NBIC Collaboration at Multiple Jurisdictional Levels During the Zika Epidemic

NBIC is charged with enhancing the capability of the Federal Government to enable early warning and shared situational awareness of acute biological events to support better decisions through rapid identification, characterization, localization, and tracking. A key aspect of this mission is the requirement to integrate and collaborate with federal and, state, local, tribal, and territorial (SLTT) government agencies.

January 25, 2018

Medicaid claims data to supplement Zika-related birth defects case identification

As a part of the Zika Birth Defects Surveillance, a national effort coordinated by the Centers for Disease Control and Prevention (CDC), NYC is conducting enhanced surveillance of all births with defects included in the congenital Zika syndrome (CZS) phenotype among infants born in NYC beginning in 2016. The intent of the project is to provide background on the prevalence of these conditions, regardless of cause.

January 25, 2018

Syndromic Surveillance Climate and Health Guidance Document

In general, data from public health surveillance can be used for short- and long-term planning and response through retrospective data analysis of trends over time or specific events. Combining health outcome data (e.g., hospitalizations or deaths) with environmental and socio-demographic information also provides a more complete picture of most vulnerable populations. Using syndromic surveillance systems for climate and health surveillance offers the unique opportunity to help quantify and track in near-real time the burden of disease from climate and weather impacts.

September 19, 2017

Estimated range of Aedes albopictus and Aedes aegypti in the United States, 2017

CDC has updated the estimated range maps for Ae. aegypti and Ae. albopictus mosquitoes by using a model that predicts possible geographic ranges for these mosquitoes in the contiguous United States. The model used county-level records, historical records, and suitable climate variables to predict the likelihood (very low, low, moderate, or high) that these mosquitoes could survive and reproduce if introduced to an area during the months when mosquitoes are locally active. Maps are not meant to represent risk for spread of any specific disease

October 13, 2017

Primer: Emergency Legal Preparedness Concerning Zika Virus

This Primer, developed by the Network for Public Health Law and posted on June 5, 2017, outlines major public health concerns underlying Zika virus and discusses legal preparedness and response issues. These include legal issues related to testing and screening, surveillance and reporting, public health preparedness, mosquito abatement, liability and insurance, and maternal and child health. 

June 05, 2017

Pregnant women with suspected Zika virus infection: A claims data analysis

Zika virus disease and Zika virus congenital infection are nationally notifiable conditions that became prominent recently as a growing number of travel-associated infections have been identified in the United States. The Centers for Disease Control and Prevention (CDC) have dedicated significant time and effort on determining and addressing the risks and impact of Zika on pregnant women and their babies who are most vulnerable to the disease.

August 03, 2017

Zika Virus Speed and Direction: Reconstructing Zika Introduction in Brazil

Local transmission of Zika virus has been confirmed in 67 countries worldwide and in 46 countries or territories in the Americas. On February 1, 2016 the World Health Organization declared a Public Health Emergency of International Concern due to the increase in microcephaly cases and other neurological disorders reported in Brazil. Several countries issued travel warnings for pregnant women travelling to Zika-affected countries with Brazil, Colombia, Ecuador, and El Salvador advising against pregnancy.

August 07, 2017

The Evaluation of Triage Notes Using ESSENCE-FL for Active Case Finding of Zika

The Florida Department of Health (DOH) utilizes the Electronic Surveillance System for the Early Notification of Community Based Epidemics (ESSENCE-FL) as its statewide syndromic surveillance system. ESSENCE-FL comprises of chief complaint data from 231 of 240 EDs, representing 96 percent of the total number of EDs in Florida. Historically, syndromic surveillance has categorized patient chief complaint data into syndromes for the purpose of disease surveillance or outbreak detection.

August 20, 2017

Dengue, Chikungunya & Zika Virus in VA Caribbean HCS, Nov. 2015-Aug. 2016

DENV, CHIKV and ZIKV are all transmitted by mosquitoes and have occurred in outbreaks in the Caribbean. Common symptoms (which can be severe and disabling) are similar among the 3 viruses and include fever, joint pain/swelling, headache, muscle pain and rash. In December 2015, the first endemic case of ZIKV infection was reported by VACHS. Since that time, an increasing number of ZIKV infections have been reported in Puerto Rico. Due to the growing ZIKV outbreak, we performed ongoing testing and surveillance.

Objective

September 07, 2017

A Syndrome Definition Validation Approach for Zika Virus

In 2016, the World Health Organization declared Zika virus a global public health emergency. Zika infection during pregnancy can cause microcephaly and other fetal brain defects. To facilitate clinicians’ ability to detect Zika, various syndrome definitions have been developed. 

Objective

To develop and validate a Zika virus disease syndrome definition within the GUARDIAN (Geographic Utilization of Artificial Intelligence in Real-Time for Disease Identification and Alert Notification) surveillance system.

May 26, 2017

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