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Surveillance

Surveillance. Bioterrorism Epidemiology Module 11 Missouri Department of Health And Senior Services adapted from material created by Daryl Roberts. Purpose of Public Health Surveillance Data. Assesses the health status of the community Defines public health priorities Program evaluation

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Surveillance

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  1. Surveillance Bioterrorism Epidemiology Module 11 Missouri Department of Health And Senior Services adapted from material created by Daryl Roberts

  2. Purpose of Public Health Surveillance Data • Assesses the health status of the community • Defines public health priorities • Program evaluation • Conduct research

  3. Surveillance System Design • Workable and acceptable- to users • Sensitive- to detect changes in disease patterns of the community • Timely- to assure information can be acted upon effectively

  4. Example Case Definition of InhalationalAnthrax • Clinical description • An illness with acute onset characterized by several distinct clinical forms, including the following: Source: DHSS, 2002 CD manual

  5. Example Case Definition of InhalationalAnthrax • Clinical description • a brief prodrome resembling a viral respiratory illness, followed by development of hypoxia and dyspnea, with radiographic evidence of mediastinal widening

  6. Laboratory Criteria for Diagnosis • Isolation of Bacillus anthracis from a clinical specimen, or • Anthrax electrophoretic immunotransblot (EITB) reaction to the protective antigen and/or lethal factor bands in one or more serum samples obtained after onset of symptoms, or • Demonstration of Bacillus anthracis in a clinical specimen by immunofluorescence

  7. Passive Surveillance System Data Collection • Passive surveillance- medical care providers report notifiable diseases on a case-by-case basis to the local or state health agency, based upon a published list of conditions

  8. Active Surveillance • Health care providers report notifiable diseases on a case-by-case basis, or syndromic information in aggregate form on a regular schedule due to routine outreach from the local or state health agency

  9. Information Sources • Medical care providers • Hospital emergency departments, admitting units, and infectious disease control nurses • Laboratories • Emergency responders • Schools • Day care facilities (adult and child) • Nursing home facilities

  10. Information Sources • Occupational settings • Surrounding LPHAs • Individuals self-reporting • Military units within or near your jurisdiction • Religious facilities • Pharmacies and drug stores

  11. Types of Information to Collect • Demographic (socio-demographic) – • Age, sex, race, etc. • Measures of time – • Onset date, diagnosis date, laboratory report date, date of death, etc. • Variables that delineate individuals, populations, and events – • Ate at a party, attended basketball game, went to church picnic, etc.

  12. Missouri Statutes on CDs and Surveillance • 192.020 RSMo – broad general authority given Missouri public health to protect the state from communicable diseases • 192.040 – authority for public health to collect information and issue reports/statistics on diseases

  13. Missouri Statutes on CDs and Surveillance • 192.067 – authority to collect medical record information for purposes of conducting epidemiological studies to safeguard the public’s health • 192.320 – general authority for public health to enforce quarantines and isolations • 192.320 – general authority for public health to enforce quarantines and isolations

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