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

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

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

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

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

Storms - Kansas Department of Health and Environment

This is a cluster of syndromes created to populate an extreme weather myESSENCE tab. The intent was to increase repeatability of our weather surveillance and have something where a user can use the "Change Region" option to select whatever county, or counties, experienced storm activity. This is still a major work-in progress.

All of this as done in NSSP ESSENCE on Emergency Room data. Fields are specified by each syndrome definition.

July 19, 2018

Carbon Monoxide Exposure V2 - Kansas Department of Health and Environment

KDHE has updated the exhisting CO Poisoning Surveillance queries. Version 1 can be found here https://www.surveillancerepository.org/carbon-monoxide-exposure-kansas-d...

Previously, we were querying for carbon monoxide-related cases by using the NSSP ESSENCE SubSyndrome for COPoisoning coupled with an ICD10 CM diagnosis code query. SubSyndrome and ICD10 queries had to be run separately and then combined and de-duplicated.

September 24, 2018

Gunshot Injuries - Kansas Department of Health and Environment

Responding to an ask on the ISDS forums (https://www.healthsurveillance.org/forums/posts.aspx?group=190904&topic=...), KDHE made a first attempt at a Gunshot Injury query for Kansas syndromic data. There are a lot of other versions of GSW queries in this forum post. I recommend looking over the thread.

November 19, 2018

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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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