One of ASTHO’s key goals is to help its jurisdictions meet member needs for technical assistance, including making informed decisions about their syndromic surveillance options. To help them make such decisions, ASTHO worked with Booz Allen to create a decision analysis model, which factors in both a Value of Information (VOI) model and a Return on Investment (ROI) model. The model provides a dashboard of its outputs, which is a simple, easy-to-understand comparative view of multiple syndromic surveillance investment scenarios.

Objective

The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. Current approaches for catchment definition have significant limitations such as being based solely on distance from the facility or using an arbitrary threshold for inclusion.

Objective

We propose a simple statistical method, the cumulative case ratio, for defining a catchment area using surveillance data.

A seroprevalence survey carried out in four counties in the Tampa Bay area of Florida (Hillsborough, Pinellas, Manatee and Pasco) provided an estimate of cumulative incidence of infection due to the 2009 influenza A (H1N1) as of the end of that year’s pandemic. During the pandemic, high-level decison-makers wanted timely, credible forecasts as to the likely near-term course of the pandemic.

On July 11, 2012, New Jersey Department of Health (DOH) Communicable Disease Service (CDS) surveillance staff received email notification of a statewide anomaly in EpiCenter for Paralysis. Two additional anomalies followed within three hours. Since Paralysis Anomalies are uncommon, staff initiated an investigation to determine if there was an outbreak or other event of concern taking place. Also at question was whether receipt of multiple anomalies in such a short time span was statistically or epidemiologically significant.

Objective