Victoria is currently experiencing a widespread outbreak of viral meningitis. Where viral studies have been complete, this has been shown to be predominantly due to the enterovirus ECHO 30. The last such outbreak of echovirus 30 occurred in the summer of 1993-94. The current outbreak appears to have surpassed levels experienced at that time. Enterovirus is not a notifiable disease in Victoria. ...

Syndromic surveillance systems, especially software systems, have emerged as the leading outbreak detection mechanisms. Early outbreak detection systems can assist with medical and logistic decision support. One important concern for effectively testing these systems in practice is the scarcity of authentic outbreak health data. Because of this shortage, creating suitable geotemporal test clust...

BACKGROUND Korea failed in its risk communication during the early stage of the Middle East Respiratory Syndrome (MERS) outbreak; consequently, it faced difficulties in managing MERS, while disease-related worry increased. Disease-related worry can help disease prevention and management, but can also have a detrimental effect. This study measured the overall level of disease-related worry durin...

Communities and ecosystems in the Alaskan boreal forest are undergoing substantial change. People contribute to this change. They are also impacted by the consequences. For example, wildfire and spruce bark beetle (Dendroctonus rufipennis) outbreaks have increased in frequency and severity due to warming trends, affecting the ecosystem and services important to people. I conducted a study to ex...

The goals of automated biosurveillance systems are to detect disease outbreaks early, while exhibiting few false positives. Evaluation measures currently exist to estimate the expected detection time of biosurveillance systems. Researchers also have developed models that estimate clinician detection of cases of outbreak diseases, which is a process known as clinical case finding. However, littl...

On February 10, 2014, the USS Ardent, a U.S. Navy minesweeper, was moored in San Diego, California, while conducting training. Over the course of 3 days, 25 of 102 crew members sought medical care because of influenza-like illness (ILI). Nasal swab specimens were collected from each patient, and initial rapid influenza testing indicated 16 cases of influenza A. Ultimately, polymerase chain reac...

To the Editor: Previously, we reported the use of whole-genome sequencing to investigate a putative methicillin-resistant Staphylococcus aureus (MRSA) outbreak in 2011 in the special care baby unit (SCBU) at the Cambridge University Hospitals National Health Service Foundation Trust (CUH) in the United Kingdom (1). The report identified 26 related cases of infection with or asymptomatic carriag...

Acute Watery Diarrhea (AWD) is an acute illness which has remained as one of the important public health problems in Asia and Africa causing substantial morbidity and mortality. It occurs both as a short outbreak and protracted epidemic/pandemic. The transmission of the causative bacteria is usually through the fecal-oral route of contaminated food or water caused by poor sanitation. From late ...

A system that monitors a region for a disease outbreak is called a disease outbreak surveillance system. A spatial surveillance system searches for patterns of disease outbreak in spatial subregions of the monitored region. A temporal surveillance system looks for emerging patterns of outbreak disease by analyzing how patterns have changed during recent periods of time. If a non-spatial, non-te...

The foodborne outbreak paradigm has shifted. In the past, an outbreak affected a small local population, had a high attack rate, and involved locally prepared food products with limited distribution. Now outbreaks involve larger populations and may be multistate and even international; in many the pathogenic organism has a low infective dose and sometimes is never isolated from the food product...