Testing a symptom-based surveillance system at high-profile gatherings as a preparatory measure for bioterrorism

K. OSAKA; H. TAKAHASHI; T. OHYAMA

doi:10.1017/S0950268802007689

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

We tested symptom-based surveillance during the G8 conference in 2000 as a means of detecting outbreaks, including bio-terrorism attacks, promptly. Five categories of symptoms (skin and haemorrhagic, respiratory, gastrointestinal, neurological and unexplained) were adopted for the case definition of the surveillance. The surveillance began 1 week before the conference, and continued until 1 week after the conference ended. We could not detect any outbreaks during this surveillance. Compared to the existing diagnosis-based surveillance system, symptom-based surveillance has the advantages of timeliness and simplicity. However, poor specificity and difficulties in determining epidemic threshold were important limitations of this system. To increase the specificity of surveillance, it is essential to incorporate rapid laboratory diagnoses into the system.

Crossref Citations

This article has been cited by the following publications. This list is generated based on data provided by Crossref.

Liu, S. Lin, S. Woon, M. Klein, T.E. and Altman, R.B. 2003. A personalized and automated dbSNP surveillance system. p. 132.

Sosin, Daniel M. 2003. Syndromic Surveillance: The Case for Skillful Investment. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, Vol. 1, Issue. 4, p. 247.

Pavlin, Julie A. 2005. Medical Surveillance for Biological Terrorism Agents. Human and Ecological Risk Assessment: An International Journal, Vol. 11, Issue. 3, p. 525.

COOPER, D. L. VERLANDER, N. Q. SMITH, G. E. CHARLETT, A. GERARD, E. WILLOCKS, L. and O'BRIEN, S. 2006. Can syndromic surveillance data detect local outbreaks of communicable disease? A model using a historical cryptosporidiosis outbreak. Epidemiology and Infection, Vol. 134, Issue. 1, p. 13.

Hitchcock, Penny Chamberlain, Allison Van Wagoner, Megan Inglesby, Thomas V. and O'Toole, Tara 2007. Challenges to Global Surveillance and Response to Infectious Disease Outbreaks of International Importance. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, Vol. 5, Issue. 3, p. 206.

MEYER, N. McMENAMIN, J. ROBERTSON, C. DONAGHY, M. ALLARDICE, G. and COOPER, D. 2008. A multi-data source surveillance system to detect a bioterrorism attack during the G8 Summit in Scotland. Epidemiology and Infection, Vol. 136, Issue. 7, p. 876.

WILLIAMS, C. J. SCHENKEL, K. ECKMANNS, T. ALTMANN, D. and KRAUSE, G. 2009. FIFA World Cup 2006 in Germany: enhanced surveillance improved timeliness and detection. Epidemiology and Infection, Vol. 137, Issue. 4, p. 597.

OHKUSA, Yasushi YAMAGUCHI, Ryo SUGIURA, Hiroaki SUGAWARA, Tamie YOSHIDA, Makiko SHIMADA, Tomoe HORI, Narumi SUGISHITA, Yoshiyuki YASUI, Yoshinori SUNAGAWA, Tomimasa MATSUI, Tamano TANIGUCHI, Kiyosu TADA, Yuki TAYA, Keiko IMAMURA, Tomoaki and OKABE, Nobuhiko 2009. 2008 G8 Hokkaido Toyako Summit Meeting Syndrome Surveillance. Kansenshogaku Zasshi, Vol. 83, Issue. 3, p. 236.

Krumkamp, Ralf Ahmad, Amena Kassen, Annette Hjarnoe, Lulu Syed, Ahmed M. Aro, Arja R. and Reintjes, Ralf 2009. Evaluation of national pandemic management policies—A hazard analysis of critical control points approach. Health Policy, Vol. 92, Issue. 1, p. 21.

OHKUSA, Yasushi SUGAWARA, Tamie MASUDA, Kazutaka NADAOKA, Youko KAMIYA, Nobuyuki OKABE, Nobuhiko and TANIGUCHI, Kiyosu 2010. Enhanced Surveillance for US Presidential Visit to Japan. Kansenshogaku Zasshi, Vol. 84, Issue. 6, p. 708.

SUGIURA, H. OHKUSA, Y. AKAHANE, M. SUGAHARA, T. OKABE, N. and IMAMURA, T. 2010. Construction of syndromic surveillance using a web-based daily questionnaire for health and its application at the G8 Hokkaido Toyako Summit meeting. Epidemiology and Infection, Vol. 138, Issue. 10, p. 1493.

Ohkusa, Yasushi Sugawara, Tamie Sugiura, Hiroaki Kodama, Kazuo Horie, Takushi Kikuchi, Kiyoshi Taniguchi, Kiyosu and Okabe, Nobuhiko 2011. Infectious Disease Informatics and Biosurveillance. Vol. 27, Issue. , p. 459.

Steffen, Robert Bouchama, Abderrezak Johansson, Anders Dvorak, Jiri Isla, Nicolas Smallwood, Catherine and Memish, Ziad A 2012. Non-communicable health risks during mass gatherings. The Lancet Infectious Diseases, Vol. 12, Issue. 2, p. 142.

Josseran, L. and Fouillet, A. 2013. La surveillance syndromique : bilan et perspective d’un concept prometteur. Revue d'Épidémiologie et de Santé Publique, Vol. 61, Issue. 2, p. 163.

Forde, Andrea M. 2013. Infectious Disease Surveillance. p. 388.

Pogreba-Brown, Kristen McKeown, Kyle Santana, Sarah Diggs, Alisa Stewart, Jennifer and Harris, Robin B. 2013. Public Health in the Field and the Emergency Operations Center: Methods for Implementing Real-Time Onsite Syndromic Surveillance at Large Public Events. Disaster Medicine and Public Health Preparedness, Vol. 7, Issue. 5, p. 467.

Shimatani, Naotaka Sugishita, Yoshiyuki Sugawara, Tamie Nakamura, Yuuki Ohkusa, Yasushi Yamagishi, Takuya Matsui, Tamano Kawano, Masashi Watase, Hirotoshi Morikawa, Yukiko and Oishi, Kazunori 2015. Enhanced Surveillance for the Sports Festival in Tokyo 2013: Preparation for the Tokyo 2020 Olympic and Paralympic Games. Japanese Journal of Infectious Diseases, Vol. 68, Issue. 4, p. 288.

Yamakawa, Munesada Yamauchi, Miyuki Nidaira, Minoru Azuma, Tomoyuki Nakasone, Tadashi Ando, Fumie Hayamizu, Takahiro Kinjo, Saki and Nakamura, Yuuki 2017. Enhanced Public Health Surveillance for the Sixth Worldwide Uchinanchu Festival Conducted by the Okinawa Prefectural Government, Japan. Journal of Biosciences and Medicines, Vol. 05, Issue. 09, p. 106.

Sugishita, Yoshiyuki Sugawara, Tamie Ohkusa, Yasushi Ishikawa, Takatoshi Yoshida, Michihiko and Endo, Hiroyoshi 2020. Syndromic surveillance using ambulance transfer data in Tokyo, Japan. Journal of Infection and Chemotherapy, Vol. 26, Issue. 1, p. 8.

Jia, Peng Liu, Shiyong and Yang, Shujuan 2023. Innovations in Public Health Surveillance for Emerging Infections. Annual Review of Public Health, Vol. 44, Issue. 1, p. 55.

Article contents

Testing a symptom-based surveillance system at high-profile gatherings as a preparatory measure for bioterrorism

Abstract

Save article to Kindle

Save article to Dropbox

Save article to Google Drive

Reply to: Submit a response

Your details

You have entered the maximum number of contributors

Conflicting interests