skip to main content


Title: Novel use of flu surveillance data: Evaluating potential of sentinel populations for early detection of influenza outbreaks

Influenza causes significant morbidity and mortality each year, with 2–8% of weekly outpatient visits around the United States for influenza-like-illness (ILI) during the peak of the season. Effective use of existing flu surveillance data allows officials to understand and predict current flu outbreaks and can contribute to reductions in influenza morbidity and mortality. Previous work used the 2009–2010 influenza season to investigate the possibility of using existing military and civilian surveillance systems to improve early detection of flu outbreaks. Results suggested that civilian surveillance could help predict outbreak trajectory in local military installations. To further test that hypothesis, we compare pairs of civilian and military outbreaks in seven locations between 2000 and 2013. We find no predictive relationship between outbreak peaks or time series of paired outbreaks. This larger study does not find evidence to support the hypothesis that civilian data can be used as sentinel surveillance for military installations. We additionally investigate the effect of modifying the ILI case definition between the standard Department of Defense definition, a more specific definition proposed in literature, and confirmed Influenza A. We find that case definition heavily impacts results. In conclusion, this study thus highlights the importance of careful selection of casemore » definition, and appropriate consideration of case definition in the interpretation of results.« less
 [1] ;  [1] ;  [1] ;  [1] ;  [1] ;  [2]
  1. Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
  2. Monash Univ., Melbourne, VIC (Australia)
Publication Date:
OSTI Identifier:
Report Number(s):
Journal ID: ISSN 1932-6203
Grant/Contract Number:
Accepted Manuscript
Journal Name:
Additional Journal Information:
Journal Volume: 11; Journal Issue: 7; Journal ID: ISSN 1932-6203
Public Library of Science
Research Org:
Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
Sponsoring Org:
Defense Threat Reduction Agency; USDOE
Country of Publication:
United States
59 BASIC BIOLOGICAL SCIENCES Biological Science; influenza; influenza A virus; infectious disease surveillance; coughing; data processing; swine influenza; fevers; influenza viruses