Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district

Record linkage and capture-recapture models were used to estimate the number of cases of human leptospirosis in the health district of Santa Maria, RS in southern Brazil. Twelve months of laboratory, hospital and epidemiological surveillance data were matched by name, age, residence and the month of...

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Main Authors: Liane Brum, Emil Kupek
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702005000600011&lng=en&tlng=en
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author Liane Brum
Emil Kupek
author_facet Liane Brum
Emil Kupek
author_sort Liane Brum
collection DOAJ
description Record linkage and capture-recapture models were used to estimate the number of cases of human leptospirosis in the health district of Santa Maria, RS in southern Brazil. Twelve months of laboratory, hospital and epidemiological surveillance data were matched by name, age, residence and the month of diagnosis. Only laboratory-confirmed cases were considered. The record linkage revealed more than 20 times more cases than the official estimate for the health district, indicating a leptospirosis epidemic, with an annual incidence of more than 3 per 1,000 inhabitants and a case fatality of 0.37%. Severe cases were predominantly found through hospital records, overlapping to some extent with the epidemiological surveillance data, whereas less severe cases were found almost exclusively through laboratory logs. Different combinations of data sources influenced the detection rate for low versus high severity cases. Based on log-linear capture-recapture models, stratified by case severity and taking into account possible dependencies between the data sources, an insignificant number of cases were missed by all sources.
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spelling doaj.art-c9c3317eead943c98669f942f43e4e892022-12-21T18:51:25ZengElsevierBrazilian Journal of Infectious Diseases1678-43919651552010.1590/S1413-86702005000600011S1413-86702005000600011Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health districtLiane Brum0Emil Kupek1Universidade Federal de Santa CatarinaUniversidade Federal de Santa CatarinaRecord linkage and capture-recapture models were used to estimate the number of cases of human leptospirosis in the health district of Santa Maria, RS in southern Brazil. Twelve months of laboratory, hospital and epidemiological surveillance data were matched by name, age, residence and the month of diagnosis. Only laboratory-confirmed cases were considered. The record linkage revealed more than 20 times more cases than the official estimate for the health district, indicating a leptospirosis epidemic, with an annual incidence of more than 3 per 1,000 inhabitants and a case fatality of 0.37%. Severe cases were predominantly found through hospital records, overlapping to some extent with the epidemiological surveillance data, whereas less severe cases were found almost exclusively through laboratory logs. Different combinations of data sources influenced the detection rate for low versus high severity cases. Based on log-linear capture-recapture models, stratified by case severity and taking into account possible dependencies between the data sources, an insignificant number of cases were missed by all sources.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702005000600011&lng=en&tlng=enLeptospirosisrecord linkagecapture-recapturelog-linear modelsreporting bias
spellingShingle Liane Brum
Emil Kupek
Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district
Brazilian Journal of Infectious Diseases
Leptospirosis
record linkage
capture-recapture
log-linear models
reporting bias
title Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district
title_full Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district
title_fullStr Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district
title_full_unstemmed Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district
title_short Record linkage and capture-recapture estimates for underreporting of human leptospirosis in a Brazilian health district
title_sort record linkage and capture recapture estimates for underreporting of human leptospirosis in a brazilian health district
topic Leptospirosis
record linkage
capture-recapture
log-linear models
reporting bias
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702005000600011&lng=en&tlng=en
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