The purpose of this study was to develop and evaluate models for public health surveillance of illnesses among children in out-of-home child care facilites.
Betwcen July 1992 and March 1994,200 Seattle-King County child care facilities participated in active or enhanced passive surveillance, or both.
Reporting was based on easily recognized signs, symptoms, and sentinel events.
Published cristeria were used in evaluating surveillance effectiveness, and notifiable disease reporting of participating and nonparticipating facilities was compared.
Neither surveillance model was well accepted by child care providers.
Enhanced passive and active surveillance had comparable sensitivity.
Reporting delays and the large amount of time needed for data entry led to problems with timeliness, especially in terms of written reporting during active surveillance.
Widespread active public health surveillance in child care facilities is not feasibie for most local health departments.
Improvements in public health surveillance in child care sertings will depend on acceptability to providers.
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Maladie contagieuse, Surveillance sanitaire, Système actif, Système passif, Evaluation système, Crèche, Etude comparative, Enfant, Homme
Mots-clés Pascal anglais : United States, North America, America, Communicable disease, Sanitary surveillance, Active system, Passive system, System evaluation, Nursery, Comparative study, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0074253
Code Inist : 002B05A02. Création : 14/05/1998.