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Research ArticleOriginal Research

New Method for Real Time Influenza Surveillance in Primary Care: A Wisconsin Research and Education Network (WREN) Supported Study

Jonathan L. Temte, Shari Barlow, Amber Schemmel, Emily Temte, David L. Hahn, Erik Reisdorf, Peter Shult and John Tamerius
The Journal of the American Board of Family Medicine September 2017, 30 (5) 615-623; DOI: https://doi.org/10.3122/jabfm.2017.05.170031
Jonathan L. Temte
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
MD, PhD
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Shari Barlow
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
BA
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Amber Schemmel
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
BS
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Emily Temte
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
BA
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David L. Hahn
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
MD, MS
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Erik Reisdorf
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
MPH
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Peter Shult
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
PhD
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John Tamerius
From the Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI (JLT, SB, AS, ET, DLH); Wisconsin State Laboratory of Hygiene, Madison (ER, PS); and Quidel Corporation, San Diego, CA (JT)
PhD
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Article Figures & Data

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    Figure 1.

    Location of Real-Time Influenza Surveillance Network sites. WREN practices are indicated by yellow dots. IISP clinics are shown by red dots.

  • Figure 2.
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    Figure 2.

    Results by age of surveillance population, showing cases with negative Sofia RITD results and those with influenza A and influenza B.

  • Figure 3.
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    Figure 3.

    Epidemic curve for influenza cases as detected by the Real-Time Influenza Surveillance Network beginning September 15, 2013 and ending June 28, 2014.

  • Figure 4.
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    Figure 4.

    Epidemic curves for influenza A. Data are expressed as the percent of the maximum weekly influenza case count for each system. RTISN counts (n = 254) were available immediately; WSLH-PCR counts (n = 4780) were delayed by 1 to 2 weeks.

  • Figure 5.
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    Figure 5.

    Correlation of weekly influenza A case counts between Real-Time Influenza Surveillance Network and the WSLH PCR Network.

Tables

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    Table 1.

    Characteristics of Participating Clinics in the Real-Time Influenza Surveillance Network

    N, %
    Clinic Ownership
        University affiliated (IISP sites)4 (21.1)
        Hospital or health system7 (36.8)
        Clinic physicians4 (21.1)
        Federally qualified health center3 (15.8)
        Community health center1 (5.3)
    Clinics requiring IRB additional approval*11 (57.9)
    Geographic location
        Rural10 (52.6)
        Urban7 (36.8)
        Suburban2 (10.5)
    Specialty
        Single7 (36.8)
        Multiple10 (52.6)
    EMR implemented19 (100)
    • Four IISP sites were covered by the UW Health Sciences IRB exemption; 11 other sites were covered by 7 additional IRBs.

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The Journal of the American Board of Family     Medicine: 30 (5)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 5
September-October 2017
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New Method for Real Time Influenza Surveillance in Primary Care: A Wisconsin Research and Education Network (WREN) Supported Study
Jonathan L. Temte, Shari Barlow, Amber Schemmel, Emily Temte, David L. Hahn, Erik Reisdorf, Peter Shult, John Tamerius
The Journal of the American Board of Family Medicine Sep 2017, 30 (5) 615-623; DOI: 10.3122/jabfm.2017.05.170031

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New Method for Real Time Influenza Surveillance in Primary Care: A Wisconsin Research and Education Network (WREN) Supported Study
Jonathan L. Temte, Shari Barlow, Amber Schemmel, Emily Temte, David L. Hahn, Erik Reisdorf, Peter Shult, John Tamerius
The Journal of the American Board of Family Medicine Sep 2017, 30 (5) 615-623; DOI: 10.3122/jabfm.2017.05.170031
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Keywords

  • Communicable Diseases
  • Disease Outbreaks
  • Influenza
  • Polymerase Chain Reaction
  • Practice-based Research
  • Primary Health Care
  • Public Health Surveillance
  • Wisconsin

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