Landelijk gezondheidsonderzoek bij rampen

Bosmans, Mark; Marra, Emanuele; Tak, Nannah; Jansen, N; Zwart, Femke de; Dückers, Michel

doi:10.1007/s12508-021-00326-7

Cited by 3 publications

References 7 publications

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The SaP (Symptoms and Perceptions) questionnaire: A valid tool for health research in disasters and environmental threats

Baliatsas,

Dückers,

Yzermans

2023

TSG Tijdschr Gezondheidswet

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SamenvattingDe SaP (Symptomen en Percepties)-vragenlijst is een betrouwbaar, valide en openbaar instrument, bedoeld voor epidemiologisch onderzoek naar lichamelijke symptomen en psychische problemen, waaronder gezondheidsklachten na rampen. De SaP-vragenlijst is gebaseerd op de classificatie van symptomen in de eerstelijnszorg en evalueert een breed scala aan symptomen uit verschillende orgaansystemen op basis van aantal, duur en waargenomen ernst. Bovendien kunnen ook de bijbehorende percepties worden meegenomen, zoals opvattingen en causale attributie, om meer inzicht te krijgen in de subjectieve impact en oorzaak van de ervaren symptomen. In dit artikel wordt de redenering achter de ontwikkeling van de SaP-vragenlijst toegelicht en een uitgebreid overzicht gegeven van de belangrijkste kenmerken. Verder wordt aangegeven waarom de SaP-vragenlijst mogelijk ook een waardevol instrument is voor het evalueren en monitoren van gezondheidsklachten.

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The SaP (Symptoms and Perceptions) questionnaire: A valid tool for health research in disasters and environmental threats

Baliatsas,

Dückers,

Yzermans

2023

TSG Tijdschr Gezondheidswet

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COVID-19 Health Impact: A Use Case for Syndromic Surveillance System Monitoring Based on Primary Care Patient Registries in the Netherlands

Rahmon,

Bosmans,

Baliatsas

et al. 2024

JMIR Public Health Surveill

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Background The COVID-19 pandemic challenged societies worldwide. The implementation of mitigation measures to limit the number of SARS-CoV-2 infections resulted in unintended health effects. Objective The objective of this study is to demonstrate the use of an existing syndromic surveillance system in primary care during a first series of quarterly cross-sectional monitoring cycles, targeting health problems presented in primary care among Dutch youth since August 2021. Methods Aggregated data from the surveillance system of Nivel Primary Care Database were analyzed quarterly to monitor 20 health problems often reported in the aftermath of disasters and environmental incidents. Results were stratified by age (ie, 0‐4, 5‐14, and 15‐24 years), sex, and region (province). Weekly prevalence rates were calculated as the number of persons consulting their general practitioner in a particular week, using the number of enlisted persons as the denominator. Findings were compared to quarterly survey panel data, collected in the context of the Integrated Health Monitor COVID-19, and the Dutch stringency index values, indicative of the intensity of COVID-19 mitigation measures. Results Over time, weekly rates pointed to an increased number of consultations for depressive feelings and suicide (attempts) among youth, during and after periods with intensified domestic restrictions. Conclusions The results illustrate how, from a disaster health research perspective based on the COVID-19 pandemic, health consequences of pandemics could be successfully followed over time using an existing infrastructure for syndromic surveillance and monitoring. Particular areas of health concern can be defined beforehand, and may be modified or expanded during the monitoring activities to track relevant developments. Although an association between patterns and changes in the strictness of mitigation measures might seem probable, claims about causality should be made with caution.

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Monitoring the health impact of the COVID-19 pandemic: How an existing syndromic surveillance system was used to periodically monitor youth health in the Netherlands (Preprint)

Rahmon,

Bosmans,

Baliatsas

et al. 2023

Preprint

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BACKGROUND The COVID-19 pandemic challenged societies worldwide. The implementation of mitigation measures to limit the number of SARS-CoV-2 infections, resulted in unintended health effects among females and youth. OBJECTIVE To demonstrate how an existing syndromic surveillance system in primary care can be used to periodically monitor changes in health problems during and after the COVID-19 pandemic. We describe the methodology as applied during a first series of multiple cross-sectional quarterly monitoring cycles, targeting health problems presented in primary care among the Dutch youth performed since August 2021. METHODS Aggregated data from the surveillance system of Nivel Primary Care Database were analyzed quarterly to map twenty health problems that are often reported in the aftermath of disasters and environmental incidents. Results were stratified by age (i.e., 0-4, 5-14, and 15-24 years), sex and region (province). Weekly prevalence rates were calculated as the number of persons consulting their general practitioner in a particular week, using the number of enlisted persons as denominator. Findings were compared to quarterly survey panel data, collected in the context of the Integrated Health Monitor COVID-19, and the Dutch stringency index values, indicative for the intensity of COVID-19 mitigation measures. RESULTS Over time, weekly rates pointed to an increased number of consultations for depressive feelings and suicide (attempts) among youth and young adults (0-24 years of age), during and after periods with intensified domestic restrictions. CONCLUSIONS The results illustrate how, from a disaster health-research perspective, health consequences of the COVID-19 pandemic could be successfully followed over time using an existing infrastructure for syndromic surveillance and monitoring. Particular areas of health concern can be defined beforehand (and modified or expanded) during the monitoring activities to track relevant developments. Although an association between patterns and changes between periods (e.g., spread of the virus, strictness of mitigation measures) might seem probable, claims about causality should be made with caution. Nevertheless, the pilot described here – based on the routine registration of general practitioners functioning as a gatekeeper in a stepped care healthcare system – served as a meaningful contribution to the monitoring toolbox to guide local, regional, and national policymakers and professionals in times of the COVID-19 pandemic.

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Landelijk gezondheidsonderzoek bij rampen

Cited by 3 publications

References 7 publications

The SaP (Symptoms and Perceptions) questionnaire: A valid tool for health research in disasters and environmental threats

The SaP (Symptoms and Perceptions) questionnaire: A valid tool for health research in disasters and environmental threats

COVID-19 Health Impact: A Use Case for Syndromic Surveillance System Monitoring Based on Primary Care Patient Registries in the Netherlands

Monitoring the health impact of the COVID-19 pandemic: How an existing syndromic surveillance system was used to periodically monitor youth health in the Netherlands (Preprint)

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