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Modern Public Health Surveillance: Tech, Data, Ethics
International Journal of Public Health and Safety

International Journal of Public Health and Safety

ISSN: 2736-6189

Open Access

Brief Report - (2025) Volume 10, Issue 4

Modern Public Health Surveillance: Tech, Data, Ethics

Thandi Dlamini*
*Correspondence: Thandi Dlamini, Department of Community Health, University of Pretoria, Pretoria, South Africa, South Africa, Email:
1Department of Community Health, University of Pretoria, Pretoria, South Africa, South Africa

Received: 01-Jul-2025, Manuscript No. IJPHS-25-175332; Editor assigned: 03-Jul-2025, Pre QC No. p-175332; Reviewed: 17-Jul-2025, QC No. q-175332; Revised: 22-Jul-2025, Manuscript No. r-175332; Published: 29-Jul-2025 , DOI: 10.37421/2736-6189.2025.10.454
Citation: Dlamini, Thandi. ”Modern Public Health Surveillance: Tech, Data, Ethics.” International Journal of Public Health and Safety 10 (2025):454
Copyright: © 2025 Dlamini T. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited

Introduction

Digital health surveillance systems are crucial for managing infectious diseases, leveraging technology to collect and analyze health data. These systems identify common architectures, functionalities, and data sources, with a focus on enhancing early detection and response. It's important to consider challenges like data privacy and interoperability for effective implementation [1].

Wastewater-based epidemiology has become a powerful, non-invasive public health surveillance tool. This method effectively tracks community-level health indicators, particularly for infectious diseases such as SARS-CoV-2. It complements clinical surveillance by providing broader, earlier insights into pathogen circulation [2].

Effective occupational health surveillance is critical to protect workers exposed to hazardous substances. Research in this area outlines current practices, identifies gaps, and proposes ways to improve surveillance programs. Standardized guidelines, regular monitoring, and early intervention strategies are essential for mitigating health risks across various industrial settings [3].

Syndromic surveillance systems are vital during public health emergencies, helping identify potential outbreaks early, sometimes even before laboratory confirmation. Reviews of these systems highlight challenges and opportunities, including data integration, timely reporting, and sensitivity. Their effectiveness could improve with better data sharing, advanced analytics, and inter-agency collaboration [4].

Global trends in health surveillance from 2010 to 2020 show a clear increase in digital and data-driven approaches. Studies analyzing these trends pinpoint key research areas, influential authors, institutions, and countries. This indicates a definite shift towards more integrated and technologically advanced surveillance strategies, offering insights into the evolving landscape of public health monitoring and future research priorities [5].

Public health surveillance, while undeniably essential, brings up significant ethical considerations. These include privacy, autonomy, and data justice. A systematic review maps out this ethical landscape, identifying recurring themes and underscoring the need for robust ethical frameworks to guide the collection, use, and dissemination of surveillance data. It truly emphasizes balancing the public good with individual rights [6].

Artificial Intelligence (AI) and Machine Learning (ML) are transforming public health surveillance, offering enhanced capabilities for data analysis, prediction, and early anomaly detection. Applications of AI/ML are being leveraged to improve the efficiency and accuracy of surveillance systems, showing promise in areas like outbreak prediction and resource allocation. However, challenges related to data quality and ethical governance remain [7].

Mobile health (mHealth) applications are increasingly important for health monitoring, especially in low- and middle-income countries. Systematic reviews assess the landscape of mHealth apps used for health surveillance, highlighting their role in data collection, disease management, and public health campaigns. They offer benefits like increased accessibility and real-time data, but also face challenges such as infrastructure limitations and user engagement [8].

Integrating genomics into public health surveillance presents unprecedented opportunities for precise disease tracking, outbreak investigation, and understanding pathogen evolution. Genomic surveillance holds promise in identifying resistance patterns and transmission routes. However, challenges concerning data sharing, standardization, and the necessary infrastructure must be addressed to fully leverage this advanced technology [9].

Public health surveillance for cardiovascular diseases (CVDs) is crucial for monitoring disease burden, identifying risk factors, and guiding prevention efforts. Current approaches use various data sources, including administrative data, registries, and electronic health records. Future enhancements for CVD surveillance will likely involve improved data integration, real-time analytics, and population-based strategies [10].

Description

Public health surveillance forms the backbone of disease control and prevention, consistently adapting to new challenges and technological advancements. Digital health surveillance systems are increasingly crucial for managing infectious diseases, using technology to collect and analyze health data. These systems identify common architectures, functionalities, and data sources, highlighting their potential to improve early detection and response, while also requiring careful consideration for data privacy and interoperability [1]. Further, global trends from 2010 to 2020 show an increasing focus on digital and data-driven approaches, identifying key research areas and influential actors, which indicates a significant shift towards more integrated and technologically advanced strategies in public health monitoring [5].

Beyond traditional methods, innovative approaches are shaping how we track pathogens. Wastewater-based epidemiology has emerged as a powerful, non-invasive public health surveillance tool, proving effective in tracking community-level health indicators, especially for infectious diseases like SARS-CoV-2. This method complements clinical surveillance by offering broader, earlier insights into pathogen circulation [2]. Syndromic surveillance systems also play a vital role during public health emergencies by identifying potential outbreaks early, even before laboratory confirmation. These systems face challenges like data integration and timely reporting, but have opportunities for greater effectiveness through improved data sharing, advanced analytics, and inter-agency collaboration [4]. Integrating genomics into public health surveillance also offers unprecedented opportunities for precise disease tracking, outbreak investigation, and understanding pathogen evolution, identifying resistance patterns and transmission routes. Addressing data sharing, standardization, and infrastructure needs is key to leveraging this advanced technology fully [9].

Technology plays a transformative role in enhancing surveillance capabilities. Artificial Intelligence (AI) and Machine Learning (ML) are transforming public health surveillance, providing enhanced capabilities for data analysis, prediction, and early anomaly detection. AI/ML applications improve efficiency and accuracy, identifying promising areas such as outbreak prediction and resource allocation, though data quality and ethical governance remain important considerations [7]. Likewise, Mobile Health (mHealth) applications are increasingly important for health monitoring, especially in low- and middle-income countries. These apps are vital for data collection, disease management, and public health campaigns, offering benefits like increased accessibility and real-time data while confronting challenges such as infrastructure limitations and user engagement [8].

Surveillance extends beyond infectious diseases to include occupational health and chronic conditions. Effective occupational health surveillance is critical for protecting workers exposed to hazardous substances. This involves synthesizing existing literature to outline current practices, identify gaps, and propose directions for improving surveillance programs, emphasizing standardized guidelines, regular monitoring, and early intervention to mitigate health risks [3]. For cardiovascular diseases (CVDs), public health surveillance is crucial for monitoring disease burden, identifying risk factors, and guiding prevention efforts, using data sources like administrative data, registries, and electronic health records. Future directions involve improved data integration, real-time analytics, and population-based strategies [10].

Underlying all these surveillance efforts are significant ethical considerations. Public health surveillance, while essential, raises concerns particularly concerning privacy, autonomy, and data justice. Systematically mapping this ethical landscape identifies recurring themes and highlights the need for robust ethical frameworks to guide the collection, use, and dissemination of surveillance data. It truly underscores the importance of balancing the public good with individual rights in all surveillance practices [6].

Conclusion

Public health surveillance is critical for monitoring and managing various health concerns, from infectious diseases to occupational hazards and chronic conditions. Modern approaches increasingly integrate advanced technologies like digital health systems, Artificial Intelligence (AI), Machine Learning (ML), and Mobile Health (mHealth) applications for enhanced data collection, analysis, and early detection. For infectious diseases, digital surveillance systems, alongside syndromic surveillance, play a vital role in early outbreak identification and response, though they face challenges like data privacy and interoperability. Wastewater-based epidemiology has also emerged as a non-invasive tool for tracking community-level health indicators, offering insights into pathogen circulation that complement clinical methods. Occupational health surveillance programs are essential for protecting workers from hazardous substances, requiring standardized guidelines and regular monitoring. Broader trends in health surveillance reveal a significant shift towards data-driven and integrated strategies. Ethical considerations are paramount across all surveillance activities, particularly concerning privacy, autonomy, and data justice, necessitating robust ethical frameworks. The integration of genomics promises precise disease tracking and understanding pathogen evolution, while mHealth applications are vital for health monitoring, especially in low-income countries. Surveillance for non-communicable diseases like cardiovascular diseases also benefits from improved data integration and real-time analytics, underscoring a comprehensive, technologically informed, and ethically sound approach to public health.

Acknowledgement

None

Conflict of Interest

None

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