Using State and National Surveillance Systems during World Equestrian Games in NC

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.

June 18, 2019

Time of Arrival Analysis in NC DETECT to Find Clusters of Interest from Unclassified Patient Visit Records

TOA identifies clusters of patients arriving to a hospital ED within a short temporal interval. Past implementations have been restricted to records of patients with a specific type of complaint. The Florida Department of Health uses TOA at the county level for multiple subsyndromes (1). In 2011, NC DPH, CCHI and CDC collaborated to enhance and evaluate this capability for NC DETECT, using NC DETECT data in BioSense 1.0 (2).

August 20, 2018

Enhanced Surveillance during the Democratic National Convention, Charlotte, NC

North Carolina hosted the 2012 Democratic National Convention, September 3-6, 2012. The NC Epidemiology and Surveillance Team was created to facilitate enhanced surveillance for injuries and illnesses, early detection of outbreaks during the DNC, assist local public health with epidemiologic investigations and response, and produce daily surveillance reports for internal and external stakeholders.

March 19, 2018

Improving syndromic surveillance for non-power users: NC DETECT dashboards

NC DETECT provides near-real-time statewide surveillance capacity to local, regional and state level users across NC with twice daily data feeds from 117 (99%) emergency departments (EDs), hourly updates from the statewide poison center, and daily feeds from statewide EMS runs and select urgent care centers. The NC DETECT Web Application provides access to aggregate and line listing analyses customized to users' respective jurisdictions. The most active users are state-level epidemiologists (DPH) and hospital-based public health epidemiologists (PHEs).

May 02, 2019

Using NC DETECT Summary Reports to Share Syndromic Information

The North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) provides early event detection and public health situational awareness to hospital-based and public health users statewide. Authorized users are currently able to view data from emergency departments (n=110), the statewide poison control center, the statewide EMS data system, a regional wildlife center and pilot data from a college veterinary laboratory as well as select urgent care centers.

July 30, 2018

Situational Awareness Using Web-based Annotation and Custom Reporting

While early event detection systems aim to detect disease outbreaks before traditional means, following up on the many alerts generated by these systems can be time-consuming and a drain on limited resources.

July 30, 2018

Multi-Tier Role Based Access for Secure and Flexible Syndromic Surveillance

NC DETECT receives data on at least a daily basis from five data sources: emergency departments (ED), the statewide poison center (CPC), the statewide EMS data collection system, a regional wildlife center and laboratories from the NC State College of Veterinary Medicine.  A Web portal is available to users at state, regional and local levels and provides syndromic surveillance reports as well as reports for broader public health surveillance such as injury, occupational health, and post-disaster.  The current portal is built on access controls initially designed in 2002 for hospital-based

July 30, 2018

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