Virtual Speed Networking with the Analytic Solutions Committee (ASC)

Presented January 11, 2018.

The purpose of the event was to stimulate and facilitate constructive communication and collaboration among analytic method developers and practitioners charged with routine public health surveillance, ranging from disease outbreak surveillance to chronic disease burden assessment and disaster response.

January 11, 2018

Dengue, Chikungunya & Zika Virus in VA Caribbean HCS, Nov. 2015-Aug. 2016

DENV, CHIKV and ZIKV are all transmitted by mosquitoes and have occurred in outbreaks in the Caribbean. Common symptoms (which can be severe and disabling) are similar among the 3 viruses and include fever, joint pain/swelling, headache, muscle pain and rash. In December 2015, the first endemic case of ZIKV infection was reported by VACHS. Since that time, an increasing number of ZIKV infections have been reported in Puerto Rico. Due to the growing ZIKV outbreak, we performed ongoing testing and surveillance.

Objective

September 07, 2017

Enhancing Nebraska's Rabies Surveillance using Electronic Public Health Cases Reports and ESSENCE

Accurate and timely reporting of animal rabies test results and potential human exposures is necessary to guide case management and define rabies epidemiology. Accordingly, Nebraska Department of Health and Human Services (NDHHS) collaborated with Kansas State University Rabies Laboratory (KSU-RL) in 2011 to establish electronic laboratory reporting (ELR) of animal rabies test results to Nebraska's Electronic Disease Surveillance System (NEDSS). If a potential human rabies exposure is verified, NDHHS authorizes state-paid rabies testing through a contractual agreement with KSU-RL.

September 29, 2017

Susceptibility Profile of Drug-Resistant Streptococcus pneumoniae Based on ELR

Since November 2014, the Houston Health Department has been receiving antimicrobial resistance information for Streptococcus pneumoniae from a safety net hospital via electronic laboratory reporting (ELR). Antimicrobial characteristics and vaccination rates of pneumococcal disease are of public health interest due to potential implications in treatment and prevention. Ten states participate in the CDC’s Active Bacterial Core surveillance (ABCs) program. Texas, which represents a different and diverse demographic compared to other states, is not an ABCs participating state.

September 19, 2017

Challenges in Surveillance for Chikungunya Virus (CHIKV) Infection

CHIKV is transmitted by mosquitoes and often occurs in large outbreaks with high attack rates. Common symptoms (which can be severe and disabling) include fever, joint pain/swelling, headache, muscle pain and rash. In December 2013, the World Health Organization reported local CHIKV transmission in the Caribbean. In July 2014, the first locally-acquired case in the continental U.S. (Florida) and increasing cases in Puerto Rico (PR) were reported. Due to the growing outbreak, VA Office of Public Health began conducting ongoing surveillance.

Objective

October 09, 2017

Tracking Communicable Disease Electronic Laboratory Data in New York State

All positive laboratory tests of reportable conditions on persons residing in New York State (NYS) are mandated to be sent to the NYS Department of Health (NYSDOH) via ECLRS. NYS, excluding New York City (NYC), receives over 100,000 ECLRS messages on general communicable diseases (CD) and hepatitis (HEP), not including Lyme disease and Influenza, annually. Although ECLRS is integrated with CDESS, the local health departments (LHD) need to review each lab report for proper initiation of a case investigation.

November 06, 2017

Potential Efficacy of Pregnancy Status on HIV Laboratory Reports

In Louisiana, information contained on electronic laboratory reports is not able to identify the pregnancy status for the majority of HIV-infected women. Laboratories have access to ICD9/ICD10 codes which could provide information about pregnancy status, but few laboratories provide these codes to Health Departments.

November 24, 2017

Challenges of ELR Implementation: Moving Toward Semantic Understanding through Vocabulary Validation

Meaningful Use has increased interest in submission of ELR to public health agencies, prompting these agencies to analyze their reporting process. Tennessee’s reporting regulations require anyone with knowledge of or suspecting a reportable disease or event report to the local health department. Although it is understood that laboratories are more diligent and routine reporters, focus in listing of these events is from the healthcare provider perspective. Public health agencies must acknowledge the differences in provider case reporting and laboratory result reporting.

August 22, 2018

Early Detection of Possible Outbreaks from Electronic Laboratory Reports

New York State has implemented a statewide Electronic Clinical Laboratory Reporting System (ECLRS) to which laboratories can electronically submit test results for reportable conditions. The Communicable Disease Electronic Surveillance System (CDESS) was used by 57 Local Health Departments (LHDs) to transfer ECLRS information and initiate investigations. Currently over 98% of licensed clinical labs are reporting via ECLRS. Positive laboratory test results are required to confirm over 80% of communicable diseases and they are often the first indication of a disease.

August 22, 2018

Identifying Pregnancy Status through STD/HIV Electronic Laboratory Reporting

Although U.S. Mother to Child transmission (MCT) rates of HIV have been reduced from approximately 25% to less than 2%, transmissions continue to occur.1 This reduction comes in a large part from treating pregnant mothers with antiretroviral medications.2 Despite these efforts, Louisiana has one of the highest rates of MCT of HIV in the U.S.3 Real-time identification of pregnancy status would allow high risk HIV-infected pregnant women to be targeted for follow-up.

April 28, 2019

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