Impact of a new diagnoses thesaurus on the French ED syndromic surveillance system

As part of the French syndromic surveillance system SurSaUDî, the French Public Health Agency (Sant© publique France) collects daily data from the emergency department (ED) network OSCOUR®. The system aims to timely identify, follow and assess the health impact of unusual or seasonal events on emergency medical activity. Individual ED data contain demographic (age, gender, residence zip code), administrative (dates of attendances and discharge, ED, etc.) and medical information (chief complaint, main and associated medical diagnoses, severity).

June 18, 2019

Updates to the HL7 2.5.1 Implementation Guide for Syndromic Surveillance

In 2011, the Centers for Disease Control and Prevention (CDC) released the PHIN Messaging Guide for Syndromic Surveillance v. 1. In the intervening years, new technological advancements including Electronic Health Record capabilities, as well as new epidemiological and Meaningful Use requirements have led to the periodic updating and revision of the Message Guide. These updates occurred through informal and semi-structured solicitation and in response to comments from across public health, governmental, academic, and EHR vendor stakeholders.

June 18, 2019

Improved Identification and Assessment of Heat-Related Illnesses in Pinal County, AZ

Extreme heat and related illnesses are a critical concern in Arizona from May to September each year. From 2008 to 2016, Arizona medical facilities had an average of 1,790 emergency visits and 442 hospital admissions for heat-related illnesses (HRI) during the summer months. In 2016 alone, Arizona Emergency Departments (EDs) received a total of 2,484 visits for HRI and 527 of these cases were admitted as inpatients1. Pinal County, which has an estimated population of 430,237 individuals, contributes to the number of HRI visits to Arizona Emergency Departments that occur each year.

June 18, 2019

Use of the OSCOUR network data to describe low back pain attendances in French ED

LBP is one of the leading contributors to disease burden worldwide [1]. In France, LBP is a frequent reason of general practice consultations. According to a study published in 2017 and based on 2014 data issued of the National Health Insurance Cross-Schemes Information System (Sniiram) [2], this pathology stands for 30% of thickness leave and 4 of 5 people will suffer of low back pain during their own life. Most often, LBP is a chronic pathology with acute episodes which most often require emergency care.

June 18, 2019

Improving measles syndromic surveillance via dried blood spot testing in Laos 2016-17

The Lao PDR is aiming for measles elimination despite ongoing outbreaks of the disease. Outbreak detection in the country relies on recognising cases meeting a set fever and rash case definition incorporated into the syndromic surveillance system run by the National Center for Laboratory and Epidemiology (NCLE). Suspected cases are passively identified by presentations at health care facilities, with information forwarded to the NCLE's Early Alert and Response Network (EWARN) along with event-based reported data1.

June 18, 2019

Using ESSENCE to Meet Local Needs for Mental Health Data: Query & Results

Mental health is a common and costly concern; it is estimated that nearly 20 percent of adults in the United States live with a mental illness [1] and that more money is spent on mental illness than any other medical condition [2]. One spillover effect of unmet mental health needs may be increasing emergency department utilization. National analysis by Healthcare Cost and Utilization Project (H-CUP) found a 55% increase in emergency department visits for depression, anxiety, and stress reactions between 2006- 2013 [3].

June 18, 2019

Increased Seizure Activity in Florida Associated with Hurricane Irma, September 2017

On September 10, 2017, Irma made landfall in the Florida Keys as a Category 4 hurricane and subsequently tracked up the west side of the state. Due to the size of the storm, it impacted nearly all of Florida. The Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE-FL), the state’s syndromic surveillance system, captures 98% of the emergency department (ED) visits statewide and has historically served a vital function in providing near real-time ED data that are used to track post-disaster morbidity and mortality.

June 18, 2019

Using probabilistic matching to improve opioid drug overdose surveillance, New Jersey

The opioid drug overdose crisis presents serious challenges to state-based public health surveillance programs, not the least of which is uncertainty in the detection of cases in existing data systems. New Jersey historically had slightly higher unintentional drug overdose death rates than the national average, but by 2001 dramatic increases in drug overdose deaths in states like West Virginia began to drive up the national rate (Figure 1).

June 18, 2019

Informatics & Surveillance in Global Health: Informatics Capacity for Zika Outbreak

In response to the February 2016 Zika virus (ZIKV) outbreak, an inter-agency agreement between the U.S. Centers for Disease Control and Prevention (CDC) and U.S. Agency for International Development (USAID) commissioned further research on the epidemiology, transmission, diagnosis, and birth defects associated with ZIKV.

June 18, 2019

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National Syndromic
Surveillance Program

Email:nssp@cdc.gov

The National Syndromic Surveillance Program (NSSP) is a collaboration among states and public health jurisdictions that contribute data to the BioSense Platform, public health practitioners who use local syndromic surveillance systems, Center for Disease Control and Prevention programs, other federal agencies, partner organizations, hospitals, healthcare professionals, and academic institutions.

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