What Can You Really Do with 35,000 Statistical Alerts a Week Anyways?

The National Syndromic Surveillance Program's (NSSP) instance of ESSENCE* in the BioSense Platform generates about 35,000 statistical alerts each week. Local ESSENCE instances can generate as many as 5,000 statistical alerts each week. While some states have well-coordinated processes for delegating data and statistical alerts to local public health jurisdictions for review, many do not have adequate resources. By design, statistical alerts should indicate potential clusters that warrant a syndromic surveillance practitioner's time and focus.

June 18, 2019

Using Syndromic Surveillance Data to Study the Impact of Media Content on Self-harm

In 2016, a half million people were treated in U.S. emergency departments (EDs) as a result of self-harm. 1 Not only is self-harm a major cause of morbidity in the U.S., but it is also one of the best predictors of suicide. Given that approximately 40% of suicide decedents visited an ED in the year prior to their death and that the majority of medically-serious self-harm patients are treated in EDs2, EDs serve as a critical setting in which to monitor rates and trends of suicidal behavior.

June 18, 2019

Customizing ESSENCE Queries for Select Mental Health Sub-indicators

Syndromic surveillance systems, although initially developed in response to bioterrorist threats, are increasingly being used at the local, state, and national level to support early identification of infectious disease and other emerging threats to public health. To facilitate detection, one of the goals of CDC's National Syndromic Surveillance Program (NSSP) is to develop and share new sets of syndrome codes with the syndromic surveillance Community of Practice.

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

User Generated SQL Queries Inform Evaluation of NSSP ESSENCE

As system users develop queries within ESSENCE, they step through the user-interface to select data sources and parameters needed for their query. Then they select from the available output options (e.g., time series, table builder, data details). These activities execute a SQL query on the database, the majority of which are saved in a log so that system developers can troubleshoot problems. Secondarily, these data can be used as a form of web analytics to describe user query choices, query volume, query execution time, and develop an understanding of ESSENCE query patterns.

January 25, 2018

The Myths and Truths About Comparing Syndromic Data Across Sites

One of the more recent successes of NSSP has been the introduction of more robust data quality monitoring and reporting. However, despite the increased insight into data quality, there are still concerns about data sharing and comparisons across sites. For NSSP to be most effective, users need to feel confident in sharing data and making comparisons across sites.

Objective:

January 19, 2018

Why You Should Participate in HHS (Health and Human Services) Regional Epi Groups

One of the early successes for the National Syndromic Surveillance Program'™s (NSSP'™s) BioSense Platform was community agreement on what should make up national and regional picture of the data. For NSSP to meet program objectives, National level surveillance and situational awareness had to be made available – not just to CDC, but to the entire community. To make this possible, the community had to agree on a limited dataset that would be sufficient to produce national and regional picture.

January 19, 2018

Enhancing Surveillance on the BioSense Platform through Improved Onboarding Processes

In 2017, the National Syndromic Surveillance Program (NSSP) continued to expand as a national scope data source with over 6,500 facilities registered on the BioSense Platform, including 4,000 active, 1,800 onboarding, and 700 planned or inactive facilities. 2,086 of the active facilities are Emergency Departments across 49 sites in 41 states. The growth of data available in NSSP has been driven by continued enhancements to tools and processes used by the NSSP Onboarding Team.

January 21, 2018

Tracking suspected heroin overdoses in CDC's National Syndromic Surveillance Program

Overdose deaths involving opioids (i.e., opioid pain relievers and illicit opioids such as heroin) accounted for at least 63% (N = 33,091) of overdose deaths in 2015. Overdose deaths related to illicit opioids, heroin and illicitly-manufactured fentanyl, have rapidly increased since 2010. For instance, heroin overdose deaths quadrupled from 3,036 in 2010 to 12,989 in 2015. Unfortunately, timely response to emerging trends is inhibited by time lags for national data on both overdose mortality via vital statistics (8-12 months) and morbidity via hospital discharge data (over 2 years).

January 21, 2018

Administrative and syndromic surveillance data can enhance public health surveillance

Healthcare data, including emergency department (ED) and outpatient health visit data, are potentially useful to the public health community for multiple purposes, including programmatic and surveillance activities. These data are collected through several mechanisms, including administrative data sources [e.g., MarketScan claims data1; American Hospital Association (AHA) data2] andpublic health surveillance programs [e.g., the National Syndromic Surveillance Program (NSSP)3].

June 20, 2017

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NSSP Community of Practice

Email: syndromic@cste.org

 

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