Machine learning to refine decision making within a syndromic surveillance service.

Journal: BMC public health
Published Date:

Abstract

BACKGROUND: Worldwide, syndromic surveillance is increasingly used for improved and timely situational awareness and early identification of public health threats. Syndromic data streams are fed into detection algorithms, which produce statistical alarms highlighting potential activity of public health importance. All alarms must be assessed to confirm whether they are of public health importance. In England, approximately 100 alarms are generated daily and, although their analysis is formalised through a risk assessment process, the process requires notable time, training, and maintenance of an expertise base to determine which alarms are of public health importance. The process is made more complicated by the observation that only 0.1% of statistical alarms are deemed to be of public health importance. Therefore, the aims of this study were to evaluate machine learning as a tool for computer-assisted human decision-making when assessing statistical alarms.

Authors

  • I R Lake
    School of Environmental Sciences, University of East Anglia, Norwich, NR4 7TJ, UK. I.Lake@uea.ac.uk.
  • F J Colón-González
    School of Environmental Sciences, University of East Anglia, Norwich, NR4 7TJ, UK.
  • G C Barker
    National Institute for Health Research Health Protection Research Unit in Emergency Preparedness and Response, London, UK.
  • R A Morbey
    National Institute for Health Research Health Protection Research Unit in Emergency Preparedness and Response, London, UK.
  • G E Smith
    National Institute for Health Research Health Protection Research Unit in Emergency Preparedness and Response, London, UK.
  • A J Elliot
    National Institute for Health Research Health Protection Research Unit in Emergency Preparedness and Response, London, UK.