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Research ArticleOriginal Research

Observing the Spread of Common Illnesses Through a Community: Using Geographic Information Systems (GIS) for Surveillance

Michael A. Horst and Andrew S. Coco
The Journal of the American Board of Family Medicine January 2010, 23 (1) 32-41; DOI: https://doi.org/10.3122/jabfm.2010.01.090137
Michael A. Horst
PhD, MPHS, MS
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Andrew S. Coco
MD, MPH
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Article Figures & Data

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    Figure 1.

    Percentage of visits for respiratory and gastrointestinal illnesses by week.

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    Figure 2.

    A: Bayesian smoothed respiratory visit rate by census tract. B: Kringing smoothed surface of Bayesian smoothed respiratory visit rate by census tract.

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    Figure 3.

    SaTScan results, displayed with Kriging continuous surface, showing weeks for which census tracts had statistically significant results for weekly visits for respiratory illnesses.

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    Figure 4.

    SaTScan results, displayed with Kriging continuous surface, showing weeks for which census tracts had statistically significant results for weekly visits for gastrointestinal illnesses.

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    Table 1.

    Comparison of All Weekly Visits and Weekly Visits Within the Study Area Census Tract

    Weekly Visits by Census TractAll Census Tracts(n = 2821)Study Area Census Tracts*(n = 109)
    Mean (SD)MinimumMedianMaximumMean (SD)MinimumMedianMaximum
    Mean4.5 (26.7)0.020.02461.6113.4 (78.1)5.099.3461.6
    SD1.4 (6.5)0.10.1105.029.1 (17.3)2.925.4105.0
    Median4.6 (27.5)0019.0116.4 (81.2)5100.0485.0
    • * This included tracts with a median of ≥10 weekly visits. The study area census tracts did include one census tract that was a small borough with a median of 5 weekly visits, which is less than the target of at least a median of 10 weekly visits.

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    Table 2.

    Descriptive Statistics of Weekly Visits by Site

    SiteMean number (SD)Minimum (n)Median (n)Maximum (n)
    Emergency department1590.7 (179.2)46016071831
    Primary care office11,088 (1873)145311,15414,543
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    Table 3.

    Descriptive Statistics of Rates of Weekly Visits for Respiratory and GI Illnesses

    IllnessMean % (SD)Min %Median %Max %
    Respiratory8.6 (3.1)4.37.815.4
    GI2.3 (0.5)1.32.14.0
    • GI, gastrointestinal.

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The Journal of the American Board of Family Medicine: 23 (1)
The Journal of the American Board of Family Medicine
Vol. 23, Issue 1
January-February 2010
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Observing the Spread of Common Illnesses Through a Community: Using Geographic Information Systems (GIS) for Surveillance
Michael A. Horst, Andrew S. Coco
The Journal of the American Board of Family Medicine Jan 2010, 23 (1) 32-41; DOI: 10.3122/jabfm.2010.01.090137

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Observing the Spread of Common Illnesses Through a Community: Using Geographic Information Systems (GIS) for Surveillance
Michael A. Horst, Andrew S. Coco
The Journal of the American Board of Family Medicine Jan 2010, 23 (1) 32-41; DOI: 10.3122/jabfm.2010.01.090137
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