Enhanced Surveillance for the Sports Festival in Tokyo 2013: Preparation for the Tokyo 2020 Olympic and Paralympic Games

Shimatani, Naotaka; Sugishita, Yoshiyuki; Sugawara, Tamie; Nakamura, Yoshitsugu; Ohkusa, Yasushi; Yamagishi, Takashi; Matsui, Takeshi; Kawano, Masashi; Watase, Hirotoshi; Morikawa, Yukiko; Oishi, Kazunori

doi:10.7883/yoken.jjid.2014.233

Cited by 18 publications

(14 citation statements)

References 14 publications

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“…Moreover, situations of outbreaks occurring in those days cannot be recognized on a timely basis because almost all (nursery) schools or pharmacies are closed during the successive holidays. More sensitive surveillance is necessary for those days, with preparations for ambulance transfer [14] and emergency department in hospitals [16]. Coordination of such measures remains as a challenge for future study.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding earlier detection of outbreaks for such an event, public health agents sometimes conduct enhanced surveillance using syndromic surveillance in addition to traditional surveillance based on physicians' diagnoses [3]- [14]. In Japan, enhanced surveillance had been conducted in the past for the Kyushu Okinawa Group of Eight Summit (G8 summit) 2000 [6] [7], the FIFA World Cup 2002 competition [8] [9], the Hokkaido Toyako G8 summit meeting 2008 [10], President Obama's visit to Japan in 2009 [11], the Yokohama Asia-Pacific Economic Cooperation (APEC) 2010, the Nagoya Tenth meeting of the Conference of the Parties (COP10) 2010 [12], the Fourth Japan-China-South Korea Trilateral Summit in 2011 [13], the Sports Festival in Tokyo 2013 [14] and Ise-Shima G7 summit meeting 2016.…”

Section: Introductionmentioning

confidence: 99%

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Enhanced Public Health Surveillance for the Sixth Worldwide Uchinanchu Festival Conducted by the Okinawa Prefectural Government, Japan

Yamakawa¹,

Yamauchi²,

Nidaira³

et al. 2017

JBM

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Objective: The Okinawa prefectural government conducted enhanced surveillance for the Sixth Worldwide Uchinanchu Festival, with participation of more than 5300 visitors from abroad, many of whom were Okinawan or of Okinawan descent, for early detection of Zika virus disease and other potential public health threat outbreaks. Method: Enhanced surveillance conducted from 12 October through 13 November involved four surveillance systems, (Nursery) School Absenteeism Surveillance system ((N)SASSy), Prescription Surveillance (PS), and Official Syndromic Surveillance (OSS), each of them operates routinely, in addition to case-based and sentinel surveillance under the Infectious Diseases Control Law as Official National Surveillance of Infectious Diseases (ONSID). This enhanced surveillance was conducted for analysis and evaluation, with intensive information sharing among concerned parties. Result: We performed the enhanced surveillance for 33 days from 12 October through 13 November. Information from enhanced surveillance was analyzed and evaluated, and eventually summarized as a daily report. There has been one rubella case at an elementary school in Okinawa City on 20 October and a measles case at an elementary school in Uruma City on 2 November. Those two cases were registered into (N)SASSy on a timely basis. The public health center investigated them quickly, and the measles case was denied later because symptoms did not satisfy with case definition. Discussion: How to cite this paper: Yamakawa, M., Yamauchi, M., Nidaira, M., Azuma, T., Nakasone, T., Ando, F., Hayamizu, T., Kinjo, S. and Nakamura, Y. We regard enhanced surveillance as useful to confirm events that might demand a public health response. Moreover, the related including public health centers or medical institutions confirmed the situation as valuable for the administrative structure. However, because almost all (nursery) schools or pharmacies are closed during successive holidays, outbreaks that occur on such days cannot be recognized on a timely basis. More sensitive surveillance for such days, with better preparations for ambulance transfer and at emergency departments in hospitals remains as a challenge for future work.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Enhanced Public Health Surveillance for the Sixth Worldwide Uchinanchu Festival Conducted by the Okinawa Prefectural Government, Japan

Yamakawa¹,

Yamauchi²,

Nidaira³

et al. 2017

JBM

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“…In Japan, such information had been examined for use in monitoring outpatient symptoms (Ohkusa et al 2006). However, because patients of a particular age or disease severity might not visit a doctor (Sugawara et al 2005), some information from organizations other than medical institutions, such as ambulance transfer (Shimatani et al 2015), over-the-counter drug sales , and prescriptions (Sugawara et al 2012b), had been used for syndromic surveillance in Japan. Particularly, prescription surveillance contributed to the monitoring of an influenza pandemic in 2009 ; data were used by prefecture offices to control the spread of the disease.…”

Section: Introductionmentioning

confidence: 99%

“…We can therefore use (N)SASSy as a form of syndromic surveillance in Japan. The system can be a powerful public health tool for use during mass gatherings or important political events (Shimatani et al 2015), such as the G7 summit meeting. In fact, it will even be utilized during the 2020 Tokyo Olympic Games.…”

Section: Introductionmentioning

confidence: 99%

Infection Control in Nursery Schools and Schools Using a School Absenteeism Surveillance System

Tanabe¹,

Kurita

Nagasu³

et al. 2019

Tohoku J. Exp. Med.

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Infection control in nursery schools and schools is important for community health and the health of children. In Japan, caregivers of children or students usually report the absence due to illness to their attending nurseries or schools, including symptoms and diagnosed diseases. The (Nursery) School Absenteeism Surveillance System, (N)SASSy, covers about 60% of schools and 40% of nurseries in Japan.In this paper, we evaluated the benefits of (N)SASSy as an infection control measure by a public health center. Mito Public Health Center (MPHC) covers 58 nurseries and 186 schools, as of May 2015, and called the nurseries and/or schools to confirm the situation, in case of aberration detected through (N)SASSy. The outcome was defined as the proportion of cluster avoidance by advice from MPHC. A cluster was identified, when the number of patients at the same facility with the same symptom or diagnosed disease was greater than ten during the prior seven days. During the study period (April 2015-March 2016), MPHC advised 85 times, and clusters were avoided 82 times (96.5%). The proportion of cluster avoidance was 100% for fever, enterohemorrhagic Escherichia coli infection, respiratory syncytial virus infection, or streptococcal pharyngitis infection. The proportion of cluster avoidance for diarrhea, vomiting or gastroenteritis infection, mumps, hand-foot-mouth disease (HFMD), and influenza was 78.8, 50.0, 20.0, and 6.7%, respectively. In conclusion, advice from a public health center given by phone based on information from (N)SASSy will be helpful for reducing the number of clusters of infectious diseases, except for HFMD and influenza.

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“…Outbreaks of infectious diseases might propagate at such facilities [2] [3] [4] [5] [6]. They have therefore adopted some measures against infectious diseases and use the Nursery School Absenteeism Surveillance System (NSASSy) to support detection of outbreak situations in the community through surveillance [2] [4] [5]. However, because caregivers cannot access this system directly, caregivers of preschool children who do not attend nursery school or kindergarten cannot receive any information from NSASSy.…”

Section: Introductionmentioning

confidence: 99%

Providing Infectious Disease Information to Child-Rearing Families and Its Evaluation

Nohora¹,

Kurita²,

Sugawara³

et al. 2019

Health

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Background: Earlier study without actual trial indicated that caregivers needed delivery of information about outbreak situations independently of their job status. This report describes, for about two months in winter, actual delivery outbreak information to families with preschool children. The study objective was to confirm the usefulness of this information delivery. Method: Participants receiving outbreak information were recruited from the Child Care Support Service in a ward in Tokyo, Japan. Outbreak information was obtained from the Nursery School Absenteeism Surveillance System (NSAS-Sy) covering approximately 40% of all nursery schools in Japan, prescription surveillance and other resources. Delivery of outbreak information started in December 2017 and ceased at the end of February in 2018. After the delivery period, a questionnaire survey was administered to participants. Results: For this area, NSASSy showed the most dominant disease was influenza, with 707 patients, followed by group A streptococcal pharyngitis with 98 patients. The outbreak peak was inferred to be as Monday, 22 January, and it was announced by e-mail on 23 January. Of the 202 persons joined this trial, 60 participants responded to the questionnaire survey after the delivery period. Of those respondents, 98% wanted delivery of that information to continue. Conclusion: We found that almost all respondents confirmed usefulness of the information about infectious diseases which was delivered.

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Enhanced Surveillance for the Sports Festival in Tokyo 2013: Preparation for the Tokyo 2020 Olympic and Paralympic Games

Cited by 18 publications

References 14 publications

Enhanced Public Health Surveillance for the Sixth Worldwide Uchinanchu Festival Conducted by the Okinawa Prefectural Government, Japan

Enhanced Public Health Surveillance for the Sixth Worldwide Uchinanchu Festival Conducted by the Okinawa Prefectural Government, Japan

Infection Control in Nursery Schools and Schools Using a School Absenteeism Surveillance System

Providing Infectious Disease Information to Child-Rearing Families and Its Evaluation

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