Cent Eur J Public Health 2019, 27(1):64-67 | DOI: 10.21101/cejph.a4768
Potential role of Emergency Medical System call centres in epidemiological surveillance of seasonal influenza
- 1 Unit for Research in Emergency and Disasters, Faculty of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain
- 2 Faculty of Medicine, University of Girona, Girona, Spain
Objectives: Seasonal influenza causes high morbidity worldwide and high mortality in developing countries. As a result, the development of systems for seasonal influenza surveillance has been of great interest. The aim of this study is to explore the potential role of an Emergency Medical System (EMS) call centre to complement traditional surveillance systems of seasonal influenza.
Methods: Retrospective observational study in which data on influenza from the system of Notifiable Diseases List (Spanish acronym EDO) and Sentinel Physicians Network (Spanish acronym RMC) were compared with information on calls made to the Principality of Asturias EMS call centre that covers all the region population (1,027,659 inhabitants) based on a set of specific criteria to determine differences and explore this emergency call system as a complementary epidemiological surveillance system. Cases registered by different systems have been compared to the same 68 weeks period, from week 45 of 2011 to week 8 of 2013.
Results: RMC reported a total of 2,354 cases of influenza, EDO 43,071 cases and EMS call centre 4,360 "case calls" out of 180,720 total emergency calls. Case series of EDO and EMS call centre have shown a positive correlation (R = 0.42, p = 0.003). Case series from EMS call centre and RMC were correlated (R = 0.38, p = 0.007). Case series from EDO and RMC have shown a strong positive correlation (R = 0.91, p < 0.001). Correlation analysis of the cases reported by the three systems have shown a significant positive correlation between them (p < 0.001). The spike of EMS calls related to the studied influenza syndrome occurs one week in advance compared to traditional epidemiological surveillance systems.
Conclusions: EMS call centre data on influenza could be potentially used as a complementary surveillance system to the traditional epidemiological surveillance systems for influenza.
Keywords: public health surveillance, emergency medical service, influenza, surveillance system
Received: March 11, 2016; Revised: November 12, 2018; Published: March 30, 2019 Show citation
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References
- World Health Organization; European Center for Disease Prevention and Control. Annual influenza meeting 2012. Stockholm; 2012.
- Kyncl J, Havlickova M, Nagy A, Jirincova H, Piskova I. Early and unexpectedly severe start of influenza epidemic in the Czech Republic during influenza season 2012-13. Euro Surveill. 2013;18(6). pii: 20396.
Go to original source...
- De Mateo S, Larrauri A, Mesonero C. Infuenza surveillance: new solitions to an old problem. Gac Sanit. 2006;20(1):67-73. (In Spanish.)
Go to original source...
Go to PubMed...
- CES. Social and economic situation in Asturias 2012. Oviedo; 2012. (In Spanish.)
- McIntosh BA, Hinds P, Giordano LM. The role of EMS system in Public Health in emergencies. Prehosp Disaster Med. 1997;12(1):30-5.
Go to original source...
Go to PubMed...
- Dunford JV, Chan TC. EMS and Public Health. In: Brennan JA, Krohmer JR, editors. Principles of EMS Systems. Boston: American Collegue of Emergency Phisicians, USA; 2005.
- Triple S. Assesment of syndromic surveillance in Europe. Lancet. 2011;378(9806):1833-4.
Go to original source...
Go to PubMed...
- Rosenkötter N, Ziemann A, Riesgo LG, Gillet JB, Vergeiner G, Krafft T, et al. Validity and timeliness of syndromic influenza surveillance during the autumn/winter wave of A (H1N1) influenza 2009: results of emergency medical dispatch, ambulance and emergency department data from three European regions. BMC Public Health. 2013;13:905. doi: 10.1186/1471-2458-13-905.
Go to original source...
Go to PubMed...
- May LS, Griffin BA, Bauers NM, Jain A, Mitchum M, Sikka N, et al. Emergency department chief complaint and diagnosis data to detect influenza-like illness with an electronic medical record. West J Emerg Med. 2010;11(1):1-9.
- Schrell S, Ziemann A, Garcia-Castrillo Riesgo L, Rosenkötter N, Llorca J, Popa D, et al.; SIDARTHa Project Consortium. Local implementation of a syndromic influenza surveillance system using emergency department data in Santander, Spain. J Public Health (Oxf). 2013 Sep;35(3):397-403.
Go to original source...
Go to PubMed...
- World Health Organization. WHO global technical consultation: global standards and tools for influenza surveillance. Geneva: WHO; 2011.
- Mandl K, Overhage JM, Wagner MM, Lober WL, Sebastiani P, Mostashari F, et al. Implementing syndromic surveillance: a practical guide informed by the early experience. J Am Med Inform Assn. 2004;11:141-50.
Go to original source...
Go to PubMed...
- Wang L, Ramoni MF, Mandl KD, Sebastiani P. Factors affecting automated syndromic surveillance. Artif Intell Med. 2005;34(3):269-78.
Go to original source...
Go to PubMed...
- Buckeridge DL. Outbreak detection through automated surveillance: a review of the determinants of detection. J Biomed Inform. 2007 Aug;40(4):370-9.
Go to original source...
Go to PubMed...
- Tsui FC, Espino JU, Dato VM, Gesteland PH, Hutman J, Wagner MM. Technical description of RODS: a real-time public health surveillance system. J Am Med Inform Assoc. 2003 Sep-Oct;10(5):399-408.
Go to original source...
Go to PubMed...
- Coory MD, Kelly H, Tippett V. Assessment of ambulance dispatch data for surveillance of influenza-like illness in Melbourne, Australia. Public Health. 2009 Feb;123(2):163-8.
Go to original source...
Go to PubMed...
- Mostashari F, Fine A, Das D, Adams J, Layton M. Use of ambulance dispatch data as an early warning system for communitywide influenza illness, New York City. J Urban Health. 2003 Jun;80(2 Suppl 1):i43-9.
Go to original source...
- Rolland E, Moore KM, Robinson VA, McGuinness D. Using Ontario's "Telehealth" health telephone helpline as an early-warning system: a study protocol. BMC Health Serv Res. 2006 Feb 15;6:10. doi: 10.1186/1472-6963-6-10
Go to original source...
Go to PubMed...
- Bork KH, Klein BM, Molbak K, Trautner S, Pedersen UB, Heegaard E. Surveillance of ambulance dispatch data as a tool for early warning. Euro Surveill. 2006;11(12):229-33.
Go to original source...
Go to PubMed...