable epidemiologic information system (AEIS) was established in the Taiwan public health network in February 2006. METHODOLOGY/PRINCIPAL FINDINGS: The performance of AEIS...

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Autores principales: Wu, Jiunn-Shyan Julian, Shih, Fu-Yuan, Chiu, Chan-Hsien, Yeh, Yuan-Lih, Yan, Jer-Jea, King, Chwan-Chuen, Ho, Mei-Shang
Formato: Texto
Lenguaje:English
Publicado: Public Library of Science 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029279/
https://www.ncbi.nlm.nih.gov/pubmed/21298043
http://dx.doi.org/10.1371/journal.pone.0014596
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author Wu, Jiunn-Shyan Julian
Shih, Fu-Yuan
Chiu, Chan-Hsien
Yeh, Yuan-Lih
Yan, Jer-Jea
King, Chwan-Chuen
Ho, Mei-Shang
author_facet Wu, Jiunn-Shyan Julian
Shih, Fu-Yuan
Chiu, Chan-Hsien
Yeh, Yuan-Lih
Yan, Jer-Jea
King, Chwan-Chuen
Ho, Mei-Shang
author_sort Wu, Jiunn-Shyan Julian
collection PubMed
description BACKGROUND: In order to facilitate public health response and to achieve early control of infectious disease epidemics, an adjustable epidemiologic information system (AEIS) was established in the Taiwan public health network in February 2006. METHODOLOGY/PRINCIPAL FINDINGS: The performance of AEIS for the period 2006 through 2008 was evaluated based on a number of response times (RT) and the public health impact. After implementation of the system, the apparent overall shortened RT was mainly due to the shortening of personnel response time (PRT) and the time needed to draft a new questionnaire that incurred as personnel-system interface (PSI); PRT dropped from a fluctuating range of 9.8 ∼28.8 days in the first four months to <10 days in the following months and remained low till 2008 (0.88±1.52 days). The PSIs for newly emerged infectious diseases were 2.6 and 3.4 person-hours for H5N1 in 2007 and chikungunya in 2008, respectively, a much improvement from 1142.5 person-hours for SARS in 2003. The duration of each rubella epidemic cluster was evaluated as public health impact and showed a shortening trend (p = 0.019) that concurred with the shortening of PRT from 64.8±47.3 to 25.2±38.2 hours per cluster (p<0.0001). CONCLUSIONS/SIGNIFICANCE: The first evaluation of the novel instrument AEIS that had been used to assist Taiwan's multi-level government for infectious diseases control demonstrated that it was well integrated into the existing public health infrastructure. It provided flexible tools and computer algorithms with friendly interface for timely data collection, integration, and analysis; as a result, it shortened RTs, filled in gaps of personnel lacking sufficient experiences, created a more efficient flow of response, and identified asymptomatic/mild cases early to minimize further spreading. With further development, AEIS is anticipated to be useful in the application of other acute public health events needing immediate orchestrated data collection and public health actions.
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spelling pubmed-30292792011-02-04 Evaluation of an Adjustable Epidemiologic Information System Wu, Jiunn-Shyan Julian Shih, Fu-Yuan Chiu, Chan-Hsien Yeh, Yuan-Lih Yan, Jer-Jea King, Chwan-Chuen Ho, Mei-Shang PLoS One Research Article BACKGROUND: In order to facilitate public health response and to achieve early control of infectious disease epidemics, an adjustable epidemiologic information system (AEIS) was established in the Taiwan public health network in February 2006. METHODOLOGY/PRINCIPAL FINDINGS: The performance of AEIS for the period 2006 through 2008 was evaluated based on a number of response times (RT) and the public health impact. After implementation of the system, the apparent overall shortened RT was mainly due to the shortening of personnel response time (PRT) and the time needed to draft a new questionnaire that incurred as personnel-system interface (PSI); PRT dropped from a fluctuating range of 9.8 ∼28.8 days in the first four months to <10 days in the following months and remained low till 2008 (0.88±1.52 days). The PSIs for newly emerged infectious diseases were 2.6 and 3.4 person-hours for H5N1 in 2007 and chikungunya in 2008, respectively, a much improvement from 1142.5 person-hours for SARS in 2003. The duration of each rubella epidemic cluster was evaluated as public health impact and showed a shortening trend (p = 0.019) that concurred with the shortening of PRT from 64.8±47.3 to 25.2±38.2 hours per cluster (p<0.0001). CONCLUSIONS/SIGNIFICANCE: The first evaluation of the novel instrument AEIS that had been used to assist Taiwan's multi-level government for infectious diseases control demonstrated that it was well integrated into the existing public health infrastructure. It provided flexible tools and computer algorithms with friendly interface for timely data collection, integration, and analysis; as a result, it shortened RTs, filled in gaps of personnel lacking sufficient experiences, created a more efficient flow of response, and identified asymptomatic/mild cases early to minimize further spreading. With further development, AEIS is anticipated to be useful in the application of other acute public health events needing immediate orchestrated data collection and public health actions. Public Library of Science 2011-01-27 /pmc/articles/PMC3029279/ /pubmed/21298043 http://dx.doi.org/10.1371/journal.pone.0014596 Text en Wu et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Wu, Jiunn-Shyan Julian
Shih, Fu-Yuan
Chiu, Chan-Hsien
Yeh, Yuan-Lih
Yan, Jer-Jea
King, Chwan-Chuen
Ho, Mei-Shang
Evaluation of an Adjustable Epidemiologic Information System
title Evaluation of an Adjustable Epidemiologic Information System
title_full Evaluation of an Adjustable Epidemiologic Information System
title_fullStr Evaluation of an Adjustable Epidemiologic Information System
title_full_unstemmed Evaluation of an Adjustable Epidemiologic Information System
title_short Evaluation of an Adjustable Epidemiologic Information System
title_sort evaluation of an adjustable epidemiologic information system
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029279/
https://www.ncbi.nlm.nih.gov/pubmed/21298043
http://dx.doi.org/10.1371/journal.pone.0014596
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