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Surveillance means actively watching; you would have to be on the lookout for people with a certain disease even if those people had not sought medical care or perhaps didn't even know they had the disease in question. In comparison, monitoring can be done just be keeping informed about available statistics; you would want to know how many people have had a diagnosis of a particular disease or have been admitted to a hospital to be treated for that disease.

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Q: What is the difference between surveillance and monitoring in disease control?
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