Processing of Novel Electronic Health Data to Support Public Health Surveillance

Accurately gauging the health status of a population during an event of public health significance (e.g. hurricanes, H1N1 2009 pandemic) in support of emergency response and situation awareness efforts can be a challenge for established public health surveillance systems in terms of geographic and population coverage as well as the appropriateness of health indicators.

May 21, 2018

National Collaborative for Bio-Preparedness

The National Collaborative for Bio-Preparedness (NCB-Prepared) was established in 2010 to create a biosurveillance resource to enhance situational awareness and emergency preparedness. This jointinstitutional effort has drawn on expertise from the University of North Carolina- Chapel Hill, North Carolina State University, and SAS Institute, leveraging North Carolina’s role as a leader in syndromic surveillance, technology development and health data standards. As an unprecedented public/private alliance, they bring the flexibility of the private sector to support the public sector.

June 25, 2018

HealthSIS: a solution for Local Public Health Reporting and Surveillance in KY

Multiple options (1,2) are available for health care provider organizations to receive assistance in demonstrating compliance with meaningful use requirements for public health reporting (3). A certified EHR solution is a requirement for participation in these programs; vast majority of health care providers do not yet have such a solution. No funding programs are currently available to assist public health agencies, especially local public health departments (4).

May 02, 2019

Surveillance of poison center data using the National Poison Data System web service

Oregon Health Authority (OHA), in collaboration with the Johns Hopkins University Applied Physics Laboratory, recently implemented Oregon ESSENCE, an automated, electronic syndromic surveillance system. One way to strengthen syndromic surveillance is to include data from multiple sources. We are integrating data from emergency departments, state notifiable conditions and vital statistics, and the Oregon Poison Center (OPC). Implementing ESSENCE in Oregon provided the opportunity to automate poison center surveillance, which was previously done manually.

May 02, 2019

Collaborative development of use cases for geospatially enabling a health information exchange

Given the clear relationship between spatial contexts and health, the Indiana Center of Excellence in Public Health Informatics (ICEPHI) aims to serve both the needs of public health researchers and practitioners by contextualizing the health information of large populations.

June 14, 2019

Florida’s ESSENCE system - from syndromic surveillance to routine epidemiologic analysis across syndromic and non-syndromic data sources

Federal laws and national directives have focused attention on the development of more robust biosurveillance systems intended to detect events of public health interest in a timelier manner. Presidential Decision Directive 21 calls for integrated biosurveillance data, enhanced clinician awareness, and an epidemiologic surveillance system with sufficient flexibility to tailor analyses to new syndromes and emerging diseases. In 2007, a statewide syndromic surveillance system (ESSENCE) was implemented and hospitals were recruited to participate.

June 17, 2019

EpiSentry: simulation-based threat identification, response management and decision support for outbreaks and pandemics

The 2009 H1N1 novel flu pandemic demonstrates how a rapidly spreading, contagious illness can affect the world’s population in multiple ways including health, economics, education, transportation, and national security. Pandemic disease and the threat of bio-terrorism are prompting the need for a system that integrates disparate data, makes optimal use of the breadth of available health-related analysis and predictive models, and provides timely guidance to decision makers at multiple levels of responsibility.



June 17, 2019

The National Biosurveillance Integration System


June 20, 2019

User requirements for a user-centered design (UCD) redesign of a public health surveillance system: BioSense

The Centers for Disease Control and Prevention (CDC) launched the BioSense program in 2003 to establish an integrated system of nationwide public health surveillance for the early detection and assessment of potential bioterrorism-related illness. Over the ensuing years, the original aims of BioSense were broadened to meet evolving public health surveillance needs and priorities.

June 20, 2019

Improved diagnosis of group A streptococcal pharyngitis using real-time biosurveillance

Group A Streptococcal (GAS) pharyngitis, the most common bacterial cause of acute pharyngitis, causes more than half a billion cases annually worldwide. Treatment with antibiotics provides symptomatic benefit and reduces complications, missed work days and transmission. Physical examination alone is an unreliable way to distinguish GAS from other causes of pharyngitis, so the 4-point Centor score, based on history and physical, is used to classify GAS risk.

June 26, 2019


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