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Presyndromic surveillance for improved detection of emerging public health threats

Abstract: Existing public health surveillance systems that rely on predefined symptom categories, or syndromes, are effective

at monitoring known illnesses, but there is a critical need for innovation in “presyndromic” surveillance that de-

tects biothreats with rare or previously unseen symptomology. We introduce a data-driven, automated machine

learning approach for presyndromic surveillance that learns newly emerging syndromes from free-text emergency

department chief complaints, identifies localized case clusters among subpopulations, and incorporates practi-

tioner feedback to automatically distinguish between relevant and irrelevant clusters, thus providing personal-

ized, actionable decision support. Blinded evaluations by New York City’s Department of Health and Mental

Hygiene demonstrate that our approach identifies more events of public health interest and achieves a lower

false-positive rate compared to a state-of-the-art baseline.

PDF link below

Measles, Mumps, Rubella Immunization and the Resurgence of Measles in America

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https://www.acpjournals.org/doi/10.7326/ANNALS-25-01730


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Dr. James Lawler weekly update on various infectious disease issues.  Worth the listen.


https://www.unmc.edu/healthsecurity/health-emergencies/index.html


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