Emergency Department Syndromic Surveillance to Monitor Tick-Borne Diseases: A 6-Year Small-Area Analysis in Northeastern Italy
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Conflicts of Interest
References
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Emergency Department Visits | Hospitalisations | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Bite-Related * | TBD-Related ** | Total ED Visits | LB-Related | TBE-Related | Total Hosp. | ||||||||
n | % | n | % | n | % | n | % | n | % | n | % | ||
Total | 4187 | 100% | 143 | 100% | 4330 | 100% | 31 | 100% | 31 | 100% | 62 | 100% | |
Month | January | 20 | 0.5% | 1 | 0.7% | 21 | 0.5% | 1 | 3.2% | 0 | 0.0% | 1 | 1.6% |
February | 60 | 1.4% | 4 | 2.8% | 64 | 1.5% | 2 | 6.5% | 0 | 0.0% | 2 | 3.2% | |
March | 202 | 4.8% | 1 | 0.7% | 203 | 4.7% | 1 | 3.2% | 1 | 3.2% | 2 | 3.2% | |
April | 605 | 14.4% | 12 | 8.4% | 617 | 14.2% | 2 | 6.5% | 1 | 3.2% | 3 | 4.8% | |
May | 1061 | 25.3% | 28 | 19.6% | 1089 | 25.2% | 5 | 16.1% | 1 | 3.2% | 6 | 9.7% | |
June | 1029 | 24.6% | 30 | 21.0% | 1059 | 24.5% | 3 | 9.7% | 2 | 6.5% | 5 | 8.1% | |
July | 487 | 11.6% | 21 | 14.7% | 508 | 11.7% | 6 | 19.4% | 6 | 19.4% | 12 | 19.4% | |
August | 259 | 6.2% | 15 | 10.5% | 274 | 6.3% | 5 | 16.1% | 4 | 12.9% | 9 | 14.5% | |
September | 140 | 3.3% | 10 | 7.0% | 150 | 3.5% | 0 | 0.0% | 6 | 19.4% | 6 | 9.7% | |
October | 231 | 5.5% | 12 | 8.4% | 243 | 5.6% | 1 | 3.2% | 3 | 9.7% | 4 | 6.5% | |
November | 72 | 1.7% | 7 | 4.9% | 79 | 1.8% | 3 | 9.7% | 7 | 22.6% | 10 | 16.1% | |
December | 21 | 0.5% | 2 | 1.4% | 23 | 0.5% | 2 | 6.5% | 0 | 0.0% | 2 | 3.2% | |
Year | 2017 | 668 | 16.0% | 22 | 15.4% | 690 | 15.9% | 5 | 16.1% | 2 | 6.5% | 7 | 11.3% |
2018 | 953 | 22.8% | 20 | 14.0% | 973 | 22.5% | 5 | 16.1% | 0 | 0.0% | 5 | 8.1% | |
2019 | 740 | 17.7% | 26 | 18.2% | 766 | 17.7% | 8 | 25.8% | 7 | 22.6% | 15 | 24.2% | |
2020 | 615 | 14.7% | 20 | 14.0% | 635 | 14.7% | 7 | 22.6% | 3 | 9.7% | 10 | 16.1% | |
2021 | 515 | 12.3% | 26 | 18.2% | 541 | 12.5% | 4 | 12.9% | 8 | 25.8% | 12 | 19.4% | |
2022 | 696 | 16.6% | 29 | 20.3% | 725 | 16.7% | 2 | 6.5% | 11 | 35.5% | 13 | 21.0% | |
Sex | Male | 2490 | 59.5% | 89 | 62.2% | 2579 | 59.6% | 17 | 54.8% | 21 | 67.7% | 38 | 61.3% |
Female | 1696 | 40.5% | 54 | 37.8% | 1750 | 40.4% | 14 | 45.2% | 10 | 32.3% | 24 | 38.7% | |
Age | <5 | 495 | 11.8% | 10 | 7.0% | 505 | 11.7% | 0 | 0.0% | 1 | 3.2% | 1 | 1.6% |
5–10 | 517 | 12.4% | 14 | 9.8% | 531 | 12.3% | 3 | 9.7% | 0 | 0.0% | 3 | 4.8% | |
10–15 | 243 | 5.8% | 6 | 4.2% | 249 | 5.8% | 2 | 6.5% | 1 | 3.2% | 3 | 4.8% | |
15–20 | 176 | 4.2% | 8 | 5.6% | 184 | 4.3% | 2 | 6.5% | 0 | 0.0% | 2 | 3.2% | |
20–25 | 163 | 3.9% | 6 | 4.2% | 169 | 3.9% | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% | |
25–30 | 199 | 4.8% | 6 | 4.2% | 205 | 4.7% | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% | |
30–35 | 184 | 4.4% | 8 | 5.6% | 192 | 4.4% | 1 | 3.2% | 0 | 0.0% | 1 | 1.6% | |
35–40 | 188 | 4.5% | 6 | 4.2% | 194 | 4.5% | 1 | 3.2% | 1 | 3.2% | 2 | 3.2% | |
40–45 | 172 | 4.1% | 10 | 7.0% | 182 | 4.2% | 1 | 3.2% | 1 | 3.2% | 2 | 3.2% | |
45–50 | 221 | 5.3% | 9 | 6.3% | 230 | 5.3% | 1 | 3.2% | 2 | 6.5% | 3 | 4.8% | |
50–55 | 265 | 6.3% | 7 | 4.9% | 272 | 6.3% | 6 | 19.4% | 2 | 6.5% | 8 | 12.9% | |
55–60 | 293 | 7.0% | 15 | 10.5% | 308 | 7.1% | 3 | 9.7% | 8 | 25.8% | 11 | 17.7% | |
60–65 | 289 | 6.9% | 12 | 8.4% | 301 | 7.0% | 7 | 22.6% | 5 | 16.1% | 12 | 19.4% | |
65–70 | 272 | 6.5% | 13 | 9.1% | 285 | 6.6% | 2 | 6.5% | 3 | 9.7% | 5 | 8.1% | |
70–75 | 243 | 5.8% | 6 | 4.2% | 249 | 5.8% | 0 | 0.0% | 3 | 9.7% | 3 | 4.8% | |
75+ | 266 | 6% | 7 | 4.9% | 273 | 6.3% | 2 | 6.5% | 4 | 12.9% | 6 | 9.7% |
Area | LB-Related Hospitalisation Rate (per 100,000/Year) | TBE-Related Hospitalisation Rate (per 100,000/Year) |
---|---|---|
North-west subarea | 2.08 | 1.84 |
South-west subarea | 1.60 | 0.00 |
Rest of LHA district | 0.34 | 0.46 |
Entire LHA district | 0.99 | 0.78 |
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Colucci, M.; Fonzo, M.; Miccolis, L.; Amoruso, I.; Mondino, S.; Trevisan, A.; Cazzaro, R.; Baldovin, T.; Bertoncello, C. Emergency Department Syndromic Surveillance to Monitor Tick-Borne Diseases: A 6-Year Small-Area Analysis in Northeastern Italy. Int. J. Environ. Res. Public Health 2023, 20, 6822. https://doi.org/10.3390/ijerph20196822
Colucci M, Fonzo M, Miccolis L, Amoruso I, Mondino S, Trevisan A, Cazzaro R, Baldovin T, Bertoncello C. Emergency Department Syndromic Surveillance to Monitor Tick-Borne Diseases: A 6-Year Small-Area Analysis in Northeastern Italy. International Journal of Environmental Research and Public Health. 2023; 20(19):6822. https://doi.org/10.3390/ijerph20196822
Chicago/Turabian StyleColucci, Massimiliano, Marco Fonzo, Liana Miccolis, Irene Amoruso, Sara Mondino, Andrea Trevisan, Romina Cazzaro, Tatjana Baldovin, and Chiara Bertoncello. 2023. "Emergency Department Syndromic Surveillance to Monitor Tick-Borne Diseases: A 6-Year Small-Area Analysis in Northeastern Italy" International Journal of Environmental Research and Public Health 20, no. 19: 6822. https://doi.org/10.3390/ijerph20196822