Research Article

Evaluating the Timeliness of Enteric Disease Surveillance in British Columbia, Canada, 2012-13

Table 1

Time intervals between steps in the surveillance of enteric diseases, BC, 2012-13.

Time interval1Salmonella median [IQ] (range) in daysSTEC median [IQ] (range) in daysShigella median [IQ] (range) in daysListeria median [IQ] (range) in days

Laboratory surveillance1: symptom onset to sample collection6 [3–11] (0–163)4 [3–8] (0–108)7 [4–13] (0–137)3 [1–4] (0–13)
2: sample collection to sample receipt at PHL5 [3–6] (0–36)4 [2–6] (0–46)4 [3–5] (0–20)3 [2–4] (0–7)
3: sample receipt at PHL to PHL confirmation (incl. serotype or species)3 [2–4] (1–70)6 [2–21] (1–173)1 [1–3] (1–30)6 [3–8] (2–69)
4: PHL confirmation to start of PFGE run6 [3–8] (0–55)6 [5–10] (1–83)8 [5–12] (0–34)6 [5–8] (0–13)
5: start of PFGE run to report of PFGE result to provincial epidemiologists10 [8–22] (1–57)8 [5–10] (1–44)9 [7–14] (2–49)NA2
6: PHL confirmation to isolate sent for PT7 [3–8] (0–27)NANANA
7: isolate sent for PT to receipt of PT result at PHL5 (2–26)NANANA
8: receipt of PT result at PHL to report of PT result to provincial epidemiologists9 [2–22] (0–38)NANANA
A1: symptom onset to report of results to provincial epidemiologists35 [25–48] (15–179)26 [22–34] (13–99)36 [27–49] (18–165)NA2

Epidemiological surveillance9: sample collection to regional health authority notification4 [3–6] (0–18)5 [3–7] (0–30)4 [3–6] (0–35)3 (1–8)
10: regional health authority notification to case report entry0 (0–20)0 (0–2)0 (0–3)0 (0-0)
11: case report entry to first attempt to contact1 [0–2] (0–62)0 (0–19)0 (0–31)1 [1–5] (0–55)
12: first attempt to contact to completed interview0 (0–43)0 (0–38)0 (0–29)0 [0–3] (0–6)
B1: symptom onset to completed interview14 [9–21] (2–168)12 [8–18] (3–119)14 [10–21] (5–148)13 [8–17] (3–61)

Numbers refer to intervals in Figure 1. Dates for reporting Listeria PFGE to provincial epidemiologists were not available (not in regular weekly report).