Monitoring mortality as an indicator of influenza in Catalonia, Spain.

This study aimed to investigate the behaviour of two indicators of influenza activity in the area of Barcelona and to evaluate the usefulness of modelling them to improve the detection of influenza epidemics. DESIGN: Descriptive time series study using the number of deaths due to all causes registered by funeral services and reported cases of influenza-like illness. The study concentrated on five influenza seasons, from week 45 of 1988 to week 44 of 1993. The weekly number of deaths and cases of influenza-like illness registered were processed using identification of a time series ARIMA model. SETTING: Six large towns in the Barcelona province which have more than 60,000 inhabitants and funeral services in all of them. MAIN RESULTS: For mortality, the proposed model was an autoregressive one of order 2 (ARIMA (2,0,0)) and for morbidity it was one of order 3 (ARIMA (3,0,0)). Finally, the two time series were analysed together to facilitate the detection of possible implications between them. The joint study of the two series shows that the mortality series can be modelled separately from the reported morbidity series, but the morbidity series is influenced as much by the number of previous cases of influenza reported as by the previous mortality registered. CONCLUSIONS: The model based on general mortality is useful for detecting epidemic activity of influenza. However, because there is not an absolute gold standard that allows definition of the beginning of the epidemic, the final decision of when it is considered an epidemic and control measures recommended should be taken after evaluating all the indicators included in the influenza surveillance programme

A historical review of portable health physics instruments and their use in radiation protection programs at Hanford, 1944 through 1988

This historical review covers portable health physics instruments at Hanford from an applications viewpoint. The review provides information on specific instruments and on the general kinds of facility work environments in which the instruments have been and are being used. It provides a short, modestly technical explanation of the types of nuclear radiations, the way radiation units are quantified, and the types of nuclear radiations, the way radiation units are quantified, and the types of detection media used in portable health physics instruments. This document does not, however, cover the history of the entire Hanford program that was required to develop and/or modify the subject instruments. 11 refs., 34 figs., 2 tabs