Intended for healthcare professionals

Letters Defining covid-19 elimination

Elimination of covid-19: beware of surveillance bias

BMJ 2021; 374 doi: https://doi.org/10.1136/bmj.n2126 (Published 03 September 2021) Cite this as: BMJ 2021;374:n2126
  1. Stefano Tancredi, fellow in public health12,
  2. Daniela Anker, postdoctoral research fellow and epidemiologist1,
  3. Laura Rosella, professor of public health and epidemiologist3,
  4. Arnaud Chiolero, professor of public health and epidemiologist14
  1. 1Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
  2. 2Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
  3. 3Dalla Lana School of Public Health, University of Toronto, ON, Canada
  4. 4School of Population and Global Health, McGill University, Montreal, QC, Canada
  1. achiolero{at}gmail.com

Surveillance bias occurs when looking at health conditions that have differential intensity across populations, over time, or according to care setting or type of patient.1 As a result, any difference in frequency of the condition might not reflect a change in the actual risk of this condition but rather differences in the modality of detection or patient characteristics.2

Is this happening with covid-19? On the brink of a new wave of the pandemic, clarity on this point is …

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