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SURVEILLANCE TOOLS FOR
PUBLIC HEALTH DATA AND
MESSAGE STREAMS
DAVID MADIGAN
DEPARTMENT OF STATISTICS,
INSTITUTE OF BIOSTATISTICS, &
DIMACS
RUTGERS UNIVERSITY
OVERVIEW
Brief description of two activities at DIMACS:
• The DIMACS Working Group on Adverse Event and
Disease Surveillance
- 50+ members – public health, universities, industry
- National Science Foundation
• Monitoring Message Streams Project
- A dozen researchers and programmers
- Intelligence Agencies
http://www.stat.rutgers.edu/~madigan/
SURVEILLANCE WORKING GROUP
• WG meetings plus week-long tutorial on analytic
methods
• Coordinated closely with the National Syndromic
Surveillance Conferences
SURVEILLANCE WORKING GROUP
• Challenge: Find anomalies in streams of public
health data (disease incidence, medicine sales, ED
chief complaints, adverse events)
• Why?
– Detect disease outbreaks
– Post-marketing surveillance
of medical product safety
– Bioterrorism
CLASSICAL SURVEILLANCE METHODS
• Find anomalies/changepoints in single streams
Sequential Probability Ratio Test (Wald, 1948)
NEW SURVEILLANCE CHALLENGES
• Find anomalies/changepoints in multivariate,
heterogeneous streams
ED “chief complaint”
SCAN STATISTICS
MONITORING MESSAGE STREAMS
• Finding “interesting” messages in large streams
• Interesting =
– Human analyst should read
– Important new topic
– Significant with respect to subsequent events
FIVE COMPONENT PROCESS
Representation
Compression
Matching
Learning
Fusion
representing documents in a computer
massive streams => compression
which messages are similar?
statistical methods for learning from data
mix ‘n’ match
•Best-ever accuracy on some standard test problems
SUMMARY
• Dramatically increased interest in public health surveillance
• Homeland security motivation
• Public health benefits
• Exciting analytical challenges
“22-year-old woman, w/nausea, vomiting, and a dull pain in
her back for three weeks. woman had eaten a tube sock.”
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