medRxiv PreprintsInternational12 October 2026
EpiAlert: A Transparent CUSUM-EWMA Framework for Early Warning of Unusual Influenza-Like Illness Surveillance Activity
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Automated surveillance systems can prove to be extremely useful in detecting outbreaks of respiratory diseases that need further epidemiological investigation. In order for the system to be effective, careful attention has to be paid to the baseline used, absence of the observations, and the use of proper statistical methods. As a solution, the paper describes EpiAlert, a weekly surveillance system based on CDC FluView ILINet. The system is able to transform the number of ILI visits and the total number of visits into a ILI prevalence for the region, create the first reference from the three p
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