2014.ISDS.Abstracts.Final.pdf ISDS Annual Conference Proceedings 2014. This is an Open Access article distributed under the terms of the Creative Commons Attribution- Noncommercial 3.0 Unported License (http://creativecommons.org/licenses/by-nc/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ISDS 2014 Conference Abstracts Assessment of Several Algorithms for Outbreak Detection using Bovine Meat Inspection Data for Syndromic Surveillance: A Pilot Study on Whole Carcass Condemnation Rate Céline Dupuy*1, 3, Eric Morignat1, Fernanda C. Dórea2, Christian Ducrot3, Didier Calavas1 and Emilie Gay1 1ANSES, Lyon, France; 2Swedish Zoonosis Centre, Uppsala, Sweden; 3INRA, Saint Genès Champanelle, France Objective The objective of the work was to assess the performance of several algorithms for outbreak detection based on weekly proportions of whole carcass condemnation Introduction The majority of farmed animals are sent to slaughterhouses, making them a focal point for potential collection of health data. However, these data are not always available to health officials, and remain under-used for cattle health monitoring. Meat inspection data are mainly non-diagnostic (condemned portion and reasons for condemnation) and cover a large population. These characteristics make them a good candidate for syndromic surveillance. Whole carcass condemnation rate is linked to acute infections which reduces the dilution bias due to the variable period of time between cattle infection and the detection of lesions at the slaughterhouse. Methods Data from 177,098 cattle slaughtered in one French slaughterhouse from 2005 to 2009 were used (proportion of whole carcass condemnations: 0.97%). The method for outbreak detection covered three steps as previously explored by Dórea et al. on laboratory test data [1]: i) preparation of an outbreak-free historical baseline over five years, ii) simulation of over 100 years of baseline time series with injection of artificial outbreak signals with several shapes, durations and magnitudes and iii) assessment of the performance (sensitivity, specificity and precocity) of several algorithms to detect these artificial outbreak signals. The tested algorithms were the Shewart p-chart, one- sided confidence interval of a negative binomial regression model, and EWMA and CUSUM control charts on residuals of a negative binomial model. Age and sex were taken into account because of their known effect on whole carcass condemnation [2]. Results The highest sensitivity was obtained using negative binomial regression and the highest specificity using CUSUM or EWMA (Table 1). EWMA sensitivity was too low to select this algorithm for efficient outbreak detection. CUSUM showed complementary performance to negative binomial regression. Conclusions The use of whole carcass condemnation data for syndromic surveillance is more complex than monitoring counts because we need to take into account the denominator (number of cattle slaughtered) as well as age and sex. The recent deployment of a national meat inspection database in France will enable prospective investigation of this indicator on real data. The Shewart control chart could be used as a first step considering its high sensitivity and simplicity of implementation followed by the negative binomial model and CUSUM on residuals of the negative binomial model when historical data becomes available. Summary statistical values of performance indicators for all age-sex categories For each indicator the median (Minimum-Maximum) values for each age sex category, each outbreak duration (2, 4 and 8 weeks) and magnitude (1 to 4) are presented by outbreak shape and outbreak detection algorithm. Parameters for each algorithm were: for Shewart: K=1.3; for CUSUM: H=2; for EWMA: Lambda=0.4 and L=1.3; for negative binomial regression: 80% confidence interval. Keywords Syndromic surveillance; Animal health surveillance; Early outbreak detection; Time series References 1.Dórea FC, et al. Syndromic surveillance using veterinary laboratory data: data pre-processing and algorithm performance evaluation. J R Soc Interface 2013; 10(83). 2.Dupuy C, et al. Factors associated with offal, partial and whole carcass condemnation in ten French cattle slaughterhouses. Meat Sci 2014; 97(2): 262-269 *Céline Dupuy E-mail: celine.dupuy@agriculture.gouv.fr Online Journal of Public Health Informatics * ISSN 1947-2579 * http://ojphi.org * (1):e125, 201