Improving Public Health Preparedness: Strengthening Biosurveillance Systems for Enhanced Situational Awareness

This report is designed to aid state, territorial, tribal, and local public health leaders as they improve their capacity to achieve situational awareness during a public health emergency. We intend this report to serve as a concise reference work public health leaders can use to help design and manage biosurveillance systems to be used during an anticipated public health emergency.

September 06, 2017

Developing a Transdiciplinary Database Template for Operationalization of One Health Surveillance of Japanese Encephalitis and Other Vector Borne Diseases in India

Vector borne diseases like Japanese Encephalitis (JE) result from the convergence of multiple factors, including, but not limited to, human, animal, environmental, and economic and social determinants. Thus, to combat these problems, it is essential to have a systematic understanding of drivers and determinants based on a surveillance system that systematically gathers and analyzes data emanating from across multiple disciplines.

September 29, 2017

Exploring Research Opportunities Among the U.S. Census Bureau and Health Information Exchanges

On April 20, 2017, the U.S. Census Bureau hosted a meeting with approximately 20 representatives from the health data community. Attendees included representatives from health information exchanges (HIEs), state and local public health departments, health data associations, and the Department of Health & Human Services (see Appendix A for list of participants). The purpose of the meeting was to explore the potential for a joint Census-HIE initiative: specifically, data maintained at the Census Bureau would be matched to records maintained by HIEs.

May 30, 2017

Baseline Assessment of Public Health Surveillance in the Kingdom of Swaziland

Implementation of the IDSR framework for fulfillment of the International Health Regulations (2005) ([IHR 2005]) has been challenging in Swaziland due to distribution of IDSR functions across units within the Strategic Information Department (SID) and other external departments within the Ministry of Health. We conducted a qualitative assessment and a Strength, Weaknesses, Opportunities and Threats (SWOT) analysis of current public health surveillance (PHS) support structures to inform implementation of IDSR. 


June 02, 2017

Georgia’s Rapid Expansion of Mosquito Surveillance in Response to Zika Virus

Zika virus was declared an international public health emergency by the World Health Organization on February 1, 2016. With Georgia hosting the world’s busiest international airport and a sub- tropical climate that can support the primary Zika virus vector, Aedes aegypti, and secondary vector, Aedes albopictus, the CDC designated Georgia as a high risk state for vector transmission. Faced with a lack of mosquito surveillance data to evaluate risk of autochthonous transmission and a few counties statewide that provide comprehensive mosquito control, the DPH rapidly scaled up a response.

June 19, 2017

An open source inventory to evaluate public health surveillance systems

A variety of government reports have cited challenges in coordinating national biosurveillance efforts at strategic and tactical levels. The General Accountability Office (GAO), an independent nonpartisan agency that investigates how the federal government funding and performs analysis at the request of congressional committees or by public mandate, has published 64 reports on biosurveillance since 2005.

July 10, 2017

Analytic Solutions for Real-Time Biosurveillance: Assessing Risk for Emerging Arboviral Disease

Presented on December 6, 2016


The following slides were presented at the Pre-conference workshop of the 2016 ISDS Annual Conference in Atlanta, Georgia. This presentation provides and overview of the consultancy to bring together state and local public health departments, research partners, vector control personell, ISDS, and the Defense Threat Reduction Agency (DTRA) to discuss Emerging Arboviral Disease


Presenter: Sara Imholte Johnson, Arizona Department of Health Services

January 26, 2019

Electronic Case Reporting of STIs: Assessing EHR Generated CCDs

Under the CDC STD Surveillance Network (SSuN) Part B grant, WA DOH is testing electronic case reporting (eCR) of sexually transmitted infections (STI) from a clinical partner.


We reviewed CCDs (a type of consolidated clinical data architecture (C-CDA) document) shared by our clinical partner, Planned Parenthood of the Great Northwest and Hawaiian Islands (PPGNHI) since October, 2015. Analyses focuses on:


-Degree to which the CCD matches program area information needs

-Differences in EHR generation methods

July 27, 2017

Epi Archive: automated data collection of notifiable disease data

Most countries do not report national notifiable disease data in a machine-readable format. Data are often in the form of a file that contains text, tables and graphs summarizing weekly or monthly disease counts. This presents a problem when information is needed for more data intensive approaches to epidemiology, biosurveillance and public health as exemplified by the Biosurveillance Ecosystem (BSVE).

July 27, 2017

Civilian-military Collaboration: Department of Defense data in the BioSense Platform

The DoD provides daily outpatient and emergency room data feeds to the BioSense Platform within NSSP, maintained by the Centers for Disease Control and Prevention. This data includes demographic characteristics and diagnosis codes for health encounter visits of Military Health System beneficiaries, including active duty, active duty family members, retirees, and retiree family members. NSSP functions through collaboration with local, state, and federal public health partners utilizing the BioSense Platform, an electronic health information system.


August 15, 2017


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