Monitoring disease and risk factors: surveillance

Author(s):  
Richard Hopkins ◽  
Aaron Kite-Powell

Public health surveillance is ‘the ongoing, systematic collection, analysis, interpretation, and dissemination of data about a health-related event for use in public health action to reduce morbidity and mortality and to improve health. Data disseminated by a public health surveillance system can be used for immediate public health action, program planning and evaluation, and formulating research hypotheses. This chapter discusses purposes for surveillance, surveillance opportunities, surveillance system design, public health informatics, evaluating a surveillance system, and general principles for effective surveillance systems.

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Rhonda A. Lizewski ◽  
Howard Burkom ◽  
Joseph Lombardo ◽  
Christopher Cuellar ◽  
Yevgeniy Elbert ◽  
...  

While other surveillance systems may only use death and admissions as severity indicators, these serious events may overshadow the more subtle severity signals based on appointment type, disposition from an outpatient setting, and whether that patient had to return for care if they their condition has not improved.  This abstract discusses how these additional data fields were utilized in a fusion model to improve the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE).


Author(s):  
Daniel M. Sosin ◽  
Richard S. Hopkins

Effective use of health data is a foundation of public health practice. Surveillance produces an ongoing stream of data that, when appropriately analysed, supports and directs public health action. This chapter provides an introduction to the purposes, design, methods, and uses of public health surveillance systems. Public health programme managers and staff, decision makers, epidemiologists, and students of public health can use this information to assure effective implementation of public health surveillance systems.


2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Amanda Whipple ◽  
Joseph Jackson ◽  
Joshua Ridderhoff ◽  
Allyn K. Nakashima

Objectives: The Utah Department of Health (UDOH) developed an electronic case reporting (eCR) process to automatically transfer clinical data from a provider to the state health department, with aims of improving sexually transmitted disease (STD) surveillance data quality, decreasing the time spent on STD case investigations, and expanding the process to other diseases and larger healthcare systems.Methods: Reportable Conditions Trigger Codes (RCTC) were placed into the electronic health record (EHR) system at Planned Parenthood Association of Utah (PPAU) to trigger the automatic transfer of clinical data to Utah’s public health surveillance system. Received data were deduplicated, processed, and assigned directly to the public health surveillance system, with minimal manual intervention.Results: Eighteen new data elements, important for STD case investigations, were transferred to cases with eCR. Additionally, the clinical time spent transmitting data was vastly reduced. With the new eCR process more complete and timely data is received by public health. Providers, as well as public health, now spend less time manually transmitting clinical data by fax and/or phone.Discussion: Automated processes are challenging but can be achieved with a robust disease surveillance system, flexible rules engine, skillful programming, on-going analysis, and successful partnerships. The eCR process created for this project can potentially be useful for other conditions outside of STDs.Conclusion: Results of this demonstration project offer an opportunity for readers to learn about eCR and apply lessons learned to improve their existing eCR systems, or future public health informatics initiatives, at any state-level jurisdiction.


2006 ◽  
Vol 11 (11) ◽  
pp. 7-8 ◽  
Author(s):  
G Krause ◽  
J Benzler ◽  
G Reiprich ◽  
R Görgen

Surveillance systems for infectious diseases build the basis for effective public health measures in the prevention and control of infectious diseases. Assessing and improving the quality of such national surveillance systems is a challenge, as many different administrations and professions contribute to a complex system in which sensitive information must be exchanged in a reliable and timely fashion. We conducted a multidisciplinary quality circle on the national public health surveillance system in Germany which included clinicians, laboratory physicians, and staff from local and state health departments as well as from the Robert Koch-Institut. The recommendations resulting from the quality circle included proposals to change the federal law for the control of infectious diseases as well as practical activities such as the change of notification forms and the mailing of faxed information letters to clinicians. A number of recommendations have since been implemented, and some have resulted in measurable improvements. This demonstrates that the applied method of quality circle is a useful tool to improve the quality of national public health surveillance systems.


2003 ◽  
Vol 31 (S4) ◽  
pp. 41-42 ◽  
Author(s):  
Angela McGowan ◽  
Michael Schooley ◽  
Helen Narvasa ◽  
Jocelyn Rankin ◽  
Daniel M. Sosin

The Centers for Disease Control and Prevention’s (CDC) goal is to develop a surveillance system of public health laws that would both support research and analysis among policymakers and legislators, and support the scientific basis for public health law. This session was convened, in part, to discuss the value of creating an electronic system to track public health legal information. Public health surveillance is the “ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health-related event for use in public health action to reduce morbidity and mortality and to improve health. Data disseminated by a public health surveillance system can be used for immediate public health action, program planning and evaluation, and formulating research hypotheses.” There is currently no system available that meets the goals of this definition of “surveillance” for public health laws.


2021 ◽  
pp. 93-109
Author(s):  
Clarissa D. Simon ◽  
Craig F. Garfield

AbstractIncluding the voice of the father in research related to fathering is essential. This chapter describes efforts to establish a new public health surveillance for fathers in the United States. The ultimate goal of this research is to study fatherhood to support healthy child development by collecting valuable information on father health and experiences in the perinatal period. Understanding fathers is key to learning about and improving family health, since fathers impact mothers and babies’ health. Studying the health of fathers during the transition to fatherhood can also provide a window into the overall health status of men, expanding the field of public health to include more specifics on the health of fathers and their impact on families. Currently surveillance systems are lacking in including the fathers’ perspective in measurement of paternal health and the transition to fatherhood. To address these issues we utilized a multi-pronged approach to inform development of a public health surveillance system for fathers: (1) review of the current literature to identify gaps in knowledge on the role of fatherhood in male and family health and identify current national-level surveillance data on fathers; (2) assessed feasibility of identifying participants to implement a surveillance system for fathers; (3) conducted formative research to develop methodology; and (4) piloted a public health surveillance system called the Pregnancy Risk Assessment Monitoring System for Dads or “PRAMS for Dads.”


Author(s):  
Noelle M. Cocoros ◽  
Candace C. Fuller ◽  
Sruthi Adimadhyam ◽  
Robert Ball ◽  
Jeffrey S. Brown ◽  
...  

2020 ◽  
Author(s):  
Falaho Sani ◽  
Mohammed Hasen ◽  
Mohammed Seid ◽  
Nuriya Umer

Abstract Background: Public health surveillance systems should be evaluated periodically to ensure that the problems of public health importance are being monitored efficiently and effectively. Despite the widespread measles outbreak in Ginnir district of Bale zone in 2019, evaluation of measles surveillance system has not been conducted. Therefore, we evaluated the performance of measles surveillance system and its key attributes in Ginnir district, Southeast Ethiopia.Methods: We conducted a concurrent embedded mixed quantitative/qualitative study in August 2019 among 15 health facilities/study units in Ginnir district. Health facilities are selected using lottery method. The qualitative study involved purposively selected 15 key informants. Data were collected using semi-structured questionnaire adapted from Centers for Disease Control and Prevention guidelines for evaluating public health surveillance systems through face-to-face interview and record review. The quantitative findings were analyzed using Microsoft Excel 2016 and summarized by frequency and proportion. The qualitative findings were narrated and summarized based on thematic areas to supplement the quantitative findings.Results: The structure of surveillance data flow was from the community to the respective upper level. Emergency preparedness and response plan was available only at the district level. Completeness of weekly report was 95%, while timeliness was 87%. No regular analysis and interpretations of surveillance data, and the supportive supervision and feedback system was weak. The participation and willingness of surveillance stakeholders in implementation of the system was good. The surveillance system was found to be useful, easy to implement, representative and can accommodate and adapt to changing conditions. Report documentation and quality of data was poor at lower level health facilities. Stability of the system has been challenged by shortage of budget and logistics, staff turnover and lack of update trainings.Conclusions: The surveillance system was acceptable, useful, simple, flexible and representative. Data quality, timeliness and stability of the system were attributes that require improvement. The overall performance of measles surveillance system in the district was poor. Hence, regular analysis of data, preparation and dissemination of epidemiological bulletin, capacity building and regular supervision and feedback are recommended to enhance performance of the system.


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