title: The Integrated System for Public Health Monitoring of West Nile Virus (ISPHM-WNV): a real-time GIS for surveillance and decision-making.
abstract: BACKGROUND
  After its first detection in North America in New York in 1999, West Nile virus was detected for the first time in 2002 in the province of Quebec, Canada. This situation forced the Government of Quebec to adopt a public health protection plan against the virus. The plan comprises several fields of intervention including the monitoring of human cases, Corvidae and mosquitoes in order to ensure the early detection of the presence of the virus in a particular area. To help support the monitoring activities, the Integrated System for Public Health Monitoring of West Nile Virus (ISPHM-WNV) has been developed.
  
  
  RESULTS
  The ISPHM-WNV is a real-time geographic information system for public health surveillance of West Nile virus and includes information on Corvidae, mosquitoes, humans, horses, climate, and preventive larvicide interventions. It has been in operation in the province of Quebec, Canada, since May 2003. The ISPHM-WNV facilitates the collection, localization, management and analysis of monitoring data; it also allows for the display of the results of analyses on maps, tables and statistical diagrams.
  
  
  CONCLUSIONS
  The system is very helpful for field workers in all regions of the province, as well as for central authorities. It represents the common authoritative source of data for analysis, exchange and decision-making.
authors.affiliation: Institut National de Santé Publique du Québec, Sainte-Foy, Quebec, G1V 5B3, Canada. pierre-l.gosselin@crchul.ulaval.ca
authors.forename: Pierre
authors.initials: P
authors.lastname: Gosselin
authors.forename: Germain
authors.initials: G
authors.lastname: Lebel
authors.forename: Sonia
authors.initials: S
authors.lastname: Rivest
authors.forename: Monique
authors.initials: M
authors.lastname: Douville-Fradet