Utilizing Syndromic Surveillance for Hurricane Irma-Related CO Poisonings in Florida

On September 10, 2017, Hurricane Irma made landfall in Florida. Over 90% of Florida counties reported power outages as of September 11. During power outages, CO poisonings often occur due to indoor use of fuel combustion sources (e.g., cooking, heating) or generators for electricity. CO poisoning is a reportable condition in Florida; health care providers and laboratories are required to report suspected cases to the Florida Department of Health (FDOH). In Florida, approximately 202 cases of CO poisoning are reported each year (three-year average from 2014 to 2016).

June 18, 2019

Carbon Monoxide Poisoning during Hurricane Sandy in Affected New York State Counties

CO poisoning is a leading cause of mortality and morbidity in disaster and post-disaster situations, when widespread power outages most likely occur (1, 2). The NYSDOH Syndromic Surveillance System receives daily ED visit chief complaint data from 140 NYS (excluding New York City) hospitals. Daily power outage data are available from the NYS Department of Public Service (NYSDPS). These data can be used to estimate the risk of CO-EDs and provide useful information for public health situational awareness and emergency response management during disaster events.

October 09, 2017

Utility of Syndromic Surveillance for Investigating Morbidity Resulting from a Severe Weather Event

On 12/14/06, a windstorm in western Washington caused 4 million residents to lose power; within 24 hours, a surge in patients presented to emergency departments (EDs) with carbon monoxide (CO) poisoning. As previously described, records of all patients presenting to King County EDs with CO poisoning between 12/15/06 to 12/24/06 (n=279) were abstracted, of which 249 met the case definition and eligibility requirements.

July 30, 2018

Performance of a Syndromic Surveillance System for Detecting Carbon Monoxide Poisoning Following a Severe Windstorm

On December 14th, 2006, a severe windstorm in western Washington caused hundreds of thousands of residents to lose power. On December 15, 2006, there was a surge in emergency department (ED) visits for patients presenting with signs of acute carbon monoxide (CO) poisoning. A Public Health investigation was initiated following the storm to determine the extent of CO poisoning due to the windstorm. A retrospective analysis was later undertaken to evaluate how well our syndromic surveillance system was able to identify patients who presented to area EDs with carbon monoxide poisoning.

July 30, 2018

Increasing the Return-on-Investment from Syndromic Surveillance: Putting the Systems to Work for Routine Local Health Department Activities

Since October 2004, the Indiana State Health Department and the Marion County Health Department have been developing and using a syndromic surveillance system based on emergency department admission data. The system currently receives standards-based HL7 emergency department visit data, including free-text chief complaints from 72 hospitals throughout the state. Fourteen of these hospitals are in Marion County, which serves the Indianapolis metropolitan region (population 865,000).

 

Objective

July 30, 2018

Detection of Carbon Monoxide Poisoning in Chief Complaint Data

Following an Oct 12-13, 2006 snowstorm, almost 400,000 homes in western New York lost power, some for up to 12 days. News reports said that emergency rooms saw many patients with CO exposure; 3 deaths were attributed to CO poisoning. As part of NYS DOH’s syndromic surveillance system, electronic ED records with a free-text CC field listing the symptoms reported by the patient are sent to NYS DOH daily. Each CC is searched for text strings indicating complaints in one or more of 6 syndromes (asthma, fever, gastrointestinal (GI), neurological, respiratory, rash).

March 26, 2019

Carbon Monoxide - Kansas Department of Health and Environment

This syndrome was created to query NSSP ESSENCE on CO Poisoning and Exposure

Kansas just made CO Poisoning a mandatory reportable disease, but this was done so rapidly that hospital didn't have the chance to get reporting measures/alerts in place so many of our CO Poisonings went unreported. This set of queries was created to find these cases through EDs and then educate/remind hospitals of the legislation changes.

July 19, 2018

Carbon Monoxide Exposure V2 - Kansas Department of Health and Environment

KDHE has updated the exhisting CO Poisoning Surveillance queries. Version 1 can be found here https://www.surveillancerepository.org/carbon-monoxide-exposure-kansas-d...

Previously, we were querying for carbon monoxide-related cases by using the NSSP ESSENCE SubSyndrome for COPoisoning coupled with an ICD10 CM diagnosis code query. SubSyndrome and ICD10 queries had to be run separately and then combined and de-duplicated.

September 24, 2018

Carbon Monoxide Exposure - Kansas Department of Health and Environment

This syndrome was created to capture Kansas ED Visits with chief complaints related to carbon monoxide poisoning/exposure or similar diagnosis codes. The terms "heater" and "generator" are included to potentially capture cases of improper heater and generator use that did not receive relevant CO poisoning terms or codes.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

Fields Used - CCDD (an ESSENCE-concatenated field of Chief Complaint and Discharge Diagnosis)

October 27, 2017

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NSSP Community of Practice

Email: syndromic@cste.org

 

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