Use of Unstructured Event-Based Reports for Global Infectious Disease Surveillance

Free or low-cost unstructured reports offer an alternative to traditional indicator-based outbreak reporting

Automated Laboratory Reporting of Infectious Diseases in a Climate of Bioterrorism

While newly available electronic transmission methods can increase timeliness and completeness of infectious disease reports, limitations of this technology may unintentionally compromise detection of, and response to, bioterrorism and other outbreaks. We reviewed implementation experiences for five electronic laboratory systems and identified problems with data transmission, sensitivity, specificity, and user interpretation. The results suggest a need for backup transmission methods, validation, standards, preserving human judgment in the process, and provider and end-user involvement. As illustrated, challenges encountered in deployment of existing electronic laboratory reporting systems could guide further refinement and advances in infectious disease surveillance