Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Nov 3, 2025
Date Accepted: Mar 23, 2026

The final, peer-reviewed published version of this preprint can be found here:

Early Detection Intervals for Evaluating Event-Based Surveillance System: Reference Dataset Development Study

Shen Y, AbdelMalik P, Steele RJ, Buckeridge DL

Early Detection Intervals for Evaluating Event-Based Surveillance System: Reference Dataset Development Study

JMIR Public Health Surveill 2026;12:e87030

DOI: 10.2196/87030

PMID: 42085652

Early Detection Intervals for Evaluating Event-Based Surveillance: Development of a Reference Dataset

  • Yannan Shen; 
  • Philip AbdelMalik; 
  • Russell J. Steele; 
  • David L. Buckeridge

ABSTRACT

Background:

Early detection of health threats is an objective of public health surveillance and event-based surveillance (EBS) using unstructured ad hoc information from diverse sources has served an increasingly important role in achieving this objective. However, evaluation of EBS systems has been hindered by the lack of reference data on outbreak onsets.

Objective:

In this study, we introduce the concept of an “early detection interval” and create a dataset of these intervals in multiple countries for the epidemic caused by the Omicron variant.

Methods:

We define the early detection interval as the time between the date of introduction of an infectious agent to a country and the date at which an increase is detectable in traditional public health surveillance data. To determine the date of introduction of the Omicron variant, we analyzed phylogenetic studies and genome databases. We estimated the end of the interval by applying Bayesian online change point detection to reported COVID-19 case counts. In addition to the early detection intervals, this dataset also contains variables indicating data quality, such as discordance between interval start dates using phylogenetic estimation and data from genomic sample collection & submission.

Results:

This dataset includes early detection intervals for 117 countries with a median length of 28 (IQR: 18 – 44) days, highlighting the potential value of early outbreak detection.

Conclusions:

This dataset can serve as a reproducible reference framework to evaluate the timeliness of alerts generated by EBS.


 Citation

Please cite as:

Shen Y, AbdelMalik P, Steele RJ, Buckeridge DL

Early Detection Intervals for Evaluating Event-Based Surveillance System: Reference Dataset Development Study

JMIR Public Health Surveill 2026;12:e87030

DOI: 10.2196/87030

PMID: 42085652

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.