Using Syndromic Data for Opioid Overdose Surveillance in Utah

The current surveillance system for opioid-related overdoses at UDOH has been limited to mortality data provided by the Office of the Medical Examiner (OME). Timeliness is a major concern with OME data due to the considerable lag in its availability, often up to six months or more. To enhance opioid overdose surveillance, UDOH has implemented additional surveillance using timely syndromic data to monitor fatal and nonfatal opioid-related overdoses in Utah.


January 21, 2018

Implementation of Real-Time Laboratory-Based Influenza Surveillance System, Thailand

Influenza is one of the significant causes of morbidity and mortality globally. Previous studies have demonstrated the benefit of laboratory surveillance and its capability to accurately detect influenza outbreaks earlier than syndromic surveillance.1-3 Current laboratory surveillance has an approximately 4-week lag due to laboratory test turn-around time, data collection and data analysis.

January 25, 2018

Association between Influenza-like Illnesses and Social Determinants of Health by Census Tract in Houston/Harris County

The Houston Department of Health Department of Health and Human Services (HDHHS) monitors emergency departments (ED) chief complaints across the Houston metropolitan area, Harris County, and the surrounding jurisdictions by Real-time Outbreak Disease Surveillance (RODS). The influenza-like illnesses (ILI) data is collected by sentinel surveillance provider network of 12 physicians and RODS, an electronic syndromic surveillance database consisting of about 30 EDs in metropolitan Houston.

August 22, 2018

Leveraging Public Health Emergency Informatics during the Fungal Infections Outbreak, Tennessee - 2012

Late in September 2012, the Tennessee Department of Health (TDH) identified a cluster of fungal infections following epidural injection of methylprednisolone acetate (MPA) from a single compounding pharmacy. This presented a public health imperative to contact, educate and monitor approximately 1,100 Tennessee residents who received injections from contaminated MPA lots that were shipped to three clinics in Tennessee. There was no precedent to accomplish this rapidly and efficiently.

April 28, 2019

Technical Challenges of Syndromic Surveillance System Deployment in a Health Information Exchange

Adoption of electronic medical records is on the rise, due to the Health Information Technology for Economic and Clinical Health Act and meaningful use incentives. Simultaneously, numerous HIE initiatives provide data sharing flexibility to streamline clinical care. Due to the consolidated data availability in centralized HIE models, conducting syndromic surveillance using locally developed systems, such as GUARDIAN, is becoming feasible. During the past year, Chicago has embarked on a city-wide HIE deployment campaign.

May 02, 2019

Advantages of real time surveillance for outbreak detection and management

It is admitted that real time surveillance system permits to reduce delay of outbreak detection, and preventive measures implementation. It is usually based on pre diagnostic numeric data collection and transmission. ASTER (Alerte et surveillance en temps reel) is a real time surveillance system for French Armed Forces deployed in French Guiana and Djibouti, constituted by 2 kinds of networks : several declaration networks and one analysis network. On June 2011, an outbreak occurred among a French Army Regiment in Djibouti, which has permitted to evaluate ASTER in real conditions.

May 02, 2019

Disease Profile Development Methodology for Syndromic Surveillance of Biological Threat Agents

Detection of biological threat agents (BTAs) is critical to the rapid initiation of treatment, infection control measures, and public health emergency response plans. Due to the rarity of BTAs, standard methodology for developing syndrome definitions and measuring their validity is lacking.



May 02, 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

Integrating medical examiner data in Utah

The Office of the Medical Examiner (OME) is a statewide system for investigation of sudden and unexpected death in Utah. OME, in the Utah Department of Health (UDOH), certified over 2000 of the 13,920 deaths in Utah in 2008. 

June 26, 2019

EpiScape: a map generation service for spatial temporal visualization

The Keyhole Markup Language (KML) format has become a recognized standard for the distribution of geographic information system data. In most recent versions of the Real-Time and Outbreak Disease Surveillance (RODS) system, we standardized on KML as our mapping solution. This decision obviates the need for commercial GIS servers and clients, and permits users to easily overlay RODS map output with other websites and software that output KML, for example, EPA, NASA, and NOAA.

June 17, 2019


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