Public health surveillance

Ruth L. Berkelman, Patrick S. Sullivan and James W. Buehler

in Oxford Textbook of Public Health

Fifth edition

Published on behalf of Oxford University Press

Published in print September 2009 | ISBN: 9780199218707
Published online March 2011 | e-ISBN: 9780199609673 | DOI:

Series: Oxford Textbooks

Public health surveillance

More Like This

Show all results sharing these subjects:

  • Public Health and Epidemiology
  • Medical Statistics and Methodology
  • Epidemiology


Show Summary Details


Public health surveillance is the epidemiological foundation for modern public health. Surveillance data resulting from the continuous monitoring of the occurrence of a disease or condition underlie what public health actions are taken and reflect whether these actions are effective. Surveillance may also include monitoring of risk factors associated with adverse health events. A surveillance system should be designed to meet the needs of a prevention and control programme, which generally include a description of the temporal and geographical trends in the occurrence of a health event in a particular population. Most importantly, surveillance systems should identify changes in disease occurrence and in its characterization (for example, changes in antimicrobial resistance, changes in mortality). The data should be useful for substantiating patterns of both endemic and epidemic disease.

General principles that underlie the practice of surveillance are essentially the same for all countries, regardless of economic development. Defining the objectives of a surveillance system depends on what information is needed, who needs it, and how it will be used. Implementing a system will require a balance of competing interests, and a clear statement of objectives will provide a framework for subsequent decisions. Public health surveillance data are collected in many ways, depending on the nature of the health event under surveillance, potential methods for identifying the disease, the population involved, the resources available, and the goals of the programme. The widespread use of the Internet and electronic media has led to innovations in public health surveillance reaching far beyond traditional methods of disease monitoring on an individual patient basis. The performance of surveillance systems can be assessed by using a series of attributes, including sensitivity, timeliness, representativeness, positive predictive value, acceptability, flexibility, simplicity, and costs. Systems should be periodically or continually assessed as part of quality assurance. Surveillance provides a stimulus to keep prevention and control activities moving rapidly and in the right direction, guiding the response to individual cases as well as public policy. The term ‘surveillance’ is derived from the French word meaning ‘to watch over’ and, as applied to public health, means the close monitoring of the occurrence of selected health conditions in the population. Although surveillance methods were originally developed as part of efforts to control infectious diseases, basic concepts of surveillance have been applied to all areas of public health.

Chapter.  15872 words.  Illustrated.

Subjects: Public Health and Epidemiology ; Medical Statistics and Methodology ; Epidemiology

Full text: subscription required

How to subscribe Recommend to my Librarian

Buy this work at Oxford University Press »

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.