Streamling Syndromic Surveillance Submission on a Dime: Oregon’s Experience

In 2012, the Oregon Public Health Division (OPHD) took advantage of the opportunity created by Meaningful Use, a Centers for Medicare & Medicaid Services (CMS) Incentive Program, to implement statewide syndromic surveillance. The Oregon syndromic surveillance project, or Oregon ESSENCE, began accepting MUcompliant HL7 2.5.1 data in late 2013. Early onboarding efforts were labor-intensive and led to the creation of a testing queue.

August 10, 2017

Facile Dashboard Creation Using Library of Syndromic Surveillance Visualization Tools

Public health surveillance largely relies on the use of surveillance systems to facilitate the identification and investigation of epidemiologic concerns reflected in data. In order to support public health response, these systems must present relevant information, and be user-friendly, dynamic, and easily-implementable. The abundance of R tools freely-available online for data analysis and visualization presents not only opportunities but also challenges for adoption in that these tools must be integrated so as to allow a structured workflow.

June 19, 2017

Monitoring the 2016 LA County Sand Fire with Multiple Early Detection Systems

On July 22, 2016, the Sand Fire began burning in the Santa Clarita Valley of Los Angeles County (LAC), CA. This urban-adjacent wildfire breached the city limits of Santa Clarita (population 180,000). Fueled by record heat and an ongoing exceptional drought, the Sand Fire burned over 40,000 acres in 13 days and caused a large increase in the air concentration of fine particulate matter. The syndromic surveillance team was tasked with reporting on possible health effects from the fire. Fire, asthma, and heat related data were monitored until the fire was reported as 98% contained.

July 17, 2017

Syndromic surveillance and UEFA Euro 2016 in France – Health impact assessment

France hosted 2016 UEFA European Football Championship between June 10 and July 10. In the particular context of several terrorist attacks occurring in France in 2015 [1], the French national public health agency « Santé publique France » (formerly French Institute for Public Health Surveillance-InVS) was mandated by the Ministry of Health to reinforce health population surveillance systems during the UEFA 2016 period. Six French regions and 10 main stadiums hosted 51 matches and several official and nonofficial dedicated Fan Zones were implemented in many cities across national territory.

August 20, 2017

Using Sydromic Surveillance to Track E-cigarette Related Emergency Department Visits

The North Dakota Department of Health (NDDoH) investigated the feasibility of using syndromic surveillance (SyS) data to identify health care visits due to electronic cigarette (e-cigarette) use. E-cigarettes have been associated with injuries and fatalities in all age groups, including young children attracted to the colorful liquid nicotine carriage packaging [1]. Previously, poison control data was the only resource available to the NDDoH for e-cigarette adverse outcomes surveillance.

Objective

August 26, 2017

Acute Flaccid Paralysis Surveillance system Evaluation, Oyo state, Nigeria; 2008-2014

In September, 2015, Nigeria was delisted from the list of polio endemic countries globally. To be certified polio free, the country must attain and maintain certification standard Acute Flaccid Paralysis(AFP) surveillance for additional two-years. In Oyo State, no case of Wild Polio Virus (WPV) has been reported since February, 2009.

Objective

We evaluated the AFP surveillance system in Oyo State to assessits attributes and determine if it was meeting its set objectives.

June 20, 2017

Early effect of validation efforts of Massachusetts syndromic surveillance data

As a participant in the National Syndromic Surveillance Program (NSSP), the Massachusetts Department of Public Health (MDPH) has worked closely with our statewide Health Information Exchange (HIE) and National Syndromic Surveillance Program (NSSP) technical staff to collect and transmit emergency department (ED) data from eligible hospitals (EHs) to the NSSP. Our goal is to ensure complete and accurate data using a multi-step process beginning with pre-production data and continuing after EHs are sending live data to production.

Objective

July 27, 2017

Syndromic surveillance of air pollution incidents across international borders

The impact of poor air quality (AQ) on human health is a global issue, with periods of poor AQ known to occur in multiple locations, across different countries at, or around the same time. The Public Health England (PHE) Emergency Department Syndromic Surveillance System (EDSSS) is a public health legacy of the London 2012 Olympic and Paralympic Games, monitoring anonymised daily attendance data in near real-time from a sentinel network of up to 38 EDs across England and Northern Ireland during 2014.

August 20, 2017

Using Syndromic Surveillance Data to Monitor Endocarditis and Sepsis among Drug Users

Recreational drug use is a major problem in the United States and around the world. Specifically, drug abuse results in heavy use of emergency department (ED) services, and is a high financial burden to society and to the hospitals due to chronic ill health and multiple injection drug use complications. Intravenous drug users are at high risk of developing sepsis and endocarditis due to the use of a dirty or infected needle that is either shared with someone else or re-used.

August 26, 2017

Enhanced syndromic surveillance during the 9th Indian Ocean Island Games, 2015

The 9th IOIG took place in Reunion Island from July 31 to August 9, 2015. This sport event gathered approximatively 1 640 athletes, 2 000 volunteers and several thousand spectators from seven islands:Comoros, Madagascar, Maldives, Mauritius, Mayotte, Seychelles and Reunion.In response to the import risk of infectious diseases from these countries where some of them are endemics, the syndromic surveillance system, which captures 100% of all Emergency Department visits, was enhanced in order to detect any health event.

Objective

July 27, 2017

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