In 2004, Sante publique France, the French Public Health Agency set up a reactive all-cause mortality surveillance based on the administrative part of the death certificate, in the final objectives 1/ to detect unexpected or usual variations in mortality and 2/ to provide a first evaluation of mortality impact of events. In 2007, an Electronic Death Registration System (EDRS) was implemented, enabling electronic transmission of the medical causes of death to the agency in real-time. To date, 12% of the mortality is registered electronically.

In recent years, studies in health and medicine have shifted toward eHealth communication and the relationships among human interaction, computer literacy, and digital text content in medical discourses (1-6). Clinicians, however, continue to struggle with EHR usability, including how to effectively capture patient data without error (7-9). Usability is especially problematic for clinicians, who must now acquire new skills in electronic documentation (10).

An interdisciplinary team convened by ISDS to translate public health use-case needs into well-defined technical problems recently identified the need for new pre-syndromic surveillance methods that do not rely on existing syndromes or pre-defined illness categories1.

Climate warming, globalization, social and economic crises lead to the activation of natural foci of vector-borne infections, among which a special place belongs to Lyme disease (Ixodic tick borreliosis – ITB), the vectors of which are the Ixodes ticks. More than 5,000 cases are registered in the United States every year. In European countries, the number of cases may reach up to 8,000-10,000 per year. Incidence rate for ITB in France is 39.4 per 100,000 population, in Bulgaria – 36.6.