In public health, the rapid detection and response to diseases based on surveillance is one of the critical challenges. However, issues such as data incompleteness and reporting delays, which arise from prioritizing human lives, make statistical inference and accurate interpretation challenging, especially during the COVID-19 pandemic and in the face of imminent next pandemics. This study explains public health surveillance and statistical monitoring methods from a statistical perspective, using time-series data and sequential decision analysis. In particular, we elaborate on the Farrington algorithm and spatial scan statistics, which are globally used for the early detection of infectious disease outbreaks. Additionally, we describe methods to evaluate the statistical performance of surveillance, such as the probability of false alarms, detection delays, and detection success rates.
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