Lessons from History for Designing and Validating Epidemiological Surveillance in Uncounted Populations
2011

Using Historical Data to Improve Health Surveillance in Low-Income Countries

Sample size: 6000000 publication Evidence: moderate

Author Information

Author(s): Peter Byass, Osman Sankoh, Stephen M. Tollman, Ulf Högberg, Stig Wall

Primary Institution: Umeå Centre for Global Health Research, Umeå University

Hypothesis

Can local health data from low- and middle-income countries be representative of national data?

Conclusion

Local data from certain counties in Sweden in 1925 can serve as reliable proxies for national health data, suggesting similar local data in low- and middle-income countries may also be representative.

Supporting Evidence

  • Most counties in Sweden in 1925 had mortality rates within 10% of the national average.
  • The study suggests that local data can be representative of national data in low- and middle-income countries.
  • Historical data from Sweden shows similarities to current LMIC populations in terms of demographic and mortality patterns.

Takeaway

The study shows that local health data can be just as good as national data if chosen carefully, which is important for countries that don't have good national health records.

Methodology

The study analyzed historical Swedish national data from 1925 to compare local and national mortality rates.

Potential Biases

Potential biases due to the historical context and differences in health systems between Sweden in 1925 and contemporary LMICs.

Limitations

The study relies on historical data, which may not fully represent current conditions in low- and middle-income countries.

Participant Demographics

The study used data from the Swedish population in 1925, which had a high mortality rate and a low proportion of older individuals.

Digital Object Identifier (DOI)

10.1371/journal.pone.0022897

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