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Caserio-Schonemann Celine

Description

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. In order to prevent chronicity, French health care insurance launched into a mainstream national prevention campaign during spring 2018. This campaign was also targeted for health professional to inform them of the best recommendations to provide to their patients. Then the French society of emergency medicine (SFMU) has been asked to relay this campaign to emergency departments (ED) where LBP is a frequent reason of attendance. Since 2004, the French syndromic surveillance system SurSaUD® [3] coordinated by the French Public Health Agency (Santé publique France) daily collects morbidity data from the emergency departments (ED) network Oscour®. Almost 92% of the French ED attendances were recorded by the system in 2017. The availability of this large ED dataset on the whole territory since several years gives the opportunity to describe LBP attendances before the potential fallout of the national prevention campaign.

Objective: The study describes the characteristics of attendances for low back pain (LBP) in the French emergency departments (ED) network Oscour®, in order to give an overview of this disease before launching a prevention campaign.

Submitted by elamb on
Description

In Saint-Martin (31 949 inhabitants) and Saint-Barthelemy (9 625 inhabitants) islands in the French West Indies, the surveillance system is based on several data sources: (1) a syndromic surveillance system based on two emergency departments (ED) of Saint-Barthellemy (HL de Bruyn) and Saint-Martin (CH Fleming) and on mortality (SurSaUD® network [1])); (2) a network of sentinel general practitioners (GP'™s) based on the voluntary participation of 10 GPs in Saint-Martin and 5 in Saint-Barthelemy; (3) the notifiable diseases surveillance system (31 notifiable diseases to individual case-specific form); (4) the regional surveillance systems of leptospirosis and arboviruses based on the biological cases reported by physicians and laboratories of two islands. On September 6, 2017, Hurricane Irma struck Saint-Martin and Saint-Barthelemy islands. Both islands were massively destroyed. This storm led to major material damages, such as power outages, disturbance of drinking water systems, road closures, destruction of medical structures and evacuation or relocation of residents. In this context, the usual monitoring system did not work and life conditions were difficult. The regional unit of French National Public Health Agency set up an epidemiological surveillance by sending epidemiologists in the field in order to collect data directly from ED physicians, GP's and in dispensaries. Those data allowed to describe short-term health effects and to detect potential disease outbreaks in the aftermath of Hurricane Irma. This paper presents results of the specific syndromic surveillance.

Objective: Describe short-term health effects of the Hurricane using the syndromic surveillance system based on emergency departments, general practitioners and dispensaries in Saint-Martin and Saint-Barthelemy islands from September 11, 2017 to October 29, 2017.

Submitted by elamb on
Description

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). Medical diagnoses are encoded using the ICD10 classification. Then syndromic groups are built based on these ICD10 codes for ensuring syndromic surveillance in routine. Even if ICD10 is recommended on the national guidelines for coding ED attendances, this thesaurus offers a too large variety of codes. Particularly, it includes lots of diseases that may never be observed or confirmed in ED. This variety let selection of the appropriate codes difficult for physicians in a reactive use and could discourage them to code diagnoses. In order to encourage appropriate and reactive coding practice, we decided in 2017 to produce a new diagnoses thesaurus with a limited list of ICD10 codes. Then a committee of medical and epidemiological experts was created by the Federation of regional emergency observatories (FedORU), to propose an operational thesaurus that includes relevant codes for both ED in a daily routine practice and syndromic surveillance.

Objective: The study aims to evaluate the potential impact of the revision of the thesaurus used by ED physicians to code medical diagnoses, on the syndromic indicators used daily to achieve the detection objective of the French syndromic surveillance system.

Submitted by elamb on
Description

The Seine River rises at the north-East of France and flows through Paris before emptying into the English Channel. On January 2018 (from 22th January to 11th February, Weeks 4 to 6), major floods occurred in the Basin of Seine River, after an important rainy period. This period was also marked by the occurrence on the same area of a first cold wave on Week 6 (from 5th to 7th February), including heavy snowfall and ice conditions from 9th to 10th February. A second similar cold wave occured from 28th February and 1st March. Floods of all magnitude are known to have potential health impacts on population, both at short, medium and long term both on physical (injuries, diarrhoeal disease, Carbon Monoxyde poisoning, vector-borne disease) and mental health. Extreme cold weather have also the potential to further impact on human health through direct exposure to lower temperatures, and associated adverse conditions, such as snow and ice. Such situations may be particularly associated to direct impact like hypothermia, frostbite and selected bone/joint injuries).

Objective: The presentation describes the results of the daily monitoring of health indicators conducted by the French public health agency during the major floods and the cold wave that occurred in January 2018 in France, in order to early identify potential impact of those climatic events on the population.

Submitted by elamb on
Description

In 2004, Sante publique France, the French Public Health Agency set up a reactive all-cause mortality surveillance based on the administrative part of the death certificate, in the final objectives 1/ to detect unexpected or usual variations in mortality and 2/ to provide a first evaluation of mortality impact of events. In 2007, an Electronic Death Registration System (EDRS) was implemented, enabling electronic transmission of the medical causes of death to the agency in real-time. To date, 12% of the mortality is registered electronically. A pilot study demonstrated that these data were valuable for a reactive mortality surveillance system based on causes of death. A strategy has thus been developed for the analysis in routine of the medical causes of death with the objectives of early detection of expected and unexpected outbreaks and reactive evaluation of their impact. This system will allow approaching the cause accountability when an excess death will be observed.

Objective: The aim of this study is to present the syndromic groups that will be routinely monitored for the reactive mortality surveillance based on free-text medical causes of death.

Submitted by elamb on
Description

Syndromic surveillance is usually presented as relevant for event detection. As the data collected automatically from data sources is detailed enough (e.g. ICD10 codes), it may contribute to assess and quantify the burden of health events and describe their main epidemiological features. In France, besides the national liver transplant data, no surveillance data are available for ALF. Since ALF is severe, threatens the vital prognosis in absence of intensive care, may require liver transplantation and is quite well characterized clinically, patients are very likely to be diagnosed with ALF in ED at the onset phase. ALF is caused by viral infections (hepatitis A, B, C, D or E viruses), drug or toxic exposures, autoimmune or metabolic disorders (Wilson's disease), some of which have public health implications (viral hepatitis, drug or toxicological adverse effects). We therefore hypothesized that surveillance of ALF through an ED syndromic surveillance system would be feasible. The aim of our work was to explore the relevance of ED data to describe the main features and assess the burden of ALF.

Objective

The objective of this study was to assess the interest and feasibility of using syndromic surveillance data from emergency departments (ED) for the description of clinical and epidemiological characteristics of patients with acute liver failure (ALF) during the 2010-2012 period in France.

Submitted by elamb on
Description

Co-financed by the European Commission through the Executive Agency for Health and Consumers, the European Triple-S project (Syndromic Surveillance Survey, Assessment towards Guidelines for Europe) was launched in 2010 for a 3-year period [1]. It involves 24 organisations from 13 countries. The project's final purpose is to increase the European capacity for real-time surveillance and monitoring of the health burden of expected and unexpected health-related events. Based on inventories of European SyS systems [2;3], eight country visits [4] and experts advice, the project has developed scientific guidelines that aim at providing scientific and technical guidance for the development and implementation of SyS systems for both human and animal health.

Objective

To present the Guidelines for implementing syndromic surveillance (SyS) systems at a national, regional or local level.

Submitted by knowledge_repo… on
Description

Co-financed by the European Commission through the Executive Agency for Health and Consumers, the European Triple-S project (Syndromic Surveillance Survey, Assessment towards Guidelines for Europe) was launched in 2010 for a 3-year period and includes 24 organizations in 13 countries. Numerous European countries have created SyS systems. These systems analyze and report their SyS findings to local, regional or national public-health authorities in accordance with their national priorities. But the country outputs are not systematically reported and compared at the EU level, hindering a global overview and interpretation of the health situations observed in different regions or countries in Europe. The Triple-S project has thus proposed a strategy for coordinating the comparison and interpretation of SyS information across Europe to produce a Europe-wide epidemiological picture of a given health event in a timely manner, and thereby support coordinated public-health action.

Objective

To present a proposal for coordinating syndromic surveillance (SyS) systems operated by European countries and for comparing findings from these systems.

Submitted by knowledge_repo… on
Description

The French syndromic surveillance system SurSaUD was set up by the French institute for public health surveillance (InVS) in 2004. The system is based on three main data sources: 1) the attendances in the Emergency departments (ED), 2) the consultations to emergency General Practitioners’ associations SOS Médecins, 3) the mortality data from civil status offices and e-certificates.

In 2012, 400 of the 710 ED and 59 of the 62 GP’s associations are involved in the system. 80% of the national mortality is also collected. Given this large database and the need to analyze data in a short delay to reach the early warning objective of the system, a specific software has been developed.

 

Objective

The presentation describes the design and the main functionalities of the software developed to support the data management and data analysis of the French syndromic surveillance system.

Submitted by hparton on