Builiding Methods for a Proactive Prescription Drug Surveillance System

Prescription Drug Monitoring Programs (PDMPs) are operating in 49 states and several U.S. territories.

June 08, 2017

CDC June Community of Practice Webinar

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 

August 24, 2017

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

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

Surveillance for Opioid Overdose in the Veterans Health Administration, 2004-2014

Drug poisoning, or overdose, is an epidemic problem in the United States1,2. In keeping with national trends, a recent study combining U.S. Veterans Health Administration (VHA) data with the National Death Index showed increases in opioid overdose mortality from 2001 to 20093. One of the challenges in monitoring the overdose epidemic is that collecting cohort data to analyze overdose rates can be laborintensive. Moreover, analysts are often unable to collect real-time data on overdose events.

December 03, 2017

Using NC DETECT for Comprehensive Morbidity Surveillance on Poisoning and Overdose

A retrospective analysis of emergency department data in NC for drug and opioid overdoses has been explained previously [1]. We built on this initial work to develop new poisoning and surveillance reports to facilitate near real time surveillance by health department and hospital users. In North Carolina, the availability for mortality and hospital discharge data are approximately one and two years after the event date, respectively.

December 20, 2017

Opioid Diagnosis Codes - Adapted from the HCUP Definition - Kansas Department of Health and Environment

This syndrome was created as a way to integrate the H-CUP Opioid-Related Hospital Use definition into ESSENCE. H-CUP is the Healthcare Cost and Utilization Project and we believe their Opioid-Related Hospital Use definition is a great starting point for developing opiate-use syndrome definitions.

October 27, 2017

CDC Opioid v1

States currently funded by CDC’s Enhanced State Opioid Overdose Surveillance (ESOOS) program have been asked to monitor opioid overdose trends in their states. In collaboration with our ESOOS partners, CDC staff developed some lessons learned in querying opioid overdose ED visits in syndromic surveillance systems. Based on this preliminary work, CDC developed an opioid overdose syndrome definition that captured all of the lessons learned from ESOOS states.

August 29, 2018

CDC All Drug v1

Purpose: States currently funded by CDC’s Enhanced State Opioid Overdose Surveillance (ESOOS) program have been monitoring drug overdose trends in their states. Because CDC had worked with these states to develop syndrome definitions for stimulant, heroin and opioid overdose, they decided to also develop a syndrome definition for all drug overdose.

 

October 11, 2018

Injection Drug Use - Maricopa County Department of Public Health

This syndrome attempts to capture Opioid, Cocaine and Meth Injection Drug Use hospital visits. The syndrome was developed using NSSP ESSNECE and evaluated on Maricopa County emergency department and inpatient data. Fields used in ESSENCE include Admit Reason Combo, Cheif Complaint History and Discharge Diagnosis.

December 12, 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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