Translating Heat-related Illness Surveillance Into Action Through Partnerships

As part of a greater statewide excessive heat response plan, New Hampshire (NH) has been performing HRI surveillance since 2010 to guide response efforts and ultimately reduce HRI morbidity and mortality during situations of excessive heat. Historically, NH hospital Emergency Department Heat illness discharges average around 150 per year, typically in the summer months. NHÕs Excessive Heat Emergency Response Plan documents appropriate state-wide readiness, alerting, emergency, and recovery level of response for heat emergencies with its partners.

May 02, 2019

School Absenteeism Surveillance Data during the 2009 Influenza A/H1N1 Pandemic

In April 2009, a novel strain of influenza A was detected in Mexico, which quickly spread to the United States and the rest of the world. In response to the pandemic, the New Hampshire Department of Health and Human Services (NH DHHS) developed a web-based school absenteeism reporting system to track and record overall absenteeism and influenza-like-illness (ILI) related absenteeism in New Hampshire schools.


May 02, 2019

Ten Years of Syndromic Surveillance in New Hampshire: Innovation, Experience and Outcomes

In response to the terrorist attack of September 11, 2001, the NH Department of Health and Human Services (NH DHHS) engaged state and external partners in the design of an early warning surveillance system to support bioterrorism and emergency preparedness. Initially, NH DHHS began collecting four syndrome counts from thirteen hospital Emergency Departments (ED) by fax. Automation began in 2002, when an over the counter (OTC) syndromic surveillance pilot system was implemented by Scientific Technologies Corporation (STC).

May 02, 2019

Use of emergency department data for case finding following a community anthrax exposure

On 24 December 2009, a female New Hampshire resident was confirmed to have gastrointestinal anthrax on the basis of clinical findings and laboratory testing. Her source of anthrax was not immediately known, so the New Hampshire Department of Health and Human Services, in conjunction with several other state and federal agencies, conducted a comprehensive epidemiologic investigation, which included active surveillance to identify any additional anthrax cases from a similar exposure.

June 20, 2019

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