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Syndromic Surveillance

Description

Infectious diseases present with multifarious factors requiring several efforts to detect, prevent, and break the chain of transmission. Recently, machine learning has shown to be promising for automated surveillance leading to rapid and early interventions, and extraction of phenotypic features of human faces. In addition, mobile devices have become a promising tool to provide on-the-ground surveillance, especially in remote areas and geolocation mapping. Pacific Northwest National Laboratory (PNNL) combines machine learning with mobile technology to provide a groundbreaking prototype of disease surveillance without the need for internet, just a camera. In this android application, VisionDx, a machine learning algorithm analyses human face images and within milliseconds notifies the user with confidence level whether or not the person is sick. VisionDx comes with two modes, photo and video, and additional features of history, map, and statistics. This application is the first of its kind and provides a new way to think about the future of syndromic surveillance.

Objective: Automated syndromic surveillance using mobile devices is an emerging public health focus that has a high potential for enhanced disease tracking and prevention in areas with poor infrastructure. Pacific Northwest National Laboratory sought to develop an Android mobile application for syndromic biosurveillance that would i) use the phone camera to take images of human faces to detect individuals that are sick through a machine learning (ML) model and ii) collect image data to increase training data available for ML models. The initial prototype use case is for screening and tracking the health of soldiers for use by the Department of Defense’s Disease Threat Reduction Agency.

Submitted by elamb on
Description

Syndromic surveillance has become an integral component of public health surveillance efforts within the state of Florida. The near real-time nature of these data are critical during events such as the Zika virus outbreak in Florida in 2016 and in the aftermath of Hurricane Irma in 2017. Additionally, syndromic surveillance data are utilized to support daily reportable disease detection and other surveillance efforts. Although syndromic systems typically utilize emergency department (ED) visit data, ESSENCE-FL also includes data from non-traditional sources: urgent care center visit data, mortality data, reportable disease data, and Florida Poison Information Center Network (FPICN) data. Inclusion of these data sources within the same system enables the broad accessibility of the data to more than 400 users statewide, and allows for rapid visualization of multiple data sources in order to address public health needs. Currently, the ESSENCE-FL team is actively working to incorporate EMS data into ESSENCE-FL to further increase public health surveillance capacity and data visualization.

Objective: To describe the strategy and process used by the Florida Department of Health (FDOH) Bureau of Epidemiology to onboard emergency medical services (EMS) data into FDOH’s syndromic surveillance system, the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE-FL).

Submitted by elamb on
Description

Maryland has a powerful syndromic surveillance system, ESSENCE, which is used for the early detection of disease outbreaks, suspicious patterns of illness, and public health emergencies. ESSENCE incorporates traditional and nontraditional health indicators from multiple data sources (emergency department chief complaints, over-the-counter (OTC) medication sales, and poison control center data).

Initially, 15 (30%) acute care hospitals in the National Capital Region and Baltimore Metro Region of the state were sending emergency department (ED) data to ESSENCE. DHMH began planning several years ago to increase the number of hospitals reporting to ESSENCE.

In 2007, Maryland’s Governor introduced a homeland security initiative that outlined 12 Core Goals for A Prepared Maryland. One of core goals was to improve biosurveillance and in 2009, Maryland successfully incorporated 100% (45) acute-care hospitals into ESSENCE. Maryland continues to enhance and improve ESSENCE by incorporating additional data sources such as prescription medication data.

Objective

The purpose of this paper is to describe Maryland’s process of enhancing its Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) by incorporating additional data sources such as prescription medication data.

Submitted by teresa.hamby@d… on
Description

In June 2009, the CDC defined a confirmed case of H1N1 as a person with an ILI and laboratory confirmed novel influenza A H1N1 virus infection. ILI is defined by the CDC as fever and cough and/or sore throat, in the absence of a known cause other than influenza. ILI cases are usually reported without accounting for alternate diagnoses (that is, pneumonia). Therefore, evaluation is needed to determine the impact of alternate diagnoses on the accuracy of the ILI case definition.

Objective

This study investigates the impact of alternate diagnoses on the accuracy of the Centers for Disease Control and Prevention’s (CDC) case definition for influenza-like illness (ILI) when used as a screening tool for influenza A (H1N1) virus during the 2009 pandemic, and the implications for public health surveillance.

Submitted by teresa.hamby@d… on
Description

Pro-WATCH (protecting war fighters using algorithms for text processing to capture health events), a syndromic surveillance project for veterans of operation enduring freedom (OEF)/operation Iraqi freedom (OIF), includes a task to identify medically unexplained symptoms (MUS). The v3NLP entity extraction tool is being customized to identify symptoms within VA clinical documents, and then refined to assign duration. The identification of medically unexplained symptoms and the aggregation of this information across documents by patient’s is not addressed here.

Objective

Pro-WATCH (protecting war fighters using algorithms for text processing to capture health events), a syndromic surveillance project, includes a task to identify medically unexplained symptoms. The v3NLP entity extraction tool is being customized to identify symptoms, then to assign duration assertions to address part of this project. The v3NLP tool was recently enhanced to find problems, treatments, and tests for the i2b2/VA challenge. The problem capability is being further refined to find symptoms. Machine learning models will be developed using an annotated corpus currently in development to find duration assertions.

Submitted by teresa.hamby@d… on
Description

The 2010 NATO DSS experiment was the second deployment of the French ‘Alerte et Surveillance en Temps Re´el’ (ASTER) system within a multinational armed task force in real operational conditions. This experiment was scheduled within the ASTER evaluation program, as constructed by French and NATO Armed Forces after several previous works.

Objective

The new NATO Disease Surveillance System (DSS) was deployed for the second time in Kosovo within the multinational armed forces in 2010 for a 3 days experiment. The objective of the survey was to continue the development of real-time disease surveillance capability for NATO forces, in parallel with the implementation of the NATO Deployment Health Surveillance Centre in Munich in 2010.

Submitted by teresa.hamby@d… on

Marcus Rennick, Epidemiologist with the Marion County Public Health Department (WV), provides an overview/training on the BioSense System.

 

Time Overview:

(45 minutes) Syndromic Surveillance and BioSense Overview

(90 minutes) Hands-on BioSense Tutorial

(20 minutes) Introduction and hands-on to other ways to access the data than just the front end application

(20 minutes) Resources and Community Support

Submitted by elamb on