The Association Between Temperature and 911 Calls for Heat-Related Illness: Potential for Syndromic Surveillance

One of the emerging priorities for the use of syndromic surveillance is for the monitoring of environmental health conditions. Heat-related illness (HRI) is of growing public health importance, particularly with climate change and anticipated increased frequency of heat waves. High ambient temperatures are responsible for significant morbidity and mortality, as was demonstrated during the 2003 heat waves in Europe that resulted in an estimated 45,000 excess deaths.

July 30, 2018

Identifying and Modeling Spatial Patterns of Heat-Related Illness in New York City

This paper describes the spatial pattern of New York City (NYC) heat-related emergency medical services (EMS) ambulance dispatches and emergency department visits (ED) and explores how this information can be used in planning for and response to heat-related health events.

July 30, 2018

Modifications to Spatial Scan Statistics for Estimated Probabilities at Fine-Resolution in Highly Skewed Spatial Distributions

Estimation of representative spatial probabilities and expected counts from baseline data can cause problems in applying spatial scan statistics when observed events are sparse in a large percentage of the spatial zones (e.g., zip codes or census tracts) found in the data records. In applications of scan statistics to datasets with fine spatial resolution, such as census tracts or block groups, such highly skewed data distributions are likely to occur.

July 30, 2018

Real Time EMS Events as Surrogate Events in Syndromic Surveillance

Prehospital  EMS  data  is  rarely  mentioned  in  discus-sions  surrounding  syndromic  surveillance  for  covert  bio-terrorism  attacks  or  for  the  monitoring  of  syn-dromic  illness  such  as  bird  flu.    However,  EMS  dis-patch data may serve as the very first marker in such an event.  EMS dispatch data has many useful advan-tages  in  syndromic  surveillance.    These  include  the  ability to monitor across wide areas of geography and a  single  data  collection  source.

July 30, 2018

Utilization of Public Health Surveillance Data for Early Detection and Mitigation of Drinking Water Contamination

Safe drinking water is essential for all communities. Intentional or unintentional contamination of drinking water requires water utilities and local public health to act quickly. The Water Security (WS) initiative of the U.S. Environmental Protection Agency is a multi-faceted approach involving water utilities and local public health officials (LPH) to identify, communicate, contain, and mitigate a drinking water contamination event.

July 30, 2018

A Comparison between Syndromic Surveillance 911/EMS and Emergency Department Data

To examine data from 911/Emergency Medical Services (EMS) and determine whether these data provide a useful addition to syndromic surveillance (SS) when used with emergency department (ED) chief complaint (CC) data.

July 30, 2018

Use of Syndromic Data for Surveillance of Hurricane-Related Injuries in Miami-Dade County, FL

In 2005, three hurricanes made landfall in Florida, with Hurricane Wilma having the most severe impact on Miami-Dade County. Syndromic surveillance is typically used to detect bioterrorism or natural disease outbreaks before specific diagnoses are made. After Wilma, however, the Miami-Dade County Health Department assessed the utility of syndromic data for surveillance of hurricane-related injuries.



July 30, 2018

Using Business Intelligence Tools to Automate Data Capture and Reporting

The North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) serves public health users across NC at the local, regional and state levels, providing early event detection and situational awareness capabilities. At the state level, our primary users are in the General Communicable Disease Control Branch of the NC Division of Public Health. NC DETECT receives 10 different data feeds daily including emergency department visits, emergency medical service runs, poison center calls, veterinary laboratory test results, and wildlife treatment.

July 30, 2018

Utility of 911 Ambulance Dispatch Data for the Syndromic Surveillance of Heat-Related Illness in Toronto, Ontario, 2002-2005

Although the majority of work in syndromic surveillance has been its application to bioterrorism and infectious diseases, one of the emerging priorities for its use is for the monitoring of environmental health conditions. Heat-related illness (HRI) is of growing public health importance, especially with global warming concerns and increased frequency of heat waves. Ambient temperatures are responsible for significant morbidity and mortality, as was demonstrated during the 1995 heat wave in Chicago that resulted in over 700 excess deaths and 33,000 emergency room visits due to HRI.

July 30, 2018

Utilization of Public Health Surveillance Data for Early Detection of Drinking Water Contamination

The United States Environmental Protection Agency (U.S. EPA) has developed a prototype contamination warning system (CWS) for drinking water in response to Homeland Security Presidential Directive 9 (HSPD9). The goal of HSPD9 and the CWS is to expedite contamination containment and emergency response, thereby minimizing public health and economic impacts.

July 30, 2018


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