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The OKC-Co Health Department deployed a phased vectorborne response plan to address multiple diseases, including Zika Virus and West Nile Virus. This plan is scalable and flexible, but must necessarily prepare for the worst case scenario. Although not currently a local threat in OKC-Co, Zika virus response planning requires early coordination between state, local and federal agencies in order to mitigate risk to the population. The backbone of the Vectorborne response planning has been proven successful through West Nile Virus response in which Oklahoma has experienced three outbreak seasons: 2003, 2007 and 2012. (OSDH) In 2015, the OKC area experienced a greater than 112% increase in the number of vectors and 18 WNV positive test pools were observed. The heightened number of vectors and positive test pools did not translate to the same escalation in human cases, which demonstrates the strength that Public Health collaboration between surrounding municipalities and community members has on reducing the potential impact of this seasonal epidemic. During the most recent 2017 mosquito season, local code enforcement, city officials and consumer protection deployed a total of 18 CDC Gravid and BG Sentinel traps. The final day of sorting took place during the last week of October, as consistent with the decrease in mosquito numbers. There were 23 trapping and testing weeks with a total of 43,079 mosquitos trapped and 33, 846 mosquitos tested. An average of 66% of all trapped mosquitos were tested each week. The Maximum Likelihood Estimation (MLE) Infection Rate is calculated each week.

Objective: Demonstrate the impact of surveillance and media engagement on Public Health protection during a Vectorborne disease response.Identify surveillance and reporting methods for timely response to positive cases steps.Explore and apply best practices for collaboration with partners and surrounding municipalities in order to reduce disease impact

Submitted by elamb on
  • Why the syndrome was created? This syndrome was created to monitor Lyme disease related emergency room visits using regular expressions in R. 
  • Syndromic surveillance system (e.g., ESSENCE, R STUDIO, RODS, etc.) Data collected from Epicenter, but parsed and analysed in R/Rstudio
  • Data sources the syndrome was used on (e.g., Emergency room, EMS, Air Quality, etc.) Emergency room and Urgent Care
Submitted by Anonymous on
  • Why the syndrome was created? This syndrome was created to monitor tick related emergency room visits using regular expressions in R. 
  • Syndromic surveillance system (e.g., ESSENCE, R STUDIO, RODS, etc.) Data collected from Epicenter, but parsed and analysed in R/Rstudio
  • Data sources the syndrome was used on (e.g., Emergency room, EMS, Air Quality, etc.) Emergency room and Urgent Care
Submitted by Anonymous on

Uploaded on behalf of Grace Marx, MD, MPH: Bacterial Diseases Branch, Division of Vector-Borne Diseases, CDC.

 

This syndrome definition was created to explore tick through Syndromic data as an efficient approach to monitor the tick-borne diseases and the utility of tick bite visits to predict the seasonal peak in Lyme disease.

This was created in NSSP ESSENCE, using the Chief Complaint Query Validation (CCQV) data to ensure a broad application across different states and jurisdictions.

Submitted by ZSteinKS on

Uploaded on behalf of Grace Marx, MD, MPH: Bacterial Diseases Branch, Division of Vector-Borne Diseases, CDC.

 

This syndrome definition was created to explore Lyme disease through Syndromic data as an efficient approach to monitor the disease. 

This was created in NSSP ESSENCE, using the Chief Complaint Query Validation (CCQV) data to ensure a broad application across different states and jurisdictions.

Submitted by ZSteinKS on

Zika virus disease became a significant public health problem in Brazil in 2015 and quickly spread to other South American and Central American countries. While not an overly severe illness for many, Zika virus disease has been shown to increase the probability of severe birth defects in babies when their mothers are infected with the virus during pregnancy. Zika virus disease has also been associated with Guillain-Barré syndrome.

Submitted by elamb on

On August 20th and 21st, 2007, Ohio sustained heavy rains which resulted in severe flooding over a nine-county area in the north-central part of the state. Increased hospital emergency department (ED) visits were expected for gastrointestinal illnesses, but this was not observed. After a media report on September 4, 2007 suggested swarms of mosquitoes were plaguing residents, ED character-specific data were analyzed to see if these data could confirm the report.

 

Objective

This retrospective analysis of text fragments in emergency department chief complaints illustrates the usefulness of syndromic surveillance in providing timely situational awareness of insect prevalence in post-flood situations.

Referenced File
Submitted by elamb on

Chikungunya virus disease (CHIK) is a mosquito-borne viral infection currently widespread in the Caribbean with the potential for emergence and endemicity in the U.S. via infected travelers and local mosquito vectors. CHIK disease can be severe and disabling with symptoms similar to dengue. CHIK is not a U.S. nationally notifiable disease and tracking travel-associated and locally acquired cases is currently dependent on voluntary reporting via ArboNET. While ArboNET cases are laboratory confirmed and highly specific, ArboNET is a passive surveillance system where representativeness and timeliness may be lacking. In contrast, submitting an electronic bill following HC services is the most mature and widely used form of eHealth. Providers are highly motivated to submit claims for reimbursement and the eHRC process is ubiquitous in the U.S. HC system. HIPAA-compliant eHRCs from provider offices can be captured in e-commerce and consolidated into electronic data warehouses and used for many purposes including public health surveillance. eHRCs are standardized and each claim contains pertinent person, place, and time information as well as ICD-9 diagnostic codes. IMS Health (IMS) is a global HC information company and maintains one of world’s largest eHealth data warehouses that processes ~1 billion provider office eHRCs annually. IMS consolidates eHRCs from >60% of all U.S. office-based providers from all parts of the U.S. The size and predictability of the eHRC flow into the IMS data warehouse supports projections of national estimates and time trends of conditions of interest.

Objective

This paper describes how high-volume electronic healthcare (HC) reimbursement claims (eHRCs) from providers’ offices can be used to supplement Chikungunya surveillance in the U.S.

 

 

Submitted by uysz on

Dengue Hemorrhagic fever is the most important mosquito-borne viral disease in Indonesia and the most rapidly spreading over the past 40 years. It is a major cause of morbidity and mortality especially among children. Beside of that, larval habitats are increasing rapidly in Padang city as urban areas. It refers to poor populations lacking basic health services. Effective bottom-up community participation increasingly is recognized as an important component of environmentallysustainable control programs. But community based health service action become weak recently in Padang Indonesia. It needs some new energy to strengthen2. Adoption of social capital concept into the program could be a way out. An action research through communitybased approaches is developed to reduce disease transmission and environmental management for control of dengue hemorrhagic fever.

Objective

This presentation aims to developed comprehensive dengue hemorrhagic fever vector control by new approach social mobilization of city residents in Padang, West Sumatera, Indonesia and to monitor its sustainability of the program for 4 years.

Submitted by Magou on

This syndrome was created as a part of the Arboviral Syndromic Surveillance Project in Arizona, which includes bi-weekly monitoring of syndromic data to enhance traditional arboviral surveillance. The syndrome was developed using BioSense 2.0 phpMyAdmin and later transitioned to ESSENCE. The syndrome queries chief complaint and discharge diagnosis code

Submitted by rkumar on
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