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Emergency Preparedness

In preparation for mass gathering events, DPH conducts enhanced syndromic surveillance activities to detect potential cases of anthrax, tularemia, plague, and other potentially bioterrorism-related communicable diseases. While preparing for Saint Louis to host a Presidential Debate on October 9, 2016, DPH was asked by a partner organization whether we could also detect emergency department (ED) visits for injuries (e.g., burns to the hands or forearms) that could possibly indicate bomb-making activities.

Objective:

To describe a novel application of ESSENCE by the Saint Louis County Department of Public Health (DPH) in preparation for a mass gathering and to encourage discussion about the appropriateness of sharing syndromic surveillance data with law enforcement partners.

Submitted by elamb on

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. The George R Brown Conference Center (GRB) and NRG Stadium Center were set up as mega-shelters to house shelterees. Hurricane Irma made landfall on September 10th in the Florida Keys as a Category 4 Hurricane. The Hurricane caused 72 deaths and forced thousands of people into shelters. These weather events created novel challenges for local response efforts. Decision makers needed timely and actionable data, including surveillance data.

Objective:

In this panel, attendees will learn about how disaster surveillance was conducted in response to Hurricanes Irma and Harvey, as well as the role of CDC at the federal level in supporting local response efforts. By hearing and discussing the challenges faced and solutions identified, attendees will be better able to respond in the event of a low-frequency/high-consequence disaster occurring within their jurisdiction.

Submitted by elamb on

Effective prevention, detection, and rapid response to PH emergencies rely on sufficient and timely delivered information. PH EOC data flows are based on critical information requirements, addressing needs of EOC staff for timely delivered analytical products that provide situational awareness, event-specific data, event investigation tools, resource management etc1. The ability of PH EOC systems to automatically and accurately interpret meaning of the exchanged data depends on a level of semantic data interoperability and utilization of a common information exchange reference model (CIERF) that conforms to established data standards. PH EOC data interoperability requires mutual development and close collaboration with partners to develop a PH EPR CIERF, common terminology and standardized vocabulary.

Objective:

The purpose of this project is to demonstrate progress in developing functional data models and semantic definitions (content standards) for data elements and value sets comprising information categories supporting PH Emergency Preparedness and Response. (EPR) The objective is to explain the concepts and methods used to define core PH Emergency Management and Preparedness and Response functions, Information Exchange Requirements (IERs), data elements, and value sets to create a PH Emergency Operations Center (EOC) Minimum Data Set Specification. The primary focus of this presentation is to describe the value of semantic data interoperability and provide operational examples of the value and return-on-investment gained through building semantically interoperable data exchange through content standardization.

Submitted by elamb on

The MSSS, described elsewhere (1), has been in use since 2003 and records Emergency Department (ED) chief complaint data along with the patient’s age, gender and zip code in real time. There were 85/139 hospital EDs enrolled in MSSS as of June 2012, capturing 77% of the annual hospital ED visits in Michigan. The MSSS is used routinely during the influenza season for situational awareness and is monitored throughout the year for aberrations that may indicate an outbreak, emerging disease or act of bioterrorism. The system has also been used to identify heat-related illnesses during periods of extreme heat. Very young children, the elderly, and people with mental illness and chronic diseases are at the highest risk of preventable heatrelated illnesses including sunburn, heat exhaustion, heat stroke and/or death (2). During a heat wave in the summer of 2012, data was reviewed on an ad hoc basis to monitor potential increases in heat-related ED visits.

Objective

The purpose of this work was to conduct an enhanced analysis of heat illness during a heat wave using Michigan’s Emergency Department Syndromic Surveillance System (MSSS) that could be provided to Public Health and Preparedness Stakeholders for situational awareness.

 

Submitted by Magou on

During an emergency, the state of Georgia depends on public health staff and volunteers to respond. It is imperative that staff are safe before, during and after deployment. Emergency response workers must be protected from the hazardous conditions that disasters and other emergencies create1. In October 2016 and September 2017, Hurricanes Matthew and Irma caused widespread evacuation of Georgia residents, initiating a tremendous sheltering effort. Hundreds of public health responders were deployed to assist with sheltering and other aspects of the response. DPH rapidly developed a novel electronic Responder Safety, Tracking and Resilience module, which was used to track public health responders and monitor their health and safety while deployed.

Objective:

To better understand the importance of monitoring responders during public health emergencies and to learn how the Georgia Department of Public Health (DPH) developed and deployed an electronic responder monitoring tool.

Submitted by elamb on

Syndromic surveillance is the monitoring of symptom combinations (i.e., syndromes) or other indicators within a population to inform public health actions. The Tennessee Department of Health (TDH) collects emergency department (ED) data from more than 70 hospitals across Tennessee to support statewide syndromic surveillance activities. Hospitals in Tennessee typically provide data within 48 hours of a patient encounter. While syndromic surveillance often supplements disease- or condition-specific surveillance, it can also provide general situational awareness about emergency department patients during an event or response. During Hurricanes Harvey (continental US landfall on August 25, 2017) and Irma (continental US landfall on September 10, 2017), TDH supported all hazards situational awareness using the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) in the BioSense Platform supported by the National Syndromic Surveillance Program (NSSP). The volume of out-of-state patients in Tennessee was monitored to assess the impact on the healthcare system and any geographic- or hospital-specific clustering of out-of-state patients within Tennessee. Results were included in daily State Health Operations Center (SHOC) situation reports and shared with agency response partners such as the Tennessee Emergency Management Agency (TEMA).

Objective:

To demonstrate the use of ESSENCE in the BioSense Platform to monitor out-of-State patients seeking emergency healthcare in Tennessee during Hurricanes Harvey and Irma.

Submitted by elamb on

The vulnerability of mankind to disasters of various types has increased considerably all over the world. The situation in India is not better since 55 per cent of India’s landmass is prone to earthquakes; 68 per cent is vulnerable to drought; 12 per cent to floods; and 8 per cent to cyclones apart from the heat waves, and severe storms. Odisha, one of the developing coastal states of India, with a coastline of around 495 km and a population of about 43 million, is most prone to natural disasters like super cyclones and major floods every year. It has witnessed and suffered a number of super cyclones and floods in the last ten years. Such conditions give rise to various health hazards and diseases. Such an environment demands for a nodal agency which is dedicated towards public health surveillance during disasters in the state of Odisha, India. This paper tries to put forth the goals, requirement and role in setting up a centre for disaster preparedness for preparedness and surveillance during disaster. The paper also discusses various challenges and roadblocks in establishing such an institute.

Objective

To setup a nodal agency called the Centre for Public Health Preparedness (CPHP) dedicated towards public health surveillance during disasters in the state of Odisha, India. For better public health preparedness in disaster management the objectives of CPHP will be to: 1. To strengthen public health surveillance and preparedness for disaster management, through research, capacity building and action. 2. To act as a comprehensive technical support unit and resource centre for State Government of Odisha, India on public health preparedness for disaster management and to eventually provide similar support to other states of India. 3. To collaborate with National Disaster Management Authority to provide support in surveillance, preparedness and capacity building during public health emergencies. 4. To become a national centre of excellence in the area, in due course of time.

Submitted by rmathes on

Presented June 28, 2010

This webinar was presented by the ISDS Public Health Practice Committee.

 

Presenters

Matt Laidler, MPH, MA, Florida Department of Health

Joann Schulte, DO, MPH, Florida Department of Health

Janet Hamilton, MPH, Florida Department of Health

Aaron Kite-Powell, MS, Florida Department of Health

Richard Hopkins, MD, MSPH, Florida Department of Health

For its September 2010 meeting, the ISDS Public Health Practice Committee hosted a special presentation on disaster surveillance in American Samoa as a part of its ongoing disaster surveillance series. The talk, entitled, "Disaster Surveillance: American Samoa Tsunami Response, Use of CDC's Surveillance and Assessment Tools for Natural Disaster," was given by Amy Schnall, Project Coordinator for the Disaster Surveillance Workgroup at CDC. Ms. Schnall filled in for Amy F. Wolkin, MSPH, who gave a similar talk at this year's CSTE conference.

Presenter

In the event of a large-scale public health crisis, successfully detecting and assessing health threats and monitoring population health status over a sustained period of time is likely to require integration of information from multiple sources. In addition, this information must be shared at varying levels of detail both among different agencies or organizations within an affected locality and among response participants at local, state, and federal levels of government. In early 2007, the International Society for Disease Surveillance (ISDS) proposed a project to support member initiated consultations on priority unresolved questions in the field of syndromic surveillance (SS) research, development, or practice. The Duval County Health Department sought and obtained ISDS support to address the use of SS data in combination with other human health and veterinary surveillance data, environmental sampling data, and plume modeling results in the event of an airborne bioterrorist (BT) attack. To date, the development of SS in Florida has mainly focused on systems that monitor information from emergency department (ED) visits. In addition, because SS development was decentralized and managed primarily by county health departments, various systems were used in Florida, including ESSENCE, STARS, EARS and BioDefend.

Objective

The objective of this consultation was to develop expert, consensus-based recommendations for use of SS in combination with other human health, animal health, and environmental data sources to improve situational awareness in the event of a large-scale public health emergency. The consultation, convened by the Duval County, Florida, Health Department, involved other local and state public health offi cials from Florida who addressed this question in the context of a hypothetical BT attack scenario in Duval County. Insights arising from the consultation will be used to strengthen public health surveillance capacities as part of both local and state emergency preparedness efforts in Florida. The approach used by the consultation may be useful to other health departments seeking to enhance their emergency situational awareness capacity.

Referenced File
Submitted by uysz on
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