Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-11T07:08:13 RDF description of Syndromic surveillance for measleslike illnesses in a managed care setting - http://repository.healthpartners.com/individual/document-rn18614 10.1086/378775 Measles/diagnosis 13828 International Classification of Diseases Population Surveillance/*methods Fever/diagnosis/*epidemiology Databases, Factual Incidence 189 Suppl 1 Managed Care Programs/*statistics & numerical data document-rn18614 22236 Journal of Infectious Diseases 2022-02-21T22:48:57.408-06:00 Infant Diagnosis, Differential Syndromic surveillance for measleslike illnesses in a managed care setting Syndrome Disease Notification <p>Surveillance for measles must be enhanced to support the objective of measles elimination in the United States. Many conditions produce febrile rash illnesses that are clinically similar to measles; investigations of measleslike illnesses (MLIs) should occur regardless of the incidence of measles. Few data exist regarding the incidence of MLI in the United States, and it is unknown how providers evaluate patients with such conditions. We searched databases at a large managed care organization to obtain complete ascertainment of MLI during 1994-1998. Among 6000000 patient encounters, 68 records were identified that met the study case definition. The incidence of MLI was 4.5 cases/100000 persons/year. Measles diagnoses were considered by physicians for 9 patients (13.2%); 2 were laboratory-tested and reported to the state health department and the other 7 were given alternative diagnoses. It was not possible to determine for the remaining MLI patients whether measles was ruled out on clinical grounds or whether the possibility was not considered. Provider education regarding evaluation and reporting of measles is warranted. Databases at health care plans can be used to address public health issues and to establish syndromic surveillance for communicable diseases.<p> public Exanthema/diagnosis/*epidemiology Minnesota/epidemiology