title: Completeness of communicable disease reporting, North Carolina, USA, 1995-1997 and 2000-2006.
abstract: Despite widespread use of communicable disease surveillance data to inform public health intervention and control measures, the reporting completeness of the notifiable disease surveillance system remains incompletely assessed. Therefore, we conducted a comprehensive study of reporting completeness with an analysis of 53 diseases reported by 8 health care systems across North Carolina, USA, during 1995-1997 and 2000-2006. All patients who were assigned an International Classification of Diseases, 9th Revision, Clinical Modification, diagnosis code for a state-required reportable communicable disease were matched to surveillance records. We used logistic regression techniques to estimate reporting completeness by disease, year, and health care system. The completeness of reporting varied among the health care systems from 2% to 30% and improved over time. Disease-specific reporting completeness proportions ranged from 0% to 82%, but were generally low even for diseases with great public health importance and opportunity for interventions.
authors.affiliation: Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, North Carolina 27514, USA. esickber@unch.unc.edu
authors.forename: Emily E
authors.initials: EE
authors.lastname: Sickbert-Bennett
authors.forename: David J
authors.initials: DJ
authors.lastname: Weber
authors.forename: Charles
authors.initials: C
authors.lastname: Poole
authors.forename: Pia D M
authors.initials: PD
authors.lastname: MacDonald
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Maillard
mesh_terms: D003141:Communicable Diseases / Q000175:diagnosis* / Q000453:epidemiology*; D018563:Disease Notification / Q000379:methods*; D006078:Government Programs; D006801:Humans; D038801:International Classification of Diseases; D016015:Logistic Models; D009657:North Carolina; D011159:Population Surveillance / Q000379:methods; D015397:Program Evaluation; D011634:Public Health