Retrospective Observational Study of Atypical Winter Respiratory Illness Season Using Real-Time Syndromic Surveillance, England, 2014-15

Autor: Sue Erica Smith, Richard Pebody, Thomas Hughes, F Alex Yeates, HL Thomas, Alex J. Elliot, Roger Morbey, Simon de Lusignan, Gillian E. Smith, Sarah J. O'Brien
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Pediatrics
Epidemiology
respiratory syncytial virus
lcsh:Medicine
severity
Retrospective Observational Study of an Atypical Winter Using Real-Time Syndromic Surveillance
England
2014–15

0302 clinical medicine
Health care
Medicine
Cumulative incidence
syndromic surveillance
030212 general & internal medicine
Child
Respiratory Tract Infections
difficulty breathing
Incidence
RSV
Middle Aged
Infectious Diseases
England
Child
Preschool

Seasons
influenza
Microbiology (medical)
Adult
medicine.medical_specialty
Adolescent
030106 microbiology
Acute respiratory disease
macromolecular substances
lcsh:Infectious and parasitic diseases
03 medical and health sciences
respiratory infections
Young Adult
pneumonia
Humans
lcsh:RC109-216
Asthma
Aged
Retrospective Studies
Influenza-like illness
Respiratory illness
business.industry
Research
lcsh:R
Infant
Retrospective cohort study
asthma
seasonal
medicine.disease
United Kingdom
Pneumonia
business
Sentinel Surveillance
Demography
Zdroj: EMERGING INFECTIOUS DISEASES
Emerging Infectious Diseases
Emerging Infectious Diseases, Vol 23, Iss 11, Pp 1834-1842 (2017)
Popis: During winter 2014–15, England experienced severe strains on acute health services. We investigated whether syndromic surveillance could contribute to understanding of the unusually high level of healthcare needs. We compared trends for several respiratory syndromic indicators from that winter to historical baselines. Cumulative and mean incidence rates were compared by winter and age group. All-age influenza-like illness was at expected levels; however, severe asthma and pneumonia levels were above those expected. Across several respiratory indicators, cumulative incidence rates during 2014–15 were similar to those of previous years, but higher for older persons; we saw increased rates of acute respiratory disease, including influenza like illness, severe asthma, and pneumonia, in the 65–74- and >75-year age groups. Age group–specific statistical algorithms may provide insights into the burden on health services and improve early warning in future winters.
Databáze: OpenAIRE