Syndromic Surveillance and Bioterrorism-related Epidemics
James W. Buehler* , Ruth L. Berkelman*, David M. Hartley†, and Clarence J. Peters‡
Author affiliations: *Emory University Rollins School of Public Health, Atlanta, Georgia, USA; †University of Maryland School of Medicine, Baltimore, Maryland, USA; ‡University of Texas Medical Branch, Galveston, Texas, USA
Figure 1. Number of cases of syndromic illness by time in a hypothetical bioterrorism attack and two pathways to establishing a diagnosis: syndromic surveillance coupled with public health investigation (upper pathway) and clinical and diagnostic evaluation of patients with short-incubation period disease (lower pathway). A, scenario favoring earlier detection by means of clinical evaluation. B, scenario favoring earlier detection by means of syndromic surveillance.
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