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Relationship between neighborhood poverty and emergency department utilization for fever/flu syndrome


The HEDSS system was implemented in 2004 to monitor disease activity.1 In all, 18 of 32 emergency departments (ED) and urgent care clinic provide data. Chief complaints are routinely categorized into eight syndromes. The fever/flu syndrome is used for early detection and monitoring of influenza in the community. Area-based measures, such as zip code, enable linkage to area-based socioeconomic census data. Neighborhood poverty, defined as the percentage of persons living below the federal poverty level in a geographic area, predicts a wide range of disease outcomes.


To describe the relationship between neighborhood poverty and emergency department visits for fever/flu syndrome illnesses reported through the Connecticut Hospital Emergency Department Syndromic Surveillance (HEDSS) system.

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