analysis of surveillance data
TRANSCRIPT
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ANALYSIS OF SURVEILLANCE
DATADr. Ronnie D. Domingo
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Design
formField data
gathering
Dataencodin
g
Data Analysi
s
ReportWritin
g
Data Processing
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Data
pro
cess
ing
• Sorting• Coding• Editing • Summarizing
Data analysis
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Data processing
• A series of steps undertaken to transform collected raw data into a form suitable for statistical analysis (Sanchez et al, 1989)
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Data sorting method
• Types of data sheets• Numbering system for
data sheets (especially for surveys)
• The physical “container” for these raw data
Sorting
Coding
Editing
Summarizing
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Data Coding• Examples
Data Possible codes
“Yes” answer Y or 1
“No” answer N or 2
No response 999 or U for unknown
Does not know 888 or D
Sorting
Coding
Editing
Summarizing
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Data editing/ validation
Examine the data for four things: C.A.T.S.• Completeness• Accuracy• Traceability• Standard format
Sorting
Coding
Editing
Summarizing
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Spreadsheet from Hell
By Daniel W. Byrne
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Spreadsheet from Heaven
By Daniel W. Byrne
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GIGO• Garbage In, Garbage Out
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Form Level Validation:
• At the stage of filling up the online or printed form.
• Mandatory vs optional fields• INC entries= “SUBMIT” failD
ata
Vali
dat
ion
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Field Level Validation:
• Field= space where you write the answer
• “Farmer’s Name” field = Fernan@do Cruz
• Date: 03-02-2016• Provide a list of possible
answers• Other fields auto appear or
disappear
Dat
a Va
lid
atio
n
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Data Saving Validation:
• Option: keep the record as a draft copy vs “Submit” as final copy
• User with time to review and revise entries
Dat
a Va
lid
atio
n
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Validation of Continuous Variables
• Continuous variables: age, height, weight, feed consumption, size of lesion, egg per gram of feces, temperature, etc.
• Check the following: – Minimum value– maximum value– mean– median
Vari
able
s
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Validation techniques
Sample bar chart of lung score of pigs from several farm sources. The expected lung scores should range from 0-55. Note “farmer117” registered an erroneous lung score of 60.
Farmer1
11
Farmer1
12
Farmer1
13
Farmer1
14
Farmer1
15
Farmer1
16
Farmer1
17
Farmer1
18
Farmer1
19
Farmer1
20
Farmer1
21
Farmer1
22
Farmer1
23
Farmer1
24
Farmer1
25
Farmer1
26
Farmer1
27
Farmer1
28
Farmer1
290
10
20
30
40
50
60
70
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Validation of Categorical Variables
• Categorical Variables –– nominal (sick, healthy)– ordinal (+,++, +++)
• Techniques:– Frequency checks– Cross Tabulations
Vari
able
s
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Cross-check variables to detect awkward combinations.
Example a male dog positive for metritis.
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Data Verification
• Comparing the output of two encoders
• Comparing the data on the screen against the original paper document.
• Comparing the print out of the computer database and the original printed document.
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Summarizing the data
6400 records6002 usable398 rejected4565 from Bulacan1835 from Pampanga
83 other places2 files Abat.xls Farm.xls
Sorting
Coding
Editing
Summarizing
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Design
formField data
gathering
Dataencodin
g
Data Analysi
s
ReportWritin
g
Data Processing
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Data analysis
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Data analysis: Tools
• Install statistical and graphics software packages
• Examples: SAS, SPSS, STATA, Epi Info, R software, Open Epi, Win Epi, QGIS
• Check the provider for newer software packages.
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Type of Statistical Analysis
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Descriptive statistics
Measures Descriptive StatisticsMeasures of central tendency
Mean, median, mode
Measures of variation Range, variance, standard deviation, standard error, confidence limits
Frequency distribution Counts or proportions in different groups; use frequency tables, histograms and other graphs for visual presentation
Rates and ratios Incidence, prevalence, etc.
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Inferential statistics
Tests for difference Tests for Association
See next page Cohort study= Relative risk, attributable riskCase-control study = Odds ratioExperimental study = Protective valueCorrelation and regression analysis = linear relationship, non-linear relationship
From your sample, make inferences about the larger
population
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Inferential statistics(deduce, generalize, extrapolate)
• Uses the theory of probability to make inferences about larger populations from your sample.
• The pattern seen in the analyzed sample is extrapolated to the target population.
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Tests
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Sample flow chart to select the appropriate statistical test
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Essential components of a common report in veterinary
practice
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Generate information from collected data.
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Name the comic hero who caught this criminal?
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The Phantom
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Who visited this place?
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Calling?
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Every disease leaves a distinct
mark
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Two premises of modern epidemiology:
Diseases in populations do not occur
in random fashion
Diseases in populations do have multiple determinants
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Disease patterns are described based on three main epidemiologic variables:
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Reasons for the Epi Triad:
• The three = most important;• The result= significant
information• The process= systematic• The by-product= hypothesis;• The output = transferable to
the stakeholders.
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Information is processed data
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Basic Activities: CDC
Count Aggregate the cases in the line listing by characteristic (e.g., place, animal, time)
Divide Divide the number of cases by the relevant denominator
Compare
Compare incidence across groups
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Forms of analysis output
• Textual• Tabular• Graphical
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Data Presentation: Graphical (Horizontal bar graph)
SFB
BFB
PFB
RFB
PGF
AAF
RDF
SCF
0 10 20 30 40 50 60 70 80 90
Proportion of positive samples (%)
Farm
Cod
e
Figure 1. Bar Graph of the proportion of Mycolasma hyopneumonia positive samples per farm of origin as detected by LAMP technique
Qualitative data
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Data Presentation: Graphical (Vertical bar graph)
Aurora Bataan Bulacan N.Ecija Pampanga Tarlac Zambales -
50,000
100,000
150,000
200,000
250,000
300,000
350,000
Figure 1. Estimated dog population in the different provinces of Region III, 2013)
Qualitative data
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2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
50
100
150
200
250
300
350
400
450
500
Data Presentation: Graphical (Line graph)
Figure 2. Secular trend of animal rabies in Central Luzon, 2002 to 2013.
ContinuousQuantitative
data
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Data Presentation: Graphical (Pie Graph)
Bulacan20%
Nueva Ecija15%
Tarlac10%
Pampanga30%
Zambales7%
Aurora6%
Bataan12%
Figure 3. Rabies vaccine allotment to different provinces in Central Luzon, 2013
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AnimalWhich type of animals are prone to develop the disease and which
type tends to be spared?
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Common groupings employed in epidemiology
AgeSex
SpeciesBreed
Use
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Disease patterns are described based on three main epidemiologic variables:
AgeSex
SpeciesBreed
Use
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Classification of time trends
• Short term• Cyclical• Seasonal• Long-term
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Graphs of endemic and sporadic diseases
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January February March April May June July August September October November December0
5
10
15
20
25
Seasonal distribution of animal rabies in Central Luzon, 2002-2011
Month
Inci
denc
e co
unt o
f ani
mal
rabi
es
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Disease patterns are described based on three main epidemiologic variables:
AgeSex
SpeciesBreed
Use
Short termCyclicalSeasonalLong-term
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Surra Prevalence – CATT Percent Positive by Municipality
Source: EAHMI, based on data provided by PAHC and RADLs.
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Types of Thematic Maps
1. Qualitative maps= maps that show non-measurable characteristics (e.g. Low and high rainfall).
2. Quantitative maps= maps that depict areas with measured variations
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Qualitative Map
Geographic distribution of Japanese encephalitis
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Types of quantitative maps: (a) Dot maps (b) Choropleth maps (c) Isopleth maps(d) Proportional symbol maps
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Dot Maps
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Choropleth maps
• Geographic areas are shaded or colored according to a prearranged key, each shading or color type corresponding to a range of values
• Commonly used in showing population density information
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Isopleth Map
from iso meaning “equal” and pleth meaning “lines.”
Dot maps Choropleth maps Isopleth maps Proportional symbol maps
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