In daily public health practice to monitor the data of ED-SSS, careful verification and systematic management is needed once the aberration signals are detected. The server needs an automatic error feedback system function instead of the original use of engineers to double check for data errors would increase the efficiency and completeness of surveillance. Future efforts require closer collaboration between computer-science professionals and medical informatics personnel at the Taiwan-CDC to establish a system with the standard operating procedures (SOP) for database maintenance and to provide more continuous on-job training for both hospital users and local and central public health agencies [30] .