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Hakenewerth Anne


North Carolina hosted the 2018 FEI WEG in Polk County at the Tryon Equestrian Center in September 2018. Polk County, located in the Mountain region of Western North Carolina, is home to 20,357 people, and the population is widely distributed. Event organizers expected approximately 300,000 to 500,000 people to visit the area, with 800 horses from 71 countries taking part in the games. Providing adequate public health epidemiologic investigations and response for the large scale event in the predominantly rural area presented a challenge. The NC Surveillance & Response Team was created to facilitate enhanced surveillance for significant public health events during the WEG, assist local public health agencies with epidemiologic investigations and response, develop public health risk assessments, and implement control measures. Surveillance data were collected from the North Carolina Electronic Disease Surveillance System (NC EDSS), North Carolina’s and CDC’s National syndromic surveillance systems (NC DETECT and NSSP ESSENCE), Public Health Epidemiologists from Atrium Health and Mission Hospital, and reports from the on-site medical facility (MED-1) at the Tryon Equestrian Center. The data were reviewed and summarized in internal and external situation reports.

Objective: To describe surveillance activities and use of existing state (NC DETECT) and national (NSSP) syndromic surveillance systems during the International Federation for Equestrian Sports (FEI) World Equestrian Games (WEG), in Mill Spring, NC from September 11 to September 23, 2018

Submitted by elamb on Tue, 06/18/2019 - 20:22

Falls are a leading cause of fatal and nonfatal injury in NC. As the size of the older adult population is predicted to increase over the next few decades, it is likely that the incidence of falls-related morbidity and mortality will increase in tandem. In order to address this public health emergency, the Injury and Violence Prevention Branch (IVPB) of the NC Division of Public Health has partnered with the Carolina Center for Health Informatics (CCHI) in the Department of Emergency Medicine at the University of North Carolina at Chapel Hill to perform falls surveillance activities. This abstract describes some of the specific research and surveillance activities currently ongoing in NC.


To describe how a successful partnership between state public health and a university organization has used epidemiologic data, such as mortality, hospital discharge, and emergency department (ED) visit data, to inform falls prevention activities in North Carolina (NC).

Submitted by elamb on Sun, 01/21/2018 - 21:05

Recreational drug use is a major problem in the United States and around the world. Specifically, drug abuse results in heavy use of emergency department (ED) services, and is a high financial burden to society and to the hospitals due to chronic ill health and multiple injection drug use complications. Intravenous drug users are at high risk of developing sepsis and endocarditis due to the use of a dirty or infected needle that is either shared with someone else or re-used. It can also occur when a drug user repeatedly injects into an inflamed and infected site or due to the poor overall health of an injection drug user. The average cost of hospitalization for aortic valve replacement in USA is about $165,000, and in order for the valve replacement to be successful, patients must abstain from using drugs.


To describe how the state syndromic surveillance system (NC DETECT) was used to initiate near real time surveillance for endocarditis, sepsis and skin infection among drug users.

Submitted by Magou on Sat, 08/26/2017 - 19:47

CPC provides the 24/7/365 poison hotline for the entire state of North Carolina and currently handles approximately 80,000 calls per year. CPC consultation services that assist callers with poison exposure, diagnosis, optimal patient management, therapy, and patient disposition guidance remain indispensable to the public and health care providers. Poison control center data have been used for years in syndromic surveillance practice as a reliable data source for early event detection. This information has been useful for a variety of public health issues, including environmental exposures, foodborne diseases, overdoses, medication errors, drug identification, drug abuse trends and other information needs. The North Carolina Department of Health and Human Services started formal integration of CPC information into surveillance activities in 2004. CPC call data are uploaded in real time (hourly), 24/7/365, to the NC DETECT state database.


To describe Carolinas Poison Control Center (CPC) calls data collected in the NC DETECT syndromic surveillance system.

Submitted by teresa.hamby@d… on Thu, 08/03/2017 - 10:32