21st Century Approach: Using data and novel technologies to address the opioid crisis

Clark County, Indiana is geographically located in between the urban area of Louisville, Kentucky and Scott County, Indiana. Scott County is the site for the largest HIV outbreak in the history of the United States, directly related to high rates of IV drug abuse. The unique geographic location of Clark County in combination with the recent HIV and Hepatitis C outbreaks in Clark and neighboring counties has greatly informed the development of an effective response to overdoses and the opioid epidemic in general.

June 18, 2019

Fact Sheet: Legal Interventions to Increase Access to Naloxone in Indiana

Drug overdose claimed the lives of more than 63,000 Americans in 2016. The majority of these deaths, over 42,000, involved opioids such as heroin, prescription painkillers, and, increasingly, illicitly manufactured fentanyl. Indiana is not immune to this national crisis. In 2003, for example, only three Indiana residents died from heroin-related overdose. In 2016, the number was 296.

March 29, 2018

Updating syndromic surveillance baselines following public health interventions

Public Health England's syndromic surveillance service monitor presentations for gastrointestinal illness to detect increases in health care seeking behaviour driven by infectious gastrointestinal disease. We use regression models to create baselines for expected activity and then identify any periods of signficant increases. The introduction of a rotavirus vaccine in England during July 2013 (Bawa, Z. et al. 2015) led to a reduction in incidence of the disease, requiring a readjustment of baselines.


January 21, 2018

A Suite of Mechanistic Epidemiological Decision Support Tools

We present the EpiEarly, EpiGrid, and EpiCast tools for mechanistically-based biological decision support. The range of tools covers coarse-, medium-, and fine-grained models. The coarse-grained, aggregated time-series only data tool (EpiEarly) provides a statistic quantifying epidemic growth potential and associated uncertainties. The medium grained, geographically-resolved model (EpiGrid) is based on differential equation type simulations of disease and epidemic progression in the presence of various human interventions geared toward understanding the role of infection control, early vs.

January 25, 2018

The Effect of Training of School Physicians on Their Knowledge Regarding Surveillance in Alexandria

Schools inherently foster the transmission of infections from person to person because they are a group setting in which people are in close contact and share supplies and equipment. Surveillance is important in schools and actions that can help control the spread of infections are the key to effective disease control in the community [1]. School health physicians should play an important role in surveillance.

May 02, 2019

Predictors of vaccination uptake for the 2009 influenza pandemic (H1N1) in Montreal

Work on vaccination timing and promotion largely precedes the 2009 pandemic. Post-pandemic studies examining the wide range of local vaccination efforts mostly have been limited to surveys assessing the role of administrative strategies, logistical challenges, and perceived deterrents of vaccination [1].


May 02, 2019

Application of Event-Based Biosurveillance to Disease Emergence in Isolated Regions

Argus is an event-based surveillance system which captures information from publicly available Internet media in multiple languages. The information is contextualized and indications and warning (I&W) of disease are identified. Reports are generated by regional experts and are made available to the system's users. In this study a small-scale disease event, plague emergence, was tracked in a rural setting, despite media suppression and a low availability of epidemiological information.


May 02, 2019

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Email: syndromic@cste.org


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