{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:34Z","timestamp":1787015614038,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,6,19]],"date-time":"2013-06-19T00:00:00Z","timestamp":1371600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001027","name":"Australian Government Department of Health and Ageing","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001027","id-type":"DOI","asserted-by":"crossref"}]},{"name":"NHMRC Enabling","award":["402784"],"award-info":[{"award-number":["402784"]}]},{"name":"NHMRC Practitioner Fellowships","award":["457084"],"award-info":[{"award-number":["457084"]}]},{"name":"NHMRC Practitioner Fellowships","award":["1021480"],"award-info":[{"award-number":["1021480"]}]},{"name":"The Creswick Foundation Fellowship"},{"name":"Faculty of Medicine, University of Sydney"},{"DOI":"10.13039\/501100001232","name":"Royal Australasian College of Physicians","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,7]]},"abstract":"\n Aim<\/jats:title>\n The Paediatric Active Enhanced Disease Surveillance (PAEDS) is described. PAEDS is active in four tertiary children's hospitals in four states of Australia and aims to address gaps in surveillance for severe vaccine\u2010preventable diseases and adverse events following immunisation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n From\n A<\/jats:styled-content>\n ugust 2007 to\n D<\/jats:styled-content>\n ecember 2010, surveillance nurses actively identified and recruited children admitted with: acute flaccid paralysis, varicella infection, intussusception, seizures in infants and pandemic influenza (\n J<\/jats:styled-content>\n une\u2013\n O<\/jats:styled-content>\n ctober 2009). Details of presentation, medical and immunisation history, outcome and laboratory results were collected. Completeness of ascertainment was estimated through audits of International Classification of Diseases 10th edition\u2010coded medical records where possible.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Seven hundred thirty\u2010three cases matching case definition criteria for the four conditions were recruited. In addition, 601 cases of influenza were recruited during the 2009 pandemic.\n PAEDS<\/jats:styled-content>\n enhanced acute flaccid paralysis surveillance by the\n A<\/jats:styled-content>\n ustralian\n P<\/jats:styled-content>\n aediatric\n S<\/jats:styled-content>\n urveillance\n U<\/jats:styled-content>\n nit; the\n W<\/jats:styled-content>\n orld\n H<\/jats:styled-content>\n ealth\n O<\/jats:styled-content>\n rganization surveillance target was met when\n A<\/jats:styled-content>\n ustralian\n P<\/jats:styled-content>\n aediatric\n S<\/jats:styled-content>\n urveillance\n U<\/jats:styled-content>\n nit and\n PAEDS<\/jats:styled-content>\n cases were combined. Among 133 children hospitalised for varicella, only 16 were vaccinated; samples of vesicle scrapings were collected in 57% for genotyping. Of 122 infants presenting with seizures, only six (12%) had received a vaccine in the last 7 days. Intussusception was more frequent among infants receiving their first dose of either of the rotavirus vaccines. Results informed policy and education for parents and health professionals. Preliminary audits of medical records suggest excellent ascertainment through\n PAEDS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n PAEDS<\/jats:styled-content>\n provides important, previously unavailable data to inform public health policy, clinical practice and community confidence. It has potential to respond quickly during outbreaks and epidemics.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jpc.12282","type":"journal-article","created":{"date-parts":[[2013,6,19]],"date-time":"2013-06-19T08:05:44Z","timestamp":1371629144000},"page":"588-594","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["P<\/scp>\n aediatric\n A<\/scp>\n ctive\n E<\/scp>\n nhanced\n D<\/scp>\n isease\n S<\/scp>\n urveillance: A new surveillance system for\n A<\/scp>\n ustralia"],"prefix":"10.1111","volume":"49","author":[{"given":"Yvonne","family":"Zurynski","sequence":"first","affiliation":[{"name":"Australian Paediatric Surveillance Unit Sydney New South Wales Australia"},{"name":"The Discipline of Paediatrics and Child Health, Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"McIntyre","sequence":"additional","affiliation":[{"name":"National Centre for Immunisation Research and Surveillance Kids Research Institute Sydney New South Wales Australia"},{"name":"The Sydney Children's Hospitals Network (Randwick and Westmead) Sydney New South Wales Australia"},{"name":"The Discipline of Paediatrics and Child Health, Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Booy","sequence":"additional","affiliation":[{"name":"National Centre for Immunisation Research and Surveillance Kids Research Institute Sydney New South Wales Australia"},{"name":"The Sydney Children's Hospitals Network (Randwick and Westmead) Sydney New South Wales Australia"},{"name":"The Discipline of Paediatrics and Child Health, Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth J","family":"Elliott","sequence":"additional","affiliation":[{"name":"Australian Paediatric Surveillance Unit Sydney New South Wales Australia"},{"name":"The Sydney Children's Hospitals Network (Randwick and Westmead) Sydney New South Wales Australia"},{"name":"The Discipline of Paediatrics and Child Health, Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"PAEDS Investigators Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,19]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"81","article-title":"Surveillance systems reported in CDI","volume":"34","author":"Health Protection and Surveillance Branch, Office of Health Protection, Australian Government Department of Health and Ageing","year":"2010","journal-title":"Commun. 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