title: Application of an automated surveillance-data-analysis system in a laboratory-based early-warning system for detection of an abortion outbreak in mares.
abstract: OBJECTIVE
  To develop an early-warning automated surveillance-data-analysis system for early outbreak detection and reporting and to assess its performance on an abortion outbreak in mares in Kentucky.
  
  
  METHODS
  426 data sets of abortions in mares in Kentucky during December 2000 to July 2001.
  
  
  METHODS
  A custom software system was developed to automatically extract and analyze data from a Laboratory Information Management System database. The software system was tested on data on abortions in mares in Kentucky reported between December 1, 2000, and July 31, 2001. The prospective space-time permutations scan statistic, proposed by Kulldorff, was used to detect and identify abortion outbreak signals.
  
  
  RESULTS
  Results indicated that use of the system would have detected the abortion outbreak approximately 1 week earlier than traditional surveillance systems. However, the geographic scale of analysis was critical for highest sensitivity in outbreak detection. Use of the lower geographic scale of analysis (ie, postal [zip code]) enhanced earlier detection of significant clusters, compared with use of the higher geographic scale (ie, county).
  
  
  CONCLUSIONS
  The automated surveillance-data-analysis system would be useful in early detection of endemic, emerging, and foreign animal disease outbreaks and might help in detection of a bioterrorist attack. Manual analyses of such a large number of data sets (ie, 426) with a computationally intensive algorithm would be impractical toward the goal of achieving near real-time surveillance. Use of this early-warning system would facilitate early interventions that should result in more positive health outcomes.
authors.affiliation: Department of Comparative Medicine, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA.
authors.forename: Agricola
authors.initials: A
authors.lastname: Odoi
authors.forename: Craig N
authors.initials: CN
authors.lastname: Carter
authors.forename: Jeremy W
authors.initials: JW
authors.lastname: Riley
authors.forename: Jackie L
authors.initials: JL
authors.lastname: Smith
authors.forename: Roberta M
authors.initials: RM
authors.lastname: Dwyer
mesh_terms: D000818:Animals; D004196:Disease Outbreaks / Q000517:prevention & control / Q000662:veterinary*; D005260:Female; D005313:Fetal Death / Q000453:epidemiology / Q000662:veterinary*; D006734:Horse Diseases / Q000453:epidemiology*; D006736:Horses; D020407:Internet; D007629:Kentucky / Q000453:epidemiology; D016347:Medical Records Systems, Computerized; D008962:Models, Theoretical; D040442:Public Health Informatics / Q000295:instrumentation*; D018571:Sentinel Surveillance / Q000662:veterinary*