{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:16:03Z","timestamp":1790838963598,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:00:00Z","timestamp":1634083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Syndromic surveillance can be used to enhance notifiable disease case-based surveillance. We analyzed features of varicella reported in Georgia to evaluate case detection through syndromic surveillance and to compare varicella reported through syndromic surveillance with varicella reported from all other sources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Syndromic surveillance was incorporated into case-based varicella surveillance by the Georgia Department of Public Health (GDPH) in May 2016. A cross-sectional study design evaluated syndromic and nonsyndromic varicella reported to GDPH from May 1, 2016, through December 31, 2019. Varicella was reported by nonsyndromic sources including health care providers, schools, and laboratories. We identified syndromic varicella cases from urgent care and emergency department visit data with discharge diagnoses containing the terms \u201cvaricella\u201d or \u201cchickenpox.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Syndromic notifications accounted for 589 of 2665 (22.1%) suspected varicella reports investigated by GDPH. The positive predictive value was 33.1% for syndromic notifications and 31.3% for nonsyndromic notifications. Mean days from rash onset to GDPH notification was 3.2 days fewer ( P &lt; .001) among patients identified through syndromic notification than among patients identified through nonsyndromic notification. The odds of varicella identified by syndromic notification being outbreak-associated were 0.18 (95% CI, 0.09-0.36) times those of varicella identified through nonsyndromic notification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practice Implications<\/jats:title>\n                    <jats:p>Syndromic notifications were an effective, timely means for varicella case detection. Syndromic patients were significantly less likely than nonsyndromic patients to be outbreak-associated, possibly because of early detection. Syndromic surveillance enhanced case-based reporting for varicella in Georgia and was a useful tool to improve notifiable disease surveillance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549211050897","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T20:57:46Z","timestamp":1634158666000},"page":"1070-1078","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Syndromic Surveillance as a Tool for Case-Based Varicella Reporting in Georgia, 2016-2019"],"prefix":"10.1177","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7159-2515","authenticated-orcid":false,"given":"Carolyn M.","family":"Adam","sequence":"first","affiliation":[{"name":"Epidemiology Section, Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Borroto","sequence":"additional","affiliation":[{"name":"Epidemiology Section, Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebony","family":"Thomas","sequence":"additional","affiliation":[{"name":"Epidemiology Section, Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Tuttle","sequence":"additional","affiliation":[{"name":"Epidemiology Section, Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Pavlick","sequence":"additional","affiliation":[{"name":"Epidemiology Section, Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherie L.","family":"Drenzek","sequence":"additional","affiliation":[{"name":"Epidemiology Section, Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,13]]},"reference":[{"key":"bibr1-00333549211050897","first-page":"353","volume-title":"Epidemiology and Prevention of Vaccine-Preventable Diseases","author":"Centers for Disease Control and Prevention","year":"2015","edition":"13"},{"key":"bibr2-00333549211050897","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6534a4"},{"key":"bibr3-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0863"},{"issue":"4","key":"bibr4-00333549211050897","first-page":"1","volume":"56","author":"Marin M.","year":"2007","journal-title":"MMWR Recomm Rep"},{"key":"bibr5-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/piv044"},{"key":"bibr6-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.7.797"},{"issue":"36","key":"bibr7-00333549211050897","first-page":"785","volume":"63","author":"Lopez AS.","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"32","key":"bibr8-00333549211050897","first-page":"609","volume":"61","author":"Din E.","year":"2012","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr9-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1086\/522138"},{"key":"bibr10-00333549211050897","unstructured":"Lopez AL., Leung J., Schmid SD., Marin M. Chapter 17: varicella. In: Roush SW, Baldy LM, Kirkonnell MA, eds.\n                      Manual for the Surveillance of Vaccine-Preventable Diseases\n                      . National Center for Immunizations and Respiratory Diseases; 2018. Accessed July 13, 2021. https:\/\/www.cdc.gov\/vaccines\/pubs\/surv-manual\/chpt17-varicella.pdf"},{"key":"bibr11-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000000821"},{"key":"bibr12-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofx163.1176"},{"key":"bibr13-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2018.07.031"},{"key":"bibr14-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1177\/1078345814541535"},{"key":"bibr15-00333549211050897","first-page":"5","volume":"53","author":"Henning K","year":"2004","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr16-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2012.12.005"},{"key":"bibr17-00333549211050897","doi-asserted-by":"publisher","DOI":"10.3201\/eid1604.090688"},{"key":"bibr18-00333549211050897","doi-asserted-by":"publisher","DOI":"10.1177\/003335491012500115"},{"key":"bibr19-00333549211050897","doi-asserted-by":"publisher","DOI":"10.5210\/ojphi.v6i1.5197"},{"key":"bibr20-00333549211050897","doi-asserted-by":"publisher","DOI":"10.5210\/ojphi.v11i1.9855"},{"key":"bibr21-00333549211050897","unstructured":"Centers for Disease Control and Prevention. National Syndromic Surveillance Program (NSSP). Syndromic surveillance in action: NSSP success stories. 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