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Epidemic features affecting the performance of outbreak detection algorithms.


ABSTRACT:

Background

Outbreak detection algorithms play an important role in effective automated surveillance. Although many algorithms have been designed to improve the performance of outbreak detection, few published studies have examined how epidemic features of infectious disease impact on the detection performance of algorithms. This study compared the performance of three outbreak detection algorithms stratified by epidemic features of infectious disease and examined the relationship between epidemic features and performance of outbreak detection algorithms.

Methods

Exponentially weighted moving average (EWMA), cumulative sum (CUSUM) and moving percentile method (MPM) algorithms were applied. We inserted simulated outbreaks into notifiable infectious disease data in China Infectious Disease Automated-alert and Response System (CIDARS), and compared the performance of the three algorithms with optimized parameters at a fixed false alarm rate of 5% classified by epidemic features of infectious disease. Multiple linear regression was adopted to analyse the relationship of the algorithms' sensitivity and timeliness with the epidemic features of infectious diseases.

Results

The MPM had better detection performance than EWMA and CUSUM through all simulated outbreaks, with or without stratification by epidemic features (incubation period, baseline counts and outbreak magnitude). The epidemic features were associated with both sensitivity and timeliness. Compared with long incubation, short incubation had lower probability (?*?=?-0.13, P?ConclusionsThe results of this study suggest that the MPM is a prior algorithm for outbreak detection and differences of epidemic features in detection performance should be considered in automatic surveillance practice.

SUBMITTER: Kuang J 

PROVIDER: S-EPMC3489582 | biostudies-literature | 2012 Jun

REPOSITORIES: biostudies-literature

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Epidemic features affecting the performance of outbreak detection algorithms.

Kuang Jie J   Yang Wei Zhong WZ   Zhou Ding Lun DL   Li Zhong Jie ZJ   Lan Ya Jia YJ  

BMC public health 20120608


<h4>Background</h4>Outbreak detection algorithms play an important role in effective automated surveillance. Although many algorithms have been designed to improve the performance of outbreak detection, few published studies have examined how epidemic features of infectious disease impact on the detection performance of algorithms. This study compared the performance of three outbreak detection algorithms stratified by epidemic features of infectious disease and examined the relationship between  ...[more]

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