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Why plague case counts differ between sources

Suspected, probable, confirmed and missing data describe different evidence states. Treating them as interchangeable changes the story.

Two reputable sources can publish different plague totals without either one making a simple arithmetic error. They may use different case definitions, reporting dates, geographic boundaries or stages of verification.

The evidence ladder

A suspected case meets a clinical and epidemiological definition that signals the need for investigation. A probable case has stronger supporting evidence but may still lack complete laboratory confirmation. A confirmed case meets the laboratory criteria specified by the relevant surveillance system.

These categories should be displayed separately. Adding them together without a label makes a provisional signal look like a confirmed total.

Zero and unknown are different values

Plague Map stores the last three as null and displays them as N/A. Replacing them with zero produces false certainty and distorts totals.

Dates matter as much as numbers

An early situation report may count patients under investigation. A later report can reclassify them after testing. Deaths and cases may also refer to different cut-off dates. A case-fatality calculation is meaningful only when its numerator and denominator use compatible definitions and periods.

Our event records therefore keep a source date, data-through date and editorial-review date. The number should always travel with those fields.

Sources