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 Statistical Monitoring of Condemnations from Slaughterhouses Flavie Vial*1, Sarah Thommen2 and Leonhard Held2 1Vetsuisse Faculty, Veterinary Public Health Institute, Bern, Switzerland; 2Institute of Social and Preventive Medicine, Zürich, Switzerland Objective We evaluate the performance of the improved Farrington algorithm for the detection of simulated outbreaks in meat inspection data. Introduction Meat inspection data are routinely collected over several years providing the possibility to use historical data for constructing a baseline model defining the expected normal behaviour of the indicator monitored. In countries in which the reporting of data is compulsory (e.g. in the EU), coverage of the majority of the slaughtered population is ensured. Methods This study focuses on the whole carcass condemnations (WCC) of cattle slaughtered in Switzerland between 2007 and 2012 (1). The monthly time series was retrospectively modelled using the function {hhh4} in the R {surveillance} package (2). The mean monthly incidence was decomposed additively into an auto-regressive component; and an endemic component multiplied by the offset to adjust for variation in the number of total animals slaughtered per month. The retrospective model was used to simulate a baseline series to which an outbreak was added at a random starting point ti. Outbreak sizes were randomly generated as Poisson with mean equal to k times (with k from 2 to 10) the standard deviation of the baseline count at ti (1000 simulations for each k). The improved Farrington algorithm (3) was applied for outbreak detection using the {faringtonFlexible} function: Results Algorithm A includes parameters chosen according to the results of the retrospective analysis (no trend and no seasonality). Algorithm B includes more historic data (b=3 instead of b=2) and considers monthly seasonal effects (w=0). Both algorithms produced less than one false alarm per year. In terms of probability of detection (POD), algorithm A outperforms algorithm B at the detection of larger outbreaks (k=5 to 10), but the latter is more appropriate when looking to detect smaller outbreaks (Figure 1). Conclusions The improved Farrington algorithm led to low false positive rate (FPR) but the POD was low for small outbreaks. Furthermore, more than 50% of the outbreak cases had already occurred by the time the outbreak was detected. The low temporal resolution of this dataset currently limits its use for early detection. Table 1: Outbreaks attributes in WCC data (averaged over 1000 simulations for each k) POD and FPR of algorithms A &B for different outbreak sizes (k) Keywords Meat inspection; veterinary public health; syndromic surveillance Acknowledgments Marion Zumbrunnen extracted the data & Sebastian Meyer helped with the R programming. References 1.Vial F, Reist M. Evaluation of Swiss slaughterhouse data for integration in a syndromic surveillance system. BMC Vet Res. 2014 Jan;10:33. 2.Höhle M. { surveillance} : An R package for the monitoring of infectious diseases. Comput Stat. 2007 Aug;22(4):571–82. 3.Noufaily A, Enki DG, Farrington CP, Garthwaite PH, Andrews NJ, Charlett A. An improved algorithm for outbreak detection in multiple surveillance systems. Stat Med. 2013 Mar 30;32(7):1206–22. *Flavie Vial E-mail: flavie.vial@vetsuisse.unibe.ch Online Journal of Public Health Informatics * ISSN 1947-2579 * http://ojphi.org * (1):e169, 201