全球基孔肯雅热暴发事件早期探测对比分析

Comparative analysis of early detection of global chikungunya fever outbreaks

  • 摘要:
    目的 本研究旨在比较开源监测系统与官方通报系统在基孔肯雅热暴发事件早期监测中的表现,并探讨前者与历史病例数据的趋势一致性。
    方法 收集2000年1月1日至2025年9月30日的新发疾病监测计划(ProMED)与世界卫生组织(WHO)疾病暴发新闻(WHO DON)中有关基孔肯雅热事件的报道,同时收集全球2000—2024年基于官方网站和文献公开发布的历史病例数据。 利用大语言模型辅助完成事件的自动识别与提取,依据国家(或地区)、时间及经济发展水平对事件进行合并与分类。 通过比较ProMED与WHO DON事件发布时间,评估其时效性;以病例数为参照分析ProMED事件趋势的代表性。
    结果 研究共获得ProMED事件1 322起,覆盖95个国家(或地区);WHO DON事件33起,覆盖26个国家(或地区)。 两者匹配的28起事件中,ProMED的报道时间中位数较WHO DON提前13 d,约67.86%的事件在ProMED中更早被报道。 全球基孔肯雅热病例在2006、2014和2024年出现三次高峰,ProMED事件数在相应年份亦显著增加,二者在主要流行阶段表现出一致性。 二者趋势在低收入组、中高收入组、高收入组中表现出明显的同步性,在中低收入组趋势差异较大。
    结论 ProMED在基孔肯雅热疫情的早期信号捕捉方面优于WHO DON,能更敏锐地反映地方性及小规模暴发,而WHO DON更侧重具有国际影响的重大事件。 ProMED事件数反映的时间趋势与历史病例高度一致,显示其在宏观层面能有效反映疫情动态。 结合两类数据可提升全球传染病监测体系的时效性与完整性,为未来突发公共卫生风险的早期预警提供参考。 本研究采用的事件报道和病例报告取决于当地开源信息的可及性和传染病监测系统完善程度,尤其在低收入组和中低收入组并不能完全反映当地疫情,仍需结合现场调查进行综合评估。

     

    Abstract:
    Objective This study aims to compare the performance of open-source surveillance systems and official reporting systems in the early detection of chikungunya fever outbreaks, and to examine the consistency of trends between the former and historical case data.
    Methods Reports on chikungunya-related events were collected from the Program for Monitoring Emerging Diseases (ProMED) and the World Health Organization Disease Outbreak News (WHO DON) between January 1, 2000 and September 30, 2025. In addition, historical global case data from 2000 to 2024 were compiled based on information publicly released through official websites and the published literature. The large language model is used to assist in the automatic identification and extraction of events, and the events are merged and classified according to the country ( or region ), time and economic development level. Timeliness was evaluated by comparing the reporting dates of events in ProMED and WHO DON, while the representativeness of ProMED event trends was assessed using reported case numbers as a reference.
    Results  A total of 1 322 ProMED events were obtained, covering 95 countries ( or regions ). There were 33 WHO DON events, covering 26 countries ( or regions ). Among the 28 events that matched the two, the median reporting time of ProMED was 13 days earlier than that of WHO DON, and about 67.86 % of the events were reported earlier in ProMED. Global Chikungunya fever cases peaked three times in 2006,2014 and 2024, and the number of ProMED events also increased significantly in the corresponding years. The two showed consistency in the main epidemic stages. The trend of the two groups shows obvious synchronicity in the low-income group, the middle-high income group and the high-income group, and the trendof the middle-low income group is quite different.
    Conclusion ProMED demonstrates superiority over WHO DON in capturing early signals of chikungunya outbreaks, providing more acute detection of endemic and small-scale occurrences, whereas WHO DON places greater emphasis on major events with international implications. ProMED events’ temporal trends exhibit high consistency with historical case data, indicating its effectiveness in reflecting epidemic dynamics at a macro level. Integrating both datasets enhances the timeliness and comprehensiveness of global infectious disease surveillance systems, providing valuable reference for early warning systems against future public health emergencies. The event reports and case reports used in this study depend on the availability of local open source information and the completeness of the infectious disease surveillance system. Especially in the low-income group and the middle-low income group, they cannot fully reflect the local epidemic situation, and still need to be comprehensively evaluated in combination with on-site investigations.

     

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