Fatal Infectious Disease Surveillance in a Medical Examiner Database1

Wolfe, Mitchell I.; Nolte, Kurt B.; Yoon, Steven S.

doi:10.3201/eid1001.020764

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Fatal Infectious Disease Surveillance in a Medical Examiner Database1

Published Date:

Jan 2004

Publisher's site:

http://dx.doi.org/10.3201/eid1001.020764 New Site Icon

Source:

Emerg Infect Dis. 10(1):48-53.

[PDF-162.88 KB]

Details:

Alternative Title:

Emerg Infect Dis

Personal Author:

Wolfe, Mitchell I. ; Nolte, Kurt B. ; Yoon, Steven S. ;

Description:

Increasing infectious disease deaths, the emergence of new infections, and bioterrorism have made surveillance for infectious diseases a public health concern. Medical examiners and coroners certify approximately 20% of all deaths that occur within the United States and can be a key source of information regarding infectious disease deaths. We hypothesized that a computer-assisted search tool (algorithm) could detect infectious disease deaths from a medical examiner database, thereby reducing the time and resources required to perform such surveillance manually. We developed two algorithms, applied them to a medical examiner database, and verified the cases identified against the opinion of a panel of experts. The algorithms detected deaths with infectious components with sensitivities from 67% to 94%, and predictive value positives ranging from 8% to 49%. Algorithms can be useful for surveillance in medical examiner offices that have limited resources or for conducting surveillance across medical examiner jurisdictions.

Subject:

[+]

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases
CDC Public Access

Main Document Checksum:

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Supporting Files:

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