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Evaluating Spatial Surveillance: Detection Of Known Outbreaks In Real Data, Ken Kleinman, Allyson Abrams, W. Katherine Yih, Richard Platt, Martin Kulldorff

Public Health Department Faculty Publication Series

Since the anthrax attacks of October 2001 and the SARS outbreaks of recent years, there has been an increasing interest in developing surveillance systems to aid in the early detection of such illness. Systems have been established which do this is by monitoring primary health-care visits, pharmacy sales, absenteeism records, and other non-traditional sources of data. While many resources have been invested in establishing such systems, relatively little effort has as yet been expended in evaluating their performance.

One way to evaluate a given surveillance system is to compare the signals it generates with known outbreaks identified in other systems. …

Variation In Hepatitis B Immunization Coverage Rates Associated With Provider Practices After The Temporary Suspension Of The Birth Dose, Nancy D. Lin, Ken Kleinman, K Arnold Chan, Xian-Jie Yu, Eric K. France, Feifei Wei, John P. Mullooly, Steven Black, David Shay, Margarette Kolczak, Tracey Lieu, Vaccine Safety Datalink Team

Public Health Department Faculty Publication Series

Background

In 1999, the American Academy of Pediatrics and U.S. Public Health Service recommended suspending the birth dose of hepatitis B vaccine due to concerns about potential mercury exposure. A previous report found that overall national hepatitis B vaccination coverage rates decreased in association with the suspension. It is unknown whether this underimmunization occurred uniformly or was associated with how providers changed their practices for the timing of hepatitis B vaccine doses. We evaluate the impact of the birth dose suspension on underimmunization for the hepatitis B vaccine series among 24-month-olds in five large provider groups and describe provider practices …

Four Different Study Designs To Evaluate Vaccine Safety Were Equally Validated With Contrasting Limitations, Jason M. Glanz, David L. Mcclure, Stanley Xu, Simon J. Hambidge, Martin Lee, Margarette S. Kolczak, Ken Kleinman, John P. Mullooly, Eric K. France

Public Health Department Faculty Publication Series

OBJECTIVE:

We conducted a simulation study to empirically compare four study designs [cohort, case-control, risk-interval, self-controlled case series (SCCS)] used to assess vaccine safety.

STUDY DESIGN AND METHODS:

Using Vaccine Safety Datalink data (a Centers for Disease Control and Prevention-funded project), we simulated 250 case sets of an acute illness within a cohort of vaccinated and unvaccinated children. We constructed the other three study designs from the cohort at three different incident rate ratios (IRRs, 2.00, 3.00, and 4.00), 15 levels of decreasing disease incidence, and two confounding levels (20%, 40%) for both fixed and seasonal confounding. Each of the …