Additional public and provider education are needed to reduce delays in diagnosis.
Super Bowl XLIX took place on February 1, 2015, in Glendale, Arizona. In preparation for this event and associated activities, the Maricopa County Department of Public Health (MCDPH) developed methods for enhanced surveillance, situational awareness, and early detection of public health emergencies. Surveillance strategies implemented from January 22 to February 6, 2015, included enhanced surveillance alerts; animal disease surveillance; review of NFL clinic visits; syndromic surveillance for emergency room visits, urgent care facilities, and hotels; real-time onsite syndromic surveillance; all-hazards mortality surveillance; emergency medical services surveillance, review of poison control center reports; media surveillance; and aberration detection algorithms for notifiable diseases. Surveillance results included increased influenzalike illness activity reported from urgent care centers and a few influenza cases reported in the NFL clinic. A cyanide single event exposure was investigated and determined not to be a public health threat. Real-time field syndromic surveillance documented minor injuries at all events and sporadic cases of gastrointestinal and neurological (mostly headaches) disease. Animal surveillance reports included a cat suspected of carrying plague and tularemia and an investigation of highly pathogenic avian influenza in a backyard chicken flock. Laboratory results in both instances were negative. Aberration detection and syndromic surveillance detected an increase in measles reports associated with a Disneyland exposure, and syndromic surveillance was used successfully during this investigation. Coordinated enhanced epidemiologic surveillance during Super Bowl XLIX increased the response capacity and preparedness of MCDPH to make informed decisions and take public health actions in a timely manner during these mass gathering events.
ObjectiveTo develop a protocol for enhancing traditional arboviral surveillance with syndromic surveillance and to evaluate the protocol for accuracy, effectiveness, and timeliness.
ObjectiveThis session will inform the BioSense Community about data validation advancements implemented this past year as well as future plans to improve the BioSense validation process to achieve emergency department representativeness goals. IntroductionOne of the greatest hurdles for BioSense Onboarding is the process of validating data received to ensure it contains Data Elements of Interest (DEOI) needed for syndromic surveillance. Efforts to automate this process are critical to meet existing and future demands for facility onboarding requests as well as provide a foundation for data quality assurance efforts. By automating the validation process, BioSense hopes to:1. Reduce costs associated with the iterative validation process. 2. Improve BioSense response times for assistance with onboarding. 3. Improve documentation to partners about requirements and communicate changes to DEOI.4. Provide a better foundation for data quality initiatives. Efforts to improve data validation are being developed in alignment with BioSense future initiatives and will apply to both BioSense, Essence and other BioSense program applications.BioSense Onboarding identified critical success factors by participating in ISDS workgroup initiatives for Onboarding and Data Quality and soliciting feedback from key jurisdictional partners. These critical success factors include; improved documentation, access to raw data, and faster validation response time.
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