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2 results on '"Chia Kun Jasper Chang"'

1. Early detection for cases of enterovirus- and influenza-like illness through a newly established school-based syndromic surveillance system in Taipei, January 2010 ~ August 2011.

Author

Ting Chia Weng, Ta Chien Chan, Hsien Tang Lin, Chia Kun Jasper Chang, Wen Wen Wang, Zheng Rong Tiger Li, Hao-Yuan Cheng, Yu-Roo Chu, Allen Wen-Hsiang Chiu, Muh-Yong Yen, and Chwan-Chuen King

Subjects
Medicine, Science
Abstract

School children may transmit pathogens with cluster cases occurring on campuses and in families. In response to the 2009 influenza A (H1N1) pandemic, Taipei City Government officials developed a School-based Infectious Disease Syndromic Surveillance System (SID-SSS). Teachers and nurses from preschools to universities in all 12 districts within Taipei are required to daily report cases of symptomatic children or sick leave requests through the SID-SSS. The pre-diagnosis at schools is submitted firstly as common pediatric disease syndrome-groups and re-submitted after confirmation by physicians. We retrieved these data from January 2010 to August 2011 for spatio-temporal analysis and evaluated the temporal trends with cases obtained from both the Emergency Department-based Syndromic Surveillance System (ED-SSS) and the Longitudinal Health Insurance Database 2005 (LHID2005). Through the SID-SSS, enterovirus-like illness (EVI) and influenza-like illness (ILI) were the two most reported syndrome groups (77.6% and 15.8% among a total of 19,334 cases, respectively). The pre-diagnosis judgments made by school teachers and nurses showed high consistency with physicians' clinical diagnoses for EVI (97.8%) and ILI (98.9%). Most importantly, the SID-SSS had better timeliness with earlier peaks of EVI and ILI than those in the ED-SSS. Furthermore, both of the syndrome groups in these two surveillance systems had the best correlation reaching 0.98 and 0.95, respectively (p

Published
2015
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2. Early Detection for Cases of Enterovirus- and Influenza-Like Illness through a Newly Established School-Based Syndromic Surveillance System in Taipei, January 2010 ~ August 2011

Author

Chia Kun Jasper Chang, Wen Wen Wang, Ta-Chien Chan, Hao-Yuan Cheng, Ting Chia Weng, Zheng-Rong Tiger Li, Allen W. Chiu, Hsien-Tang Lin, Yu-Roo Chu, Chwan-Chuen King, and Muh Yong Yen

Subjects
Diarrhea, medicine.medical_specialty, Pediatrics, Universities, Cost-Benefit Analysis, MEDLINE, Taiwan, lcsh:Medicine, Nurses, medicine.disease_cause, Disease Outbreaks, Influenza A Virus, H1N1 Subtype, Spatio-Temporal Analysis, Pandemic, Influenza, Human, Enterovirus Infections, Medicine, Humans, lcsh:Science, Enterovirus, Influenza-like illness, Multidisciplinary, Schools, Geography, business.industry, Public health, Incidence, lcsh:R, Emergency department, Syndrome, Faculty, Early Diagnosis, Infectious disease (medical specialty), Family medicine, Population Surveillance, Sick leave, Host-Pathogen Interactions, lcsh:Q, Seasons, business, Research Article
Abstract

School children may transmit pathogens with cluster cases occurring on campuses and in families. In response to the 2009 influenza A (H1N1) pandemic, Taipei City Government officials developed a School-based Infectious Disease Syndromic Surveillance System (SID-SSS). Teachers and nurses from preschools to universities in all 12 districts within Taipei are required to daily report cases of symptomatic children or sick leave requests through the SID-SSS. The pre-diagnosis at schools is submitted firstly as common pediatric disease syndrome-groups and re-submitted after confirmation by physicians. We retrieved these data from January 2010 to August 2011 for spatio-temporal analysis and evaluated the temporal trends with cases obtained from both the Emergency Department-based Syndromic Surveillance System (ED-SSS) and the Longitudinal Health Insurance Database 2005 (LHID2005). Through the SID-SSS, enterovirus-like illness (EVI) and influenza-like illness (ILI) were the two most reported syndrome groups (77.6% and 15.8% among a total of 19,334 cases, respectively). The pre-diagnosis judgments made by school teachers and nurses showed high consistency with physicians' clinical diagnoses for EVI (97.8%) and ILI (98.9%). Most importantly, the SID-SSS had better timeliness with earlier peaks of EVI and ILI than those in the ED-SSS. Furthermore, both of the syndrome groups in these two surveillance systems had the best correlation reaching 0.98 and 0.95, respectively (p

Published
2015

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