Utilizing Syndromic Surveillance for Hurricane Irma-Related CO Poisonings in Florida

On September 10, 2017, Hurricane Irma made landfall in Florida. Over 90% of Florida counties reported power outages as of September 11. During power outages, CO poisonings often occur due to indoor use of fuel combustion sources (e.g., cooking, heating) or generators for electricity. CO poisoning is a reportable condition in Florida; health care providers and laboratories are required to report suspected cases to the Florida Department of Health (FDOH). In Florida, approximately 202 cases of CO poisoning are reported each year (three-year average from 2014 to 2016).

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

Approach to Onboarding Emergency Medical Services (EMS) Data Into a Syndromic Surveillance System

Syndromic surveillance has become an integral component of public health surveillance efforts within the state of Florida. The near real-time nature of these data are critical during events such as the Zika virus outbreak in Florida in 2016 and in the aftermath of Hurricane Irma in 2017. Additionally, syndromic surveillance data are utilized to support daily reportable disease detection and other surveillance efforts.

June 18, 2019

Disaster Surveillance: Perspectives from Federal, State, and Local levels

In this panel, the presenters will discuss their perspective in responding to Hurricanes Harvey and Irma. Hurricane Harvey made landfall on August 25th and over the course of 4 days dropped approximately 27 trillion gallons of water on Texas and Louisiana. The flooding that ensued was unprecedented and forced over 13,000 people into shelters. These individuals needed to have their basic needs -food, shelter, clothing, sanitation- met as well as their physical and mental health needs.

January 25, 2018

How do we present messy syndromic surveillance data to public health’s partners?

With increasing awareness of SyS systems, there has been a concurrent increase in demand for data from these systems – both from researchers and from the media. The opioid epidemic occurring in the United States has forced the SyS community to determine the best way to present these data in a way that makes sense while acknowledging the incompleteness and variability in how the data are collected at the hospital level and queried at the user level.

January 25, 2018

Special Event Data

Problem Summary

A truncated historical dataset is provided from one or more subregions with multiple participating hospitals with enough variety in the patient volume and demographics to make the problem challenging and to generate alerting solutions useful to other regions.

October 30, 2017

Identifying and Communicating the Importance of the Variable Nature of SyS Data

As syndromic surveillance systems continue to grow, new opportunities have arisen to utilize the data in new or alternative ways for which the system was not initially designed. For example, in many jurisdictions syndromic surveillance has recently become population-based, with 100% coverage of targeted emergency department encounters. This makes the data more valuable for real- time evaluation of public health and prevention programs. There has also been increasing pressure to make more data publicly available – to the media, academic partners, and the general public. 

July 06, 2017

Jurisdictional Usage of the New ESSENCE Word Alert Feature

Syndromic surveillance systems have historically focused on aggregating data into syndromes for analysis and visualization. These syndromes provide users a way to quickly filter large amounts of data into a manageable number of streams to analyze. Additionally, ESSENCE users have the ability to build their own case definitions to look for records matching particular sets of criteria. Those user- defined queries can be stored and analyzed automatically, along with the pre-defined syndromes.

July 10, 2017

MERS PUI Surveillance and Restrospective Identification in ESSENCE-FL, 2013-2015

Human MERS-CoV was first reported in September 2012. Globally, all reported cases have been linked through travel to or residence in the Arabian Peninsula with the exception of cases associated with an outbreak involving multiple health care facilities in the Republic of Korea ending in July 2015. While the majority of MERS-CoV cases have been reported in the Arabian Peninsula, several cases have been reported outside of the region. Most cases are believed to have been acquired in the Middle East and then exported elsewhere, with no or rare instances of secondary transmission.

July 16, 2017


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