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Volume 9, Number 10—October 2003
Research

Multijurisdictional Approach to Biosurveillance, Kansas City

Mark A. Hoffman*Comments to Author , Tiffany H. Wilkinson†, Aaron Bush*, Wayne Myers*, and Ron G. Griffin†
Author affiliations: *Cerner Corporation, Kansas City, Missouri, USA; †Missouri Health Department, Kansas City, Missouri, USA

Main Article

Table 1

Comparison of reporting times between conventional and electronic reporting and evaluation of reporting coverage

Pathogen Average days earliera Electronic and traditionalb Electronic onlyc Total reports Reporting improvementd
Campylobacter sp.
0.6
10
7
17
70%
Chlamydia trachomatis
2.2e
29
81
110
279%
Cryptosporidium parvum
0.0
1
-
1
-
Escherichia coli O157:H7
0.0
1
2
3
200%
Giardia lamblia
0.0
1
12
13
1,200%
Neisseria gonorrhoeae
0.3
50
48
98
96%
Haemophilus influenzae (invasive)
3.0
3
3
6
100%
Hepatitis A
0.0
1
-
1
-
Hepatitis B
0.5
4
3
7
75%
Hepatitis C
3.6
5
22
27
440%
Influenza
1.2
5
3
8
60%
Group A streptococcal infections (invasive)
2.3f
7
1
8
14%
Borrelia burgdorferi
1.3
4
3
7
75%
Salmonella sp.
2.7f
14
6
20
43%
Shigella sp.
0.0
2
1
3
50%
Streptococcus pneumoniae (invasive, drug-resistant)
8.0
1
-
1
-
Treponema pallidum
0.4
5
21
26
420%
Yersinia sp. 0.0 1 - 1 -

aAverage days earlier was calculated by comparing the date on which the initial conventional report arrived to the date on which an electronic report was received. Only cases received by both means were used to calculate this value.
bReports for these cases were received by both conventional means (mail, telephone, fax) and the laboratory information network. All reports received through traditional reporting were also received by the data clearinghouse.
cReports for these cases were received only through the laboratory information network and are not included in the counts for the “electronic and traditional means” column.
dReceived electronically only/received through both means x 100.
eSignificant as determined by Student t test (p<0.05).
fSignificant as determined by Wilcoxon signed rank (p<0.05).

Main Article

Page created: January 10, 2011
Page updated: January 10, 2011
Page reviewed: January 10, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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