Gloria Figueroa, Stephanie Castañeda, Hayley McLean, Jasmine Dukandar, Shanique Wilson, Paul Martin, Sara M St George, Luis Araya-Acero, Patricia D Jones
Low Health Literacy, Lack of Knowledge, and Self-Control Hinder Healthy Lifestyles in Diverse Patients with Steatotic Liver Disease
Digestive diseases and sciences
syndromic surveillance supplements traditional laboratory reporting infectious diseases monitoring prior widespread covid19 community surveillance syndromic surveillance one several systems providing realtime information changes healthcareseeking behaviour study objective identify changes healthcare utilisation periods high local media reporting england using differenceindifferences retrospective observational study conducted using five media events januaryfebruary 2020 england four routinely monitored syndromic surveillance indicators dates exposed media event estimated using google trends internet search intensity data terms coronavirus local authority la constructed negativebinomial regression model indicator event time period estimate direct effect estimated fourfold increase telehealth cough calls 14fold increase emergency department ed attendances acute respiratory illness brighton hove socalled superspreading event location reported local national media significant decreases observed buxton telehealth ed attendance wirral ed attendance areas media reports returnee outbreak abroad quarantine site opening area respectively used novel approach directly estimate changes syndromic surveillance reporting early phase covid19 pandemic england providing contextual information interpretation changes health indicators careful consideration event timings useful producing realtime estimates specific indicators informing public health action