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As an essential branch of context awareness, activity awareness, especially daily activity monitoring and fall detection, is important to healthcare for the elderly and patients with chronic diseases. In this paper, a framework for activity awareness using surface electromyography and accelerometer (ACC) signals is proposed. First, histogram negative entropy was employed to determine the start- and end-points of static and dynamic active segments. Then, the angle of each ACC axis was calculated to indicate body postures, which assisted with sorting dynamic activities into two categories: dynamic gait activities and dynamic transition ones, by judging whether the pre- and post-postures are both standing. Next, the dynamic gait activities were identified by the double-stream hidden Markov models. Besides, the dynamic transition activities were distinguished into normal transition activities and falls by resultant ACC amplitude. Finally, a continuous daily activity monitoring and fall detection scheme was performed with the recognition accuracy over 98%, demonstrating the excellent fall detection performance and the great feasibility of the proposed method in daily activities awareness.