Precision public health through clinic-based syndromic surveillance in communities

In December 2009, Taiwan’s CDC stopped its sentinel physician surveillance system. Currently, infectious disease surveillance systems in Taiwan rely on not only the national notifiable disease surveillance system but also real-time outbreak and disease surveillance (RODS) from emergency rooms, and the outpatient and hospitalization surveillance system from National Health Insurance data. However, the timeliness of data exchange and the number of monitored syndromic groups are limited. The spatial resolution of monitoring units is also too coarse, at the city level.

June 18, 2019

Exploring Missouri's New, Innovative, and Multilayered Health Data Suppression Rules

In Spring 2017, the Missouri Department of Health and Senior Services (MODHSS) launched the Missouri Public Health Information Management System (MOPHIMS) web-based health data platform. Missouri has supported a similar data system since the 1990s, allowing the public, local public health departments, and other stakeholders access to community level birth, death, and hospitalization data (among other datasets). The MOPHIMS system is composed of two separate pieces.

June 18, 2019

Seeing Data in a New Light: Data Visualization Techniques to Improve Understanding

In 2002, the United States (US) Centers for Disease Control and Prevention (CDC) launched the National Environmental Public Health Tracking Program (Tracking Program) to address the challenges and gaps in the nation'™s environmental health surveillance infrastructure. The Tracking Program's mission is to provide information from a nationwide network of integrated health and environmental data that drives actions to improve the health of communities.

June 18, 2019

Forecasting hospital pneumonia admissions using influenza surveillance, climate and community data

Influenza peaks around June and December in Singapore every year. Facing an ageing population, hospitals in Singapore have been constantly reaching maximum bed occupancy. The ability to be able to make early decisions during peak periods is important. Tan Tock Seng Hospital is the second largest adult acute care general hospital in Singapore. Pneumonia-related emergency department (ED) admissions are a huge burden to the hospital's resources. The number of cases vary year on year as it depends on seasonal vaccine effectiveness and the population's immunity to the circulating strain.

June 18, 2019

Streamlining Disease Surveillance System implementation in Tanzania: Lessons Learnt

Tanzania adopted IDSR as the platform for all disease surveillance activities. Today, Tanzania's IDSR guidelines include surveillance and response protocols for 34 diseases and conditions of public health importance, outlining in detail necessary recording and reporting procedures and activities to be taken at all levels. A total of 15 disease-specific programs/sections in the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) are linked to the IDSR, though the extent to which each program uses IDSR data varies.

June 18, 2019

ICU respiratory admissions data for influenza severity surveillance?

While influenza-like-illness (ILI) surveillance is well-organized at primary care level in Europe, little data is available on more severe cases. With retrospective data from ICU's we aim to fill this current knowledge gap and to explore its worth for prospective surveillance. Using multiple parameters proposed by the World Health Organization we estimated the burden of severe acute respiratory infections (SARI) to ICU and how this varies between influenza epidemics.

June 18, 2019

Tracking Community Naloxone Dispensing: Part of a Strategy to Reduce Overdose Deaths

The number of unintentional overdose deaths in New York City (NYC) has increased for seven consecutive years. In 2017, there were 1,487 unintentional drug overdose deaths in NYC.

June 18, 2019

Implementation of an Electronic Disease Surveillance System in Guinea, 2016-2018

The West Africa Ebola outbreak of 2014-2016 demonstrated the importance of strong disease surveillance systems and the severe consequences of weak capacity to detect and respond to cases quickly. Challenges in the transmission and management of surveillance data were one factor that contributed to the delay in detecting and confirming the Ebola outbreak. To help address this challenge, we have collaborated with the U.S.

June 18, 2019

Use of ambulance dispatch calls for surveillance of severe acute respiratory infections?

Surveillance of severe influenza infections is lacking in the Netherlands. Ambulance dispatch (AD) data may provide information about severity of the influenza epidemic and its burden on emergency services. The current gold standard, primary care-based surveillance of influenza-like-illness (ILI), mainly captures mild to moderate influenza cases, and does not provide adequate information on severe disease.

June 18, 2019

Improving Integrated Disease Surveillance and Response Capacity in Guinea, 2015-2018

The 2014-2016 Ebola outbreak in Guinea revealed systematic weaknesses in the existing disease surveillance system. The lack of public health workers adequately trained in Integrated Disease Surveillance and Response (IDSR) contributed to underreporting of cases and problems with data completeness, accuracy, and reliability. These data quality issues resulted in difficulty assessing the epidemic's scale and distribution and hindered the control effort (McNamara, 2016; Bell, 2016).

June 18, 2019

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