Journal article
Differential West Nile Fever Ascertainment in the United States: A Multilevel Analysis
The American journal of tropical medicine and hygiene, v 83(4), pp 795-802
01 Oct 2010
PMID: 20889867
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We evaluated the completeness of West Nile fever (WNF) surveillance within the U.S. public health system. We surveyed laboratory and surveillance programs on policies, practices, and capacities for testing, confirmation, and reporting (collectively called ascertainment) from 2003 through 2005. We calculated syndrome ascertainment ratios by dividing WNF counts by neuroinvasive disease counts; separately, we performed multilevel modeling. Jurisdictions were more likely to ascertain at least one WNF cases per West Nile neuroinvasive disease case when <= 1 testing restrictions existed (odds ratio [OR] = 7.7,95% confidence interval [CI] = 1.3-46.4), when conducting >= 4 activities to enhance reporting (OR = 9.3, 95% Cl = 1.6-54.8), and when >= 5.0 staff per million residents were dedicated to arboviral surveillance (OR = 6.4,95% Cl = 1.0-40.3). Ascertainment of WNF was less likely among Blacks (OR = 0.56,95% Cl = 0.31-0.99) and Hispanics (OR = 0.69, 95% CI = 0.48-0.98) than among Whites. Ascertainment was more complete when testing and reporting were enhanced, but differentially incomplete for minorities.
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Details
- Title
- Differential West Nile Fever Ascertainment in the United States: A Multilevel Analysis
- Creators
- Benjamin J. Silk - Emory UniversityJ. Rex AstlesJaime Hidalgo - Soc Human Resource Management, Alexandria, VA USARosemary Humes - Assoc Publ Hlth Labs, Silver Spring, MD USALance A. Waller - Emory UniversityJames W. BuehlerRuth L. Berkelman - Emory University
- Publication Details
- The American journal of tropical medicine and hygiene, v 83(4), pp 795-802
- Publisher
- Amer Soc Trop Med & Hygiene
- Number of pages
- 8
- Grant note
- R01ES015525 / NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) O. Wayne Rollins Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000282862500013
- Scopus ID
- 2-s2.0-79958039509
- Other Identifier
- 991021895682304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Tropical Medicine