Developing, Evaluating, and Disseminating Definitions for Syndromic Surveillance in Public Health Practice: A Guidance Document

This document, released February 18, 2019, focuses on several key areas related to syndrome definition creation, including the basics behind a syndrome definition, steps to build a syndrome, evaluation of a new (or old) definition, and dissemination.

February 19, 2019

Acute Flaccid Myelitis – Surveillance updates and CDC activities, 2018

Presented December 20, 2018.

The presentation will provide a summary of the epidemiology of AFM during the increase in cases in 2018 and updates on CDC’s AFM activities.

Presenters

Adriana Lopez, MHS, Epidemiologist, Division of Viral Diseases, National Center for Immunization and Respiratory Diseases 

Zach Stein, MPH, Syndromic Surveillance Analyst, ICF Contractor Supporting Division of Health Informatics and Surveillance, Center for Surveillance, Epidemiology and Laboratory Services 

December 21, 2018

Comparing and Contrasting Two ESSENCE Syndrome Definition Query Methods

The Kansas Syndromic Surveillance Program (KSSP) utilizes the ESSENCE v.1.20 program provided by the National Syndromic Surveillance Program to view and analyze Kansas Emergency Department (ED) data. Methods that allow an ESSENCE user to query both the Discharge Diagnosis (DD) and Chief Complaint (CC) fields simultaneously allow for more specific and accurate syndromic surveillance definitions. As ESSENCE use increases, two common methodologies have been developed for querying the data in this way.

January 25, 2018

Developing and Validating a Fireworks-Related Syndrome Definition in Kansas

Across the U.S.A., multiple people seek treatment for fireworks-related injuries around the July 4th holiday. Syndromic surveillance in Kansas allows for near real-time analysis of the injuries occurring during the firework selling season. During the 2017 July 4th holiday, the Kansas Syndromic Surveillance Program (KSSP) production data feed received data from 88 EDs at excellent quality and timeliness. Previous and current firework safety messaging in Kansas is dependent on voluntary reporting from hospitals across the state.

January 25, 2018

Creation of a Kansas Spring Extreme Weather Syndrome Definition and Unique Records

Kansas storms can occur without warning and have potential to cause a multitude of health issues. Extreme weather preparedness and event monitoring for public health effects is being developed as a function of syndromic surveillance at the Kansas Department of Health and Environment (KDHE). The Syndromic Surveillance Program at KDHE utilized emergency department (ED) data to detect direct health effects of the weather events in the first 9 months of 2016.

August 21, 2017

Exposure to Forces of Nature (Weather) Diagnosis Codes - Kansas Department of Health and Environment

This syndrome was created to capture cases where the "exposure to forces of nature" diagnosis codes are sent. This was created as a starting place for weather surveillance and should capture all weather-related events that are explicitly stated and diagnosed. Please note that if your region receives a lot of sun, the primary case counts in this syndrome definition will be sunburns. KDHE has uploaded a second similar syndrome that excludes these cases.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

October 27, 2017

Exposure to Forces of Nature (Weather) Diagnosis Codes - Excluding Heat/Sunlight Exposure - Kansas Department of Health and Environment

This syndrome was created to capture records where the "exposure to forces of nature" diagnosis codes are sent, excluding Heat/Sunlight codes. The original syndrome captured all weather-related events that are explicitly stated and diagnosed, but the majority of these cases were sunburns and heat stroke. The original syndrome is also uploaded, but this syndrome will serve similar purposes as the original while excluding Heat/Sunlight cases when these are not of interest.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

October 27, 2017

Carbon Monoxide Exposure - Kansas Department of Health and Environment

This syndrome was created to capture Kansas ED Visits with chief complaints related to carbon monoxide poisoning/exposure or similar diagnosis codes. The terms "heater" and "generator" are included to potentially capture cases of improper heater and generator use that did not receive relevant CO poisoning terms or codes.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

Fields Used - CCDD (an ESSENCE-concatenated field of Chief Complaint and Discharge Diagnosis)

October 27, 2017

Kansas Uses a Novel Approach to Assess Injuries to Agricultural Workers

Agriculture can be a hazardous industry. Farmers, and oftentimes their family members, are at high risk for injuries, fatalities, and illness. Risks include exposure to pesticides on crop farms and use of tractors, farming equipment, and other machinery.

February 27, 2018

Carbon Monoxide - Kansas Department of Health and Environment

This syndrome was created to query NSSP ESSENCE on CO Poisoning and Exposure

Kansas just made CO Poisoning a mandatory reportable disease, but this was done so rapidly that hospital didn't have the chance to get reporting measures/alerts in place so many of our CO Poisonings went unreported. This set of queries was created to find these cases through EDs and then educate/remind hospitals of the legislation changes.

July 19, 2018

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Email:syndromic@syndromic.org

This Knowledge Repository is made possible through the activities of the Centers for Disease Control and Prevention Cooperative Agreement/Grant #1 NU500E000098-01, National Surveillance Program Community of Practice (NSSP-CoP): Strengthening Health Surveillance Capabilities Nationwide, which is in the interest of public health.

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