利用数字卫生的力量抗击流行病:以ÆSOP为例。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-01-09 DOI:10.1590/1413-81232025307.19342024
Izabel Marcilio, Pilar Veras Tavares Florentino, Thiago Cerqueira-Silva, Juracy Bertoldo-Junior, George Caique Gouveia Barbosa, Vinícius de Araujo Oliveira, Viviane Boaventura, Gerson Oliveira Penna, Pablo Ivan Pereira Ramos, Manoel Barral-Netto
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引用次数: 0

摘要

新出现的疫情突出了早期预警系统的必要性,但资源匮乏的中心往往面临维持监测能力的挑战。基于行政数据的系统为加强监测提供了一种成本效益高的方法。本研究评估了与传统监测相比,基于初级卫生保健(PHC)的早期预警系统是否能够预测呼吸道疫情的检测。分析了2019年10月至2020年5月和2021年10月至2022年5月期间里约热内卢里约热内卢的流感样疾病PHC每周接触计数。将PHC数据与每周监测通知进行比较,并使用时间序列回归来估计PHC接触的预测计数。随后发布了爆发警告。我们的研究在第一阶段确定了659,230例流感样疾病,在第二阶段确定了702,886例。在第一个时期,初级保健数据在第一波COVID-19通报增加前两周偏离基线,在第二波期间更早一周偏离基线。基于phc的系统成功触发了能够预测监视系统的警报。我们的研究结果表明,基于初级卫生保健的早期预警系统可以比传统监测更早地预测疫情,这支持了它们在资源匮乏地区加强监测方面的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Leveraging the power of digital health to fight pandemics: The example of ÆSOP.

Emerging outbreaks highlight the need for early warning systems, but low-resource centers often face challenges to maintain surveillance capabilities. Administrative data-based systems offer a cost-efficient approach to strengthening surveillance. The present study evaluated whether a primary health care (PHC)-based early warning system could anticipate respiratory outbreak detection, when compared to traditional surveillance. Weekly counts of influenza-like illness PHC encounters in Rio de Janeiro were analyzed from October 2019 to May 2020 and from October 2021 to May 2022. PHC data was compared to weekly surveillance notifications and used time series regression to estimate predicted counts of PHC encounters. Subsequent outbreak warnings were then issued. Our study identified 659,230 influenza-like illness PHC encounters in the first period, and 702,886 in the second period. In the first period, PHC data deviated from baseline two weeks before the rise in notifications during the first COVID-19 wave and one week earlier in the second period. The PHC-based system successfully triggered warnings capable of anticipating the surveillance system. Our findings show PHC-based early warning systems can anticipate outbreaks earlier than traditional surveillance, supporting their role in enhancing surveillance in low-resource settings.

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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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