Recommendations for Surveillance of EMS Data for Opioid Overdoses

Presented March 21, 2019.

FirstWatch Recommendations for Surveillance of EMS Data for Opioid Overdoses: https://www.firstwatch.net/finding-opioid-data/

March 29, 2019

Are the French SAMU data relevant for health surveillance?

The syndromic surveillance SurSaUD® system developed by Sante© publique France, the French National Public Health Agency collects daily data from 4 data sources: emergency departments (OSCOUR® ED network), emergency general practioners (SOS Medecins network), crude mortality (civil status data) and electronic death certification including causes of death. The system aims to timely identify, follow and assess the health impact of unusual or seasonal events on emergency medical activity and mortality.

January 25, 2018

Assessment of a Surveillance Case Definition for Heroin Overdose in Emergency Medical Services Data

In 2016, the Centers for Disease Control and Prevention funded 12 states, under the Enhanced State Opioid Overdose Surveillance (ESOOS) program, to utilize state Emergency Medical Services (EMS) and emergency department (ED) syndromic surveillance (SyS) data systems to increase timeliness of state data on drug overdoses. A key aspect of the ESOOS program is the development and validation of case definitions for drug overdoses for EMS and ED SyS data systems.

January 25, 2018

Assessing Definitions of Heroin Overdose in ED & EMS Data Using Hospital Billing Data

In 2016, the Centers for Disease Control and Prevention funded 12 states, under the Enhanced State Opioid Overdose Surveillance (ESOOS) program, to utilize state Emergency Medical Services (EMS) and emergency department syndromic surveillance (SyS) data systems to increase timeliness of state data on drug overdose events. An important component of the ESOOS program is the development and validation of case definitions for drug overdoses for EMS and ED SyS data systems with a focus on small area anomaly detection.

January 25, 2018

Surveillance of a Synthetic Cannabinoid Overdose Outbreak using Syndromic & EMS Data

In mid-2017, the Kentucky Injury Prevention and Research Center (a bonafide agent of Kentucky Department for Public Health-KDPH) was alerted by members of KDPH to anecdotal evidence of a possible increase of SynCan (primarily Serenity) overdoses. The situation presented an opportunity to demonstrate the capabilities of syndromic surveillance and emergency medical services (EMS) data systems to provide rapid situational awareness about SynCan overdoses.

Objective:

January 25, 2018

CDC June 2016 Community of Practice Webinar Recording

Drs. Arens, Vo, van Wijk, and Coffin will present a cluster of opioid-related poisoning cases and deaths in San Francisco following ingestion of counterfeit pills designed to look like prescription medication. They will describe the clinical cases and detailed the coordinated public health response, which included the local PCC, a toxicology lab, a public health officer, the local medical examiner, and affected hospitals.

Presenters:

Ann Arens, MD and Kathy Vo, MD, Medical Toxicology Fellows, California Poison Control System, San Francisco Division 

April 10, 2017

Highway Emergency Response and Accident Mitigation Service (HERAM) – A Field Report

The increasing frequency and severity of Road Traffic Accidents (RTA) in India have caused grave concern for road safety, posing serious challenge to transport policy makers, planners, regulators, police, engineers and civil society alike. With just 1% of world’s vehicles, India leads with 10% of world’s total Road Traffic Fatalities, resulting in untold misery to lakhs of people and costing about 3% of the GDP1. Due to the impact of the RTA, the United Nations declared the current decade “the decade of action for road safety with a goal to save five million lives”2.

August 31, 2017

From Ebola to Heroin; the Use of EMS Data for Near Real Time Alerting and Surviellance

Arguably the two most significant public health issues over the past two years have been the outbreak of ebola in West Africa and the rising epidemic of heroin use and overdoses. In the case of Ebola, the CDC issued guidance for inpatient facilities to screen for potential cases, however, there was little guidance for screening patients that presented to EMS workers. The West African pateint aht presented to the Emergency Department in Dallas was transported, unknowingly, by EMS, potentially exposing them and others to this deadly disease.

August 31, 2017

Using an Emergency Department Syndromic Surveillance System to Assess the Impact of Cyclone Bejisa, Reunion Island

On January 2, 2014 the cyclone Bejisa struck Reunion Island. This storm of Category 3 (Saffir–Simpson scale) disturbed electricity supply and drinking water systems. Floods, roof destructions and the threat of landslide led to the evacuation of residents to emergency shleters. In this context, the regional office of French Institute for Public Health Surveillance in Indian Ocean set up an epidemiological surveillance in order to assess the impact in the aftermath of the cyclone.

Objective

November 08, 2017

Surveillance of Heat-related Morbidity: Relation to Heat-related Excess Mortality

The impact of heat on mortality is well documented but deaths tend to lag extreme heat and mortality data is generally not available for timely surveillance during heat waves. Recently, systems for near-real time surveillance of heat illness have been reported but have not been validated as predictors of heat related mortality. In this study, we examined the associations among weather, indicators of heat-related ambulance calls and emergency department visits and excess natural cause mortality in New York City.

 

Objective

July 02, 2018

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