Arizona

Reporting of binational cases has been enacted in Arizona systematically since 2007. Investigating binational cases and providing binational counterparts with timely information can help to enact interventions, as well as strengthens communication between binational, federal, and local health partners. This has allowed a better understanding of the burden of disease among binational/border populations. The process of systematically sharing these cases has allowed for appropriate and timely public health interventions to be implemented, crossing an international boundary in both states.

Objective

This will provide an overview of the process by which Arizona and Sonora identify and share binational cases of public health importance.

1) Describe a near real-time school-based syndromic surveillance program that integrates electronic data records and a two-way health alert system for early outbreak detection, notification, and possible intervention for Arizona schools. 2) Demonstrate the public health utility of this system for early detection of influenza among school children.

1) Describe Arizonaís integrated influenza surveillance for school children with a retrospective analysis of data from multiple sources including School-based Syndromic Surveillance Program (SSSP), laboratory-confirmed influenza case reports, sentinel influenza-like illness (ILI) reports, and hospital discharge data. 2) Demonstrate how ILI data collected from SSSP can be integrated into evidence from other data sources to prospectively monitor and detect early increases in influenza among school children.