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Table 3 Definitions of the outputs of the syndromic surveillance system

From: A cost-effectiveness analysis of three components of a syndromic surveillance system for the early warning of epidemics in rural China

Outputs

Three types of surveillance units

Health facilities

Primary schools

Pharmacies

A reported event

Any report concerning an outpatient with at least one of the ten targeted symptoms (fever, cough, sore throat, nausea/vomiting, diarrhea, rash, muco-cutaneous hemorrhage, headache, convulsion and disturbance of consciousness)

Each absence of students at the primary schools

A reported sale of one unit pack of medicine as defined by the accompanying patent instructions

Syndromes

4 syndromes: acute respiratory infection (patients with fever and either cough or sore throat), influenza-like illness (patients with temperature ≥38 °C and with either cough or sore throat), fever gastro syndrome (patients with fever and with either diarrhea or nausea/vomiting), and fever and rash (patients with both fever and rash)

Clusters of absence by classes

5 syndromes: Compound cold medicines, antitussive, antibiotics, febrifuge and antidiarrheal agents

A raw signal

A data cluster detected by the automated statistical analysis of the syndromic surveillance system or by manual detection of the data management personnel which is a suspect of an infectious disease outbreak.

A confirmed signal (an outbreak)

A disease cluster with explicit agents and evidence of transmission which might represent or develop to a true outbreak in the absence of early intervention