Real-time monitoring of a mass K2-related overdose outbreak – Connecticut, 2018

On August 15, 2018, the Connecticut Department of Public Health (DPH) became aware of a cluster of suspected overdoses in an urban park related to the synthetic cannabinoid K2. Abuse of K2 has been associated with serious adverse effects and overdose clusters have been reported in multiple states. This investigation aimed to characterize the use of syndromic surveillance data to monitor a cluster of suspected overdoses in real time.

June 18, 2019

Enhancing Syndromic Surveillance with Procedure Data: A 2017-8 Influenza Case Study

Syndromic surveillance achieves timeliness by collecting prediagnostic data, such as emergency department chief complaints, from the start of healthcare interactions. The tradeoff is less precision than from diagnosis data, which takes longer to generate. As the use and sophistication of electronic health information systems increases, additional data that provide an intermediate balance of timeliness and precision are becoming available. Information about the procedures and treatments ordered for a patient can indicate what diagnoses are being considered.

June 18, 2019

Selection of a geographic area of interest for syndromic surveillance

Since 1 January 2016, the Auvergne and Rhone-Alpes regions have merged as part of the territorial reform. The new region is composed of 12 departments and accounts for more than 8 million inhabitants. Its territory is heterogeneous in population density with very urban areas (Clermont-Ferrand, Grenoble, Lyon and Saint-Etienne) and important mountainous areas (Arc Alpin, Massif Central).

June 18, 2019

Evaluation of ESSENCE Syndromic Definitions for ED Visits Related to Falls in Icy Weather

Icy weather events increase the risk for injury from falls on untreated or inadequately treated surfaces. These events often result in ED visits, which represents a significant public health and economic impact1. The goal of this project was to start the process toward an evaluation of the public health impact and the economic impact of falls associated to icy weather in Douglas County, NE for the ultimate purpose of designing and implementing injury prevention related public health protection measures.

June 18, 2019

Short-term health impact assessment after Irma in French islands

In Saint-Martin (31 949 inhabitants) and Saint-Barthelemy (9 625 inhabitants) islands in the French West Indies, the surveillance system is based on several data sources: (1) a syndromic surveillance system based on two emergency departments (ED) of Saint-Barthellemy (HL de Bruyn) and Saint-Martin (CH Fleming) and on mortality (SurSaUD® network [1])); (2) a network of sentinel general practitioners (GP'™s) based on the voluntary participation of 10 GPs in Saint-Martin and 5 in Saint-Barthelemy; (3) the notifiable diseases surveillance system (31 notifiable diseases to individual case-specif

June 18, 2019

Flexibility of ED surveillance system to monitor dengue outbreak in Reunion Island

In Reunion Island, a French overseas territory located in the southwestern of Indian Ocean, the dengue virus circulation is sporadic. Since 2004, between 10 and 221 probable and confirmed autochthonous dengue fever cases have been reported annually. Since January 2018, the island has experienced a large epidemic of DENV serotype 2. As of 4 September 2018, 6,538 confirmed and probable autochthonous cases have been notified1.

June 18, 2019

Syndrome Development to Assess IDU, HIV, and Homelessness in MA Emergency Departments

In Massachusetts, syndromic surveillance (SyS) data have been used to monitor injection drug use and acute opioid overdoses within EDs. Currently, Massachusetts Department of Public Health (MDPH) SyS captures over 90% of ED visits statewide. These real-time data contain rich free-text and coded clinical and demographic information used to categorize visits for population level public health surveillance. Other surveillance data have shown elevated rates of opioid overdose related ED visits, Emergency Medical Service incidents, and fatalities in Massachusetts from 2014-20171,2,3.

June 18, 2019

Hurricane Harvey AAR: Preparedness Recommendations Based on Surveillance Data

On August 25, 2017 Hurricane Harvey moved onshore near Port Aransas, Texas, eventually overwhelming areas of Houston with between 41-60 inches of rain (Houston Health Department [HHD], 2017). As a category 4 storm, with wind speeds as high as 130 mph, Harvey broke several rainfall records across the state and ended the prolonged period of twelve years in which no major hurricanes had made landfall in the United States (Mersereau, 2017).

June 18, 2019

Trends in Injection Opioid Use and Bloodborne Pathogen Related Diseases in New Jersey

When the opioid epidemic began in the early 1990s, pills such as oxycodone were the primary means of abuse.

June 18, 2019

Impact of a new diagnoses thesaurus on the French ED syndromic surveillance system

As part of the French syndromic surveillance system SurSaUDî, the French Public Health Agency (Sant© publique France) collects daily data from the emergency department (ED) network OSCOUR®. The system aims to timely identify, follow and assess the health impact of unusual or seasonal events on emergency medical activity. Individual ED data contain demographic (age, gender, residence zip code), administrative (dates of attendances and discharge, ED, etc.) and medical information (chief complaint, main and associated medical diagnoses, severity).

June 18, 2019

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