New York City Syndromic Surveillance Systems

Heffernan, Richard T.; Mostashari, Farzad; Das, Debjani; Besculides, Melanie; Rodriguez, Carla V.; Greenko, Jane; Steiner-Sichel, Linda; Balter, Sharon; Karpati, Adam; Thomas, Pauline; Phillips, Michael; Ackelsberg, Joel; Lee, E.; Leng, Jianwei; Hartman, Jessica; Metzger, Kristina B.; Rosselli, Richard; Weiss, Don

doi:10.1037/e307182005-004

Cited by 51 publications

(65 citation statements)

References 7 publications

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“…In New York City, staff maintain the system, spending several hours a day, seven days per week to download and analyse data. 1 Investigation of false signals is a significant burden on staff resources. 37 An often mentioned solution is to investigate only those alarms that are maintained for two or more days and in two or more geographical areas.…”

Section: Viralmentioning

confidence: 99%

“…Finally and most importantly, dedicated public health staff who would compile, manage, and analyse syndromic data on a regular basis, and respond to syndromic surveillance signals would be needed. Signal verification and response activities may include: (1) determining data import and aberration detection algorithm problems that may lead to erroneous signals (for example, duplicate data, batch transfers from certain institutions, miscoding of information at the point of entry, text-string search algorithms that are too specific or not specific enough, etc); (2) verifying the validity of the signal by looking for the presence of signals in other data sources; (3) if the signal is deemed to be composed of possible true cases, hospital logs and charts may need to be manually reviewed by hospital or public health department staff and a line list compiled for clinical and/or laboratory based case verification; (4) traditional outbreak investigation activities and application of interventions. Timeliness provided by a syndromic surveillance system can only be useful if all of the above functions are supported by and integrated into the activities of the local health department on a sustained basis.…”

Section: Policy Implicationsmentioning

confidence: 99%

See 1 more Smart Citation

Review of syndromic surveillance: implications for waterborne disease detection

Berger

Shiau²,

Weintraub³

2006

Journal of Epidemiology & Community Health

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Section: Viralmentioning

confidence: 99%

Section: Policy Implicationsmentioning

confidence: 99%

Review of syndromic surveillance: implications for waterborne disease detection

Berger

Shiau²,

Weintraub³

2006

Journal of Epidemiology & Community Health

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“…The New York City DOHMH has found that syndromic surveillance is useful for citywide increases in illness, such as the annual influenza epidemic or large outbreaks of norovirus, but that small localized outbreaks are often missed [37]. DoD-ESSENCE detects gastrointestinal and respiratory outbreaks with some frequency, typically in larger MTFs that service recruit populations.…”

Section: Outbreak Investigationmentioning

confidence: 99%

“…The New York City Department of Health and Mental Hygeine (DOHMH) uses a different approach to classifying emergency department chief complaints [37]. Their system searches for keywords in each chief complaint entry, and if one or more keywords assigned to a syndrome are present in the entry, the entry is assigned to that syndrome.…”

Section: Case Definition and Syndrome Groupingmentioning

confidence: 99%

Syndromic Surveillance and Outbreak Detection Using Automated Microbiologic Laboratory Test Order Data

Olsen¹

2007

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“…4,5 They hoped that analysis of the wide-reaching data sources combined in these systems would rapidly help identify emerging health threats, such as pandemic influenza, bioterrorism, and harmful environmental exposures, and would thereby provide early warning and increase the time that public health officials would have to respond. 6,7 Following the dissemination of anthrax spores in the aftermath of September 11, 2001, the federal government increased funding to support the development and proliferation of syndromic surveillance systems to protect the United States against threats from biological or environmental terrorism.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and geographic dispersion of syndromic surveillance systems in the United States in 2008

Lesesne

Smith²,

Rein³

2011

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This PDF document was made available from www.rti.org as a public service of RTI International. More information about RTI Press can be found at http://www.rti.org/rtipress. RTI International is an independent, nonprofit research organization dedicated to improving the human condition by turning knowledge into practice. The RTI Press mission is to disseminate information about RTI research, analytic tools, and technical expertise to a national and international audience. RTI Press publications are peer-reviewed by at least two independent substantive experts and one or more Press editors. DisclaimerThis report was prepared as an account of work sponsored by an agency of the United States Government. Neither the US Government nor any agency thereof, nor any of their employees, makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately owned rights. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not necessarily constitute or imply its endorsement, recommendation, or favoring by the US Government or any agency thereof. The views and opinions of the authors expressed herein do not necessarily state or reflect those of the US Government or any agency thereof. All rights reserved. Please note that this document is copyrighted and credit must be provided to the authors and source of the document when you quote from it. You must not sell the document or make a profit from reproducing it. AbstractTo understand the characteristics, scope, and geographic dispersion of syndromic surveillance systems in the United States in 2008, we reviewed information about their existence and characteristics in each state. We abstracted and compiled data from peer-reviewed literature, public reports, news stories, press releases, and Internet sites; we then analyzed the data, using a systematic instrument. For systems that collected emergency department (ED) information, we estimated the percentage of annual ED visits whose data were reported to the system. In 2008, 39 states and the District of Columbia had syndromic surveillance systems. ED records (65 percent) and hospital admissions records (43 percent) were the most common data sources. Respiratory (57 percent) and gastrointestinal (53 percent) syndromes were the most commonly tracked syndromes. On average, systems using ED records covered 47 percent of all visits, though some states had rates higher than 75 percent. The Northeast, Midwest, and Southeast were more likely to have systems than Western regions. We identified wide variance in the sources of data, the syndromes tracked, and the completeness of syndromic surveillance coverage across states. Although some states have well-established systems that capture diverse data at high levels of coverage, many others have small local systems or none.

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New York City Syndromic Surveillance Systems

Cited by 51 publications

References 7 publications

Review of syndromic surveillance: implications for waterborne disease detection

Review of syndromic surveillance: implications for waterborne disease detection

Syndromic Surveillance and Outbreak Detection Using Automated Microbiologic Laboratory Test Order Data

Characteristics and geographic dispersion of syndromic surveillance systems in the United States in 2008

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