  Background: Online news reports are increasingly becoming a source for event
based early warning systems that detect natural disasters. Harnessing the
massive volume of information available from multilingual newswire presents as
many challenges as opportunities due to the patterns of reporting complex
spatiotemporal events. Results: In this article we study the problem of
utilising correlated event reports across languages. We track the evolution of
16 disease outbreaks using 5 temporal aberration detection algorithms on
text-mined events classified according to disease and outbreak country. Using
ProMED reports as a silver standard, comparative analysis of news data for 13
languages over a 129 day trial period showed improved sensitivity, F1 and
timeliness across most models using cross-lingual events. We report a detailed
case study analysis for Cholera in Angola 2010 which highlights the challenges
faced in correlating news events with the silver standard. Conclusions: The
results show that automated health surveillance using multilingual text mining
has the potential to turn low value news into high value alerts if informed
choices are used to govern the selection of models and data sources. An
implementation of the C2 alerting algorithm using multilingual news is
available at the BioCaster portal http://born.nii.ac.jp/?page=globalroundup.
