Romanosky Al

The Maryland Department of Health and Mental Hygiene conducts enhanced surveillance using the Electronic Surveillance System for Early Notification of Community-Based Epidemics (ESSENCE). The current version of ESSENCE for the National Capital Region consists of information from multiple data sources for syndromic surveillance in Maryland, Washington DC, and Virginia. Chief complaint data from emergency department (ED) visits and over-the-counter (OTC) medications are categorized into syndromes and alerts are generated when observed counts are outside the expected range. ESSENCE alerts users to unusual counts of a particular syndrome based on both temporal and spatial distribution for enhanced surveillance of disease activity. While several studies have examined the usefulness of ED data to detect the start of the influenza season, a lack of information exists on the usability of OTC sales to detect influenza. OTC data may provide an earlier alert to illness than other sources, if people self-treat with OTC medications.

Objective

This study examines the ability of syndromic surveillance data to detect seasonal influenza. ED visits for influenza-like illness and OTC flu medication sales are evaluated to determine whether these data sources are useful in the detection of the influenza season. Data sources that can detect seasonal influenza may also be used to help detect the start of pandemic influenza.

On June 7, 2008, federal food protection and public health agencies alerted consumers of a nationwide outbreak of Salmonella Saintpaul infections. As of June 30, 2008, 851 persons infected with Salmonella Saintpaul with the same genetic fingerprint had been identified in 36 states and the District of Columbia since April 20081. On June 13, 2008, Maryland confirmed its first case of Salmonella Saintpaul infection matching the national outbreak strain and as of June 30, 2008, 29 cases of Salmonella related to the outbreak have been identified.

Objective 

The purpose of this paper is to describe the use of syndromic surveillance emergency department data as a tool for enhanced case finding of outbreak-related illnesses.

A significant amount of resources and effort have been recently invested in syndromic surveillance systems. However, how these systems complement or compare with traditional public health surveillance systems, such as outbreak reporting, is not clear.  

Objective:

The purpose of this paper is to describe the value of outbreak and syndromic surveillance data from the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) syndromic surveillance system to monitor respiratory illness activity in Maryland.