Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges

The 2009 influenza A (H1N1) pandemic prompted the World Health Organization (WHO) to recommend countries to establish a national severe acute respiratory infections (SARI) surveillance system for preparedness and emergency response. However, setting up or maintaining a robust SARI surveillance syste...

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Main Authors: S.D. Marbus, W. van der Hoek, J.T. van Dissel, A.B. van Gageldonk-Lafeber
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535220300136
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spelling doaj-3b963eb4e18e438cb9b67708733189bf2020-12-27T04:32:08ZengElsevierPublic Health in Practice2666-53522020-11-011100014Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challengesS.D. Marbus0W. van der Hoek1J.T. van Dissel2A.B. van Gageldonk-Lafeber3Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands; Corresponding author. Centre for Infectious Diseases Epidemiology and Surveillance, Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, the Netherlands.Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the NetherlandsCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands; Department of Infectious Diseases and Internal Medicine, Leiden University Medical Center, Leiden, the NetherlandsCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the NetherlandsThe 2009 influenza A (H1N1) pandemic prompted the World Health Organization (WHO) to recommend countries to establish a national severe acute respiratory infections (SARI) surveillance system for preparedness and emergency response. However, setting up or maintaining a robust SARI surveillance system has been challenging. Similar to other countries, surveillance data on hospitalisations for SARI in the Netherlands are still limited, in contrast to the robust surveillance data in primary care.The objective of this narrative review is to provide an overview, evaluation, and challenges of already available surveillance systems or datasets in the Netherlands, which might be used for near real-time surveillance of severe respiratory infections.Seven available surveillance systems or datasets in the Netherlands were reviewed. The evaluation criteria, including data quality, timeliness, representativeness, simplicity, flexibility, acceptability and stability were based on United States Centers for Disease Control and Prevention (CDC) and European Centre for Disease Prevention and Control (ECDC) guidelines for public health surveillance. We added sustainability as additional evaluation criterion.The best evaluated surveillance system or dataset currently available for SARI surveillance is crude mortality monitoring, although it lacks specificity. In contrast to influenza-like illness (ILI) in primary care, there is currently no gold standard for SARI surveillance in the Netherlands.Based on our experience with sentinel SARI surveillance, a fully or semi-automated, passive surveillance system seems most suited for a sustainable SARI surveillance system. An important future challenge remains integrating SARI surveillance into existing hospital programs in order to make surveillance data valuable for public health, as well as hospital quality of care management and individual patient care.http://www.sciencedirect.com/science/article/pii/S2666535220300136Severe acute respiratory infectionsSurveillanceEvaluationChallenges
collection DOAJ
language English
format Article
sources DOAJ
author S.D. Marbus
W. van der Hoek
J.T. van Dissel
A.B. van Gageldonk-Lafeber
spellingShingle S.D. Marbus
W. van der Hoek
J.T. van Dissel
A.B. van Gageldonk-Lafeber
Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges
Public Health in Practice
Severe acute respiratory infections
Surveillance
Evaluation
Challenges
author_facet S.D. Marbus
W. van der Hoek
J.T. van Dissel
A.B. van Gageldonk-Lafeber
author_sort S.D. Marbus
title Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges
title_short Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges
title_full Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges
title_fullStr Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges
title_full_unstemmed Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges
title_sort experience of establishing severe acute respiratory surveillance in the netherlands: evaluation and challenges
publisher Elsevier
series Public Health in Practice
issn 2666-5352
publishDate 2020-11-01
description The 2009 influenza A (H1N1) pandemic prompted the World Health Organization (WHO) to recommend countries to establish a national severe acute respiratory infections (SARI) surveillance system for preparedness and emergency response. However, setting up or maintaining a robust SARI surveillance system has been challenging. Similar to other countries, surveillance data on hospitalisations for SARI in the Netherlands are still limited, in contrast to the robust surveillance data in primary care.The objective of this narrative review is to provide an overview, evaluation, and challenges of already available surveillance systems or datasets in the Netherlands, which might be used for near real-time surveillance of severe respiratory infections.Seven available surveillance systems or datasets in the Netherlands were reviewed. The evaluation criteria, including data quality, timeliness, representativeness, simplicity, flexibility, acceptability and stability were based on United States Centers for Disease Control and Prevention (CDC) and European Centre for Disease Prevention and Control (ECDC) guidelines for public health surveillance. We added sustainability as additional evaluation criterion.The best evaluated surveillance system or dataset currently available for SARI surveillance is crude mortality monitoring, although it lacks specificity. In contrast to influenza-like illness (ILI) in primary care, there is currently no gold standard for SARI surveillance in the Netherlands.Based on our experience with sentinel SARI surveillance, a fully or semi-automated, passive surveillance system seems most suited for a sustainable SARI surveillance system. An important future challenge remains integrating SARI surveillance into existing hospital programs in order to make surveillance data valuable for public health, as well as hospital quality of care management and individual patient care.
topic Severe acute respiratory infections
Surveillance
Evaluation
Challenges
url http://www.sciencedirect.com/science/article/pii/S2666535220300136
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