“…The most number of manuscripts were affiliated with a university (n = 16), 12,16,17,19,20,24,25,27,[32][33][34]36,40,41,48,55 followed by affiliations with a health department (n = 9). 14,20,22,30,31,38,46,47,49 Other affiliations included the CDC (n = 8), 18 want to use the IIS data for research purposes could be advised to seek such a relationship. There are other possible barriers to the use of IIS data, including concerns regarding confidentiality, data quality and budget constrictions, but further research is needed in this area.…”